情绪调节策略对抑郁障碍青少年非自杀性自伤行为的影响

Effect of emotional regulation strategy on non-suicidal self-injury behavior of adolescents with depressive disorder

目的评价情绪调节策略对抑郁障碍青少年非自杀性自伤行为的干预效果。方法将有非自杀性自伤史的抑郁障碍青少年90例按随机数字表法分为对照组和观察组各45例。对照组按精神科常规护理实施安全性评估与管理,观察组以面对面形式进行以情绪调节策略为主导的短期住院干预,每周2次,每次1 h,共7次。结果观察组干预后3个月自伤频次、对身体最严重的伤害程度显著低于对照组,适应性认知情绪调节策略评分显著高于对照组,非适应性认知情绪调节策略评分显著低于对照组(均P<0.01)。结论以情绪调节策略为主导的短期住院干预有利于提升抑郁障碍青少年的认知情绪调节能力,减少自伤行为。

Objective To evaluate the intervention effect of emotional regulation strategy on non-suicidal self-injury(NSSI)behavior of adolescents with depressive disorder.Methods A total of 90 adolescents with depressive disorder and a history of NSSI were divided into a control group and an intervention group using a random number table,with 45 cases in each group.The control group received routine safety assessment and management,while the intervention group received short-term hospitalization intervention dominated by emotional regulation strategy in the form of face to face sessions,twice a week,1 hour each session,streching 7 times.Results Three months after the intervention,the frequency of NSSI and the most serious physical injury in the intervention group were significantly lower than those in the control group,the scores of adaptive cognitive emotional regulation strategy were significantly higher than those in the control group,while the scores of non-adaptive cognitive emotional regulation strategy were significantly lower than those in the control group(P<0.01 for all).Conclusion The short-term hospitalization intervention dominated by emotional regulation strategy is beneficial to improve the cognitive and emotional regulation ability of adolescents with depressive disorder,and reduce their NSSI behavior.