辩证行为疗法联合舍曲林药物治疗对伴非自杀性自伤抑郁症青少年的疗效

Analysis on the Efficacy of Dialectical Behavior Therapy combined with sertraline drug therapy on Adolescent Depression with Non-suicidal Self-harm

目的了解辩证行为疗法(DBT)对于青少年抑郁症伴非自杀性自伤的效果,为DBT的深层次研究和推广提供依据。方法筛选重庆医科大学附属第一医院精神科和重庆医科大学附属大学城医院心理卫生中心2019年7月~2021年2月期间门诊及住院部收治的28例伴非自杀性自伤的抑郁症青少年为研究对象,随机分为对照组和研究组,对照组给予单纯药物治疗,研究组在对照组的基础上给予辩证行为疗法治疗。比较两组患者治疗前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、渥太华自伤量表(OSI)评分结果。结果在治疗6周后,研究组SAS评分和SDS评分均低于对照组(P均<0.01)。卡方检验结果显示,在治疗后研究组和对照组的非自杀性自伤行为差异有统计学意义。结论辩证行为疗法能有效缓解抑郁症青少年的焦虑抑郁情绪,减少非自杀性自伤行为的发生,提高生活质量。

Objective To understand the effect of Dialectical Behavior Therapy(DBT)on adolescent depression with non-suicidal self-harm,and to provide a basis for in-depth research and promotion of DBT.Methods Selected 28 cases of depressed adolescents with non-suicidal self-injury admitted to the outpatient and inpatient departments from July 2019 to February 2021 in the Department of Psychiatry,The First Affiliated Hospital of Chongqing Medical University and the Mental Health Center of University-Town Hospital of Chongqing Medical University.The subjects were randomly divided into a control group and a study group.The control group was treated with drugs alone,and the study group was treated with dialectical behavior therapy on the basis of the control group.The results of the self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Ottawa self-injury scale(OSI)scores were compared between the two groups before and after treatment.Results After 6 weeks of treatment,the SAS score and SDS score of the study group were lower than those of the control group(both P<0.01).The chi-square test results showed that there was a statistically significant difference in non-suicidal self-harm behavior between the study group and the control group after treatment.Conclusion Dialectical behavior therapy can effectively relieve the anxiety and depression of depressed adolescents,reduce the occurrence of non-suicidal self-harm,and improve the quality of life.