科拉奇分析法联合认知行为疗法在青少年非自杀性自伤行为中的应用及其对Barratt评分和MOAS的影响

Colaizzi analysis combined with cognitive-behavior therapy for adolescent non-suicidal self-injury and its effect on Barratt score and MOAS

目的探究科拉奇分析法(Colaizzi)联合认知行为疗法(cognitive-behavior therapy,CBT)在青少年非自杀性自伤行为(non-suicidal self-injury,NSSI)中的应用效果。方法以我院接受治疗的126例NSSI青少年患者为研究对象,将其随机分为2组,各63例,对照组采用CBT干预,观察组则采用Colaizzi分析法联合CBT干预。评估并对比两组患者的自伤行为、外显攻击行为、生活应激事件、健康相关危险行为、家庭的亲密度和适应度。结果干预后,两组患者的自伤功能评定量表(functional assessment of selfmutilation,FASM)行为问卷评分、外显攻击行为量表(modified overt aggression scale,MOAS)言语、财产、自身和体力攻击评分、Barratt冲动性量表(Barratt impulsiveness scale,BIS)、青少年生活事件量表(adolescent self-rating life events check list,ASLEC)和青少年健康相关危险行为问卷(adolescent health related risk behavior inventory,AHRBI)评分均明显下降;而家庭亲密度和适应性量表(family adaptability and cohesion scale,FACES II-CV)功能问卷评分明显上升,且观察组改变幅度高于对照组,差异有统计学意义(P<0.05)。结论对青少年NSSI患者采用Colaizzi分析法联合CBT疗法能显著降低患者自伤行为、生活应激事件等发生率,改善其攻击性和冲动性,提高家庭亲密度,该种心理干预措施具有重要应用价值,值得临床推广应用。

Objective To explore the effect of Colaizzi analysis combined with cognitive-behavior therapy(CBT)for adolescent non-suicidal self-injury(NSSI).Methods A total of 126 young NSSI patients treated in our hospital were randomly assigned to two groups with 63 cases in each group.Patients in the control group received Colaizzi analysis alone,and patients in the observation group received Colaizzi analysis combined with CBT intervention.Self-injury behavior,explicit aggressive behavior,life stress events,health-related risk behaviors,family intimacy and adaptability in each group were evaluated and compared.Results After the intervention,the scores of functional assessment of self-mutilation(F ASM)behavior questionnaire,moas speech,property,self and physical aggression,Barratt impulsiveness scale(BIS),adolescent self-rating life events check list(ASLEC)and adolescent health related risk behavior inventory(AHBBI)decreased significantly.The scores of FACESⅡ-CV(family adaptability and cohesion scaleⅡ-CV)functional questionnaire increased significantly,and the change range of the observation group was higher than that of the control group(P<0.05).Conclusion Colaizzi analysis combined with CBT therapy could significantly reduce the incidence of NSSI and life stress events,improve their aggression and impulsivity,and improve family intimacy.This psychological intervention has important application value and is worthy of clinical promotion and application.