一例内观疗法结合叙事疗法提升双相情感障碍患者幸福感的个案报告

A Case Report of Increasing Happiness in a Patient With Bipolar Affective Disorder Using Naikan Therapy and Narrative Therapy

为探讨内观疗法结合叙事疗法对双相情感障碍患者人际关系问题的疗效,以1例双相情感障碍I型患者为对象,进行为期三周的干预,共计11次内观疗法和7次叙事疗法。采用90项症状自评量表(Symptom Check List 90,SCL-90)、总体幸福感量表(General Well-Being Schedule,GWB)、宗氏抑郁自评量表(Zung Self-Rating Depression Scale,SDS)、宗氏焦虑自评量表(Zung Self-Rating Anxiety Scale,SAS)对患者治疗前、治疗后以及出院后3个月的状态进行测评。11次内观疗法和7次叙事疗法干预后,患者GWB总评分从73分升至115分,SDS标准分从38分降至31分,SAS标准分持平为38分,SCL-90评分从103分降至91分;三个月后随访GWB、SCL-90、SDS、SAS评分分别为:112分、91分、41分、25分,测评分值与治疗后差别较小。内观结合叙事疗法让患者意识到过去生活中的问题所在,有助于改善患者人际关系、稳定情绪并提升幸福感。

To explore the effect of naikan therapy combined with narrative therapy on interpersonal problems in a patient with bipolar affective disorder.A patient with bipolar I disorder was treated with 11 sessions of Naikan therapy and 7 sessions of narrative therapy for a period of three weeks.Symptom Checklist 90(SCL-90),General Well-Being Schedule(GWB),Zung Self-Rating Depression Scale(SDS),and Zung Self-Rating Anxiety Scale(SAS)were used to evaluate the status of the patient before and after treatment and 3 months after discharge.After 11 sessions of Naikan therapy and 7 sessions of narrative therapy,the patients'total GWB score increased from 73 to 115,SDS score decreased from 38 to 31,SAS score remained unchanged at 38,and SCL-90 score decreased from 103 to 91.Three months later,GWB,SCL-90,SDS,and SAS scores were 112,91,41 and 25 points,respectively,and there were small differences between the evaluation scores and the scores after treatment.The combination of Naikan therapy and narrative therapy helps patients become aware of past problems in their lives,that is conductive in improving their interpersonal relationships,stabilizing emotions,and enhancing happiness.