非自杀性自伤行为青少年患者反刍思维与生活满意度的调查

Investigation of Rumination and Life Satisfaction in Adolescent Patients With Non-Suicidal NSSI Behavior

目的以反刍思维和生活满意度量表测验工具为依托,调查非自杀性自伤行为青少年患者关于反刍思维与生活满意度的现状,为分析相关因素和制订积极的心理干预方案提供参考资料。方法采用积极和消极反刍思维量表(positive and negative rumination scale,PANRS)和青少年学生总体生活满意度量表(adolescent students’life satisfaction scale,ASLSS)作为评价工具,对2022年11月—2023年5月福州某三甲精神病院心理科住院的30例有非自杀性自伤行为的青少年患者(研究组)与无自杀性自伤行为正常在校学习的青少年作为对照组进行测评,对量表结果进行分析与探讨。结果研究组积极因子(享受快乐和积极应对)评分低于对照组,消极因子(抑制快乐、否定自我、消极归因)评分高于对照组(P<0.05)。研究组总体生活满意度评分为(119.00±36.19)分,低于对照组的(156.00±34.66)分,差异有统计学意义(P<0.05)。结论非自杀性自伤行为青少年患者存在明显的积极反刍思维缺陷,较强的消极反刍思维,严重影响青少年对生活满意的程度。可以通过制订提高积极的反刍思维的干预措施有利于提高青少年未来生活的积极性。

Objective To investigate the current situation of rumination thinking and life satisfaction in non-suicide adolescent patients,and to provide reference materials for analyzing related factors and developing positive psychological intervention programs.Methods Using the positive and negative rination scale(PANRS)and adolescent students'life satisfaction scale(ASLSS)as an evaluation tool.From November 2022 to May 2023,30 adolescent patients with non-suicidal self-injury hospitalized in the psychological department of a third-grade psychiatric hospital in Fuzhou(the control group)and adolescents with no suicidal selfinjury who normally studied in school as controls,the scale results were analyzed and discussed.Results The positive factor scores(enjoyment of happiness and positive coping)in the research group were lower than those in the control group,while the negative factor scores(inhibition of happiness,self denial,negative attribution)were higher than those in the control group(P<0.05).The overall life satisfaction score of the research group was(119.00±36.19)points,which was lower than the control group's(156.00±34.66)points,and the difference was statistically significant(P<0.05).Conclusion The adolescent patients with non-suicidal NSSI have obvious positive rumination thinking defects and strong negative rumination thinking,which seriously affect the satisfaction of life.The development of interventions that improve positive rumination can be beneficial to increase the motivation of youth for future life.