舍曲林联合父母团体认知行为疗法治疗青少年非自杀性自伤患者的效果

Effect of Sertraline combined with parent-group cognitive behavioral therapy in adolescents with non-suicidal self-injury

目的探讨舍曲林联合父母团体认知行为疗法治疗青少年非自杀性自伤(NSSI)患者的效果。方法选取2023年1月至12月在漯河市中心医院就诊的60例青少年NSSI患者及其父母,采用抛掷硬币法将其分为干预组与对照组,每组各30例。两组均给予舍曲林治疗,对照组父母接受常规健康教育,干预组父母在对照组基础上接受6周团体认知行为疗法。观察两组疗效,采用青少年自我伤害问卷、儿童感知婚姻冲突量表及子女教育心理控制源量表测评并比较治疗前后两组内及组间各因子评分差异。结果干预组总有效率(80.00%)高于对照组(50.00%),差异有统计学意义(P<0.05)。治疗后,干预组青少年自我伤害问卷评分低于对照组(P<0.05);干预组冲突频率、冲突强度、认知威胁、冲突内容、自我归因、子女对父母生活的控制、教育成效、父母对命运/机遇的信念、父母对子女行为的控制、父母责任的评分均较治疗前及对照组降低(P<0.05);对照组冲突频率评分较治疗前增高(P<0.05),子女对父母生活的控制评分较治疗前降低(P<0.05)。结论舍曲林联合父母团体认知行为疗法可显著降低青少年NSSI患者的自伤频率及严重程度,在改善青少年NSSI患者父母教育子女过程中的责任意识、外控力及儿童感知到的婚姻冲突等方面效果较好。

Objective To explore the effect of Sertraline combined with parent-group cognitive behavioral therapy in adolescents with non-suicidal self-injury(NSSI).Methods A total of 60 adolescent NSSI patients and their parents who visited Luohe Central Hospital from January to December 2023 were selected as the study subjects.They were divided into intervention group and control group using the coin-flip method,with 30 cases in each group.Both groups were given Sertraline,parents of patients in the control group received conventional health education,and parents of patients in the intervention group received 6 weeks of group cognitive-behavioral therapy based on the control group.The efficacy of the two groups was observed.Adolescent self-injury questionnaire,children’s perception of interparental conflict scale,and parenting locus of control scale were used to measure and compare the differences in scores of each factor within and between the two groups before and after treatment.Results The total effective rate of the intervention group(80.00%)was higher than that of the control group(50.00%),and the difference was statistically significant(P<0.05).After treatment,the score of the adolescent selfinjury questionnaire in the intervention group was lower than that in the control group(P<0.05).The scores of conflict frequency,conflict intensity,perceived threat,conflict content,self-attribution,children’s control over parental life,educational effectiveness,parental beliefs about destiny/opportunity,parental control over children’s behaviors,and parental responsibility in the intervention group were all reduced compared with those in the pre-treatment and control group(P<0.05).The conflict frequency score increased in the control group compared with pre-treatment(P<0.05),and children’s control over parental life score decreased compared with pre-treatment(P<0.05).Conclusion Sertraline combined with parent-group cognitive behavioral therapy can significantly reduce the frequency and severity of self-injury in adolescent NSSI patients and is more effectiv e in improving the sense of responsibility,external control,and children’s perception of interparental conflict in the process of parents’education of their children in adolescent NSSI patients.