威廉姆斯生活技能训练在伴非自杀性自伤行为青少年抑郁症患者中的应用  

Application of Williams Life Skills Training in depressive adolescents with non-suicidal self-injury

作　　者：朱萍[1] 朱峰[1] 季彩芳 孔凡贞[1] 杜侠 吉封 吴菊[1] 陆心传 Zhu Ping;Zhu Feng;Ji Caifang;Kong Fanzhen;Du Xia;Ji Feng;Wu Ju;Lu Xinchuan(Suzhou Guangji Hosptial,Suzhou 215137,China)

机构地区：[1]苏州市广济医院,江苏苏州215137

出　　处：《四川精神卫生》2021年第2期131-134,143,共5页Sichuan Mental Health

基　　金：苏州市科技局指导性项目(项目名称:伴与不伴非自杀性自伤行为青少年抑郁障碍相关因素的对照研究及个体化干预导向的探讨;项目编号:SYSD2017134);苏州市医学重点学科项目(项目名称:儿童青少年精神病学,项目编号:Szxk201815);苏州市临床医学中心项目(项目名称:苏州市精神疾病临床医学中心,项目编号:Szzx201509)。

摘　　要：目的探讨威廉姆斯生活技能训练(WLST)在伴非自杀性自伤(NSSI)行为青少年抑郁症患者中的应用效果。方法选取2019年1月-6月在苏州市广济医院住院的伴NSSI行为的青少年抑郁症患者88例。按入院顺序编号,偶数者为干预组(n=44),奇数者为对照组(n=44)。两组均接受为期4周的常规抑郁症疾病护理,干预组在此基础上接受WLST。两组患者分别于入院和出院时接受汉密尔顿抑郁量表17项版(HAMD-17)、一般自我效能感量表(GSES)、青少年学生生活满意度量表评定,并比较两组患者住院期间NSSI行为发生率、出院时HAMD-17评分减分率。结果两组患者住院期间NSSI行为发生率差异有统计学意义(χ^(2)=11.702,P=0.001)。出院时,两组HAMD-17、GSES、青少年学生生活满意度量表评分与入院时比较差异均有统计学意义(t_(对照组)=-5.256、10.690、-21.220,t_(干预组)=-12.540、11.300、-32.840,P<0.01),两组组间HAMD-17、GSES、青少年学生生活满意度量表评分及HAMD-17评分减分率比较差异均有统计学意义(t=0.851、-12.809、-4.883,χ^(2)=75.990,P<0.05或0.01)。结论 WLST可能有助于降低伴NSSI行为的青少年抑郁症患者NSSI行为发生率,减轻抑郁程度,增强自我效能感,提高生活满意度。ObjectiveTo discuss the efficacy of Williams Life Skills Training(WLST)in depressive adolescents with nonsuicidal self-injury(NSSI).Methods from January to June 2019 were selected and grouped according to admission order.The corresponding random number was even in intervention group(n=44)and odd as control group(n=44).Both groups received a 4-week routine depression care,based on this,intervention group received WLST.All selected individuals were assessed using Hamilton Depression Scale-17 item(HAMD-17),General Self-Efficacy Scale(GSES)and adolescent student life satisfaction scale at the baseline and end of treatment.Then the incidence of NSSI behavior during hospitalization and the reduction rate of HAMD-17 score at discharge were compared between the two groups.Results(χ^(2)=11.702,P=0.001).HAMD-17,GSES and satisfaction scores at discharge were significantly different from those at admission(tcontrol group=-5.256,10.690,-21.220;tintervention group=-12.540,11.300,-32.840,P<0.01).HAMD-17,GSES,satisfaction scores and the reduction rate of HAMD-17 score also showed significant differences between groups(t=0.851,-12.809,-4.883,χ^(2)=75.990,P<0.05 or 0.01).Conclusion rate of NSSI behavior,alleviate the degree of depression,enhance the sense of self-efficacy,and improve life satisfaction.

关 键 词：威廉姆斯生活技能训练 非自杀性自伤 青少年 抑郁症 

分 类 号：R749.4[医药卫生—神经病学与精神病学]