线上与线下结合的萨提亚家庭治疗对抑郁障碍青少年及其父母情绪的影响  

Influence of online and offline Satir family therapy on emotions of adolescents with depressive disorder and their parents

作　　者：卢和丽[1] 蔡风 刘云 郭明 黄筱琴[1] 熊祎玭[4] 徐茜 胡飞虎 王碧漪 李冠华 董香丽 Lu Heli;Cai Feng;Liu Yun;Guo Ming;Huang Xiaoqin;Xiong Yipin;Xu Xi;Hu Feihu;Wang Biyi;Li Guanhua;Dong Xiangli(Department of Psychosomatic Medicine,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Orthopedics,the First Hospital of Nanchang,Nanchang 330000,China;Department of Mental Psychology,Psychiatric Hospital of Guangzhou Civil Affairs Bureau,Guangzhou 510430,China;Department of Ultrasound,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院心身医学科,南昌330006 [2]南昌市第一医院骨科,南昌330000 [3]广州市民政局精神病院精神心理科,广州510430 [4]南昌大学第二附属医院超声科,南昌330006

出　　处：《中华行为医学与脑科学杂志》2022年第10期893-898,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：江西省教育厅科学技术研究项目(GJJ190078);江西省中医药管理局科技计划项目(2022A212)。

摘　　要：目的探究萨提亚家庭治疗模式线上+线下介入对偏远地区抑郁障碍青少年及其父母情绪的影响。方法选取2021年1月至2021年6月南昌大学第二附属医院就诊的98例抑郁障碍青少年及其父母为研究对象, 应用随机数字表法分为对照组(父母和青少年各49例)和观察组(父母和青少年各49例)。对照组接受药物治疗(舍曲林100 mg/d)和常规健康宣教, 观察组在对照组干预基础上接受为期12周线上+线下萨提亚家庭治疗。于干预前和干预12周后采用7项广泛性焦虑障碍量表(generalized anxiety disorder-7, GAD-7)和9项患者健康问卷(patient health questionnaire-9, PHQ-9)评估两组青少年父母负性情绪, 同时, 采用儿童焦虑性情绪障碍筛查表(the screen for child anxiety related emotional disorders, SCARED)和儿童抑郁障碍自评量表(depression self-rating scale for childhood, DSRS)评估两组青少年负性情绪。采用SPSS 20.0软件进行统计分析, 采用t检验两组青少年SCARED量表得分和DSRS量表得分变化, 采用χ^(2)检验两组青少年父母焦虑抑郁比例变化。结果对照组青少年SCARED得分[(51.55±12.69)分, (36.82±7.69)分, t=15.839]、DSRS得分[(25.08±4.81)分, (16.88±2.16)分, t=13.047]干预前后差异有统计学意义(均P<0.05)。观察组青少年SCARED得分[(51.16±15.84)分, (31.31±7.72)分, t=14.385]、DSRS得分[(24.12±4.81)分, (14.08±2.03)分, t=14.723]干预前后差异有统计学意义(均P<0.05)。干预12周后, 观察组SCARED得分和DSRS得分均低于对照组(t=3.540, 6.609, 均P<0.05)。干预前, 两组青少年父母焦虑、抑郁比例差异无统计学意义(χ^(2)=1.837, 3.547, 均P>0.05)。干预12周后, 两组青少年父母焦虑、抑郁比例差异有统计学意义, 观察组低于对照组(χ^(2)=5.995, 4.009, 均P<0.05)。结论线上+线下萨提亚家庭治疗模式介入不仅能够有效改善青少年焦虑抑郁情绪, 而且还能够有效地改善青少年父母焦虑抑郁情绪Objective To explore the influence of online and offline family therapy based on the Satir model on emotions of adolescents with depressive disorder and their parents in remote areas.Methods A total of 98 cases adolescents with depressive disorder treated in the psychosomatic medicine of the Second Affiliated Hospital of Nanchang University from January 2021 to June 2021 and their parents were selected as the objects.The adolescents with depressive disorder and their parents were randomly divided into the control group(49 parents and 49 adolescents)and the observation group(49 parents and 49 adolescents).The control group received the medical treatment(sertraline 100 mg/d)and the routine health education,while the observation group received the online and offline Satir family therapy on the basis of the intervention of the control group.Generalized anxiety disorder-7(GAD-7)and patient health questionnaire-9(PHQ-9)were used to investigate the negative emotions of the parents of the two groups before and 12 weeks after the intervention.The screen for child anxiety related emotional disorders(SCARED)and depression self-rating scale for childhood(DSRS)were used to investigate the negative emotions of the adolescents before and 12 weeks after the intervention.The SPSS 20.0 software was used for statistical analysis.t test was used to compare the SCARED scale score and DSRS score changes of the adolescents in the two groups,andχ^(2) test was used to compare the proportional changes of parents'anxiety and depression.Results The scores of SCARED(51.55±12.69 vs 36.82±7.69,t=15.839)and DSRS(25.08±4.81 vs 16.88±2.16,t=13.047)of adolescents in the control group were significantly different before and after the intervention(both P<0.05).The scores of SCARED(51.16±15.84 vs 31.31±7.72,t=14.385)and DSRS(24.12±4.81 vs 14.08±2.03,t=14.723)of adolescents in the observation group were significantly different before and after the intervention(both P<0.05).After the intervention,the scores of SCARED and DSRS in the observatio

关 键 词：抑郁障碍 父母 萨提亚家庭治疗模式 焦虑 抑郁 

分 类 号：R749.4[医药卫生—神经病学与精神病学]