辩证行为治疗多家庭团体技能训练模式在青少年情绪障碍中的应用  

Application of multi-family skill training group model of dialectical behavior therapy to adolescents with emotional disorders

作　　者：陆璐 巫静怡 邱美慧 吴佳惠 张劲松[1] LU Lu;WU Jingyi;QIU Meihui;WU Jiahui;ZHANG Jingsong(Department of Clinical Psychology,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院临床心理科,中国上海200092

出　　处：《教育生物学杂志》2023年第1期7-13,共7页Journal of Bio-education

基　　金：上海市科学技术委员会“科技创新行动计划”医学创新研究专项(20Y11906400)

摘　　要：目的初步探讨辩证行为治疗的多家庭团体技能训练模式在青少年情绪障碍中的应用。方法抽取2020年3—11月在上海交通大学医学院附属新华医院临床心理科就诊的8例情绪障碍青少年的家庭,组成由青少年及其家长共同参与的多家庭团体,进行为期19周的辩证行为治疗团体技能训练。干预前后分别采用儿童焦虑情绪筛查量表、儿童抑郁障碍自评量表、简易应对方式量表等进行评估。结果4名青少年及其家长完成了为期19周的团体技能训练以及各项评估。与干预前相比较,干预结束时儿童抑郁障碍自评量表总分边缘显著降低(0.05<P<0.1),并且在随访期间持续降低。儿童焦虑情绪筛查量表各因子分及总分在随访6个月期间继续降低,与干预前水平相比呈显著降低或边缘显著降低(P<0.05或0.05<P<0.1)。积极应对方式显著上升(P<0.05),并在随访期间保持。在积极应对方式提升之后,焦虑情绪与学习动机从负相关变为正相关。在干预接受度方面,工作联盟因子平均分高于3分,说明工作联盟状况较好,技能训练出席率为93.3%。结论辩证行为治疗能使情绪障碍青少年的情绪和应对方式有较明显的提升;团体模式具备良好的可行性和可接受度,具有较高的临床应用价值。Objective To preliminarily explore the application of multi-family skills training group model of dialectical behavior therapy to adolescents(DBT-A)in China.Methods Eight adolescents with emotional disorders and their families who visited the Department of Clinical Psychology,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,from March to November 2020 were selected for 19-week-long dialectical behavior group skills training.Before and after intervention,child anxiety related emotional disorders(SCARED),self-rating scale for depressive disorder in childhood(DSRSC),and simplified coping style questionnaire(SCSQ)were used for questionnaire evaluation.Results Four adolescents and their parents completed 19-week-long group training and assessments after intervention and 6-month follow-up.Compared with that before intervention,the adolescents’depression score of DSRSC was marginally significantly lower(0.05<P<0.1)after intervention and continued to decrease during follow-up.The adolescents’anxiety scores of SCARED continued to decrease during the 6-month follow-up,and showed a marginally significant decrease compared with the baseline(0.05<P<0.1).The adolescents’positive coping style of SCSQ increased significantly(P<0.05)and remained constant during follow-up.After the positive coping style was improved,anxiety and learning motivation changed from negative correlation to positive correlation.In terms of intervention acceptance,the average score of the work alliance factor was higher than 3 points,indicating that the work alliance was in good condition,and the course attendance rate was 93.3%.Conclusion DBT-A can significantly improve the emotions and positive coping styles of adolescents with emotional disorders.At the same time,the group model has good feasibility,acceptability,and good clinical value.

关 键 词：情绪障碍 辩证行为治疗 技能训练 团体模式 青少年 

分 类 号：R749.4[医药卫生—神经病学与精神病学]