家庭参与式绘画治疗对心境障碍青少年的影响研究  

The effects of family-engaged art therapy on adolescents with mood disorders

作　　者：陈娟[1] 徐莲英 黄闻 刘蕾[1] 严亚杰 杨德英 王世洁 Chen Juan;Xu Lianying;Huang Wen;Liu Lei;Yan Yajie;Yang Deying;Wang Shijie(Department of Pediatric Psychology,Affiliated Psychological Hospital,Anhui Medical University,Heifei 230022,China)

机构地区：[1]安徽医科大学附属心理医院(安徽省精神卫生中心,合肥市第四人民医院)儿童青少年心理科,安徽合肥230022 [2]安徽医科大学附属心理医院(安徽省精神卫生中心,合肥市第四人民医院)护理部,安徽合肥230022

出　　处：《护理学杂志》2023年第18期93-97,共5页Journal of Nursing Science

基　　金：合肥市第四人民医院科研项目(HFSY202105);安徽医科大学校基金项目(2022xkj323)

摘　　要：目的探索家庭参与式绘画治疗对心境障碍青少年情绪调节及亲子关系的干预效果。方法将70例心境障碍青少年按照病区分为对照组和观察组各35例,对照组进行常规治疗护理,观察组另予家庭参与式绘画治疗干预,共8次。比较两组干预前和干预后的情绪调节与亲子关系。结果观察组干预后情绪调节量表重新评价维度得分,青少年心理韧性量表的情绪控制、积极认知和家庭支持维度得分,父母依恋量表信任、沟通维度和总分显著高于对照组,情绪调节量表表达抑制维度得分显著低于对照组(均P<0.05)。结论家庭参与式的绘画治疗可改善心境障碍青少年的情绪调节能力,增进亲子依恋度,改善家庭关系。Objective To explore the effects of family-engaged art therapy on emotion regulation and parent-child relationships in adolescents with mood disorders.Methods Seventy adolescents with mood disorders were divided into two groups:a control group(n=35)receiving conventional treatment and care,or an observation group(n=35)receiving family-engaged art therapy intervention for a total of 8 sessions.Emotion regulation and parent-child relationships were compared between the two groups before and after the intervention.Results After the intervention,the observation group showed significantly higher score in the reappraisal dimension and lower score in the expression inhibition dimension of the Emotion Regulation Scale compared with the control group(both P<0.05).The observation group also demonstrated significantly higher scores in the dimensions of affect control,positive thinking,and family support in the Resilience Scale for Chinese Adolescents,as well as in the dimensions of trust and communication,and total score of the Inventory of Parent and Peer Attachment,compared with the control group(all P<0.05).Conclusion Family-engaged art therapy can improve emotion regulation ability of adolescents with mood disorders,and also enhance parent-child attachment and family relationships.

关 键 词：青少年 心境障碍 绘画治疗 家庭参与 情绪调节 亲子关系 心理韧性 父母依恋 

分 类 号：R473.74[医药卫生—护理学]