少年精神障碍住院患者心理剧治疗效果的定性研究  

A qualitative study of effect of psychodrama therapy in adolescent inpatients with mental disorders

作　　者：刘彦茹[1] 王希林[2] 刘华清[1] 张晓鸣[1] 王志仁[1] LIU Yanru;WANG Xilin;LIU Huaqing;ZHANG Xiaoming;WANG Zhiren(Huilongguan Hospital,Beijing 100096,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China)

机构地区：[1]北京回龙观医院,北京100096 [2]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083

出　　处：《中国心理卫生杂志》2024年第3期213-217,共5页Chinese Mental Health Journal

基　　金：北京市医院管理中心“登峰”人才培养计划——精神障碍患者认知缺陷的康复(DFL20192001)。

摘　　要：目的:探讨心理剧治疗对少年精神障碍住院患者的效果。方法:在某医院住院儿童病房招募精神障碍患者22例(年龄12~18岁),根据访谈提纲对连续参加4次心理剧治疗的患者(均按常规服用精神科药物)进行半结构式访谈,采用扎根理论的方法对访谈资料进行深度分析,采用自编心理剧治疗参与感受及评价调查表调查患者参加心理剧治疗后的感受、收获或变化。结果:访谈分析发现,心理剧治疗的效果包括减轻症状、提高自尊程度、促进功能康复和提高社会适应能力4个方面。自编心理剧治疗参与感受及评价调查表结果显示,排名前4位的是促进人际关系、有趣、愿意继续参加和提高自信。结论:心理剧治疗对少年精神障碍住院患者具有辅助治疗作用,可促进自尊水平和社交能力的提升。Objective:To explore the effect of psychodrama therapy in adolescent inpatients with mental disorders.Methods:Totally 22 patients with mental disorders(aged 12-18 years)were recruited from the inpatient children′s ward of a certain hospital.According to the interview outline,a semi-structured interview was conducted in adolescent inpatients with mental disorders who participated in 4 sessions of psychodrama therapy.These patients took psychotropic drugs regularly.The interview data were analyzed in depth by using the grounded theory method.The self-compiled Psychodrama Therapy Participation Feeling and Evaluation Questionnaire was used to investigate the feelings,gains or changes of patients after psychodrama therapy.Results:The interview analysis found that the effects of psychodrama therapy included reducing symptoms,improving self-esteem,promoting functional recovery and improving social adaptability.The results of the self-compiled Psychodrama Therapy Participation Feeling and Evaluation Questionnaire showed that the top 4 aspects were promoting interpersonal relationship,being interesting,willing to continue to participate and improving self-confidence.Conclusion:Psychodrama therapy has an auxiliary therapeutic effect in adolescent inpatients with mental disorders,and can promote the improvement of self-esteem and social skills.

关 键 词：扎根理论 心理剧治疗 精神障碍 少年 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R749.05[医药卫生—临床医学]