心智化家庭疗法对抑郁症患者自我效能感、抑郁程度和自杀意念的影响  

Effect of mental family therapy on self-efficacy,depression and suicidal ideation in patients with depression

作　　者：蔡晓青 卫萍 陈钰晓 郭永芳 CAI Xiao-qing;WEI Ping;CHEN Yu-xiao;GUO Yong-fang(Department of Psychiatry,Minhang District,Affiliated Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 201108,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心闵行院区精神科,上海闵行201108

出　　处：《川北医学院学报》2024年第5期707-711,共5页Journal of North Sichuan Medical College

基　　金：上海市青年科技启明星计划项目(22YF1439100)。

摘　　要：目的:探讨心智化家庭疗法对抑郁症患者自我效能感、抑郁程度和自杀意念的影响。方法:选取103例抑郁症患者,按照干预方法不同分为对照组(n=51)和观察组(n=52)。对照组予以常规干预;观察组予以心智化家庭疗法,两组患者均干预12周。比较两组患者干预前后自我效能感[情绪调节自我效能感量表(RESE)]、抑郁程度[汉密顿抑郁量表(HAMD)24项及抑郁自评量表(SDS)]、自杀意念[Beck自杀意念自评量表中文版(BSI-CV)]、应对方式[简易应对方式量表]及家庭功能[家庭亲密度与适应性量表(FACESII-CV)]的变化。结果:干预后,两组患者RESE量表各维度评分及总分均上升,且观察组高于对照组(P<0.05);两组患者HAMD及SDS量表评分均下降,且观察组低于对照组(P<0.05);两组患者BSI-CV量表各维度及总分均下降,且观察组低于对照组(P<0.05);两组患者积极应对方式维度评分均上升,且观察组高于对照组(P<0.05);两组患者消极应对方式维度评分均下降,且观察组低于对照组(P<0.05);两组患者FACESII-CV量表总分及各维度评分均上升,且观察组高于对照组(P<0.05)。结论:心智化家庭疗法可提升抑郁症患者自我效能感,改善抑郁程度,降低自杀意念,且有利于改善其应对方式,提升其家庭功能。Objective:To explore the effect of mental family therapy on self-efficacy,depression and suicidal ideation in patients with depression.Methods:According to the different ways of intervention,103 depression patients were divided into control group(n=51)and observation group(n=52).Routine intervention,routine intervention combined with mental family therapy were given respectively.The two groups were intervened for 12 weeks.The changes of self-efficacy[emotion regulation self-efficacy scale(RESE)],depression degree[24 items of Hamilton depression scale(HAMD)and self-rating depression scale(SDS)],suicidal ideation[Beck suicide ideation self-rating scale Chinese version(BSI-CV)],coping style[simple coping style scale]and family function[family cohesion and adaptability scale(FACESII-CV)]before and after intervention were compared between the two groups.Results:The total score of RESE scale and the scores of each dimension in the two groups increased after intervention(P<0.05),and the observation group were higher comparing with the control group(P<0.05).The scores of HAMD and SDS in the two groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).The total score of BSI-CV scale and the scores of each dimension in the two groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).The scores of positive coping style in both groups increased(P<0.05),and the observation group were higher comparing with the control group(P<0.05).The scores of negative coping style dimension in both groups decreased(P<0.05),and the observation group were higher comparing with the control group(P<0.05).The total score of FACESII-CV scale and the scores of each dimension in the two groups increased(P<0.05),and the observation group were higher comparing with the control group(P<0.05).Conclusion:Mentalized family therapy can improve the self-efficacy of patients with depression,improve depression,reduce suicidal ideation,and help to improve their coping style and improve thei

关 键 词：心智化家庭疗法 抑郁症 自我效能感 抑郁程度 自杀意念 家庭功能 

分 类 号：R473.5[医药卫生—护理学]