青少年抑郁症快感缺失的评估与治疗研究进展  

Progress in the assessment and treatment of anhedonia in adolescent depression

作　　者：叶子语 梁英[1] 司天梅[1] 苏允爱[1] Ye Ziyu;Liang Ying;Si Tianmei;Su Yunai(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 100191,China)

机构地区：[1]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),北京100191

出　　处：《中华精神科杂志》2024年第6期377-382,共6页Chinese Journal of Psychiatry

基　　金：首都卫生发展科研专项重点攻关项目(2022-1-4111)。

摘　　要：青少年抑郁症患病率呈现快速上升趋势,严重影响了青少年的精神健康。快感缺失作为抑郁症的核心症状,主要表现为几乎每天均存在的、显著的兴趣与愉悦感的缺失。快感缺失与抑郁症患者的自杀风险具有强相关性,常提示预后不佳及社会功能受损。在青少年抑郁症患者中,快感缺失症状的报告率超过50%,其症状表现与成人存在差异。然而目前主流的评价快感缺失的工具均是为成人设计的,这些工具是否完全适用于青少年值得商榷。目前针对青少年抑郁症快感缺失症状的识别、评估及干预方面的研究数据均较缺乏。本文主要探讨青少年抑郁症快感缺失的症状学特点、测评工具及治疗方法3个方面的研究进展,以期为精神科临床医生、心理治疗师及研究者们提供参考。The prevalence of depressive disorders in adolescents sharply increases,which seriously affects the mental health of adolescents.Anhedonia,as one of core symptoms of depressive disorder,is defined as almost daily and significant loss of interest and pleasure.Anhedonia has a strong correlation with suicide risk in patients with depressive disorder.It often indicates poor prognosis and psychosocial functioning.Anhedonia is reported in more than 50%of adolescents with depression.It presents differently in adolescents compared to adults.However,the measurement tools currently used are mainly designed for adults.Their suitability for adolescents is questionable.There is a lack of research on the identification,assessment,and intervention of anhedonia in adolescents.This review discusses the progress of research on the symptomatologic characteristics,assessment tools,and treatments for anhedonia in adolescent depression to provide references for psychiatric clinicians,psychotherapists,and researchers.

关 键 词：青少年 抑郁症 快感缺失 评估工具 治疗方法 

分 类 号：R749.4[医药卫生—神经病学与精神病学]