理性情绪行为疗法结合心理护理对儿童青少年抑郁障碍患者病耻感的影响  

Analysis of the influence of Emotional therapy combined with psychological care on the stigma of Children and adolescents with depression

作　　者：杨灿灿 张海侠 訾晨晨 王梦迪 张倩 YANG Cancan;ZHANG Haixia;ZI Chenchen(Third People’s Hospital of Fuyang,Fuyang 236000,China)

机构地区：[1]安徽省阜阳市第三人民医院,阜阳236000

出　　处：《国际精神病学杂志》2024年第3期951-955,共5页Journal Of International Psychiatry

基　　金：安徽省医疗卫生重点专科建设项目(编号:皖卫函[2021]273号)。

摘　　要：目的 本研究探讨了理性情绪行为疗法(Rational Emotive Behavior Therapy,REBT)对儿童青少年抑郁障碍患者病耻感的影响。方法 研究对象为2022年1月~2022年12月在阜阳市第三人民医院就诊的88例儿童青少年抑郁障碍患者。通过随机数字表法,患者被分为两组,每组44例:对照组接受常规护理干预,观察组除了接受对照组的常规护理外,还进行了包括情绪认知、认知重构、自我接纳、情绪调节等在内的理性情绪行为疗法和个体化心理护理。治疗前后使用抑郁障碍病耻感量表(Depression Stigma Scale,DSS)、抑郁自评量表(Self-rating Depressive Scale,SDS)和简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)评估患者的病耻感、抑郁症状和应对方式。结果 两组患者性别、年龄、病程以及住院天数的差异无统计学意义(P>0.05)。两组患者入院时DSS、SDS、SCSQ结果的差异无统计学意义(P>0.05)。治疗后两组各项评分均有明显改善,观察组患者个人病耻感、抑郁症状低于对照组,观察组采用积极应对方式的患者比例多于对照组,差异均具有统计学意义(P<0.05)。结论 本研究表明,理性情绪行为疗法结合个性化心理护理可以更有效减少抑郁障碍儿童青少年的病耻感、改善其抑郁症状,以及提高积极应对策略,对于改善这一人群的整体心理健康状况具有一定临床意义。Objective This study examined the effects of Rational Emotive Behavior Therapy(REBT)on feelings of shame in children and adolescents with depression.Methods The study subjects were 88 cases of adolescent depression patients who attended the Third People's Hospital of Fuyang City from January 2022 to December 2022.Through the random number table method,the patients were divided into two groups of 44 cases each:the control group received conventional nursing interventions,and the observation group,in addition to the conventional nursing care of the control group,underwent rational-emotional therapy and individualized psychological care including emotion cognition,cognitive restructuring,self-acceptance,and emotion regulation.The Depression Stigma Scale(DSS),Self-rating Depressive Scale(SDS),and Simplified Coping Style Questionnaire(SCSQ)were used before and after the treatment to assess stigma,depressive symptoms,and coping styles.Results There was no statistically significant difference between the two groups of patients in terms of age,gender,hospitalization days,and duration of illness(P>0.05).The differences in the results of DSS,SDS,and SCSQ at the time of admission were not statistically significant between the two groups(P>0.05).All the scores of the two groups improved significantly after treatment,and the patients in the observation group had a lower personal sense of shame and depressive symptoms than those in the control group,and the proportion of patients adopting positive coping styles in the observation group was more than that in the control group,and the differences were all statistically significant(P<0.05).Conclusions This study shows that rational emotive therapy combined with personalized psychological care can be more effective in reducing stigma,improving depressive symptoms,and increasing positive coping strategies in depressed children and adolescents,which is clinically significant in improving the overall mental health of this population.

关 键 词：理性情绪行为疗法 护理干预 儿童青少年 抑郁障碍 病耻感 

分 类 号：R749[医药卫生—神经病学与精神病学]