生活技能训练联合情感技能训练预防青少年抑郁障碍非自杀性自伤行为及改善手机社交媒体依赖的价值  

Value of living skill training combined with emotional skill training in preventing non-suicidal self-injurybehaviors and improving mobile social media dependence in adolescents with depressive disorder

作　　者：潘亚平 陈燕娣[2] 魏红辉[1] PAN Ya-ping;CHEN Yan-di;WEI Hong-hui(Department of Psychiatry,Zhejiang Provincial Tongde Hospital,Hangzhou 311122,China)

机构地区：[1]浙江省立同德医院精神科,311122 [2]浙江省立同德医院心身科

出　　处：《临床精神医学杂志》2024年第4期314-316,共3页Journal of Clinical Psychiatry

基　　金：浙江省医药卫生科技计划项目(2022KY704)。

摘　　要：目的:探讨生活技能训练(living skill training,LST)联合情感技能训练(emotional skill training,EST)预防青少年抑郁障碍非自杀性自伤(non-suicidal self-injury,NSSI)行为及改善手机社交媒体依赖的价值。方法:纳入2020年1月至2022年12月就诊于本院的青少年抑郁障碍患者143例,按照护理方案分为观察组(n=57)和对照组(n=86),观察组予LST联合EST护理,对照组予LST护理,对比护理前后自我伤害行为量表评分、手机社交媒体依赖评分及纽卡斯尔护理满意度量表评分并分析。结果:护理后,两组忧郁孤独、攻击违纪、自残、退缩与自我批评评分及总分均下降,且观察组忧郁孤独、攻击违纪、自残、退缩与自我批评评分及总分均低于对照组,差异均有统计学意义(P均<0.05);两组突显性、社交增益、强迫性、冲突性及戒断性评分均下降,且观察组突显性、社交增益、强迫性及戒断性评分均低于对照组,差异均有统计学意义(P均<0.05);两组关心与爱护、技术与责任、指导与支持评分及总分上升,且观察组关心与爱护、技术与责任、指导与支持评分及总分均高于对照组,差异均有统计学意义(P均<0.05)。结论:LST联合EST可改善青少年抑郁障碍状和手机社交媒体依赖情况,预防NSSI行为。Objective:To explore the value of living skill training(LST)combined with emotional skill training(EST)in preventing non-suicidal self-injury(NSSI)behaviors and improving mobile social media dependence in adolescents with depressive disorder.Method:A total of 143 adolescent patients with depressive disorder treated in the hospital were enrolled between January 2020 and December 2022.According to different nursing methods,they were divided into observation group(n=57)and control group(n=86).The observation group was given LST combined with EST,while control group was only given LST.The scores of self-injury behavior scale,mobile social media dependence and Newcastle satisfaction with nursing scale were compared before and after nursing.Results:After nursing,scores of depression and loneliness,aggression and discipline violation,self-harm,withdrawal and self-criticism,and total score were decreased in both groups,which were lower in observation group than control group,the difference was statistically significant(all P<0.05).After nursing,scores of salience,social gain,abstinence,compulsivity and conflict were decreased in both groups,which were lower in observation group than control group,the difference was statistically significant(all P<0.05).After nursing,scores of care and love,technology and responsibility,guidance and support,and total score were increased in both groups,which were higher in observation group than control group,the difference was statistically significant(all P<0.05).Conclusion:LST combined with EST can improve depressive disorder,mobile social media dependence and prevent NSSI behaviors in adolescents.

关 键 词：青少年抑郁障碍 生活技能训练 情感技能训练 非自杀性自伤行为 

分 类 号：R749.4[医药卫生—神经病学与精神病学]