接纳承诺疗法在青少年抑郁症病人中的应用  

Application of acceptance commitment therapy in adolescents with depression

作　　者：赵小竹 江爱国 张媛媛 唐心龙 ZHAO Xiaozhu;JIANG Aiguo;ZHANG Yuanyuan;TANG Xinlong(Department of Psychology,Mental Health Center,Affiliated Hospital of Wanxi Health Vocational College,Lu′an Anhui 237000,China)

机构地区：[1]皖西卫生职业学院附属医院精神卫生中心心理科,安徽六安237000

出　　处：《蚌埠医学院学报》2024年第9期1261-1265,共5页Journal of Bengbu Medical College

基　　金：安徽省高校自然科学研究项目(KJ2020B006)。

摘　　要：目的:探讨接纳承诺疗法(ACT)对青少年抑郁症病人心理干预的临床效果。方法:选取某三级医院收治的80例青少年抑郁症作为研究对象,随机分为观察组和对照组各40例,2组均采用舍曲林治疗,对照组采用常规护理,观察组采用常规护理联合ACT。使用汉密尔顿抑郁量表(HAMD)、接纳与行动问卷第二版(AAQ-Ⅱ)、认知融合问卷(CFQ)和生活质量量表(SF-36)测量干预前后病人的抑郁、接纳与行动、认知融合和生活质量状况。结果:干预前2组HAMD、AAQ-Ⅱ、CFQ、SF-36评分差异均无统计学意义(P>0.05);干预治疗后,观察组HAMD、AAQ-Ⅱ、CFQ得分明显低于对照组,SF-36得分明显高于对照组(P<0.01);与干预前相比,观察组HAMD、AAQ-Ⅱ、CFQ评分均较治疗前明显降低,SF-36得分明显增高(P<0.01)。结论:ACT对青少年抑郁症病人治疗效果显著,能更好地改善病人抑郁症状,提升心理灵活性和生活质量。Objective:To explore the clinical effect of acceptance commitment therapy(ACT)on psychological intervention in adolescents with depression.Methods:Eighty cases of adolescent depression admitted to a tertiary hospital were randomly divided into observation group and control group,40 cases in each group.Both groups were treated with sertraline,the control group with routine nursing,and the observation group with routine nursing plus acceptance commitment therapy.Depression,acceptance and action,cognitive integration,and quality of life were measured before and after the intervention using the Hamilton Depression Scale(HAMD),Acceptance and Action Questionnaire Second edition(AAQ-II),Cognitive Integration Questionnaire(CFQ),and Quality of Life(SF-36).Results:There were no significant differences in HAMD,AAQ-Ⅱ,CFQ and SF-36 scores between the two groups before intervention(P>0.05).After intervention,HAMD,AAQ-Ⅱand CFQ scores in observation group were much lower than those in control group,and SF-36 scores were significantly higher than those in control group(P<0.01).Compared with before intervention,HAMD,AAQ-Ⅱand CFQ scores in the observation group were significantly lower than those before treatment,and SF-36 scores were significantly increased(P<0.01).Conclusions:Acceptance commitment therapy is effective in the treatment of adolescents with depression,and can better improve depressive symptoms,psychological flexibility and quality of life.

关 键 词：抑郁症 接纳承诺疗法 舍曲林 青少年 

分 类 号：R749.41[医药卫生—神经病学与精神病学]