共情理论的个性化干预措施对双相情感障碍患者情绪调节和康复的影响  

Influence of individualized intervention measures based on empathy theory on emotional regulation and rehabilitation of patients with bipolar disorder

作　　者：李娇丽[1] 魏小方[1] 张果 郭慧荣[1] 崔坤 何丹丹[1] LI Jiaoli;WEI Xiaofang;ZHANG Guo;GUO Huirong;CUI Kun;HE Dandan(Department of Psychiatry,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院精神医学科,450000

出　　处：《中国健康心理学杂志》2025年第2期177-181,共5页China Journal of Health Psychology

基　　金：2023年度河南省医学科技攻关计划项目(编号:SBGJ202302077)。

摘　　要：目的:探讨基于共情理论的个性化干预措施对双相情感障碍(BD)患者情绪调节和康复的影响。方法:选取某院2022年3月—2024年3月收治的BD患者84例,根据随机数字表法将其分成对照组和观察组(各42例)。对照组给予常规干预措施,观察组在对照组基础上实施基于共情理论的个性化干预措施。比较两组应对方式[简易应对方式问卷(SCSQ)评分]、情绪状况[贝克-拉范森躁狂量表(BRMS)和抑郁自评量表(SDS)评分]、社会功能[社会功能缺陷筛选量表(SDSS)评分]、认知功能[蒙特利尔认知评估量表(MoCA)评分]、康复效果及睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]。结果:干预后,观察组SCSQ中的积极应对评分高于对照组,消极应对评分低于对照组(t=4.910,8.327;P<0.05);观察组BRMS、SDS评分均低于对照组(t=8.365,2.949;P<0.05);观察组SDSS评分低于对照组,MoCA评分高于对照组(t=11.194,3.008;P<0.05);观察组总有效率高于对照组(χ^(2)=5.126;P<0.05);观察组PSQI各维度及总分均低于对照组(t=2.625,4.646,3.202,5.195,4.955,3.814,2.436,6.040;P<0.05)。结论:基于共情理论的个性化干预措施可改善BD患者应对方式和情绪状况,提高其社会功能、认知功能和睡眠质量,康复效果确切。Objective:To explore the influence of individualized intervention measures based on empathy theory on emotional regulation and rehabilitation of patients with bipolar disorder(BD).Methods:Eighty-four patients with BD admitted in our hospital from March 2022 to March 2024 were randomly divided into control group and observation group(42 cases each).The control group was given routine intervention measures,and the observation group was given individualized intervention measures based on empathy theory on the basis of the control group.Coping style[simplified coping style questionnaire(SCSQ)score],emotional status[baker-raphson mania scale(BRMS)and self-rating depression scale(SDS)score],social function[social disability screening scale(SDSS)score],cognitive function[montreal cognitive assessment scale(MoCA)score],rehabilitation effect and sleep quality[pittsburgh sleep quality index(PSQI)]were compared between the two groups.Results:After intervention,the positive coping score in the SCSQ of the observation group was higher,and the negative coping score was lower(t=4.910,8.327;P<0.05).The scores of BRMS and SDS in the observation group were lower(t=8.365,2.949;P<0.05).The SDSS score of the observation group was lower,and the MoCA score was higher(t=11.194,3.008;P<0.05).The total effective rate of the observation group was higher(χ^(2)=5.126;P<0.05).The dimensions and total score of PSQI in the observation group were lower(t=2.625,4.646,3.202,5.195,4.955,3.814,2.436,6.040;P<0.05).Conclusion:Individualized intervention measures based on empathy theory can improve coping style and emotional state of BD patients,improve their social function,cognitive function and sleep quality,and the rehabilitation effect is exact.

关 键 词：双向情感障碍 共情理论 个性化干预 情绪调节 康复效果 

分 类 号：R749.05[医药卫生—神经病学与精神病学] R395.4[医药卫生—临床医学]