优势认知行为治疗对青少年抑郁障碍患者的病耻感、心理韧性及主观幸福感的影响  

Influence of Strengths-based Cognitive Behavioral Therapy for Stigma,Psychological Resilience and Subjective Well-being of Teenagers with Depression Disorder

作　　者：刘冬 艾荣昌 宋爽 乐守江 LIU Dong;AI Rongchang;SONG Shuang;YUE Shoujiang(Department of Medical Psychology,Fourth People's Hospital of Yancheng,Yancheng 224003,China;不详)

机构地区：[1]盐城市第四人民医院医学心理科,江苏盐城224003

出　　处：《中国医学创新》2025年第6期158-162,共5页Medical Innovation of China

摘　　要：目的:探究优势认知行为治疗对青少年抑郁障碍患者的病耻感、心理韧性及主观幸福感的影响。方法:将2021年8月—2022年12月盐城市第四人民医院的85例青少年抑郁障碍患者根据随机数字表法分为对照组42例和观察组43例。对照组采用舍曲林进行治疗,观察组则在对照组的基础上进行优势认知行为治疗。比较两组的治疗总有效率、治疗前后的17项汉密尔顿抑郁量表(HAMD-17)、病耻感[精神疾病病耻感量表(SSMI-C)]、心理韧性[心理韧性量表(CD-RISC)]及主观幸福感[总体幸福感量表(GWB)]评分。结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05),治疗前两组的HAMD-17评分、SSMI-C、CD-RISC及GWB各项评分比较,差异均无统计学意义(P>0.05),治疗4周及12周后观察组的HAMD-17评分及SSMI-C各项评分均显著低于对照组,CD-RISC及GWB各项评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论:优势认知行为治疗可有效控制青少年抑郁障碍患者的抑郁状态,且可显著改善患者的病耻感、心理韧性及主观幸福感,在青少年抑郁障碍患者中的应用价值较高。Objective:To investigate the influence of strengths-based cognitive behavioral therapy for stigma,psychological resilience and subjective well-being of teenagers with depression disorder.Method:A total of 85 teenagers with depression disorder in the Fourth People's Hospital of Yancheng from August 2021 to December 2022 were divided into control group 42 cases and observation group 43 cases by the random number table.The control group was treated with Sertraline,the observation group was treated with strengths-based cognitive behavioral therapy on the basis of control group.Then the total effective rates,scores of 17 items Hamilton depression scale(HAMD-17),stigma[stigma scale for mental illness scale(SSMI-C)],psychological resilience[Connor-Davidson resilience scale(CD-RISC)]and subjective well-being[general well-being schedule scale(GWB)]before and after the treatment of two groups were compared.Result:The total effective rates of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05),the HAMD-17 score,SSMI-C,CD-RISC and GWB each item scores of two groups before the treatment were compared,the differences were not statistically significant(P>0.05),the HAMD-17 scores and SSMI-C each item scores of observation group at the fourth and twelfth week after the treatment were significantly lower than those of control group,the CD-RISC and GWB each item scores were significantly higher than those of control group,the differences were statistically significant(P<0.05).Conclusion:The strengths-based cognitive behavioral therapy can effectively control the depression state of teenagers with depression disorder,and can significantly improve the stigma,psychological resilience and subjective well-being of patients,so its application value in the teenagers with depression disorder is higher.

关 键 词：优势认知行为治疗 青少年 抑郁障碍 病耻感 心理韧性 主观幸福感 

分 类 号：R749.4[医药卫生—神经病学与精神病学]