价值取向短程治疗对抑郁症伴焦虑痛苦特征青少年社会功能与自我接纳水平的影响  

Effect of value orientation brief therapy on social function and self-acceptance level of major depressive disorder adolescents with anxious distress

作　　者：和曼玉 付怡芳 冀紫阳 刘梦雅 全柯铭 冯子硕 郭占锐 王慧颖 王长虹[1,2] He Manyu;Fu Yifang;Ji Ziyang;Liu Mengya;Quan Keming;Feng Zishuo;Guo Zhanrui;Wang Huiying;Wang Changhong(The Second Affiliated Hospital of Xinxiang Medical University of Psychiatry Department,Xinxiang 453002,China;Brain Institute,Henan Academy of Innovations in Medical Science,Xinxiang 453002,China;The Xinjiang Production and Construction Corps,the Thirteenth Division at Peace Hospital of Psychiatry Department,Hami 839000,China)

机构地区：[1]新乡医学院第二附属医院精神科,新乡453002 [2]河南省医学科学院脑科学研究所,新乡453002 [3]新疆生产建设兵团第十三师安心医院精神科,哈密839000

出　　处：《中华行为医学与脑科学杂志》2025年第1期16-23,共8页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(81671346);河南省重点研发专项(221111311000);新乡市重大科技专项(ZD2020011);中原英才计划(育才系列);精神心理疾病防治河南省协同创新中心基金(XTgh03)。

摘　　要：目的探讨价值取向短程治疗(VBT)对青少年伴焦虑痛苦特征抑郁症患者的焦虑抑郁症状、社会功能、应对方式及自我接纳水平的影响。方法2021年6月至2022年6月,选取70例青少年伴焦虑痛苦特征抑郁症患者,按照随机数字表法将患者分为研究组(35例,31例完成)和对照组(35例,30例完成)。研究组给予常规治疗联合VBT治疗,对照组仅给予常规治疗。治疗前后分别采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、社会功能缺陷量表(SDSS)、应对方式问卷(CSQ)及自我接纳问卷(SAQ)对两组患者进行评估,采用SPSS 26.0对数据进行统计分析,组内比较采用配对样本t检验,组间比较采用独立样本t检验。结果经过6周治疗后,研究组HAMA[(6.03±3.58)分比(14.03±7.06)分,t=5.55,P<0.01]、HAMD[(8.77±5.52)分比(16.50±7.59)分,t=4.56,P<0.01]及SDSS[(4.23±1.50)分比(6.63±0.96)分,t=7.43,P<0.01]量表评分低于对照组,差异有统计学意义。SAQ量表中自我接纳[(19.23±1.33)分比(13.47±1.46)分,t=-16.12,P<0.01]及自我评价[(19.87±2.87)分比(12.77±1.68)分,t=-11.75,P<0.01]评分和CSQ问卷中解决问题[(8.71±2.30)分比(6.23±3.45)分,t=3.31,P<0.05]及合理化[(6.20±3.11)分比(4.67±2.43)分,t=2.13,P<0.05]评分高于对照组,差异有统计学意义。研究组的总有效率[90.3%(28/31)比66.7%(20/30),χ^(2)=5.09,P<0.05]显著高于对照组,差异有统计学意义。结论在常规治疗的基础上联合VBT治疗效果更优,能有效地改善患者的焦虑抑郁症状、社会功能和应对方式,提升患者的自我接纳及自我评价水平,值得在临床上推广应用。ObjectiveTo explore the influence of value orientation brief therapy(VBT)on anxiety and depression symptoms,social function,coping style and self-acceptance level of major depressive disorder adolescents with anxious distress.MethodsFrom June 2021 to June 2022,seventy adolescent major depressive disorder patients with anxious distress were included in the study,who were randomly divided into study group(35 people,31 people completed)and control group(35 people,30 people completed).The study group was given routine treatment combined with VBT,while the control group was given routine treatment only.Before and after treatment,Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),social disability screening schedule(SDSS),coping style questionnaire(CSQ)and self-acceptance questionnaire(SAQ)were used to evaluate the two groups,and SPSS 26.0 software was used to statistically analyze the data of the two groups.Paired sample t-test was used for intra-group comparison,and independent sample t-test was used for inter-group comparison.ResultsAfter 6 weeks of treatment,the scores of HAMA((6.03±3.58)vs(14.03±7.06),t=5.55,P<0.01),HAMD((8.77±5.52)vs(16.50±7.59),t=4.56,P<0.01)and SDSS((4.23±1.50)vs(6.63±0.96),t=7.43,P<0.01)in the study group were significantly lower than those in the control group,the differences were statistically significant.The scores of self-acceptance((19.23±1.33)vs(13.47±1.46),t=-16.12,P<0.01)and self-evaluation((19.87±2.87)vs(12.77±1.68),t=-11.75,P<0.01)in the SAQ scale and the scores of problem-solving((8.71±2.30)vs(6.23±3.45),t=3.31,P<0.05)and rationalization((6.20±3.11)vs(4.67±2.43),t=2.13,P<0.05)in the CSQ questionnaire were significantly higher than those in the control group,the differences were statistically significant.The total effective rate of the study group(90.3%(28/31)vs 66.7%(20/30),χ^(2)=5.09,P<0.05)was significantly higher than that of the control group,the difference was statistically significant.ConclusionThe effect of routine treatment combined with VBT is bette

关 键 词：价值取向短程治疗 伴焦虑痛苦特征抑郁症 青少年 社会功能 应对方式 自我接纳水平 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]