接纳承诺疗法对青少年心境障碍患者自杀意念的干预研究  

Intervention Study of Acceptance and Commitment Therapy on Suicidal Ideation in Adolescent Patients with Mood Disorders

作　　者：陈秋生 滕小芸 刘倩莉 韦琪[1] 胡海梅 黄雪娇 李东骏 韦桐 CHEN Qiusheng;TENG Xiaoyun;LIU Qianli;WEI Qi;HU Haimei;HUANG Xuejiao;LI Dongjun;WEI Tong(Division of Mental Health,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530000,Guangxi,China)

机构地区：[1]广西医科大学第二附属医院心理卫生科,广西南宁530000

出　　处：《医学信息》2025年第4期144-147,共4页Journal of Medical Information

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20211290);广西壮族自治区卫生健康委自筹经费科研课题(编号:Z-A20230675)。

摘　　要：目的探讨接纳承诺疗法(ACT)对青少年心境障碍患者自杀意念的影响。方法选取2022年1月-12月在广西医科大学第二附属医院心理卫生科住院,且符合纳入、排除标准的80例青少年心境障碍患者作为研究对象,采用随机数字表法分为对照组和干预组,各40例。对照组给予科室的常规护理,干预组在对照组的基础上实施ACT干预。比较两组干预前后进行青少年自杀意念量表(PANSI)、抑郁自评量表(SDS)、心理痛苦耐受性量表(TMPS-10)评分。结果干预组干预后PANSI总分为(35.56±3.42)分、SDS总分为(49.59±3.81)分,均低于对照组的(38.72±5.49)分、(52.98±7.18)分(P<0.05);干预组的TMPS-10总分为(40.34±6.67)分,高于对照组的(37.38±4.24)分(P<0.05)。结论ACT能有效减少青少年心境障碍患者的自杀意念,减轻抑郁症状,并提高其心理痛苦耐受性,从而促进心理康复。Objective To explore the effect of acceptance and commitment therapy(ACT)on suicidal ideation in adolescents with mood disorders.Methods From January to December 2022,80 adolescent patients with mood disorders who were hospitalized in the Department of Mental Health of the Second Affiliated Hospital of Guangxi Medical University and met the inclusion and exclusion criteria were selected as the research objects.They were divided into control group and intervention group by random number table method,with 40 patients in each group.The control group was given routine nursing care,and the intervention group was given ACT intervention on the basis of the control group.The scores of Positive and Negative Suicide Ideation(PANSI),Self-rating Depression Scale(SDS)and Tolerance for Mental Pain Scale-10(TMPS-10)were compared between the two groups before and after intervention.Results The total scores of PANSI and SDS in the intervention group were(35.56±3.42)scores and(49.59±3.81)scores,which were lower than(38.72±5.49)scores and(52.98±7.18)scores in the control group(P<0.05).The total score of TMPS-10 in the intervention group was(40.34±6.67)scores,which was higher than(37.38±4.24)scores in the control group(P<0.05).Conclusion ACT can effectively reduce suicidal ideation,relieve depressive symptoms and improve psychological distress tolerance in adolescent patients with mood disorders,thus promoting psychological rehabilitation.

关 键 词：接纳承诺疗法 青少年 心境障碍 自杀意念 心理痛苦耐受性 

分 类 号：R884.2[医药卫生—临床医学]