目的 探究重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合心理支持对青少年非自杀性自伤(non-suicidal self-injury,NSSI)的影响.方法 回顾性分析我院2021年4月～2023年4月收治的伴NSSI青少年抑郁症患者,按照实施心理支持时是否接受rTMS治疗,分为对照组306例,观察组339例.对所有患者数据进行倾向性匹配评分,共有275对基线差异无统计学意义的患者.记录干预前及干预30天后的自伤次数、自伤行为[渥太华自伤量表(ottawa self-injury inventory,OSI)]、心理状况[儿童抑郁量表(children's depression inventory,CDI)]、自我效能感[自我效能感量表(general self-efficacy scale,GSES)]、冲动水平[Barratt冲动量表(Barratt Impulsivity Scale,BIS-Ⅱ)]、社会支持[多维感知社会支持量表(multidimensional scale of perceived social support,MSPSS)].结果 干预30天后,患者自伤次数、OSI、CDI、BIS-Ⅱ评分均较干预前降低,观察组低于对照组(P＜0.05),患者GSES、MSPSS评分均较干预前升高,且观察组高于对照组(P＜0.05).结论 对伴NSSI的青少年患者,使用心理支持与rTMS能帮助减少自伤发生,增强其自我效能感.
Influence of repetitive transcranial magnetic stimulation combined with psychological support on non-suicidal self-injury and self-efficacy in adolescents
Objective To explore the influence of repetitive transcranial magnetic stimulation(rTMS)com-bined with psychological support on non-suicidal self-injury(NSSI)in adolescents.Methods Adolescent depres-sion patients with NSSI admitted to the hospital were retrospectively analyzed from April 2021 to April 2023.According to whether they received rTMS during psychological support,the above patients were divided into 306 cases in control group and 339 cases in observation group.Propensity score matching was performed on the data of patients,thus 275 pairs of patients with no statistically significant differences in baseline data were included.The number of self-injury,self-injury behavior[Ottawa Self-Injury Scale(OSI)],psychological status[Children's Depression Inventory(CDI),self-efficacy[General Self-Efficacy Scale(GSES)],impulsiveness level[Barratt Impulsivity Scale(BIS-Ⅱ)]and social support[Multidimensional Scale of Perceived Social Support(MSPSS)]were recorded before intervention and after 30 days of intervention.Results After 30 days of intervention,the number of self-injury,OSI score,CDI score and BIS-Ⅱ scores of patients were declined compared with those before intervention,and the indicators in observation group were lower than those in control group(P＜0.05).The GSES scores and MSPSS scores were risen compared to before intervention,and the scores were higher in observation group(P＜0.05).Conclusion For adolescent patients with NSSI,the application of psychological support and rTMS can help reduce the occurrence of self-injury and en-hance the self-efficacy.
AdolescentsNon-suicidal self-injuryPsychological supportRepetitive transcranial magnetic stimulationSelf-efficacy
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