首页|脑反射治疗联合舍曲林对青少年非自杀性自伤行为的疗效

脑反射治疗联合舍曲林对青少年非自杀性自伤行为的疗效

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目的 观察脑反射治疗联合舍曲林对青少年非自杀性自伤(NSSI)行为的疗效.方法 80例NSSI行为青少年分为观察组和对照组,每组40例.观察组行脑反射治疗联合舍曲林治疗,对照组行单纯舍曲林治疗.治疗4周后评估疗效、安全性及认知功能.采用NSSI行为问卷对患者进行疗效评估,采用抗抑郁药副反应量表(SERS)评分评估患者不良反应发生情况,采用威斯康辛卡片分类测试(WCST)评估患者认知功能的变化.结果 与治疗前比较,两组患者治疗4周后NSSI行为问卷评分、WCST中持续性错误数、非持续性错误数均降低,完成分类数提升(P<0.05).治疗4周后,观察组NSSI行为问卷评分低于对照组,WCST中持续性错误数、非持续性错误数较对照组减少,完成分类数较对照组增加(P<0.05).治疗4周后,观察组SERS评分低于对照组(P<0.05).结论 与单用舍曲林治疗相比,脑反射治疗联合舍曲林对青少年NSSI行为疗效更佳,可降低不良反应,改善患者认知功能.
Therapeutic efficacy of cerebral reflexology therapy combined with sertraline in adolescents with non-suicidal self-injury behavior
Objective To observe the therapeutic efficacy of cerebral reflexology therapy combined with sertraline in the adolescents with non-suicidal self-injury(NSSI)behavior.Methods Eighty NSSI behavioral adolescents were divided into two groups with 40 cases each.Group A was treated with brain reflex therapy combined with sertraline and group B was treated with sertraline alone.After 4 weeks of treatment,the efficacy,safety,and cognitive function of two groups were evaluated.The NSSI behavioral questionnaire was used to assess the efficacy.The rating scale for side effects(SERS)score was used to assess the occurrence of adverse effects.Wisconsin card sorting test(WCST)was used to assess the changes in the cognitive function.Results Compared with before treatment,the NSSI behavior questionnaire scores,the numbers of persistent errors and non-persistent errors in WCST were decreased,while the number of completed classifications was increased after 4 weeks of treatment in two groups(P<0.05).After 4 weeks of treatment,the NSSI behavior questionnaire score of group A was lower than that of group B,and the numbers of persistent and non-persistent errors were decreased,while the number of completed classifications was increased in group A compared to group B(P<0.05).After 4 weeks of treatment,the SERS score of group A was lower than that of group B(P<0.05).Conclusion Compared with single use of sertraline therapy,cerebral reflexology therapy combined with sertraline has a better therapeutic efficacy for adolescent NSSI behavior with reduced adverse reactions and improved cognitive function.

Cerebral reflexology therapySertralineNon-suicidal self-injury behaviorCognitive function

刘雪琴、余永玥、赖定燕、胡春华、张萍萍、黄常荣

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341000 江西,赣州市第三人民医院儿少精神心理科

脑反射治疗 舍曲林 非自杀性自伤行为 认知功能

赣州市科技计划项目

GZ2021ZSF223

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(1)
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