首页|森田日记式心理干预联合认知行为疗法在青少年双相情感障碍患者中的应用

森田日记式心理干预联合认知行为疗法在青少年双相情感障碍患者中的应用

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目的:探讨森田日记式心理干预联合认知行为疗法在青少年双相情感障碍(BPD)患者中的应用.方法:选取 2023 年 1-10 月在赣州市第三人民医院收治的青少年BPD患者 70 例,采用分层随机化法分为观察组和对照组,每组 35 例,对照组采用认知行为疗法干预,观察组给予森田日记式心理干预联合认知行为疗法干预.对比两组干预前后的负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、精神状况[阴性和阳性精神症状评定量表(PANSS)]、社会功能缺陷程度[社会功能缺陷筛选量表(SDSS)]及生活质量[日常生活活动能力(ADL)]变化.结果:干预后,两组负性情绪(HAMA、HAMD评分)、精神状况(PANSS评分中阳性症状、阴性症状、一般病理症状及总分)、社会功能缺陷程度(SDSS评分)均相比治疗前明显降低,观察组均低于对照组,而两组生活质量(ADL评分)相比治疗前均明显升高,观察组高于对照组,差异均有统计学意义(P<0.05).结论:森田日记式心理干预联合认知行为疗法在青少年BPD患者中,不仅能有效缓解青少年患者的负性情绪、精神状况,还能明显改善青少年患者社会功能障碍和生活质量.
Application of Morita Diary Psychological Intervention Combined with Cognitive Behavioral Therapy in Adolescents with Bipolar Affective Disorder
Objective:To explore the application of Morita diary psychological intervention combined with cognitive behavioral therapy in adolescents with bipolar affective disorder(BPD).Method:A total of 70 adolescents with BPD in the Third People's Hospital of Ganzhou from January to October 2023 were selected,and were divided into observation group and control group by stratified randomization method,with 35 cases in each group.The control group was intervened by cognitive behavioral therapy,and the observation group was given Morita diary psychological intervention combined with cognitive behavioral therapy intervention.The changes in negative emotions[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],mental status[positive and negative syndrome scale(PANSS)],social disability degree[social disability screening schedule(SDSS)]and quality of life[activity of daily living(ADL)]were compared between two groups before and after intervention.Result:After intervention,the negative emotions(HAMA and HAMD score),mental status(scores of positive symptoms,negative symptoms and general pathological symptoms and total score of PANNS scores)and social disability degree(SDSS score)of two groups were significantly declined compared with those those before treatment,and those in observation group were lower than those in control group,and the quality of life(ADL score)of two groups were significantly risen compared with those before treatment,and that in observation group was higher than that in control group,the differences were statistically significant(P<0.05).Conclusion:Morita diary psychological intervention combined with cognitive behavioral therapy in adolescents with BPD can not only effectively alleviate the negative emotions and mental status of adolescents,but also significantly improve the social disability and quality of life.

Morita diary psychological interventionCognitive behavioral therapyAdolescent bipolar affective disorder

陈喜梅、吴联凤、李海燕、涂小芳、钟伦淳

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赣州市第三人民医院情感障碍科 江西 赣州 341000

赣州市第三人民医院睡眠科 江西 赣州 341000

赣州市第三人民医院康复理疗科 江西 赣州 341000

赣州市第三人民医院早期干预科 江西 赣州 341000

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森田日记式心理干预 认知行为疗法 青少年双相情感障碍

赣州市指导性科技计划项目

GZ2023ZSF258

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(25)