| 陈虹,查莉珺,王语含,杨小红,胡华.基于家庭养育的心理剧团体干预对青少年抑郁障碍患者父母影响的质性研究[J].四川精神卫生杂志,2025,(2):102-107.Chen Hong,Cha Lijun,Wang Yuhan,Yang Xiaohong,Hu Hua,Psychodrama group therapy based on family parenting intervention for parents of adolescents with depressive disorder： a qualitative study[J].SICHUAN MENTAL HEALTH,2025,(2):102-107 |
| 基于家庭养育的心理剧团体干预对青少年抑郁障碍患者父母影响的质性研究 |
| Psychodrama group therapy based on family parenting intervention for parents of adolescents with depressive disorder： a qualitative study |
| 投稿时间：2024-09-02 |
| DOI：10.11886/scjsws20240902001 |
| 中文关键词: 心理剧团体 父母 家庭养育 抑郁障碍 青少年 质性研究 |
| 英文关键词:Psychodrama group therapy Parents Family parenting Depressive disorder Adolescents Qualitative analysis |
| 基金项目:重庆市教育委员会人文社会科学类研究项目（项目名称：基于家庭因素探究抑郁青少年自伤自杀行为与预防策略，项目编号：19SKGH018）；重庆市社会科学规划项目（项目名称：关于提升未成年人父母心理养育功能的“团体心理课堂模式”的探究研究，项目编号：2021WT29） |
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| 中文摘要: |
| 背景 家庭因素在青少年抑郁障碍的发生、发展与转归中起重要作用。心理剧团体在促进个体成长以及关系修复中展现出积极效果，但关于采用心理剧帮助青少年抑郁障碍患者的父母提升家庭养育水平、从而促进青少年抑郁障碍患者康复的研究证据不足。目的 探索基于家庭养育的心理剧团体干预对青少年抑郁障碍患者父母的影响，为促进青少年抑郁障碍患者的康复提供参考。方法 采用目的抽样，于2023年10月—2024年3月在重庆医科大学附属第一医院精神科门诊招募符合《国际疾病分类（第10版）》（ICD-10）抑郁障碍诊断标准的青少年患者，以其父亲或母亲作为研究对象（n=18），进行每周1次、连续6周的基于家庭养育的心理剧团体干预。干预后，对参与团体的父母进行半结构式访谈并录音。采用内容分析法对访谈录音及逐字稿进行质性分析。结果 接受基于家庭养育的心理剧团体干预后，青少年抑郁障碍患者的父母情绪状态改善、反思能力提升、应对方式改变，具体表现为负性情绪减少、正性情绪增加、反思自己、共情他人、调整认知、改变压力调节方式、改善沟通方式以及主动寻求资源。结论 基于家庭养育的心理剧团体可能有助于青少年抑郁障碍患者父母改善情绪状态、提升反思能力、改变应对方式。 |
| 英文摘要: |
| Background Family factors are known to play a critical role in the development， progression and prognosis of adolescent patients with depressive disorder. Psychodrama group therapy has the potential for bringing about positive change in individual growth and relationship repair， but there is currently insufficient research evidence for the effectiveness of psychodrama group therapy in promoting the recovery in depressive disorder in adolescents through improving the family parenting skills of their parents.Objective To explore the influence of psychodrama group therapy based on family parenting intervention on parents of adolescent patients with depressive disorder， so as to provide references for promoting the recovery for adolescent patients with depressive disorder.Methods Purposive sampling was used to recruit adolescent patients who met the diagnostic criteria for depressive disorder of the International Classification of Diseases， tenth edition （ICD-10） and hospitalized in the psychiatric outpatient department of the First Affiliated Hospital of Chongqing Medical University from October 2023 to March 2024， and their parents （either mother or father） were taken as the study subjects. Psychodrama group therapy based on family parenting intervention was performed once a week for 6 consecutive weeks. After intervention， semi-structured interviews were conducted with parents who participated in the group， and the interviews were recorded. Content analysis method was employed to perform qualitative analysis on the interview recordings and verbatim transcripts.Results After receiving psychodrama group intervention based on family parenting， parents of adolescent patients with depressive disorder demonstrated improvement in emotional state， enhanced reflective ability and altered coping style， which were specifically manifested as reducing negative emotions， increasing positive emotions， reflecting on themselves， empathizing with others， adjusting cognition， changing the way of stress regulation， improving communication styles and actively seeking resources.Conclusion Application of psychodrama group therapy based on family parenting intervention may improve emotional state， reflective ability and coping style of the parents of adolescent patients with depressive disorder. ［Funded by Chongqing Education Commission Humanities and Social Science Research Project （number， 19SKGH018）； Chongqing Social Science Planning Project （number， 2021WT29）］ |
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