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| 威廉姆斯生活技能训练在伴有非自杀性自伤行为青少年抑郁症患者中的应用效果 |
| The application of Williams Life Skills Training on the Depressive Adolescents with Nonsuicidal self-injury |
| 投稿时间：2020-10-31 修订日期：2021-04-02 |
| DOI： |
| 中文关键词: 威廉姆斯生活技能训练 非自杀性自伤 青少年 抑郁症 |
| 英文关键词:Williams Life Skills Training nonsuicidal self-injury adolescent depression |
| 基金项目:苏州市科技局指导性项目:伴与不伴非自杀性自伤行为青少年抑郁障碍相关因素的对照研究及个体化干预导向的探讨( 编号: SYSD2017134);苏州市医学重点学科项目（编号：Szxk201815)；苏州市临床医学中心项目（编号：Szzx201509) |
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| 中文摘要: |
| 目的 探讨威廉姆斯生活技能训练（WLST）在伴有非自杀性自伤（NSSI）行为青少年抑郁症患者中的应用效果， 为降低伴有NSSI行为青少年抑郁症患者的NSSI行为提供参考。方法 选取2019年1-6月在我院儿少精神科病房住院的伴非自杀性自伤行为的青少年抑郁症患者88例，按入院先后顺序编号，编号奇数者为对照组，编号偶数者为干预组，每组各44例，对照组实施常规的抑郁症疾病护理，干预组在对照组的基础上引入WLST，最后对照组完成了43例，干预组完成了42例。比较两组出、入院时汉密尔顿抑郁量表（HAMD-17）、一般自我效能感量表（GSES）、青少年学生生活满意度量表评分，比较两组住院期间非自杀性自伤发生率、出院时汉密尔顿抑郁量表的减分率。结果 两组患者住院期间非自杀性自伤发生率组间有统计学差异（P<0.05）。出院时两组组内HAMD-17、GSES评分、青少年学生生活满意度量表评分较入院时有统计学差异（P<0.05）；两组组间HAMD-17、GSES评分、青少年学生生活满意度量表评分、汉密尔顿抑郁量表的减分率有统计学差异（P<0.05）。结论 WLST能降低伴有非自杀性自伤行为的青少年抑郁症患者的非自杀性自伤发生率，减轻抑郁程度，增强自我效能感，提高生活满意度。 |
| 英文摘要: |
| Objective To explore the applicationeffect of Williams Life Skills Training（WLST）on the depressive adolescents with non-suicidal self-injury（NSSI）,so as to provide references for reduce the incidence of NSSI in depressive adolescents with NSSI. Methods 88 depressive adolescent inpatients with NSSI in pediatric psychiatric ward of our hospital were enrolled between January and June 2019. They were divided into control group (44 cases)and intervention group(44 cases) randomly.The control group received depression routine care.And the intervention group introduced WLST based on the control group.Finally,the control group completed 43 cases and the intervention group completed 42 cases. The scores of Hamilton Depression Scale (HAMD-17), General Self-Efficacy Scale (GSES) and Life Satisfaction Scale of Adolescent Students(LSSAS) at the time of discharge and admission were compared between the two groups. Besides,the incidence rate of NSSI during hospitalization and the reduction rate of HAMD-17 at discharge were compared between the two groups.Results The incidence of NSSI during hospitalization was statistically different between the two groups (P<0.05). The HAMD-17, GSES score, and LSSAS scores in the intervention group at discharge were significantly different from those at admission (P<0.05);There was a statistical difference in the reduction rate of HAMD-17 between the two groups (P<0.05).
Conclusion WLST could reduce the incidence of NSSI in depressive adolescents with NSSI, reduce depression, enhance self-efficacy and improve life satisfaction. |
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