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中文摘要: 摘 要:目的:了解青少年抑郁障碍患者伴有非自杀性自伤 (NSSI) 的行为情况,并探讨音乐疗法对其 NSSI行为及焦
虑、抑郁情绪的影响。方法:将2022年3月—2023年3月在中山市第三人民医院住院治疗的63例伴有NSSI行为的青少年抑
郁障碍患者随机分为对照组 (n=32) 和研究组 (n=31)。对照组采用单纯的药物治疗和常规护理,研究组在此基础上增加 4
周的音乐疗法。入组前采用渥太华自伤量表 (OSI) 评估两组患者的NSSI行为情况;比较两组患者治疗前及治疗1、2、4周
时汉密尔顿焦虑量表 (HAMA)、汉密尔顿抑郁量表 (HAMD-17) 的评分;比较两组患者治疗 1、2、4 周时 NSSI 行为发生
率。结果:两组患者中最常见的自伤方式是刀割 (72.1%),伤害部位最多的是手 (47.6%)。采取一种自伤方式的患者最多
(52.5%),过去 1个月至少有 1次自伤行为的占 52.4%。治疗 1、2、4周时,两组患者 HAMA、HAMD-17评分较治疗前均降
低,差异有统计学意义 (P<0.05),研究组明显低于对照组。治疗后两组患者NSSI行为发生频次均明显降低,特别是在治疗
2、4周时,研究组患者NSSI行为发生频次明显低于对照组。结论:音乐疗法能够有效缓解青少年抑郁障碍患者的焦虑、抑
郁情绪,并降低NSSI行为的发生率,提高临床疗效。
Abstract:Abstract: OBJECTIVE To investigate the behavior of adolescents with depressive disorder accompanied by non-suicidal self-in⁃
jury (NSSI), and to explore the influence of music therapy on NSSI behavior of adolescents with depressive disorder. METHODS A to⁃
tal of 63 adolescent depressive disorder patients with NSSI behavior admitted to Zhongshan Third People’s Hospital from March
2022 to March 2023 were randomly divided into control group (32 cases) and study group (31 cases). The control group received sim⁃
ple drug therapy and routine nursing, and the study group received 4 weeks of music therapy. NSSI behavior was assessed using the
Ottawa Self-injury Scale (OSI) before enrollment; compare the scores of the Hamilton Anxiety Scale (HAMA), Hamilton Depression
Scale (HAMD-17) at 1, 2, and 4 weeks before treatment; and compare the incidence of NSSI behavior at 1, 2, and 4 weeks of treat⁃
ment. RESULTS The most common form of SCI in both groups was knife cut (72.1%) and the most common lesion was hand (47.6%).
The largest number of patients had done it one way (52.5%), and 52.4% had done it at least one time in the past 1 month. At 1, 2
and 4 weeks of treatment, HAMA and HAMD-17 scores decreased compared with before treatment, statistically significant (P<
0.05), and the study group was significantly lower than the control group. The incidence of NSSI behavior was significantly reduced
in both patients after treatment groups, especially at 2 and 4 weeks of treatment, and the incidence of NSSI behavior in the study
group was significantly lower than that in the control group. CONCLUSION Music therapy can effectively relieve anxiety and depres⁃
sion in adolescents with depressive disorder, reduce the incidence of NSSI behavior, and improve clinical efficacy.
文章编号:3202110019 中图分类号:R195 文献标志码:
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