摘要
目的:探讨以纽曼(Neuman)理论为基础的心理危机干预对抑郁大学生自杀意念及负性自动思维的影响。方法:以2019年6月-2022年6月某两所高校150名有抑郁症状的在校大学生为研究对象。采用随机数字表法将其分为对照组(n=75)与试验组(n=75),对照组正常按照精神科医生医嘱服用常规抗抑郁药物治疗,试验组在对照组的基础上给与以Neuman理论为基础的心理危机干预。干预12周后,对比两组干预前后抑郁情绪、自杀意念、负性自动思维及睡眠质量。结果:干预后,试验组抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(t=5.587,P<0.01)。干预后,试验组最近一周及最严重时的自杀意念强度、自杀危险性、Beck自杀意念量表中文版(BSI-CVSDS)总分均低于对照组,差异有统计学意义(t=3.081,3.129,4.218,2.735,4.189,4.975;P<0.01)。干预后,试验组负性自动思维问卷(ATQ)评分低于对照组,差异有统计学意义(t=4.670,P<0.01)。干预后,试验组匹兹堡睡眠质量指数问卷(PSQI)评分低于对照组,差异有统计学意义(t=2.805,P<0.01)。结论:在常规抗抑郁药物治疗的基础上结合以Neuman理论为基础的心理危机干预,有利于减轻抑郁大学生自杀意念及负性自动思维,缓解抑郁程度,提升睡眠质量。
Objective:To explore the influence of psychological crisis intervention based on Neuman theory on suicidal ideation and negative automatic thinking of depressed college students.Methods:One hundred and fifty college students suffering from depression in two universities were studied from June 2019 to June 2022.They were divided into control group(n=75)and test group(n=75)by random number table.The control group was normally treated with conventional antidepressants as instructed by the psychiatrist,and the observation group was given psychological crisis intervention based on Neuman theory on the basis of the control group.After 12 weeks of intervention,the depression,suicidal ideation,negative automatic thinking and sleep quality of the two groups were compared before and after the intervention.Results:After intervention,the scores of SDS in the test group were lower than those in the control group,with a statistically significant difference(t=5.587,P<0.01).After intervention,the suicide ideation intensity,suicide risk,and total BSI-CVSDS scores of the test group in the last week and the most severe were lower than those of the control group,with a statistically significant difference(t=3.081,3.129,4.218,2.735,4.189,4.975;P<0.01).After intervention,the ATQ score of the test group was lower than that of the control group,with a statistically significant difference(t=4.670,P<0.01).After intervention,the PSQI score of the test group was lower than that of the control group,with a statistically significant difference(t=2.805,P<0.01).Conclusion:The psychological crisis intervention based on Neuman theory on the basis of conventional antidepressant drug treatment is conducive to reducing suicidal ideation and negative automatic thinking of depressed college students,relieving depression and improving sleep quality.
作者
马千珉
王佳佳
吴迪
MA Qianmin;WANG Jiajia;WU Di(College Students'Mental Health Education and Consulting Center,Xuzhou Industrial Vocational and Technical College,Xuzhou 221140,China;Psychological Consultation and Treatment Center,Xuzhou Dongfang People's Hospital)
出处
《中国健康心理学杂志》
北大核心
2023年第6期897-902,共6页
China Journal of Health Psychology
基金
江苏省高校哲学社会科学研究项目(编号:2021SJB0547)
江苏省社科应用研究精品工程高校思想政治教育专项重点课题(编号:21SZA—010)。
关键词
Neuman理论
心理危机干预
抑郁
大学生
自杀意念
负性自动思维
Neuman theory
Psychological crisis intervention
Depression
College student
Suicidal ideation
Negative automatic thinking
