A Preliminary Exploration On The Efficacy Of Problem Management Plus(PM+)in Adolescent Depression Patients With Non-Suicidal Self-Injury

Objective:To explore the incidence and related influencing factors of non-suicidal self-injury behavior in adolescents with depression,and the clinical efficacy of problem management plus(PM+)in treating adolescents with depression patients with non-suicidal self-injury behavior.Methods:In the first study,119 hospitalized patients with adolescent depression who were treated in Guangji Hospital of Suzhou City were selected as the study subjects.According to the inclusion and exclusion criteria,a total of 119 patients were enrolled.Collect general demographic information of patients,patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7),ruminant responses scale(RRS),and functional assessment of self-mutilation(FASM),statistical analysis of the incidence and related influencing factors of non-suicidal self-injury behavior in adolescents with depression.In the second study,according to the inclusion and exclusion criteria,a total of 76 hospitalized patients with non-suicidal self-injury behavior were enrolled into the study group and randomly divided into the test group using PM+and conventional treatment or the control group using conventional treatment,with 38 patients in each group.General clinical data,Hamilton depression scale-24(HAMD-24),PHQ-9,GAD-7,RRS,FASM,digit symbol substitution test(DST),digit span backward(DSB)wsiconsin card sorting test(WCST)and face emotion recognition(FER),the scores of each scale before and after the intervention were statistically analyzed.Results:In the first study,the following findings were found:1.The incidence rate of non-suicidal self-injury behavior in adolescents with depression was 77.3%;2.The level of depression,anxiety and ruminant responses adolescent depression patients with non-suicidal self-injury behavior was significantly higher than that of the control group;3.Binary logistic regression analysis shows that women and depression are the main influencing factors for the occurrence of non-suicidal self-injury behaviors in adolescents with depression.In the second study,it was found that:1.After the intervention,the scores of HAMD-24,PHQ-9,and GAD-7 in the test group and the control group were significantly lower than those before the intervention(P<0.05);2.The RRS score,frequency of non-suicidal self-injury behavior score of the test group were significantly lower than those before the intervention(P<0.05),and DST,DSB score of the test group were significantly higher than those before the intervention(P<0.05).The RRS score,frequency of non-suicidal self-injury behavior,and cognitive function score of the control group were not significantly different before and after the intervention(P>0.05);3.After intervention,the scores of HAMD-24,PHQ-9,GAD-7,RRS,and the frequency of non-suicidal self-injury behavior in the test group were lower than those in the control group,with a statistically significant difference(P<0.05).The scores of DST in the test group were higher than those in the control group,with a statistically significant difference(P<0.05).Conclusion:The incidence rate of non-suicidal self-injury behavior in hospitalized adolescents with depressive disorder is high,and the level of depression,anxiety,ruminant responses is related to the frequency of non-suicidal self-injury behavior.The effect of PM+combined with conventional treatment is better than that of conventional treatment.It has advantages in improving patients’ depression,anxiety,ruminant responses,non-suicidal self-injury behavior and cognitive function.It can be applied to adolescent depression patients with non-suicidal self-injury behavior.