| ObjectiveTo explore the effect of simplified cognitive behavioral therapy(SCBT)on anxiety,depression,self-injury behavior and difficulty in emotional regulation in adolescent depressive patients with non-suicidal self-injury(NSSI).Methods35 adolescent depressive patients with NSSI were recruited from the hospital and divided into intervention group and control group.The intervention group was treated with SCBT combined with drugs,while the control group was treated with supportive psychotherapy combined with drugs.Psychological intervention was carried out for 8times in 6 weeks,and each time lasts for 60 minutes.Offline intervention was carried out twice a week from the 1st to 2nd week,and online intervention was carried out once a week from the 3rd to 6th week.Hamilton anxiety scale-14(HAMA-14),Hamilton Depression scale-24(HAMD-24),Generalized Anxiety Disorder Scale-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),Adolescent self-injury behavior scale and The Difficulties in Emotion Regulation Scale(DERS)were used to evaluate the two groups before and after the intervention,and the evaluation results were analyzed.Result1.Statistical analysis included 30 adolescent depressive patients with NSSI behavior,including 15 cases in the intervention group and 15 cases in the control group.Before intervention,there was no statistically significant difference in general demographic data between the two groups(p>0.05).And there was no statistically significant difference in scores of HAMA-14,HAMD-24,GAD-7,PHQ-9,Adolescent self-injury behavior scale and DERS before the intervention(p >0.05).2.After intervention,the scores of each scale in the intervention group were lower than those before intervention.Before and after intervention,there were statistically significant differences in the scores of HAMA-14,HAMD-24,GAD-7,PHQ-9,adolescent self-injury behavior scale,the whole of DERS and the four dimensions of DERS: rejection of one’s own emotional response,lacking effective emotional regulation strategies,having difficulty in controlling one’s own impulsive response and difficulty in carrying out target behavior in the intervention group(p<0.05),while there was no statistically significant difference in the score of difficulty in realizing one’s own emotions in the DERS scale(p>0.05).The scores of each scale in the control group after intervention were lower than those before intervention.Before and after intervention,there were statistically significant differences in the score of HAMA-14,HAMD-24,GAD-7,PHQ-9,and DERS scale in the dimension of difficulty in carrying out target behavior in control group(p<0.05),while there was no statistically significant difference in the scores of adolescent self-injury behavior scale,the overall DERS scale and its other four dimensions(p>0.05).3.After intervention,the scores of each scale in the intervention group were lower than those in the control group.After intervention,there were significant differences in the scores of HAMA-14,HAMD-24,GAD-7,PHQ-9,adolescent self-injury behavior scale,the overall DERS and its two dimensions: rejection of one’s own emotional response and lacking effective emotional regulation strategies between the two groups(p<0.05).But there was no significant difference in the scores of the other three dimensions of DERS between the two groups after intervention(p>0.05).Conclusion(1)Simplified cognitive behavioral therapy combined with drug therapy can improve the anxiety and depression of adolescent depression patients with non-suicidal self-injury in the short term,and its effect is better than that of supportive psychotherapy combined with drug therapy.(2)Simplified cognitive behavioral therapy combined with drug therapy can effectively reduce the self-injury behavior of adolescent depression patients with non-suicidal self-injury.(3)Simplified cognitive behavioral therapy combined with drug therapy can effectively reduce the level of emotional regulation difficulties in adolescent depression patients with non-suicidal self-injury. |
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