Intervention effect of narrative therapy on non-suicidal self-injury in adolescents with depressive disorder:a prospective randomized controlled study
10.7499/j.issn.1008-8830.2308030
- VernacularTitle:叙事治疗对青少年抑郁症患者非自杀性自伤的干预效果:一项前瞻性随机对照研究
- Author:
Ya-Yi ZHANG
1
;
Xiao-Juan LI
;
Ming-Yu LI
;
Xue-Ping GAO
;
Ling-Zhi HUANG
Author Information
1. 中南大学湘雅二医院临床护理学教研室,湖南长沙 410011;中南大学湘雅二医院精神病学科/国家精神心理疾病临床医学研究中心/湖南省精神医学中心,湖南长沙 410011
- Keywords:
Narrative therapy;
Non-suicidal self-injury;
Depressive disorder;
Adolescent
- From:
Chinese Journal of Contemporary Pediatrics
2024;26(2):124-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the intervention effect of narrative therapy on non-suicidal self-injury(NSSI),as well as anxiety and depression symptoms in adolescents with depressive disorder.Methods Sixty adolescents with depressive disorder and NSSI were randomly assigned to either the intervention group or the control group using coin flipping.The control group received conventional psychological support,while the intervention group received individual narrative therapy in addition to the conventional psychological support(twice a week,60 minutes per session,for a total of 3 weeks).Assessment of treatment efficacy was conducted using the Adolescent Self-Harm Questionnaire,Children's Depression Inventory,and Children's Anxiety and Mood Scale before the intervention,at the end of the intervention,and one month after the intervention for both groups.Results A total of 26 adolescents in the intervention group and 29 adolescents in the control group completed the entire study.At the end of the intervention and one month after the intervention,the intervention group showed a significant reduction in the NSSI frequency score,NSSI level,anxiety score,and depression score compared to before the intervention(P<0.017).Moreover,at the end of the intervention and one month after the intervention,the intervention group exhibited significantly lower NSSI frequency score,NSSI severity score,NSSI level,anxiety score and depression score compared to the control group(P<0.05).Conclusions Narrative therapy is effective in reducing NSSI frequency and alleviating NSSI severity,as well as anxiety and depression symptoms in adolescents with depressive disorder.[Chinese Journal of Contemporary Pediatrics,2024,26(2):124-130]
