Fan Xiao-Fen, Peng Ju-Yi, Zhang Li, Hu Ya-Li, Li Yan, Shi Yue, Zhang Tian-Mei
Department of Mental Health, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, China.
Ann Gen Psychiatry. 2024 May 8;23(1):16. doi: 10.1186/s12991-024-00503-3.
Adolescents with depression who engage in non-suicidal self harming behaviors are more likely to adopt negative coping strategies when faced with negative events. Therefore, these patients should be introduced to positive coping strategies. Evidences have showed that mindfulness-based interventions can positively impact the psychology of patients with mental disorders. This study was to explore the impact of a combination of mindfulness therapy and mentalization-based family therapy (MBFT) on suicidal ideation in adolescents with depressive disorder.
Eighty adolescent patients with depression and suicidal ideation admitted to our hospital from September 2021 to February 2022 were selected as subjects. They were divided into a control group and a study group using the random number table method, with each group comprising 40 subjects. The control group received MBFT, whereas the study group received both mindfulness therapy and MBFT. The psychological status and suicidal ideations of the two groups were compared before and after the intervention.
The psychological health scores of both groups of patients were lower after the intervention, with the scores of the study group being lower than those of the control group (P < 0.05). The scores on the suicidal ideation scales for both groups were lower after intervention, and the study group scored lower than the control group (P < 0.05). The absolute values of the differences in psychological health scale scores and suicidal ideation scale scores before and after the intervention were higher in the study group than in the control group (P < 0.05).
The combination of mindfulness therapy and MBFT can improve the psychological condition of adolescents with depression, reduce their suicidal ideations, and help them develop a healthy and positive outlook toward life, making this method worthy of clinical recommendation.
患有抑郁症且有非自杀性自伤行为的青少年在面对负面事件时更有可能采用消极的应对策略。因此，应向这些患者介绍积极的应对策略。有证据表明，基于正念的干预措施可以对精神障碍患者的心理产生积极影响。本研究旨在探讨正念疗法与基于心理化的家庭治疗（MBFT）相结合对抑郁症青少年自杀意念的影响。
选取2021年9月至2022年2月我院收治的80例伴有自杀意念的抑郁症青少年患者作为研究对象。采用随机数字表法将其分为对照组和研究组，每组40例。对照组接受MBFT，而研究组接受正念疗法和MBFT。比较两组干预前后的心理状态和自杀意念。
两组患者干预后的心理健康得分均降低，且研究组得分低于对照组（P＜0.05）。两组干预后的自杀意念量表得分均降低，且研究组得分低于对照组（P＜0.05）。研究组干预前后心理健康量表得分和自杀意念量表得分的差值绝对值高于对照组（P＜0.05）。
正念疗法与MBFT相结合可改善抑郁症青少年的心理状况，减少其自杀意念，帮助他们树立健康积极的生活态度，该方法值得临床推荐。
