行为激活疗法对阈下抑郁学生情绪和行为特征的影响

覃涛; 钟清玲

doi:10.16835/j.cnki.1000-9817.2022.02.014

行为激活疗法对阈下抑郁学生情绪和行为特征的影响

doi: 10.16835/j.cnki.1000-9817.2022.02.014

覃涛^{1, 2},
钟清玲^2, ,

1.
江西医学高等专科学校护理学院，上饶 334000
2.
南昌大学护理学院

详细信息

作者简介:
覃涛(1985-)，女，四川达州人，在读硕士，副主任护师，主要研究方向为护理教育

通讯作者:
钟清玲，E-mail: qingling5218@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G444 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2021-06-28
- 修回日期: 2021-12-29
- 网络出版日期: 2022-02-24
- 刊出日期: 2022-02-25

Effect of behavioral activation therapy on depressive mood and behavioral characteristics among subliminal depressed students

QIN Tao^{1, 2},
ZHONG Qingling^{2
, ,}

1.
School of Nursing, Jiangxi Medical College, Shangrao (334000), Jiangxi Province, China

摘要

摘要: 目的探究行为激活(behavioral activation, BA)疗法对护理专业阈下抑郁学生抑郁情绪和行为特征的应用效果，为有效开展护理专业学生的心理健康教育提供参考依据。方法采用整群抽样方法选取江西省某医学高等专科学校护理专业二年级学生614名。将符合纳入标准的60名作为研究对象，使用随机数字表法将其分为对照组和干预组，每组各30名。对照组开展一般心理健康教育，干预组在一般心理健康教育的基础上进行行为激活疗法干预。采用流调中心抑郁量表(CES-D)、贝克抑郁自评量表(BDI-II)和抑郁行为激活量表(BADS-SF)分别于干预前、干预结束时、干预后1个月进行测评。结果两组学生CES-D、BDI-II和BADS-SF得分的时间效应、组别效应和时间与组别的交互作用均有统计学意义(F值分别为82.78，9.65，69.92；42.19，10.52，13.50；15.59，19.61，8.49，P值均＜0.01)。干预结束时、干预后1个月，干预组CES-D和BDI-II得分(14.63±4.63，14.80±4.85；11.23±4.98，11.13±5.53)均低于对照组(22.67±6.70，22.13±5.66；17.57±9.59，18.37±7.91)，干预组BADS-SF得分高于对照组，差异有统计学意义(P值均＜0.05)。结论 BA能有效改善护理专业阈下抑郁学生的抑郁症状，提高其行为激活水平，且具有持续性影响。护理教育工作者可以通过个体BA来改善护理专业学生的抑郁情绪，提升学生的心理健康水平。
- 行为 /
- 抑郁 /
- 情绪 /
- 干预性研究 /
- 精神卫生 /
- 学生
Abstract: Objective To explore the effect of behavioral activation (BA) therapy on depressive mood and behavioral characteristics among subliminal depressed nursing students, and to provide a reference for effective mental health education to nursing students. Methods A cluster sampling method was used to select 614 sophomore nursing students from a medical college in Jiangxi Province. Sixty subjects who met the inclusion criteria were enrolled in the study, and divided into a control group and an intervention group using a random number table method, with 30 participants in each group. The control group received general mental health education, and the intervention group participated in a BA intervention on the basis of general mental health education. The Center for Epidemiologic Studies Depression (CES-D), Beck Depression Inventory-II(BDI-II) and the Behavioral Activation For Depression Scale Short-Form (BADS-SF) were used to evaluate students' depression status before, immediately after, and 1 month after the intervention, respectively. Results The time effect, group effect, and time-group interaction of the CES-D, BDI-II and BADS-SF scores of the two groups of students were all statistically significant (F=82.78, 9.65, 69.92; 42.19, 10.52, 13.50; 15.59, 19.61, 8.49, P < 0.01). Immediately after the intervention and 1 month after the intervention, the CES-D and BDI-II scores of the intervention group were significantly lower than those of the control group, and the BADS-SF score of the intervention group (14.63±4.63, 14.80±4.85; 11.23±4.98, 11.13±5.53) was significantly lower than that of the control group (22.67±6.70, 22.13±5.66; 17.57±9.59, 18.37±7.91); the differences were all statistically significant (P < 0.05). Conclusion BA shows lasting effects on alleviating depressive symptoms among nursing students with subthreshold depression, improve their behavioral activation level, and have a lasting effect. Nursing educators can improve the depression of nursing students and improve their mental health through individual BA.
- Behavior /
- Depression /
- Emotions /
- Intervention studies /
- Mental health /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同组别不同时间点学生CES-D、BDI-II、BADS-SF得分情况(x±s)

Table 1. Repeated measurement analysis results of CES-D, BDI-II, BADS-SF scores of students in the two groups at different time points(x±s)

组别	选项	CES-D	BDI-II	BADS-SF
组别	选项	CES-D	BDI-II	AC	AV	总分
干预组	干预前	26.63±6.29	21.20±3.70	16.37±3.69	10.47±2.92	26.83±4.54
(n=30)	干预结束时	14.63±4.63	11.23±4.98	22.27±4.46	10.37±3.06	32.63±5.97
	干预后1个月	14.80±4.85	11.13±5.53	22.43±4.08	10.37±2.24	32.80±4.89
对照组	干预前	24.03±7.20	20.77±4.30	16.77±4.37	9.23±2.98	26.00±4.17
(n=30)	干预结束时	22.67±6.70	17.57±9.59	17.43±4.07	9.30±2.74	26.73±4.38
	干预后1个月	22.13±5.66	18.37±7.91	17.70±3.98	9.33±2.71	27.03±4.68

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