Effects of dialectical behavior therapy on cognitive emotion regulation in adolescents with non-suicidal self-injury behaivor

ZHANG Junlei; ZHAO Yujie; PENG Shali; GUO Feifei; ZHANG Yan

doi:10.16835/j.cnki.1000-9817.2023.12.006

Volume 44 Issue 12

Dec. 2023

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ZHANG Junlei, ZHAO Yujie, PENG Shali, GUO Feifei, ZHANG Yan. Effects of dialectical behavior therapy on cognitive emotion regulation in adolescents with non-suicidal self-injury behaivor[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1784-1787. doi: 10.16835/j.cnki.1000-9817.2023.12.006

Citation:

ZHANG Junlei, ZHAO Yujie, PENG Shali, GUO Feifei, ZHANG Yan. Effects of dialectical behavior therapy on cognitive emotion regulation in adolescents with non-suicidal self-injury behaivor[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1784-1787. doi: 10.16835/j.cnki.1000-9817.2023.12.006

Citation:

ZHANG Junlei, ZHAO Yujie, PENG Shali, GUO Feifei, ZHANG Yan. Effects of dialectical behavior therapy on cognitive emotion regulation in adolescents with non-suicidal self-injury behaivor[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1784-1787. doi: 10.16835/j.cnki.1000-9817.2023.12.006

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Effects of dialectical behavior therapy on cognitive emotion regulation in adolescents with non-suicidal self-injury behaivor

doi: 10.16835/j.cnki.1000-9817.2023.12.006

Department of Child and Adolescent Psychiatry, the Second Affiliated Hospital of Xinxiang Medical University, Xinxiang (453002), Henan Province, China

Received Date: 2023-09-06
Rev Recd Date: 2023-10-16

Available Online: 2023-12-26

Publish Date: 2023-12-25

Abstract

Abstract

Objective To explore the effect of dialectical behavior therapy (DBT) on cognitive emotion regulation in adolescents with non-suicidal self-injury (NSSI), so as to provide reference for improving the cognitive and emotional well-being of NSSI adolescents. Methods A total of 166 adolescents with non-suicidal self-injury who were hospitalized in the Department of Child and Adolescent Psychiatry of the Second Affiliated Hospital of Xinxiang Medical University from March 2021 to March 2023, were selected by the convenient sampling method. According to the random number table method, participants were divided into the experimental group and the control group, with 83 cases in each group. The control group was given routine nursing, while the experimental group was given dialectical behavior therapy on the basis of routine nursing. The 8-week-intervention was conducted once a week, with 45-60 minutes each time. The control group and the experimental group were evaluated with Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and Cognitive Emotion Regulation Questionnaire (CERQ) before and after the intervention. Statistical analysis was conducted using t-test and χ² test. Results Before the intervention, there was no significant difference in the scores of each scale include HAMA, HAMD and CERQ between the experimental group and control group (P>0.05). The scores of HAMD (13.58±3.24, 33.02±7.59), HAMA (12.41±2.51, 24.25±7.14), adaptive adjustment strategy score (69.20±11.97, 60.51±7.29) and non-adaptive adjustment strategy scores (37.43±7.87, 47.87±5.20) of CERQ, significantly changed after 8 weeks of intervention (t=-21.46, -14.25, 5.57, -10.08, P < 0.01). Conclusions Dialectical behavior therapy can improve the anxiety, depression and cognitive emotion regulation of adolescents with NSST. Active intervention should be taken to regulate the emotions of adolescent with NSSI and reduce the occurrence of NSSI.
- Self-injurious behavior,
- Cognition,
- Emotions,
- Behavior,
- Intervention studies,
- Adolescent

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References(24)

References

[1]	ZETTERQVIST M, PERINI I, MAYO L M, et al. Nonsuicidal self-injury disorder in adolescents: clinical utility of the diagnosis using the clinical assessment of nonsuicidal self-injury disorder index[J]. Front Psychiatry, 2020, 11: 8.
[2]	章薇, 胡德英, 丁小萍, 等. 青少年非自杀性自伤的护理研究进展[J]. 护理学杂志, 2022, 37(7): 109-113. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202207030.htm ZHANG W, HU D Y, DING X P, et al. Nursing of adolescents with non-suicidal self-injury: a review[J]. J Nurs Sci, 2022, 37(7): 109-113. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202207030.htm
[3]	LIU R T, WALSH R F L, SHEEHAN A E, et al. Prevalence and correlates of suicide and non-suicidal self-injury in children: a systematic review and Meta-analysis[J]. JAMA Psychiatry, 2022, 79(7): 718-726. doi: 10.1001/jamapsychiatry.2022.1256
[4]	韩阿珠, 徐耿, 苏普玉. 中国大陆中学生非自杀性自伤流行特征的Meta分析[J]. 中国学校卫生, 2017, 38(11): 1665-1670. doi: 10.16835/j.cnki.1000-9817.2017.11.019 HAN A Z, XU G, SU P Y. A Meta-analysis of characteristics of non-suicidal self-injury among middle school students in mainland China[J]. Chin J Sch Health, 2017, 38(11): 1665-1670. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.11.019
[5]	郑仲璇. 认知情绪因素对大学生自伤行为的影响: 以心理活性为中介作用[D]. 深圳: 深圳大学, 2017. ZHENG Z X. The mediation effect of psychological flexibility on the relationship between cognitive and emotional factors and self-harm[D]. Shenzhen: Shenzhen University, 2017. (in Chinese)
[6]	宦宗素, 何旭斌, 杜娜, 等. 青少年非自杀性自伤发病机制及治疗研究进展[J]. 中国学校卫生, 2023, 44(4): 636-640. doi: 10.16835/j.cnki.1000-9817.2023.04.036 HUAN Z S, HE X B, DU N, et al. Progress in the pathogenesis and treatment of non-suicidal self-injury in adolescents[J]. Chin J Sch Health, 2023, 44(4): 636-640. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.04.036
[7]	MCKAY M, WOOD J C, BRANTLEY J. The dialectical behavior therapy skills workbook: practical DBT exercises for learning mindfulness, interpersonal effectiveness, emotion regulation and amp; distress tolerance[M]. Oakland: New Harbinger Publications, 2007: 1-2.
[8]	纪宇. 大学生认知情绪调节对心理弹性的干预研究: 基于辩证行为疗法[D]. 长春: 东北师范大学, 2018. JI Y. Intervention of college students' cognitive emotion regulation on psychological resilience: based on dialectical behavior therapy[D]. Changchun: Northeast Normal University, 2018. (in Chinese)
[9]	American Psychiatric Association. Diagnostic and statistical manual of mental disorders[M]. 5th ed. Washington D C: American Psychiatric Association, 2013: 803.
[10]	马修·麦克凯. 辩证行为疗法: 掌握正念、改善人际效能、调节情绪和承受痛苦的技巧[M]//王鹏飞, 李桃, 钟菲菲, 译. 重庆: 重庆大学出版社, 2017. MATTHEW M. Dialectical behavior therapy: master of mindfulness, improve interpersonal effectiveness, regulate mood and suffering techniques[M]//WANG P F, LI T, ZHONG F F, translate. Chongqing: Chongqing University Press, 2017. (in Chinese)
[11]	张雪莹, 武克文. 辩证行为疗法对缓解期精神分裂症患者社会功能和病耻感的影响[J]. 国际精神病学杂志, 2021, 48(3): 410-412, 422. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202103008.htm ZHANG X Y, WU K W. Effect of dialectical behavior therapy on social function and stigma of schizophrenics in remission[J]. J Int Psychiatry, 2021, 48(3): 410-412, 422. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202103008.htm
[12]	汤毓华, 张明园. 汉密顿焦虑量表(HAMA)[J]. 上海精神医学, 1984(2): 64-65. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI198402004.htm TANG Y H, ZHANG M Y. Hamilton Anxiety Scale (HAMA)[J]. Shanghai Arch Psychiatry, 1984(2): 64-65. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI198402004.htm
[13]	汤毓华, 张明园. 汉密顿抑郁量表(HAMD)[J]. 上海精神医学, 1984(2): 61-64. https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI198402003.htm TANG Y H, ZHANG M Y. Hamilton Depression Scale (HAMD)[J]. Shanghai Arch Psychiatry, 1984(2): 61-64. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSYI198402003.htm
[14]	董光恒, 朱艳新, 杨丽珠. 认知情绪调节问卷中文版的应用[J]. 中国健康心理学杂志, 2008, 16(4): 456-458. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL200804045.htm DONG G H, ZHU Y X, YANG L Z. Practice of the Chinese version on the Cognitive Emotion Regulation Questionnaire (CERQ)[J]. Chin J Health Psychol, 2008, 16(4): 456-458. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL200804045.htm
[15]	STEINE I M, NIELSEN B, PORTER P A, et al. Predictors and correlates of lifetime and persistent non-suicidal self-injury and suicide attempts among adult survivors of childhood sexual abuse[J]. Eur J Psychotraumatol, 2020, 11(1): 1815282. doi: 10.1080/20008198.2020.1815282
[16]	赵若兰, 楼淑萍, 陈辉. 适应不良与大学生持续性自我伤害行为的关系及抑郁的中介效应[J]. 华中科技大学学报(医学版), 2019, 48(3): 334-338. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYX201903016.htm ZHAO R L, LOU S P, CHEN H. Mediation effect of depression on the association between presistent non-suicidal self-injury and college adjustment among college students[J]. Acta Med Univ Sci Technol Huazhong (Med Edit), 2019, 48(3): 334-338. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TJYX201903016.htm
[17]	李昀熹. 青少年非自杀性自伤的临床辨识特征及中医辨证论治探索研究[D]. 广州: 广州中医药大学, 2021. LI Y X. Study on the clinical recognition characteristics of non-suicidal self-injury in adolescents and exploration of TCM syndrome differentiation[D]. Guangzhou: Guangzhou University of Chinese Medicine, 2021. (in Chinese)
[18]	李陆. 蒙古族高校学生非自杀性自伤行为与抑郁焦虑的关联[J]. 中国学校卫生, 2022, 43(1): 96-99. doi: 10.16835/j.cnki.1000-9817.2022.01.021 LI L. Non-suicidal self-injury behavior and its relationship with depression and anxiety in Mongolian college students[J]. Chin J Sch Health, 2022, 43(1): 96-99. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.01.021
[19]	林信竹, 况利. 辩证行为疗法联合舍曲林药物治疗对伴非自杀性自伤抑郁症青少年的疗效[J]. 国际精神病学杂志, 2021, 48(3): 439-442, 465. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202103016.htm LIN X Z, KUANG L. Analysis on the efficacy of dialectical behavior therapy combined with sertraline drug therapy on adolescent depression with non-suicidal self-harm[J]. J Int Psychiatry, 2021, 48(3): 439-442, 465. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202103016.htm
[20]	熊庆, 申秀云, 阳红, 等. 述情障碍与青少年非自杀性自伤: 非适应性情绪调节和抑郁的链式中介作用[J]. 中国临床心理学杂志, 2023, 31(3): 574-577, 582. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202303012.htm XIONG Q, SHEN X Y, YANG H, et al. Alexithymia and adolescents' non-suicidal self-injury: the chain mediating of maladaptive emotion regulation and depression[J]. Chin J Clin Psychol, 2023, 31(3): 574-577, 582. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202303012.htm
[21]	丁寒琴, 杨帆, 何夏君. 情绪调节策略对抑郁障碍青少年非自杀性自伤行为的影响[J]. 护理学杂志, 2021, 36(8): 62-65. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202108021.htm DING H Q, YANG F, HE X J. Effect of emotional regulation strategy on non-suicidal self-injury in adolescents with depression[J]. J Nurs Sci, 2021, 36(8): 62-65. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202108021.htm
[22]	CIPRIANO A, CELLA S, COTRUFO P. Non-suicidal self-injury: a systematic review[J]. Front Psychol, 2017, 8: 1946. doi: 10.3389/fpsyg.2017.01946
[23]	WHTTLOCK J, PRUSSIEN K, PIETUSZA C. Predictors of self-injury cessation and subsequent psychological growth: results of a probability sample survey of students in eight universities and colleges[J]. Child Adolesc Psychiatry Ment Health, 2015, 9: 19. doi: 10.1186/s13034-015-0048-5
[24]	SHAREH H, YAZDZNIAN M. The effectiveness of dialectical behavior group therapy on stress, depression, and cognitive emotion regulation in mothers of intellectually disabled students: a randomized clinical trial[J]. Clin Child Psychol Psychiatry, 2023, 28(3): 1092-1108. doi: 10.1177/13591045231163068