中国健康心理学杂志

目的：探讨3PR参与式健康教育干预对青少年抑郁症患者心理防御方式、自我感受负担及社交功能的影响。方法：选取2023年9月-2024年9月某院收治的116例青少年抑郁症患者，采用随机数字表法将其分为观察组（n=58）与对照组（n=58），两组患者均接受SSRI类抗抑郁药物治疗，对照组予以常规干预，观察组在其基础上联合3PR参与式健康教育。3周后，比较两组患者心理防御方式、自我感受负担及社交功能、生活质量。结果：干预后，相较于对照组，观察组防御方式问卷（DSQ）中成熟型防御机制评分较高（t=2.672,P<0.05），不成熟型防御机制及掩饰度评分较低（t=-2.061,-2.868;P<0.05）；观察组自我感受负担量表（SPBS）中身体负担、情感负担评分及总分均较高（t=-2.394,-4.345,-4.388;P<0.05）；观察组社交焦虑量表（LSAS）、社交回避及苦恼量表（SAD）评分均较低（t=-2.996,-5.211;P<0.05），社交自我效能感量表（PSSE）评分较高（t=5.127,P<0.05）；观察组简明健康状况调查问卷（SF-36）中社会功能、情感职能、生理功能、生理职能、精神健康、躯体疼痛、活力及总体健康评分均较高（t=7.364,7.881,3.257,2.967,2.390,3.069,4.667,5.751;P<0.05）。结论：3PR参与式健康教育有利于改善青少年抑郁症患者心理防御方式、减轻自我感受负担、提升社交功能及生活质量。

Objective:To explore the effects of 3 PR participatory health education intervention on psychological defense mechanisms,self-perceived burden and social function in adolescents with depression.Methods:A total of 116 adolescent patients with depression admitted to our hospital were selected by simple random sampling method from September 2023 to September 2024,and they were divided into observation group(n=58)and control group(n=58)by random number table method.Both groups received SSRI antidepressant therapy,while the control group received routine intervention,the observation group was combined with 3 PR participatory health education.After 3 weeks,the psychological defense style,self-perceived burden,social function and quality of life of the two groups were compared.Results:After intervention,compared with the control group,the observation group had higher scores for mature defense mechanisms in the defense style questionnaire(DSQ)(t=2.672,P<0.05),and lower scores for immature defense mechanisms and concealment(t=-2.061,-2.868;P<0.05);The self-perceived burden scale(SPBS)in the observation group showed high scores for physical burden,emotional burden,and total score(t=-2.394,-4.345,-4.388;P<0.05);The scores of the Liebowitz social anxiety scale(LSAS)and social avoidance and distress scale(SAD)in the observation group were significantly lower than those in the control group(t=-2.996,-5.211;P <0.05),while the scores of the perceived social self-efficacy(PSSE)were significantly higher than those in the control group(t=5.127,P<0.05);The social function,emotional function,physiological function,physiological function,mental health,physical pain,vitality,and overall health scores in the 36-Item Short Form Health Survey(SF-36)of the observation group were all high(t=7.364,7.881,3.257,2.967,2.390,3.069,4.667,5.751;P<0.05).Conclusion:3 PR participatory health education is beneficial for improving the psychological defense mechanisms,reducing self-perceived burden,enhancing social function,and improving the quality of life of adolescent depression patients.