中国健康心理学杂志

目的:探讨理性情绪疗法(RET)联合有氧-抗阻运动对青少年抑郁症患者病耻感、心理弹性及生活质量的影响。方法:研究对象为104例青少年抑郁症患者。采用随机数字表法将其分为干预组、对照组，各包含52例。对照组患者接受常规护理，干预组在该基础上给予RET联合有氧-抗阻运动干预。8周后，比较两组患者干预前后病耻感、心理弹性及生活质量。结果:8周后，干预组在精神疾病内在病耻感量表(ISMI)的疏远、歧视经历、刻板认同、社会退缩、病耻感抵抗各维度得分及总分上，均较对照组显著降低(t=-2.112,-3.052,-3.753,-5.137,-2.506,-6.778;P<0.05),差异有统计学意义。8周后，干预组在心理弹性量表(CD-RISC)的坚韧、自强、乐观维度得分上，均较对照组显著升高(t=2.696,2.539,3.160;P<0.05),差异有统计学意义。8周后，干预组在简明健康状况调查问卷(SF-36)的社会功能、情感职能、生理功能、精神健康、躯体疼痛、活力各维度得分及总分上，均较对照组显著升高(t=4.192,4.945,3.070,2.130,2.211,2.831,3.719;P<0.05),差异有统计学意义；两组生理职能维度评分差异无统计学意义。结论:RET与有氧-抗阻运动相结合的干预模式，可有效降低青少年抑郁症患者的病耻感，增强其心理弹性，并全面促进生活质量的提升。

Objective:To explore the effects of Rational Emotive Therapy(RET)combined with aerobic-resistance exercise on stigma, psychological resilience, and quality of life in adolescent patients with depression.Methods:A total of 104 adolescent depression patients were selected as the study subjects.They were randomly divided into an intervention group and a control group using a random number table, with 52 patients in each group.The control group received routine care, while the intervention group received additional RET combined with aerobic-resistance exercise for 8 weeks.Stigma, psychological resilience, and quality of life were compared between the two groups before and after the intervention.Results:After 8 weeks, the scores in the alienation, discrimination experience, stereotype endorsement, social withdrawal, and stigma resistance domains, as well as the total score on the Internalized Stigma of Mental Illness Scale(ISMI),were significantly lower in the intervention group than in the control group(t=-2.112,-3.052,-3.753,-5.137,-2.506,-6.778;P<0.05).After 8 weeks, the scores in the toughness, strength, and optimism domains of the Connor-Davidson Resilience Scale(CD-RISC)were significantly higher in the intervention group than in the control group(t=2.696,2.539,3.160;P<0.05).Additionally, the scores in the social function, emotional role, physical function, mental health, bodily pain, vitality domains, and the total score on the 36-Item Short Form Health Survey(SF-36)were significantly higher in the intervention group than in the control group(t=4.192,4.945,3.070,2.130,2.211,2.831,3.719;P<0.05).However, there was no significant difference in the physical role domain score between the two groups.Conclusion:The intervention model combining RET with aerobic-resistance exercise can effectively reduce stigma, enhance psychological resilience, and comprehensively improve the quality of life in adolescent patients with depression.