国际精神病学杂志 ; 2025年 52卷 3期 ; 2025, 52(3): 794-797
孙莹，
单位：齐齐哈尔市第一医院心理门诊
【摘要】目的：探讨青少年抑郁症患者动机性快感缺失接受心理动力性治疗联合重复经颅磁刺激后对此类患者抑郁水平、自我认知水平的影响。方法：选取我院2021年1月至2024年10月110例青少年抑郁症患者作为研究对象，且所选取对象均有明显的动机性情感缺失表现，根据随机数字表法将其分为两组（常规组和观察组）。常规组患者55例，给予心理动力性治疗；观察组患者55例，在心理动力性治疗的基础上给予患者重复经颅磁刺激治疗。对比两组患者的抑郁水平、动机性快感缺失水平、自我伤害和冲动水平、预后认知水平。结果：实施干预后，观察组患者贝可抑郁量表（Becker Depression Scale，BDI）评分低于常规组患者（P<0.05）；实施干预后，观察组患者动机性快感缺失分量表（Motivational anhedonia scale，TEPS-ant）和消费性快感缺失分量表（Consumer anhedonia subscale，TEPS-con）评分均高于常规组患者（P<0.05）；实施干预后，观察组患者自我伤害量表评分及Barratt冲动量表（Barratt Impulse Scale-11,，BIS-11）评分均低于常规组患者（P<0.05）；实施干预后，观察组患者自我接纳问卷（Self-acceptance questionnaire，SAQ）和蒙特利尔认知评估量表（Montreal Cognitive Assessment Scale，MoCA）评分均高于常规组患者（P<0.05）。结论：青少年抑郁症动机性快感缺失患者接受心理动力性治疗联合重复经颅磁刺激后可有效降低患者的心理抑郁水平，改善患者动机性快感缺失程度，避免患者出现自我伤害行为，提升患者预后认知水平。
关键词： 【关键词】：心理动力性治疗；重复经颅磁刺激；青少年抑郁症；动机性快感缺失；抑郁水平；自我认知水平
Objective: To explore the effects of psychodynamic therapy combined with repetitive transcranial magnetic stimulation (rTMS) on depression levels and self-perception in adolescent depression patients with motivational anhedonia. Methods: A total of 110 adolescent depression patients with significant manifestations of motivational anhedonia, admitted to our hospital from January 2021 to October 2024, were selected as the study subjects. They were divided into two groups (control group and observation group) using a random number table. The control group (55 patients) received psychodynamic therapy, while the observation group (55 patients) received psychodynamic therapy combined with rTMS. The depression levels, motivational anhedonia levels, self-harm and impulsivity levels, and prognostic cognitive levels were compared between the two groups. Results: After the intervention, the Becker Depression Scale (BDI) scores in the observation group were significantly lower than those in the control group (P<0.05). The scores of the motivational anhedonia subscale (TEPS-ant) and consummatory anhedonia subscale (TEPS-con) in the observation group were significantly higher than those in the control group (P<0.05). The self-harm scale scores and Barratt Impulsiveness Scale-11 (BIS-11) scores in the observation group were significantly lower than those in the control group (P<0.05). Additionally, the Self-Acceptance Questionnaire (SAQ) and Montreal Cognitive Assessment Scale (MoCA) scores in the observation group were significantly lower than those in the control group (P<0.05). Conclusion : Psychodynamic therapy combined with rTMS can effectively reduce psychological depression levels, improve motivational anhedonia, prevent self-harm behaviors, and enhance prognostic cognitive levels in adolescent depression patients with motivational anhedonia.
Key words: 【Keywords】 Psychodynamic therapy; Repetitive transcranial magnetic stimulation; Adolescent depression; Lack of motivational pleasure; Depression level; Self awareness level
ISSN：1673-2952
CN：43-1457/R
主管单位：中华人民共和国教育部
主办单位：中南大学
刊期：双月刊
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