Abstract:

Objective　To investigate the effect of dance movement therapy (DMT) on improving non-suicidal self-injury (NSSI) behaviors in adolescents. Methods　Forty-seven patients diagnosed with NSSI and admitted to Department of Psychiatrics, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University from June to December 2022 were selected for the randomized controlled trial. The patients were divided into a control group (24 cases) and a dance movement group (23 cases) through the computer-generated randomization process. The control group were (14.79±1.32) years old; there were 9 males in the control group. The dance movement group were (15.35±1.82) years old; there were 4 males in the dance movement group. The control group were routinely cared; in addition, the dance movement group took dance movement therapy. The scores of NSSI behaviors, depressive emotions, and feelings of loneliness before and after the intervention were compared between the two groups. The independent sample t test, paired t test, χ² test, Fisher's exact test, or rank sum test were used. Results　Before the intervention, there were no statistical differences in the scores of the self-harm behavior questionnaire, health questionnaire, and loneliness scale between the two groups (all P>0.05). After the intervention, the scores of self-harm behavior questionnaire, depression scale, and loneliness scale in the dance movement group were lower than those in the control group [2.00 (0.00, 5.00) vs. 3.00 (2.00, 14.50), 7.00 (3.00, 8.00) vs. 8.00 (4.00, 13.00), and (38.70±8.20) vs. (44.63±9.31)], with statistical differences (all P<0.05). Conclusion　Dance movement therapy may effectively relieve the patients' non-suicidal self-injury behaviors, and reduce their depression and loneliness.

Key words:

Adolescents, Non-suicidal self-injury, Dance movement therapy, Randomized controlled trial

摘要：

目的　探讨舞动治疗对改善青少年非自杀性自伤（non-suicidal self injury，NSSI）行为的效果。方法　采用随机对照研究设计，选取广东省人民医院精神科于2022年6月至12月收治的NSSI行为患者作为研究对象，按照入院顺序，通过计算机生成随机数的方法随机分成两组。对照组24例，年龄（14.79±1.32）岁，其中男9例；舞动组23例，年龄（15.35±1.82）岁，其中男4例。对照组采取常规护理，舞动组在常规护理的基础上采取舞动治疗。比较两组患者干预前后的自我伤害行为、患者健康问卷抑郁情绪和孤独感评分。采用独立样本t检验、配对t检验、Mann-Whitney U检验、χ²检验、Fisher确切概率或秩和检验。结果　干预前，两组自我伤害行为问卷评分、健康问卷抑郁量表评分、孤独量表评分比较，差异均无统计学意义（均P>0.05）。干预后，舞动组自我伤害行为行为问卷评分为2.00（0.00，5.00）分、抑郁量表评分为7.00（3.00，8.00）分、孤独量表评分为（38.70±8.20）分，对照组分别为3.00（2.00，14.50）分、8.00（4.00，13.00）分、（44.63±9.31）分，差异均有统计学意义（均P<0.05）。结论　舞动治疗可有效缓解NSSI行为，降低患者的抑郁情绪及孤独感。

关键词:

青少年, 非自杀性自伤, 舞动治疗, 随机对照研究