SPT治疗青少年自杀事件的临床效果

U. Ahn, H. Kwak
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引用次数: 1

摘要

本研究旨在通过MMPI-2验证沙盘游戏疗法(SPT)对22例经历过自杀未遂、自杀意外、自残等自杀事件的青少年的临床治疗效果。为此,从2019年到2021年的20周时间里,对天安和牙山的22名初中、高中学生进行了SPT 15次培训。研究对象男性6例(27.3%),女性16例(72.7%),平均年龄16.32±1.25岁。作为评估工具,MMPI-2在基线阶段和治疗结束后使用。15次治疗前后MMPI-2临床量表和详细评价量表得分比较,差异有统计学意义。临床量表Hs(Hypocho ndriasis, t=3.298, p= 0.003)、D(Depression, t=4.402, p=< 0.001)、Hy(Hysteria, t= 4.034, p= 0.001)、Pd(psychopathdeviate, t=3.139, p= 0.005)、Pa(paranoid, t=3.505, p= 0.005)、Pt(psychathathia, t=2.861, p= 0.009)、Sc(Schizophrenia, t=3.491, p= 0.009)、Si (Social Introversion, t=5.081, p=< 0.001)的差异均有统计学意义。此外,内容量表的LSE(低自尊,t=4.158, p=< 0.001)、补充量表的Es(自我力量,t=-2.626, p= 0.016)、PK(创伤后应激障碍,t=3.324, p= 0.003)、内容成分量表的DEP3(自我贬低,t=4.124, p< 0.001)、DEP4(自杀意念,t=4.102, p= 0.001)的差异均有统计学意义。研究认为,SPT对经历过自杀意念、自伤和自杀企图等自杀事件的青少年的创伤、自尊和精神状态等危险因素有积极的影响。
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Clinical Effect of SPT in Adolescents Experiencing Suicidal Events
This study aims to verify the clinical treatment effect of Sandplay Therapy (SPT) through MMPI-2 for 22 adolescents who have experienced suicidal events such as suicide attempt s, suicide accidents, and self-injury. To this end, for 20 weeks from 2019 to 2021, SPT 15 sessions were conducted for 22 teenagers who experienced suicide cases at middle an d high schools in Cheonan and Asan. The subjects of this study were 6 males (27.3%) an d 16 females (72.7%) with an average age of 16.32±1.25 years. As the evaluation instru ments, MMPI-2 were used during the baseline phase and after the termination of the ther apy. The comparison of the scores according to MMPI-2 clinical scales and detailed evalu ation scales before and after the 15 session showed that there are statistically significant changes. There was a statistically significant difference among Clinical Scales: Hs(Hypocho ndriasis, t=3.298, p= .003), D(Depression, t=4.402, p= <.001), Hy(Hysteria, t= 4.034, p =.001), Pd(Psychopathic Deviate, t=3.139, p=.005), Pa(Paranoia, t=3.505, p=.002), Pt(Ps ychathenia, t=2.861, p=.009), Sc(Schizophrenia, t=3.491, p=.002), Si (Social Introversion, t=5.081, p=<.001). In addition, there was a statistically significant changes: LSE (low self -esteem, t=4.158, p=<.001) of Content scales, Es (Ego Strength, t=-2.626, p=.016), PK (Post-Traumatic Stress Disorder, t=3.324, p=.003) of Supplementary Scales, DEP3 (Self -Depreciation, t=4.124, p<.001), DEP4 (Suicidal Ideation, t=4.102, p=.001)in Content Co mponent Scales. It is believed that SPT provided a positive effect on risk factors such as trauma, self-esteem and psychiatric status in adolescents who experienced suicidality epis odes such as suicidal ideation and self-injury and suicidal attempt.
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