摘要

【摘要】
目的 探讨辩证行为疗法联合接纳和承诺疗法在儿童非自杀性自伤行为（Non-suicidal self-injury，NSSI）中的应用效果。

方法 选取2022年5月-2025年10月于阜阳市人民医院及阜阳市第三人民医院就诊的NSSI患儿104例，随机分为常规组（n=52）和联合组（n=52）。常规组进行常规治疗，联合组则在常规组的基础上进行辩证行为疗法联合接纳和承诺疗法治疗。

结果 干预8周后，两组儿童抑郁量表、儿童焦虑性情绪障碍筛查量表、消极认知情绪调节与Barratt冲动行为量表-Ⅱ评分低于干预前（P＜0.05），且联合组低于常规组（P＜0.05）；联合组总有效率高于常规组（P＜0.05）；两组的积极认知情绪调节与儿童自我意识量表评分高于干预前（P＜0.05），且联合组高于常规组（P＜0.05）。

结论 辩证行为疗法联合接纳和承诺疗法在儿童NSSI应用效果较好，能有效缓解儿童抑郁、焦虑情绪，改善认知情绪调节能力，降低冲动行为，提升自我意识。

关键词：【关键词】 辩证行为疗法；接纳和承诺疗法；儿童；非自杀性自伤行为

ABSTRACT

【Abstract】
Objective To explore the application effect of dialectical behavior therapy combined with acceptance and commitment therapy in children's non-suicidal self-injury behavior (Non-suicidal self-injury, NSSI).

Methods One hundred and four children with NSSI who visited Fuyang People's Hospital and Fuyang Third People's Hospital from May 2022 to October 2025 were selected and randomly divided into the conventional group (n=52) and the combined group (n=52). The conventional group received conventional treatment, while the combined group received dialectical behavior therapy combined with acceptance and commitment therapy in addition to the conventional treatment.

Results After 8 weeks of intervention, the scores of depression scale, anxiety disorder screening scale for children, negative cognitive emotion regulation, and Barratt Impulsivity Scale-II in both groups were lower than those before the intervention (P<0.05), and the combined group was lower than the conventional group (P<0.05); the total effective rate of the combined group was higher than that of the conventional group (P<0.05); the scores of positive cognitive emotion regulation and children's self-awareness scale in both groups were higher than those before the intervention (P<0.05), and the combined group was higher than the conventional group (P<0.05).

Conclusion   Dialectical behavior therapy combined with acceptance and commitment therapy has a good application effect in children's NSSI, which can effectively alleviate children's depression and anxiety, improve cognitive emotion regulation ability, reduce impulsive behavior, and enhance self-awareness.

Key words: 【Key words】 Dialectical Behavior Therapy; Acceptance and Commitment Therapy; Children; Non-suicidal Self-injury Behavior