A Study on the Intervention Effect of Therapeutic Horticulture Based on the Healing System on Non-suicidal Self-injury in Adolescent Patients With Depression
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- The level and frequency of non-suicidal self-injury
研究概览
简要总结
Non-suicidal self-harm is a serious issue. Adolescents with depression are among the high-risk groups for non-suicidal self-harm behavior. Therapeutic gardening uses plant cultivation and corresponding gardening activities as the medium of action, allowing patients to obtain therapeutic benefits by participating in gardening activities such as planting, maintaining, and harvesting plants. Therefore, this study will apply therapeutic gardening based on the healing system to adolescents with depression who have non-suicidal self-harm behavior, in order to improve their non-suicidal self-harm behavior, negative emotions, emotional expression disorders, self-efficacy, sleep quality, and loneliness.
详细描述
Based on the theories of positive psychology and the healing system theory framework, referring to relevant domestic and foreign literature and consulting books such as "Introduction to Horticultural Therapy", "Horticultural Rehabilitation Therapy Techniques", and "Horticultural Therapy: Growing Good Health for the Body and Mind", an intervention plan was formulated under the guidance of experts. A randomized controlled trial design was adopted. It is planned to carry out therapeutic horticulture based on the healing system for adolescent patients with depression who have non-suicidal self-harming behaviors, according to the intervention plan. By evaluating and comparing the changes and differences in indicators such as non-suicidal self-harming behaviors, emotions, physical functions, skills, and social interaction of the experimental group and the control group before and after the intervention, the actual effect of therapeutic horticulture based on the healing system in reducing the occurrence of non-suicidal self-harming behaviors among adolescent patients was verified. Finally, data analysis and paper writing were conducted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •It meets the diagnostic criteria for moderate to severe depression in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
- •It meets the diagnostic criteria for non-suicidal self-harm in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
- •The patients and their guardians gave informed consent and voluntarily participated in this study.
- •Have normal reading comprehension ability, language communication ability and writing ability.
排除标准
- •Include mental disorders such as mental retardation, autism spectrum disorder, stereotyped movement disorder with self-harm, etc.
- •Have had or currently have central nervous system diseases, endocrine system diseases, and other serious physical disorders.
- •Are currently receiving or have received any form of systematic horticultural therapy within the past 3 months.
- •Have allergic reactions to pollen, soil, or other substances that may be encountered during the intervention process.
- •Have a risk of suicide and suicidal behavior.
研究组 & 干预措施
Control group
Routine treatment and nursing
干预措施: Routine treatment and nursing (Other)
Therapeutic Horticulture group
Routine treatment and nursing and Therapeutic Horticulture
干预措施: Therapeutic Horticulture (Behavioral)
Therapeutic Horticulture group
Routine treatment and nursing and Therapeutic Horticulture
干预措施: Routine treatment and nursing (Other)
结局指标
主要结局
The level and frequency of non-suicidal self-injury
时间窗: Day 1 and Day 14
The adolescent self-harm questionnaire was used to measure.This questionnaire is a self-assessment form, consisting of 19 items. Among them, the frequency of non-suicidal self-injury behavior is scored using the Likert 4-point scale: "0 times" is scored 0 points, "1 time" is scored 1 point, "2-4 times" is scored 2 points, and "5 times or more" is scored 3 points. The degree of physical harm caused is scored using the Likert 5-point scale: "No" is scored 0 points, "Mild" is scored 1 point, "Moderate" is scored 2 points, "Severe" is scored 3 points, and "Extremely severe" is scored 4 points. NSSI equivalence is equal to the product of the NSSI frequency score and the NSSI severity score. The higher the score, the more severe the condition.
The level and frequency of non-suicidal self-injury
时间窗: Day 1 and Day 14
The adolescent self-harm questionnaire was used to measure.This questionnaire is a self-assessment form, consisting of 19 items. Among them, the frequency of non-suicidal self-injury behavior is scored using the Likert 4-point scale: "0 times" is scored 0 points, "1 time" is scored 1 point, "2-4 times" is scored 2 points, and "5 times or more" is scored 3 points. The degree of physical harm caused is scored using the Likert 5-point scale: "No" is scored 0 points, "Mild" is scored 1 point, "Moderate" is scored 2 points, "Severe" is scored 3 points, and "Extremely severe" is scored 4 points. NSSI equivalence is equal to the product of the NSSI frequency score and the NSSI severity score. The higher the score, the more severe the condition.
次要结局
- depressive symptom(Day 1 and Day 14)
- sleep quality(Day 1 and Day 14)
- alexithymia(Day 1 and Day 14)
- loneliness(Day 1 and Day 14)
- self-efficacy(Day 1 and Day 14)
- depressive symptom(Day 1 and Day 14)
- sleep quality(Day 1 and Day 14)
- alexithymia(Day 1 and Day 14)
- loneliness(Day 1 and Day 14)
- self-efficacy(Day 1 and Day 14)
研究者
Lei Huang
nurse
Guangzhou Medical University