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心智化治疗对青少年非自杀性自伤行为的干预效果

Efficacy of Mentalization-based Treatment for Non-suicidal Self-injury in Adolescents

Theory and Practice of Psychological Counseling / 2025,7(7): 436-445 / 2025-08-08 15 5

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• Authors: 郭军堂¹ 肖慧芸² 王佳丽²
• Information:

  1. 山东第二医科大学基础医学院，潍坊；
  2. 山东第二医科大学心理学院，潍坊

• Keywords:
  Adolescents; NSSI; Mentalization; MBT-F; MBT-G
  青少年; 非自杀性自伤; 心智化; 心智化家庭治疗; 心智化团体治疗
• Abstract: Non-suicidal self-injury (NSSI) in adolescents has emerged as a critical public health concern. A growing body of research has applied Mentalization-Based Treatment (MBT) to treat adolescent selfharm behaviors. This study systematically examines the therapeutic efficacy of MBT to inform clinical practice. We collected randomized controlled trials (RCTs) evaluating the effectiveness of MBT in treating adolescent NSSI and assessed methodological quality using the Cochrane risk-of-bias tool. Seven articles were included, analyzing the effects of distinct MBT protocols on outcomes including self-harm behaviors, depressive symptoms, interpersonal patterns, and comorbid conditions such as Borderline Personality Disorder (BPD). Limitations and future research directions were also synthesized. Results suggest MBT holds promise in reducing NSSI in adolescents, but its superiority over alternative psychological interventions necessitates further empirical validation. 青少年非自杀性自伤已成为亟待解决的公共卫生问题。越来越多的研究者将心智化治疗（MBT）应用于青少年自伤行为的治疗中，本研究系统考察其干预效果，为临床实践提供指导。通过收集应用MBT干预青少年非自杀性自伤的随机对照试验（RCT）相关文献，采用Cochrane协作网的RCT偏倚风险评价标准对文献进行质量评价。研究共纳入7篇文献，从MBT不同干预方案对青少年非自杀性自伤行为、抑郁症状、人际模式及边缘型人格障碍（BPD）等症状的干预效果展开阐述，并总结其局限性和未来可能的研究方向。本研究说明MBT干预有助于改善青少年非自杀性自伤行为，但是否优于其他心理干预措施仍需进一步验证。
• DOI: https://doi.org/10.35534/tppc.0707049
• Cite: 郭军堂, 肖慧芸, 王佳丽. (2025). 心智化治疗对青少年非自杀性自伤行为的干预效果. 心理咨询理论与实践, 7(7), 436-445.