[[alternative]]The Effects of the Solution-Focused Brief Therapy on Emotional Disturbed of Family Medicine Outpatient Adolescents

[[abstract]]本研究是探討焦點解決短期諮商對家庭醫學科門診青少年之情緒困擾效果研究。本研究目的有二：一是針對家庭醫學科門診就診青少年，用心率變異度、中學生生活適應量表、流行病學研究中心憂鬱量表篩選低生活適應或高憂鬱症狀者。二是在家庭醫學科門診以焦點解決短期諮商介入低生活適應或高憂鬱症狀青少年，來探討其在心率變異度、中學生生活適應及憂鬱症狀之諮商效果。研究方法採準實驗設計，以台北縣某區域教學醫院家庭醫學科進行收案，研究過程將門診青少年依前測中學生生活適應量表、流行病學研究中心憂鬱量表符合低生活適應或高憂鬱症狀的家庭醫學科門診青少年分為有三次焦點解決短期諮商的實驗組與無諮商介入的控制組，三周後分別進行相同的兩種量表後測，兩組於前後測都需檢測心率變異度。 本研究有效樣本共39人，其中實驗組有24人、控制組15人，平均年齡14.9歲、教育程度以國高中為主。研究資料以SPSS17.0進行平均數、標準差、百分比、獨立樣本T檢定、配對樣本T檢定等統計方法進行資料分析，研究結果如下：一、生活適應有顯著改善：實驗組的中學生生活適應量表全量表(p=.044)、自我意識分量表（p=.032）有顯著提升。二、憂鬱症狀雖未達顯著改變，但由實驗組組內前後測比較（p=.000）發現焦點解決短 期諮商仍能減低流行病學研究中心憂鬱量表分數。三、心率變異度因資料收集不完整，無法有效比較其結果。 研究結果顯示家庭醫學科門診青少年之低生活適應狀況可藉由三次焦點解決短期諮商獲得良好改善，高憂鬱症狀之青少年雖未能獲得顯著改善但亦可減低其流行病學研究中心憂鬱量表分數。建議焦點解決短期諮商對改善家庭醫學科門診青少年低生活適應或高憂鬱症狀應受到重視，協助青少年能成為自己解決問題的專家，落實家庭醫學科預防醫學之概念，避免其發展為憂鬱症。[[abstract]]This research is to discuss the effects of the Solution-Focused Brief Therapy (SFBT) on emotional disturbed of family medicine outpatient adolescents. There are two purposes for this research. One is to filter low life adjustment or high depressive symptoms through Heart rate variability (HRV), School Life Adjustment Scale, Center of Epidemiological Study Depression (CES-D) Scale. The other one purpose is to involve low life adjustment or high depressive symptom adolescents through SFBT in family medical outpatient services, and to investigate the counseling effects on the HRV, life adjustment and depressive symptoms. The research methods were taken by quasi-experimental designs with case collections from a family medicine of metropolitan hospital in Taipei County. This research process is divided by 3 solution-focused brief therapies with experimental team and non-counseling control team. The team members are the ones who meet the low life adjustment or high depressive symptoms verified by School Life Adjustment Scale and CES-D Scale. They conducted the same two scales after three weeks, both teams needed to be detected the heart rate variability before they deduct the first two scales and the same two scales taken three weeks later. There are 39 valid samples, including 24 experimental team members and 15 control team members. The average age is 14.9 years old. The education level is mainly junior high and senior high. The research data is conducted and analyzed by the average, standard deviation, percentage, individual-sample T test with SPSS17.0.The research results are as follows:1. Significant improvement for life adjustment: there is remarkable improvement with Experimental group's School Life Adjustment Scale (p=.044) and self-awareness subscale (p=.032).2. Although there is no remarkable improvement in the depressive symptom, by comparing the experimental group before and after the test (p=.000), which discovered that the solution-focused brief therapy consultation still could decrease the CES-D score. 3. It is unable to compare its result effectively due to insufficient information of Heart Rate Variability. The findings showed that the low life adjustment of the family medicine outpatient adolescents may obtain the good improvement because of three solution-focused brief therapy consultations. Although adolescents of the high depressive symptom have not been able to obtain the remarkable improvement, it is still possible to decrease the CES-D score. Suggested that the solution-focused brief therapy consultation which improve the family medicine outpatient adolescents to live lowly life adapts or the high depressive symptoms should be highlighted with high attention, to assist the young people to be able to solve the problem by themselves, and the implementation of the preventive medicine would avoid the development of depressive disorder