摘要
目的探索团体正念认知疗法对大学生强迫症状的干预效果,为大学生强迫症状的临床干预研究提供参考论据。方法采用定量和定性研究相结合的方式,以团体形式对6名被试进行正念认知训练,使用耶鲁布朗强迫症状严重程度量表(YBOCS)、焦虑自评量表(SAS)、五因素觉知量表(FFMQ)和抑郁自评量表(SDS)进行干预前、干预后1周及3个月的追踪测量,并在干预后1周对被试进行不少于30 min的半结构式访谈,对访谈资料进行分析。结果干预后1周YBOCS,SAS得分显著下降,FFMQ得分显著提高,差异均有统计学意义(P值均<0.05);SDS得分干预前与干预后差异无统计学意义(P>0.05)。干预的效果在3个月的追踪期内得到维持。正念起作用的方式在本研究中主要体现在3个方面:(1)接纳的态度减少了压力和焦虑,减轻了症状;(2)增强了集中注意力的能力而减轻被症状吸引影响的程度;(3)正念能力提高带来行为调整和改变。结论团体正念认知疗法对大学生强迫症状的改善能够发挥一定的作用,未来还需要采用大样本随机对照研究进一步探索该疗法的效果。
Objective To explore effectiveness of Mindfulness-based Cognitive therapy （MBCT） on 6 undergraduates obsessive-compulsive disorder（OCD） symptoms. Methods This study used a combination of quantitative and qualitative research methods was used, Yale-Brow Obsessive Compulsive Scale （YBOCS） , Self-Rating Anxiety Scale （SAS） , the Five Facet Mindful- ness Questionnaire （FFMQ）and Self-Rating Depression Scale （SDS ） were adopted as measurements which used before, in the mid- dle of and after the training. Semi-structured qualitative interviews were conducted after training, then categorization method was used to analyze the qualitative data. Results Statistically significant reductions in mean YBOCS and SAS scores were observed： The mean pre-treatment YBOCS score was 15.83 and post-treatment score was 12.33 （ P 〈0. 05 ）, a similar reduction was also not- ed for anxiety with a mean pre-treatment SAS score of 39.5 and mean post-treatment score of 35.33 （ P 〈 0. 05）. For FFMQ, signif- icant post-training improvements were observed. There were no significant reductions of the scores of SDS. The gains of the training maintained at follow-up. The qualitative data indicated possible explanations for the effectiveness of MBCT on OCD symptoms： ac- ceptance helps reduce pressure, alleviating symptoms; the ability of concentrating one~ attention is enhanced which helps partici- pants be less affected by symptoms ; Development of awareness can promote self-regulation and change. Conclusion The results of this exploratory mixed methods study suggest that MBCT may have a role to play on OCD symptoms, and further investigations with proper randomization and controlled conditions are needed.
出处
《中国学校卫生》
CAS
北大核心
2012年第9期1065-1068,共4页
Chinese Journal of School Health
基金
教育部人文社会科学研究青年基金项目(11YJC190011)
关键词
认知疗法
团体处理
强迫行为
治疗结果
学生
Cognitive therapy
Group processes
Compulsive behavior
Treatment outcome
Students
