医学生内观认知疗法疗效影响因素分析

Analysis on the influencing factors of Naikan cognitive therapy

目的分析影响内观认知疗法疗效的相关因素,为改善和促进心理健康水平提供依据。方法对77名医学生志愿者进行7 d内观认知治疗,根据前后SCL-90的差值改变,以变化差值的平均分为界将其分为强效组(n=40)和弱效组(n=37)。对两组间的基本情况、心身症状(SCL-90)、自我信念(IBS)、惧怕否认(FNE)、情感平衡(ABS)、领悟社会支持(PSSS)、自尊(SES)和元认知(MCQ)进行比较和分析。结果非条件Logistic回归单因素分析显示,SCL-90总分、自我信念总分、自尊水平、元认知总分等25个因素与治疗有效率显著相关;多因素回归分析显示,男性(OR=0.029)、父母健康(OR=0.262)、出勤(OR=1.627)、强迫(OR=11.727)、恐怖(OR=9.725)等5个因素进入拟合主效应模型。结论男性、父母健康、出勤率高、强迫和恐怖症状是内观认知疗法的显著性有效因素。

Objective To analyze the influencing factors of Naikan cognitive therapy,and to provide evidence for improving mental health status.Methods A total of 77 undergraduate students participated in the seven days of Naikan cognitive therapy,and were divided into two groups according to the average change of SCL-90： the strong effect group（n=40） and the weak effect group（n=37）.Compare the two groups by basic situation questionnaire,SCL-90,IBS,FNE,ABS,PSSS,SES and MCQ.Results Through the single-factor non-conditional logistic regression analysis,25 factors were significantly related with treatment efficiency.After multi-factor logistic regression,5 factors such as male（OR=0.029）,obsessive-compulsive（OR=11.727） and phobia anxiety symptoms（OR=9.725） enter the main effects model.Conclusion The male and who have healthy parents,good attendance,obvious obsessive-compulsive and phobia anxiety symptoms are the particularly effective factors of Naikan cognitive therapy.