广泛性焦虑个体的短期团体认知行为干预

Short-term Group Cognitive Behavioral Intervention in Generalized Anxiety Individuals

目的:探讨短期团体认知行为疗法对广泛性焦虑个体干预的效果。方法:在大学生中招募宾州忧虑问卷得分在50分以上的被试共计64名,随机分配到实验组和对照组。实验组进行一天一次为期七次的认知行为小组干预,心理干预重点改善个体对虚假担忧情境的识别能力,并提高被试对不确定性的忍受力,同时降低其元担忧。结果:①在干预后,实验组的广泛性焦虑症状、对不确定性的忍受力和元担忧频率显著低于对照组。②在干预六个月后,实验组在广泛性焦虑症状上显著低于对照组。③实验组干预后的广泛性焦虑症状、对不确定性的忍受力和元担忧频率显著低于干预前和干预六个月后;干预6个月后的广泛性焦虑症状显著低于干预前。④对照组在干预前、干预后、干预6个月后三个测查点之间不存在显著差异。结论:以提高个体对虚假担忧情境的识别能力,对不确定性的忍受力及降低元担忧相结合的短期团体认知行为疗法取得了较好的干预效果。

Objective： This study concerned not only the meta-worry but also the capability to identify false worry situations and the intolerance of uncertainty to intervene in the generalized anxiety individuals. Methods： 64 subjects recruit- ed from college students whose Penn State Worry Questionnaire（PSWQ） scores were over 50 points were randomly assigned to experimental group and control group. Experimental group received cognitive behavioral group intervention once a day for seven consecutive days. The focus was to improve their capability to identify false worry situations, while reducing their intolerance of uncertainty and meta-worry. Results： （1）After the intervention, scores of the generalized anxiety symptoms, intolerance of uncertainty and meta-worry of the experimental group were all significantly lower than those of the control group. （2）Six months after the intervention, scores of the generalized anxiety symptoms of the experimental group were significantly lower than those of the control group. （3）ANOVA showed that there were significant differences within the experimental group among the three checkpoints. （4）ANOVA showed that there were no significant differences within the control group among the three checkpoints. Conclusion： Short-term group cognitive behavioral therapy aiming to reduce the symptoms of generalized anxiety, meta-worry and the intolerance of uncertainty has achieved good intervening effects.