认知行为团体咨询对大学生强迫症状的干预效果

Intervention effect of cognitive-behavioral group counseling on obsessive-compulsive symptoms of college students

目的:探讨认知行为团体咨询(CBGC)对大学生强迫症状的干预效果。方法:2019年9月和2020年9月共招募存在中度强迫症状的大学生84名,将其随机分至干预组(n=42)和对照组(n=42),干预组接受为期8周的CBGC,对照组在干预期和追踪期不接受任何处理。在基线水平、8周末、随访3个月末和6个月末,通过症状自评量表(SCL-90)、帕多瓦量表(PI)、Frost完美主义量表(FMPS)和生活满意度问卷(SWLS)来评估干预效果。结果:干预组在CBGC 8周后SCL-90总分、SCL-90强迫因子得分、PI总分和FMPS总分均低于对照组(均P<0.05),SWLS得分高于对照组(均P<0.05);随访3个月末和6个月末SCL-90总分和强迫因子得分、PI总分、FMPS总分、FMPS-消极完美主义得分均低于对照组(均P<0.05),FMPS-积极完美主义得分、SWLS得分高于对照组(均P<0.05)。结论:CBGC能有效降低大学生的强迫症状,提高总体心理健康水平,促进积极完美主义倾向,降低消极完美主义倾向,提升生活满意度。

Objective:To observe the intervention effect of cognitive-behavioral group counseling on obsessive-compulsive symptoms of college students.Methods:Eighty-four college students with moderate obsessive-compulsive symptoms were recruited from September 2019 to September 2020,and randomized to intervention group(n=42)and control group(n=42).Students in the intervention group underwent cognitive-behavioral group counseling for 8 weeks,while those in the control group did not receive any treatment in the intervention and follow-up period.The intervention effect was evaluated by Symptom Check List 90(SCL-90),Padua Inventory(PI),Frost Multidimensional Perfectionism Scale(FMPS)and Satisfaction with Life Scale(SWLS)at baseline,at the end of 8 weeks,of 3 months and of June.Results:After 8 weeks of intervention,students in the intervention group had lower total scores on SCL-90,scoring of obsessional factor on SCL-90,PI and FMPS than those in the control group(all P<0.05),whereas the scores on SWLS were higher in the intervention group than in the control group(P<0.05).At the end of 3 and 6 months of follow-up,the total scores of SCL-90,obsessive-compulsive factor,PI,FMPS and negative perfectionism on FMPS were lower,yet the scores of positive perfectionism on FMPS and SWLS were higher in the intervention group than in the control group(all P<0.05).Conclusion:Cognitive-behavioral group counseling could effectively reduce the level of obsessive-compulsive symptoms,improve the level of overall mental health,promote the positive perfectionism tendency,reduce the negative perfectionism tendency,and boost the life satisfaction in college students.