青少年网络成瘾认知行为取向团体心理治疗效果观察

Curative effect of cognitive-behavioral oriented group psychotherapy in treatment of adolescents with internet addictive

目的探讨认知行为取向的团体心理治疗对青少年网络成瘾的治疗效果,为预防青少年网络成瘾,构建青少年网络成瘾心理治疗体系提供理论依据。方法以网络成瘾量表(IAT)从2 784名学生中筛选出80名网络成瘾者,其中77名同意入组,将入组学生随机分为观察组38名和对照组39名。以认知行为取向的团体心理治疗对观察组学生治疗8周,对照组学生不做处理,最终完成研究的学生观察组36名,对照组38名。治疗前后分别以IAT、90项症状自评量表(SCL-90)、简易应对方式量表(SCSQ)、青少年时间管理倾向量表(ATMD)对2组网络成瘾者进行评估并比较。结果治疗前2组网络成瘾者IAT得分、SCL-90各项得分比较差异均无统计学意义(P>0.05);SCSQ中积极应对得分、消极应对得分及ATMD中时间价值感得分、时间监控感得分、时间效能感得分比较差异均无统计学意义(P>0.05)。治疗后观察组网络成瘾者显效及有效27名,无效9名,对照组38名均无改变,2组网络成瘾者网络成瘾治疗情况比较差异有统计学意义(P<0.05);SCL-90除偏执和精神病性外,其他因子观察组网络成瘾者均较对照组得分显著降低(P<0.05);SCSQ观察组网络成瘾者积极应对方式得分较对照组显著增加(P<0.05),消极应对方式得分较对照组显著降低(P<0.05);ATMD观察组网络成瘾者在时间价值感、时间监控感、时间效能感方面得分均较对照组显著增加(P<0.05)。结论认知行为取向的团体心理治疗能显著改善青少年网络成瘾及心理健康状况,优化其应对方式并提高其时间管理能力。

Objective To investigate the curative effect of cognitive behavior oriented group psychotherapy in treatment of internet addicted adolescents and provide a theoretical basis for preventing internet addiction of adolescents and constructing a psychotherapy system for internet addicted adolescents. Methods Eighty internet addicted adolescents were identified from2 784 adolescents with internet addiction test( IAT) scale,and 77 of them were enrolled for study after understanding this study.All subjects were randomly divided into observation group( n = 38) and control group( n = 39). The adolescents in observation group were treated with cognitive behavior oriented group psychotherapy for 8 weeks; the adolescents in control group were not given anything treatment for 8 weeks. At last,36 adolescents in observation group and 38 adolescents in control group finished the study. The IAT,symptom check list-90( SCL-90),simple coping strategy questionnaire( SCSQ) and adolescence time management disposition( ATMD) scales were used to access internet addicted adolescents in the two groups before and after treatment. Results There was no significant difference in IAT scores,any item scores of SCL-90,the positive and negative coping scores of SCSQ,the sense of time value,sense of time monitoring and sense of time efficiency of ATMD of internet addicted adolescents between the two groups before treatment( P > 0. 05). In observation group,27 internet addicted adolescents of obvious effects or effective,9 internet addicted adolescents of inefficiency; in control group,all subjects without any changes; there wasstatistic difference of curative effect between the two groups( P < 0. 05). Any item scores of SCL-90 of internet addicted adolescents in observation group were significantly lower than those in control group( P < 0. 05); there were no statistic difference of paranoia and psychosis scores of internet addicted adolescents between the observation group and control group( P > 0. 05).The positive coping scores of SCSQ of internet addicted adolescents in observation group were significanlty higher than those in control group( P < 0. 05); the negative coping scores of SCSQ of internet addicted adolescents in observation group were significanlty lower than those in control group( P < 0. 05). The sense of time value,sense of time monitoring and sense of time efficiency scores of ATMD of internet addicted adolescents in observation group were significanlty higher than those in the control group( P < 0. 05). Conclusion Cognitive behavior oriented group psychotherapy can improve the internet addiction behavior,mental health condition of the internet addicted adolescents,optimize their coping style and ability of time management.