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目的评价内观认知疗法对单亲医学生心身症状及心理行为问题干预效果,为改善单亲家庭子女心理健康状况提供依据。方法将自愿参加本研究的天津医科大学108名本科生分成单亲组33名和双亲组75名,同时进行7 d的内观认知疗法心理干预,干预前后采用症状自评量表(SCL-90)、惧怕否定评价量表、领悟社会支持量表、情感平衡量表及自尊量表评价医学生的心身症状及多项心理功能情况,比较两组医学生的疗效差异。结果干预后两组学生SCL-90总分及各因子得分较干预前均显著降低;干预前后的变化差值单亲组SCL-90总分和除强迫症状、敌对、偏执、附加项目之外的其余各因子双亲组差异均有统计学意义。干预后两组的惧怕否定评价量表得分较干预前均显著降低;干预前后的变化差值单亲组较双亲组差异有统计学意义。干预后两组领悟社会支持量表总分及各分量表分较干预前均有显著性提高;干预前后的变化差值单亲组领悟社会支持量表总分和家庭支持分量表得分与双亲组差异均有统计学意义。干预后单亲组情感平衡量表总分和正负情感分以及双亲组情感平衡量表总分和负性情感分较干预前均有显著性改善;干预前后的变化差值单亲组情感平衡量表总分和正负情感分与双亲组差异均有统计学意义。干预后两组的自尊得分较干预前均显著降低;干预前后的变化差值单亲组较双亲组差异有统计学意义。结论内观认知疗法对单亲医学生的心身症状以及各种社会心理功能水平的改善程度较双亲医学生更为显著,应用前景值得期待。
Objective To evaluate the intervention effect of endogenous cognitive therapy on psychosomatic symptoms and psychological behavior of single-parent medical students, and to provide basis for improving the mental health of children of single-parent families. Methods A total of 108 undergraduates from Tianjin Medical University who volunteered to participate in this study were divided into one single parent group (n = 33) and ancestry group (n = 75), followed by 7 days of psychophysical interventions for cognitive psychotherapy. SCL-90 was used before and after intervention. , Fear of negative rating scale, perceived social support scale, emotional balance scale and self-esteem scale to evaluate the psychosomatic symptoms and psychological functions of medical students, and to compare the difference in therapeutic effect between the two groups of medical students. Results The score of SCL-90 and the scores of each factor in both groups were significantly lower than those before intervention after intervention. The difference of SCL-90 in single-parent group before and after intervention was lower than that in intervention group, except for obsessive-compulsive symptom, hostile, paranoid and additional items There were significant differences between parents and parents in each factor. After the intervention, the negative fear-negative rating scale scores of both groups were significantly lower than those before intervention; the differences between the two groups before and after intervention were statistically significant differences between the single parent group and the parent group. After intervention, both groups perceived the total score of social support scale and the scores of subscales were significantly higher than those before intervention. The single difference group before and after intervention perceived the differences of social support scores and family support scores between parents and parents All have statistical significance. After intervention, single parent group balance of emotional balance score and positive and negative emotional scores as well as the parental group balance of emotional balance score and negative emotional scores were significantly improved than before intervention; changes before and after the intervention difference between single-parent group emotional balance scale Total score and positive and negative emotional points and parental differences were statistically significant. The scores of self-esteem in both groups after intervention were significantly lower than those before intervention. The differences between before and after intervention in both groups were statistically significant. Conclusion Internal concept therapy can improve psychosomatic symptoms and social psychology function of single-parent medical students more than those of parents. The application prospect is worth looking forward to.