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目的评价内观认知疗法对改善大学生非理性信念疗效。方法对78例医学生采用非理性信念量表及元认知问卷,评价非理性信念情况,分别予以内观认知疗法、内观疗法干预,在干预结束时和1年后进行复测,与治疗前数据进行对照分析。结果干预后,内观认知组非理性信念总分(t=7.632,P=0.000)及概况化评论分(t=4.516,P=0.000)、低挫折忍耐(t=6.007,P=0.000)、绝对化要求(t=3.571,P=0.001)、糟糕至极(t=3.457,P=0.001)显著性降低,内观组非理性信念总分(t=2.721,P=0.010)及低挫折忍耐分(t=3.303,P=0.002)量表分有显著性降低。干预1年后,内观认知组非理性信念(t=5.955,P=0.000)及概况化评论分(t=2.440,P=0.019)、低挫折忍耐(t=4.945,P=0.000)、绝对化要求(t=5.569,P=0.000)、糟糕至极(t=3.140,P=0.003)与干预前有显著性差异,与干预后差异无统计学意义,内观组概括化评论分量表分(t=-2.603,P=0.013)较干预前升高且有显著性差异,两组间非理性信念总分(t=-3.932,P=0.000)及概况化评论分(t=-3.250,P=0.002)、低挫折忍耐(t=-2.603,P=0.013)、糟糕至极(t=-2.706,P=0.010)差异均有统计学意义。内观认知组干预后元认知总分(t=3.096,P=0.004)、认知自信(t=2.726,P=0.010)、失控和危险感(t=3.409,P=0.002)、思维的控制需要(t=3.673,P=0.001)显著降低,内观组干预前后元认知失控和危险感(t=3.224,P=0.003)分量表分显著降低。结论内观认知疗法能矫正医学生非理性信念,降低元认知水平。
Objective To evaluate the effect of cognition therapy on improving the irrational beliefs of college students. Methods 78 medical students adopted the irrational belief scale and the metacognitive questionnaire to evaluate the irrational beliefs. The internal cognitive therapy and the internal therapy were used respectively to make interventions. At the end of the intervention and one year later, Pre-treatment data for controlled analysis. Results After intervention, the scores of irrational conviction (t = 7.632, P = 0.000) and profiling (t = 4.516, P = 0.000) and low frustration (t = 6.007, P = 0.000) , Absolute requirement (t = 3.571, P = 0.001), negative extreme (t = 3.457, P = 0.001), total score of irrational belief (t = 2.721, P = 0.010) and low frustration Points (t = 3.303, P = 0.002) scale points were significantly reduced. One year after the intervention, the cognitive perception group had a lower incidence of frustration (t = 4.945, P = 0.000), irrational conviction (t = 5.955, P = 0.000) The absolute requirements (t = 5.569, P = 0.000), extreme (t = 3.140, P = 0.003) were significantly different from those before intervention, and there was no significant difference after intervention (t = -2.603, P = 0.013) were significantly higher than those before intervention (t = -3.932, P = 0.000) and the generalized comment score (t = -3.250, (P = 0.002), low frustration (t = -2.603, P = 0.013), worse to extreme (t = -2.706, P = 0.010) .The difference was statistically significant. Metacognitive score (t = 3.096, P = 0.004), cognitive self-confidence (t = 2.726, P = 0.010), uncontrollability and risk perception (t = 3.409, P = 0.002) (T = 3.673, P = 0.001) decreased significantly. Before and after the intervention, the scores of metacognitive loss and risk (t = 3.224, P = 0.003) before and after the intervention were significantly decreased. Conclusion Internal concept of cognitive therapy can correct medical students irrational beliefs and reduce the level of metacognition.