内观认知疗法对40名大学生心身症状的影响  

Influence of NaiKan Cognitive Therapy on Psychosomatic Symptoms in College Students

作　　者：曹桐[1,2] 毛富强[1] 田红军[2] 赵朋[1] 梁瑞华[1] 冯秀娟[1] 李振涛[1] 

机构地区：[1]天津医科大学精神医学教研室,天津300070 [2]天津市安定医院,天津300070

出　　处：《中国心理卫生杂志》2009年第4期234-237,共4页Chinese Mental Health Journal

基　　金：中华医学教育研究课题(07XJ09-05);天津市哲学社会科学研究项目(TJJX06-2-06)

摘　　要：目的:探讨改良后的内观认知疗法对大学生心理健康状况的影响及适用性。方法:使用招募海报的方法招募46名在校大学生,用改良后的内观认知疗法进行为期7天的治疗,40人完成整个治疗过程(男13名,女27名)。采用症状自评量表(SCL-90)和自编参与动机调查表进行评价。结果:参与动机调查显示主动接受心理治疗的大学生多数认为自身存在一定的心理行为问题,并对心理治疗怀有强烈的好奇心。完成治疗者中治疗前SCL-90的阳性检出率为42.5%,SCL-90总分以及各因子分在内观认知治疗后均明显低于治疗前[如SCL-90总分:治疗前为(160.8±44.9),治疗后为(123.2±31.0),P<0.001]。结论:改良后的内观认知疗法可行性高,治疗后大学生心理健康水平有所改善,可进一步推广和验证其疗效。Objective： To explore the influence of reformed NaiKan cognitive therapy on psychosomatic symptoms and its applicability among college students. Methods： Forty-six undergraduate students were recruited to participate in the reformed NaiKan cognitive therapy during 7 days. All participants were estimated with the Symptom Checklist 90 （ SCL-90 ） and the self-made questionnaire on the participation motive. Forty students completed the NaiKan cognitive therapy, and the drop-out rate was 13%. Results： The questionnaire results of participation motive showed that modern college students paid attention to themselves mental health. Before the therapy, the positive rate of SCL-90 was 42. 5% among completed participants. After the therapy, SCL-90 total score and subsores were all decreased [ SCL-90 total score： （160. 8±44. 9） vs. （123.2 ± 31.0） , P 〈 0. 001 ] . Conclusion： Reformed NaiKan cognitive therapy is feasible and can relieve different psychosomatic symptoms among college students.

关 键 词：内观认知疗法 心理健康 大学生 参与动机 

分 类 号：R749.059[医药卫生—神经病学与精神病学]