意象对话心理咨询技术中焦虑意象与SAS、HAMA相关性研究  

Study on the Correlation Between Anxious Imagery in the Imagery Dialogue Psychological Counseling Techniques and SAS, HAMA

作　　者：朱强[1] 张宏田 谭芙蓉[2] 宋小军[3] 谢燕[1] 

机构地区：[1]武警湖南总队医院,湖南长沙410006 [2]中南大学湘雅医学院,湖南长沙410013 [3]武警湖南总队卫生处,湖南长沙410000

出　　处：《医学临床研究》2009年第11期2054-2056,共3页Journal of Clinical Research

摘　　要：【目的】探讨意象对话心理咨询技术中焦虑意象与SAS、HAMA的相关性。【方法】将139名来访者中出现焦虑意象者设为观察组，未出现焦虑意象者作为对照组，观察组中依据焦虑意象出现的次数分为4个焦虑意象因子组。观察组和对照组均采用焦虑自评量表（SAs）进行自评，汉密尔顿焦虑量表（HAMA）实施他评，根据SAS、HAMA得分进行差异性检验和相关分析。【结果】①对照组在SAS、HAMA上的得分明显低于观察组（t=-5．334，-4．821，P〈0．01）；②观察组内4个焦虑意象因子组在SAs、HAMA的得分上存在显著差异（F一19．061，15．083；P〈0．01）；③观察组在sAS、HAMA上的得分与焦虑意象因子数呈现显著正相关（r=0．588，0．544，P〈0．01）；基于SAS、HAMA标分的焦虑严重程度等级与焦虑意象因子数目呈正相关（r=0．539，0．537，P〈0．01）。【结论】意象对话心理咨询技术中焦虑意象与焦虑情绪有明显的相关关系，焦虑意象出现的次数与焦虑情绪呈正相关。[Objective] To explore the correlation between anxious imagery in the Imagery Dialogue Psychological Counseling techniques and SAS, HAMA. [Methods]A total of 139 interviewers in psychological counseling were divided into control group （without anxious imagery） and observation group. The observation group was divided into 4 groups according to the occurrences of anxious imagery. Both of them were self-reported by SAS and observers-assessed by HAMA, and the test of significant difference and analysis of correla tion were done according to the scores of SAS and HAMA. [Results]①The SAS and HAMA scores of control group were significant lower than those of observation group（ t =- 5. 334,-4. 821, P 〈0.01）. ②In the observation group, there were significant differences in the SAS and HAMA scores among 4 anxious imagery groups（F=19. 061,15. 083 ; P 〈0.01）. ③In the observation group, there was significant positive correlation between the SAS and HAMA scores and the occurrences of anxious imagery（r = 0. 588,0. 544, P 〈0.01）. There was also significant positive correlation between the severe degree grouping of anxiety according to the SAS and HAMA scores and the occurrences of anxious imagery（r = 0. 539,0. 537, P 〈0. 01）. [Conclusion] Anxious imagery in the Imagery Dialogue Psychological Counseling techniques is significantly related to anxiety emotion, and the occurrences of anxious imagery are positively correlated with anxious emotion.

关 键 词：心理学 医学 咨询 焦虑 

分 类 号：R749.055[医药卫生—神经病学与精神病学]