团体训练对大学生抑郁情绪的干预效果评价  

Evaluation of intervention on depression in college students by group training

作　　者：董杉[1] 董晓梅[1] 代金芳[1] 王畅[1] 吴家栋[1] 曾红[2] 王声湧[1] 

机构地区：[1]暨南大学医学院流行病学教研室,广东广州510632 [2]暨南大学医学院医学心理学与行为科学教研室,广东广州510632

出　　处：《中华疾病控制杂志》2011年第9期758-761,共4页Chinese Journal of Disease Control & Prevention

基　　金：广州市医药卫生科技重大项目(2007-ZDa-04);中央高校基本科研业务费专项资金(10JYB2048);广东省医学科研基金(B2009123)

摘　　要：目的评价团体训练对大学生抑郁情绪的干预效果,探索高校开展团体训练的有效形式。方法采用实验组与对照组前后测准实验设计,选取40名有抑郁情绪的大学生进行为期7周的认知应对团体训练,以抑郁自评量表(SDS)、归因方式问卷(ASQ)和简易应对方式量表(SCSQ)为测量工具,在团体训练实施前、后1周对被试者进行测量,并在6个月后再次进行SDS回访测量。结果①实验组干预后抑郁得分有明显改善,前测(60.54±8.34)分,后测(49.64±8.66)分,差异有统计学意义(t=3.44,P=0.003);对照组前测得分(48.82±13.04)分,后测得分(51.63±11.42)分,差异无统计学意义(t=0.65,P=0.552)。②实验组干预后应对方式有改善,积极应对得分前测(1.63±0.48)分,后测(2.08±0.37)分,差异有统计学意义(t=3.90,P=0.001),对照组前后两次应对方式的测评得分差异均无统计学意义。③实验组干预前后词频自评与自信心评价均有较大改善。④6个月后回访显示干预效果保持良好。⑤实验组干预前后抑郁程度分布情况发生改变,干预后抑郁程度均有所降低。结论团体训练对大学生抑郁情绪干预效果比较理想,是高校促进大学生心理健康的有效模式,建议积极开展。Objective To evaluate the effect of intervention of group training on college students depression, and to discuss how to carry out community interventions in colleges or universities. Methods The quasi-experimental design of before-after-design was adopted on experimental group and control group. Forty depressive students were involved in an seven-week-long cognitive coping community coaching. One week before, after the coaching and six months later, the students were asked to take three tests of Self-rating Depression Scale （SDS）, Attribution Scale （ASQ） measurement and simple coping style scale （SCSQ） measurement. Results ①After intervention of group training, the SDS scores of experimental group was reduced obviously, the experimental group pre-test scores was 60.54 ± 8.34 and pro-test scores was 49.64 ± 8.66. There was significant difference （ t = 3.44, P = 0. 003 ）. But the control group pre-test scores was 48.82 ±13.04 and pro-test scores was 51.63 ± 11.42. There was no significant difference （ t =0.65, P = 0. 552）. ②In terms of the SCSQ, on the positive response, the experimental group pre-test scores was 1.63 ± 0.48 and pro-test scores was 2.08 ± 0.37. There was significant difference （ t = 3.90, P = 0. 001 ）. But there was no significant difference in the control group. ③In terms of the adjective word frequency and the confidence score, the experimental group had been greatly improved after the intervention. ④after six months, the intervention effect remained well. ⑤The depression degree of the experimented group had been reduced after intervention. Conclusions The intervention effect is ideal on depressed mood by group training. This training model is worthy for further exploration in other colleges.

关 键 词：团体处理 学生 抑郁 干预性研究 

分 类 号：R395.6[哲学宗教—心理学] R181[医药卫生—医学心理学]