接受与承诺疗法干预抑郁的效果追踪  被引量:19

Effectiveness of Acceptance and Commitment Therapy on Depression

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作  者:赵文[1] 周雅[2] 刘翔平[3] 冉俐雯[3] 

机构地区:[1]西南科技大学心理咨询中心,绵阳621000 [2]香港中文大学教育心理系 [3]北京师范大学心理学院,北京100875

出  处:《中国临床心理学杂志》2013年第1期153-157,169,共6页Chinese Journal of Clinical Psychology

基  金:西南科技大学2012年度学生教育管理与改革研究项目(12sxb167)

摘  要:目的:旨在追踪比较接受与承诺疗法(ACT)与认知行为疗法(CBT)对于抑郁的干预效果。方法:选取27名高抑郁且高穷思竭虑大学生进行为期6周的团体干预,CBT组14人(8男,6女),ACT组13人(4男,9女),分3个时间点(干预前1周、干预结束当天、干预后9周)追踪测量被试的抑郁与穷思竭虑。结果:数据分析采用多元多层线性模型,固定效应结果显示,ACT组抑郁与穷思竭虑均呈持续下降趋势,而CBT组仅有抑郁下降趋势显著;随机效应结果显示,ACT组抑郁与穷思竭虑的斜率呈正相关,而CBT组二者斜率呈负相关。结论:CBT不能有效缓解抑郁个体的穷思竭虑,因而干预抑郁的即时效果显著但长期效果可能欠缺;ACT干预抑郁的即时与长期效果都很显著。Objective: To compare the effectiveness of the Acceptance-and-Commitment Therapy (ACT) and the Cognitive-Behavior Therapy(CBT) in alleviating depression and rumination. Methods: 27 college students with severe depression and intense rumination were chosen to receive group intervention. Among them 14(8 male, 6 female) participated in a 6-session group-administered CBT and 13(4 male, 9 female) participated in a 6-session group-administered ACT. Partic- ipants' depression and rumination were assessed at 3 time points, i. e. one week before the intervention, the day the intervention ended, and 9 weeks after the intervention. Results: Hierarchical Multivariate Linear Model was used to analyze the data. The fixed effects revealed that continuous declines in both depression and rumination were observed in ACT group, while only depression significantly decreased in CBT group. The random effects showed that in ACT group the slope of depression positively correlated with that of rumination, while in CBT group the slopes of these two variables were correlated negatively. Conclusion: These findings suggest that ①CBT may lack long-term effectiveness in curing depression because of its failure in relieving individuals from rumination; ②ACT turn out to excel in both short-term and long-term effectiveness in curing depression.

关 键 词:接受与承诺疗法 认知行为疗法 抑郁 穷思竭虑 

分 类 号:R395.5[哲学宗教—心理学]

 

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