内观认知疗法对医学生非理性信念干预研究  

Effect of Naikan Cognitive Therapy on Irrational Belief of Medical Students

作　　者：刘霞[1] 毛富强[1] 刘宏伟[1] 张晓菲[1] 刘佩佩[1] 侯筱菲[1] 柳雷[1] 

机构地区：[1]中国.天津医科大学精神医学教研室,天津300070

出　　处：《中国健康心理学杂志》2013年第5期718-721,共4页China Journal of Health Psychology

基　　金：教育部人文社会科学研究规划项目(08JA880047)

摘　　要：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 efficacy of college students＇ irrational beliefs improved by Naikan Cognitive Therapy （NCT）. Methods A total of 39 pairs college students were evaluated the irrational beliefs by Irrational Beliefs Scale （IBS）and Metacognitions Questionnaire （MCQ）,and then respectively intervened with NCT or Naikan therapy. They were asked to assess the irrational beliefs by IBS and MCQ after intervention and one-year compared to the results before intervention. Results After the intervention, significant decrease occurred in IBS total score （t ：7. 632, P ： 0. 000）and overview of reviews （t-----4. 516, P ： 0. 000） ,low frustration patience （t= 6. 007 ,P~ 0. 000） ,absolute requirement （t= 3. 571, P= 0. 001 ） ,awful（t ： 3. 457 ,P= 0. 001 ）in NCT group,and there were significant decreases in IBS total score （t= 2. 721 ,P= 0. 010）and low frustration patience （t= 3. 303 ,P ~ 0. 002）in Naikan group. After one year,there were significant differences between pre-treatment and after following--up in IBS total score （t= 5. 955 ,P= 0. 000）and overview of reviews （t= 2. 440 ,P= 0. 019） ,low frustration patience（t= 4. 945 ,P=0. 000）, absolute requirement （t ~ 5. 569,P= 0. 000）,awful （t= 3.140, P= 0. 003）,but no significant differences compared to post-treatment in NCT group. And overview of reviews got increase than before and showed significant difference in Naikan group（t=-2. 603 ,P= 0.013）. The differences of IBS total score （t ^-3. 932, P= 0. 000 ）, overview of reviews （t=-3. 250, P= 0. 002 ）, low frustration pa- tience （t=-2. 603, P= 0. 013） ,awful（t=-2. 706, P= 0. 010）between two group were significant after one：year. Significant decreas- es occurred in MCQ total score（t= 3. 096,P=0. 004）,cognitive confidence（t= 2. 726,P=0. 010）,uncontroi^ability and danger（t= 3. 409 ,P= 0. 002）,need to control thoughts（t= 3. 673 ,P= 0. 001 ）in NCT group. There were no significant differences in MCQ to- tal score and all

关 键 词：内观认知疗法 医学生 非理性信念 元认知 

分 类 号：R395.2[哲学宗教—心理学]