自信心训练对社交焦虑障碍患者自尊水平的干预研究  

Intervention impacts of self-confidence training on the self-esteem of patients with social anxiety disorder

作　　者：曹蕾[1] 张志强[2] 徐勇[3] 曹建奎[4] 杨红 葛玲[6] 

机构地区：[1]山西医科大学人文学院研究生(武警8680部队医院),太原030001 [2]山西省教育厅 [3]山西医科大学第一医院 [4]武警山西总队医院 [5]山西大医院 [6]山西职工医学院

出　　处：《中华行为医学与脑科学杂志》2013年第9期827-829,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：山西省科技攻关计划项目（20130313023-3）

摘　　要：目的探讨自信心训练对改善社交焦虑障碍患者社交焦虑与自尊水平的效果。方法将80例社交焦虑障碍患者按照简单随机分组分为实验组和对照组。实验组每周进行2次自信心训练，每次3小时，持续5周；对照组不采取任何治疗手段。干预前、干预后3个月、干预后6个月两组分别进行社交焦虑量表（SocialAnxietySubscaleoftheSelf-ConsciousnessScale）和自尊量表（Self-EsteemScale，SES）评定，分析患者社交焦虑和自尊改善状况。结果实验组和对照组的社交焦虑水平、自尊水平在处理间差异有统计学意义（F=20．422，P〈0．001；F=11．239，P=0．001）；社交焦虑和自尊水平有随时间变化的趋势（F=120．080，P〈0．001；F=143．503，P〈0．001），并且时间因素的作用随着分组的不同而不同伊=18．777，P〈0．001；F=24．864，P〈0．001）。经不同时间点上实验组和对照组社交焦虑和自尊水平比较，实验组社交焦虑后测和追踪后测分值（10．00±3．05，9．53±3．72）较对照组（13．42±2．76，13．21±2．48）显著降低（P〈0．001），实验组自尊水平后测和追踪后测得分（28．75±4．19，29．50±4．85）较对照组（24．27±3．84，24．15±3．55）显著升高（P〈0．001）。结论自信心训练对治疗社交焦虑及提高自尊水平具有显著效果。Objective To explore the effect of self-confidence training on social anxiety and serf-esteem of patients with social anxiety disorder. Methods 80 patients with social anxiety disorder were randomly divided in- to the study group and the control group. The study group was given the Self-confidence Training twice a week for five weeks and the control group was not given any training. Social Anxiety Subscale of the Self-Consciousness Scale and Self-Esteem Scale were used to evaluate the effect before the intervention and after the intervention for three months, six months. Results The social anxiety and self-esteem had significant differences between the two groups （ F=20.422, P〈0.001 ; F=11.239, P=0.001）,they had a tendency to change over time （ F= 120. 080, P 〈 0.001 ; F = 143. 503, P 〈 0.001 ）, and the role of the time factor was different between two groups （ F= 18. 777, P 〈 0. 001 ; F = 24. 864, P 〈 0. 001 ）. Further pairwise comparisons revealed that the study group showed significantly decrease in social anxiety （ （ 10.00 ± 3.05 ） vs （ 13.42 ± 2.76） , （9.53 ± 3.72） vs （ 13.21 ± 2.48 ） ） and improvement in score of self-esteem （ （28.75 ± 4.19） vs （24.27 ± 3.84 ）, （29.50 ± 4.85 ） vs （24.15 ±3.55 ）） than control group on post-test and delayed-test （P 〈 0. 001 ）. Conclusion Self-confidence training can reduce social anxiety and improve self-esteem for patients with social anxiety disorder.

关 键 词：自信心训练 社交焦虑障碍 自尊 

分 类 号：B841[哲学宗教—基础心理学]