认知行为团体疗法在社交焦虑医学生中的应用研究  

An Application Study on the Cognitive-Behavioral Group Therapy in Medical Students with Social Anxiety

作　　者：黄爱华[1] 张乃正[1] 李磊[2] 王娟丽[3] 

机构地区：[1]宝鸡职业技术学院医学分院,陕西宝鸡721013 [2]宝鸡职业技术学院中医药学系,陕西宝鸡721013 [3]宝鸡职业技术学院心理咨询中心,陕西宝鸡721013

出　　处：《中国医学伦理学》2016年第2期233-236,共4页Chinese Medical Ethics

摘　　要：目的探讨认知行为团体疗法对改善医学生社交焦虑的效果,以期改善医学生社交沟通能力。方法根据纳入排除标准对某校三年制高职存在社交焦虑医学生随机分为实验组、对照组,对照组常规参加学校心理健康教育,实验组在此基础上采用认知行为团体疗法进行干预。运用交往焦虑量表(IAS)、惧怕否定量表(FNE)、社交回避与困扰量表(SAD)对干预前、后社交焦虑医学生认知、情绪、行为水平进行测量,评价干预效果。结果干预后实验组医学生社交焦虑认知、情绪、行为三方面水平均较对照组有显著改善(P<0.05)。结论认知行为团体疗法能够有效改善医学生社交焦虑水平。Objective： To explore the effects of cognitive- behavioral group therapy on relieving social anxiety of medical students and thus improve the communication ability of medical students. Methods： The medical students with social anxiety in our school were randomly divided into two groups. The subjects in the control group and the experiment group were given with the routine mental health education and the cognitive- behavioral group therapy respectively. The cognitive,emotional,and behavioral levels were measured before and after intervention using Interaction Anxious- ness Scale（ IAS）,Fear of Negative Evaluation Scale（ FNE）,Social Avoidance and Distress Scale（ SAD）,and in order to evaluate the effects of cognitive- behavioral group therapy. Results： After the intervention of cognitive- behavioral group therapy in medical students,all the three levels of anxiety were improved significantly in the experimental group than those in the control group（ P〈0. 05）. Conclusion： Cognitive- behavioral group therapy could effectively decrease the level of social anxiety for medical students.

关 键 词：认知行为团体疗法 社交焦虑 医学生 医患关系 

分 类 号：R192[医药卫生—卫生事业管理]