接纳承诺疗法对大学生社交焦虑的干预研究  

Acceptance and commitment therapy for social anxiety of undergraduate students

作　　者：邬思亮 胡茂荣[1] 陈盈[1,2] 王敬 何厚建[1] Wu Siliang;Hu Maorong;Chen Ying;Wang Jing;He Houjian(The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Maoming Vocational Technical College,Maoming 525000,China;Tianjin Yinghua International School,Tianjin 301700,China)

机构地区：[1]南昌大学第一附属医院,江西南昌330006 [2]茂名职业技术学院,广东茂名525000 [3]天津英华国际学校,天津301700

出　　处：《四川精神卫生》2019年第5期445-448,共4页Sichuan Mental Health

基　　金：国家重点研发计划项目(2016YFC1306805);国家自然科学基金项目(81360211);江西省科技厅社会发展基金项目(20151BBG70111)

摘　　要：目的探究接纳承诺疗法(ACT)对社交焦虑大学生紧张焦虑情绪及经验性回避的干预效果。方法在南昌大学招募并筛查出社交焦虑量表问卷(SAI)评分>60分的被试共24人,采用随机数字表法分为研究组和对照组。研究组接受6周的ACT团体心理辅导,对照组进行一般心理健康教育。于基线期、干预后1周及干预后2月采用SAI和接纳与行动问卷第二版(AAQ-II)对两组进行评定。结果干预后1周,研究组SAI紧张焦虑维度评分和总评分均低于对照组[(28.20±4.08)分vs.(36.00±6.82)分,(65.40±7.78)分vs.(74.78±8.78)分,t=-3.065、-2.471,P<0.05或0.01]。干预后2月,研究组SAI紧张焦虑维度评分、总评分和AAQ-Ⅱ评分均低于对照组[(27.90±4.48)分vs.(34.00±7.65)分,(64.00±8.08)分vs.(73.11±8.77)分,(29.20±6.16)分vs.(35.78±7.20)分,t=-2.149、-2.357、-2.145,P均<0.05]。结论ACT团体心理辅导可能有助于降低社交焦虑大学生的紧张焦虑情绪及经验性回避。Objective To explore the effects of acceptance and commitment therapy(ACT)on anxiety and experiential avoidance of undergraduate students with social anxiety.Methods A total of 24 subjects with Social Anxiety Inventory(SAI)score above 60 were recruited from Nanchang University.They were divided into the study group and control group according to the random number table method.The study group received ACT group intervention for 6 weeks,while the control group received general mental health education.SAI and Acceptance and Action Questionnaire-Ⅱ(AAQ-Ⅱ)were used at the baseline,1 week after intervention and 2 months after intervention.Results At 1 week after intervention,stress and anxiety dimension score as well as the total score on SAI of the study group were lower than those of the control group[(28.20±4.08)vs.(36.00±6.82),(65.40±7.78)vs.(74.78±8.78),t=-3.065,-2.471,P<0.05 or 0.01].And 2 months after intervention,SAI anxious dimension score,total score and AAQ-Ⅱscore of the experimental group were lower than those of the control group[(27.90±4.48)vs.(34.00±7.65),(64.00±8.08)vs.(73.11±8.77),(29.20±6.16)vs.(35.78±7.20),t=-2.149,-2.357,-2.145,P<0.05].Conclusion ACT group intervention can effectively reduce tension and anxiety and experiential avoidance of undergraduate students with social anxiety.

关 键 词：社交焦虑 接纳承诺疗法 团体干预 大学生 

分 类 号：R395.5[哲学宗教—心理学]