认知行为团体咨询对医学大学生强迫症症状的作用  

Application of cognitive-behavioral group counseling for obsessive-compulsive disorder in medical college students

作　　者：唐莹 胡素颖 胡军平 姚欢 何青 储菁菁 周世红 吴义高 吴金庭[4] TANG Ying;HU Suying;HU Junping;YAO Huan;HE Qing;CHU Jingjing;ZHOU Shihong;WU Yigao;WU Jinting(Department of Endocrinology,Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,Anhui,China)

机构地区：[1]芜湖市中医医院内分泌科,安徽芜湖241000 [2]芜湖市中医医院心理咨询护理门诊,安徽芜湖241000 [3]皖南医学院第一附属医院弋矶山医院医学心理科,安徽芜湖241001 [4]皖南医学院心理学教研室,安徽芜湖241002

出　　处：《皖南医学院学报》2024年第3期287-290,共4页Journal of Wannan Medical College

基　　金：安徽省高校人文社会科学研究项目(SK2021A0887);安徽省教育厅高校科学研究项目(2022AH040167),皖南医学院重点科研项目(WKS2022Z05)。

摘　　要：目的:研究对强迫症症状的医学大学生运用认知行为团体咨询的可行性。方法:分别于2021年10月和2022年10月招募76名中度强迫症症状的医学大学生入组,随机分配,对照组和实验组各38名。对照组在干预期和随访期内不能接受治疗,而实验组则接受8周的认知行为团体咨询。应用抑郁自评量表(SDS)、强迫量表修订版(OCI-R)、生活满意度问卷(LSR)和焦虑自评量表(SAS)评估干预前、干预8周和6个月后的效果。结果:实验组8周后的OCI-R、SAS和SDS评分均低于对照组(P<0.05),6月后的SDS和SAS评分均低于对照组(P<0.05),LSR得分8周和6个月后均高于对照组(P<0.05)。结论:认知行为团体咨询能有效改善医学大学生的强迫症症状,提高医学大学生的总体心理健康水平,提升其生活满意度。Objective:To explore the application of cognitive-behavioral group counseling for medical college students with obsessive-compulsive symptoms.Methods:Seventy-six medical college students with moderate obsessive-compulsive symptoms were recruited between October 2021 and October 2022,and were randomly divided into intervention group(n=38)and control group(n=38).The intervention group underwent an 8-week cognitive-behavioral group counseling program,and the control group did not receive any treatment during the intervention and follow-up periods.The intervention effect was evaluated using Obsessive-Compulsive Inventory-Revised(OCI-R),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Life Satisfaction Rating Scale(LSR)at baseline,at the end of 8-week intervention and six-month follow-up respectively.Results:OCI-R score at the end of 8-week intervention,SAS and SDS scores at the end of 8-week intervention and six-month follow-up in the intervention group were lower than those in the control group(P<0.05),and LSR scores was higher(P<0.05).Conclusion:Cognitive-behavioral group counseling can effectively reduce obsessive-compulsive symptoms in medical college students,improve their overall mental health,and enhance their life satisfaction.

关 键 词：医学大学生 强迫症症状 认知行为团体咨询 

分 类 号：G444[哲学宗教—心理学] R749.7[哲学宗教—发展与教育心理学]