高职新生社交焦虑的认知行为团体干预的随机对照研究  

A randomized controlled trial of cognitive-behavioral group intervention on social anxiety in vocational college freshmen

作　　者：李迪 马冉 王建平 LI Di;MA Ran;WANG Jianping(Guangxi Vocational&Technical College,Nanning 530000,China;Beijing Key Laboratory of Applied Experimental Psychology,National Demonstration Center for Experimental Psychology Education(Beijing Normal University),Faculty of Psychology,Beijing Normal University,Bejjing 100875,China)

机构地区：[1]广西职业技术学院,南宁530000 [2]北京师范大学心理学部,应用实验心理北京市重点实验室,心理学国家级实验教学示范中心(北京师范大学),北京100875

出　　处：《中国心理卫生杂志》2024年第11期949-954,共6页Chinese Mental Health Journal

基　　金：广西高校中青年教师科研基础能力提升项目“团体认知行为对高职生社交焦虑的干预-自动思维中介作用”(2023KY1014);广西教育科学“十四五”规划课题“趋同化管理背景下东盟来桂高职院校留学生文化适应干预研究-社交焦虑的中介作用”(2023ZJY2174)。

摘　　要：目的:探索认知行为团体干预对高职新生社交焦虑的效果及负性自动思维在其中的中介作用。方法:在高职新生招募有社交焦虑80人[交往焦虑量表(IAS)得分>48分],随机分配进入认知行为团体干预组(CBGT组)和等待对照组。CBGT组接受为期8周的认知行为团体干预,等待对照组在此期间不做任何干预。在基线、4周干预后、8周干预后、3个月追踪时,使用IAS、负性评价恐惧量表(FNE)、社交回避与苦恼量表(SAD)、自动思维问卷(ATQ)进行测量。结果:重复测量方差分析结果表明,各变量组别和测量时间点交互作用均有统计学意义(均P<0.05),简单效应分析结果表明,CBGT组从干预4周干预后量开始各指标得分均低于等待对照组(均P<0.05)。中介效应分析结果显示,负性自动思维的改善在组别与负性评价恐惧症状的即时及长期改变之间起中介作用(IE=-0.81,95%CI=-1.33~-0.12)。结论:认知行为团体干预对高职新生的社交焦虑症状有改善作用,其中负性自动思维在干预减少负性评价恐惧症状的过程中起到中介作用。Objective:To explore the effect of cognitive-behavioral group intervention on social anxiety of freshmen in higher vocational colleges and the mediating role of negative automatic thinking.Methods:Eighty freshmen with high social anxiety were recruited and randomly assigned to the cognitive-behavioral group intervention group(CBGT group)and the waiting control group.The CBGT group received cognitive behavioral group intervention for 8 weeks and waited for the control group to do no intervention during this period.The Interaction Anxiety Inventory(IAS),Negative Evaluation Fear Scale(FNE),Social Avoidance and Distress Scale(SAD),and Automatic Thinking Questionnaire(ATQ)were used to evaluate the two groups at baseline,after 4 weeks of intervention,after 8 weeks of intervention,and at 3 months of follow-up.Results:The results of repeated measurement ANOVA showed that the interaction of each variable group and measurement time point had statistical significance(Ps<0.05).The results of simple effect analysis showed that the scores of each index were lower in the CBGT group than in the waiting control group from the beginning of the intervention(Ps<0.05).The mediating effect analysis showed that the improvement of negative automatic thinking mediated the immediate and long-term changes in the group and the negative evaluation of fear symptoms(IE=-0.81,95%CI=-1.33--0.12).Conclusion:Cognitive behavioral group intervention could improve the social anxiety symptoms of freshmen in higher vocational colleges,and the improvement of negative automatic thinking is an important intermediary factor to reduce the fear symptoms of negative evaluation.

关 键 词：认知行为治疗 高职新生 社交焦虑 团体干预 

分 类 号：R749.059[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]