大学生负性情绪的隐喻接纳2周在线干预研究  

A 2-week online metaphorical acceptance-based intervention for negative emotions in college students

作　　者：李若楠 于婉蓉 张建新[1] 张文彩[1] LI Ruonan;YU Wanrong;ZHANG Jianxin;ZHANG Wencai(CAS Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences,Beijing 100101,China;Department of Psychology,University of Chinese Academy of Sciences,Beijing 100049,China)

机构地区：[1]中国科学院心理健康重点实验室,中国科学院心理研究所,北京100101 [2]中国科学院大学心理学系,北京100049

出　　处：《中国心理卫生杂志》2025年第1期75-80,共6页Chinese Mental Health Journal

基　　金：中国科学院心理研究所自主部署项目(E0CX151008)。

摘　　要：目的:探讨隐喻接纳干预改善大学生负性情绪的效果。方法:112名大学生被分配至隐喻组(n=40)、非隐喻组(n=36)和空白对照组(n=36)。2个干预组接受2周在线团体干预,空白对照组不接受干预。在基线、2周干预后、1周随访和3周随访时施测广泛性焦虑量表-7 (GAD-7)、患者健康问卷-9 (PHQ-9)、接纳与行动问卷第二版(AAQ-Ⅱ)和自评接纳条目。结果:2周干预后,隐喻组的GAD-7、PHQ-9和AAQ-Ⅱ得分均低于基线,自评接纳得分均高于基线(均P<0.01);非隐喻组1周随访时的GAD-7得分,2周干预后和1周随访时的PHQ-9得分及2周干预后、1周随访和3周随访时的AAQ-Ⅱ得分均低于基线(均P <0.05),而2周干预后、1周随访和3周随访时的自评接纳得分均高于基线(均P<0.001)。AAQ-Ⅱ得分的减少仅对隐喻接纳干预造成的GAD-7和PHQ-9得分的减少存在中介作用(95%CI=-2.39~-0.38、-2.65~-0.44)。结论:隐喻接纳在线干预持续改善焦虑情绪的效果更优,经验性回避的减少是隐喻接纳干预改善焦虑和抑郁情绪的重要因素。Objective:To investigate the effect of metaphorical acceptance-based intervention on alleviating negative emotions in college students.Methods:Totally 112 college students were assigned to the metaphorical intervention group(n=40),the non-metaphorical intervention group(n=36),and the control group(n=36).Both intervention groups received online group intervention once a week for 2 weeks,while the control group received no intervention,The Generalized Anxiety Disorder-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),Acceptance and Action Questionnaire-2nd Edition(AAQ-II),and a self-report acceptance item were used to assess participants anxiety,depression,experiential avoidance,and acceptance at baseline,2-week post-intervention,1-week follow-up,and 3-week follow-up.Results:After 2-week interventions,the scores of GAD-7,PHQ-9,and AAQ-II in the metaphorical group were lower than that at baseline,and the scores of self-report acceptance were higher than that at baseline(Ps<0.01).In the non-metaphorical group,the scores of GAD-7 at 1-week follow-up,the scores of PHQ9 at 2-week post-intervention and 1-week follow-up,and the scores of AAQ-II after 2-week post-intervention were all lower than that at baseline(P_(s)<0.05).The scores of self-report acceptance after 2 weeks post-intervention were all higher than baseline(Ps<0.001).The decrease of scores of AAQ-II only mediated the reduction of scores of GAD-7(95%CI=-2.39--0.38)and PHQ-9(95%CI=-2.65--0.44)caused by metaphorical acceptancebased intervention.Conclusion:Online metaphorical acceptance-based intervention may have larger efficacy than non-metaphorical intervention in continuously alleviating anxiety,and the reduction of experiential avoidance plays an important role in alleviating anxiety and depression in metaphorical acceptance-based intervention.

关 键 词：治疗性隐喻 接纳干预 经验性回避 负性情绪 大学生 

分 类 号：B844.2[哲学宗教—发展与教育心理学] R749.055[哲学宗教—心理学]