团体正念在中考学生考前焦虑情绪干预中的效果评价

【作者】 童春南； 史册； 张载福； 陈筱萍；

【机构】 浙江省金华市第二医院精神科；

【摘要】 目的探讨短程团体正念疗法改善中考学生考前焦虑情绪的效果。方法连续两年选取同一所学校参加中考的初三学生中有焦虑情绪的考生为研究对象,其中2019年66名为对照组,2020年69名学生为观察组,在考前5周开始分别给予4周8次的团体认知行为治疗与团体正念治疗。使用焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)测评干预前与干预4周后,两组的焦虑水平;使用五因素念度量表(FFMQ)评定两组个体正念水平。结合考生的平时成绩,家庭收入,父母学历等因素,对比分析两组之间治疗效果的差异。结果经团体认知行为干预和团体正念干预4周后,考生SAS、HAMA项评分均明显低于干预前(均P<0.05),但正念干预治疗效果比认知治疗干预更好;初始SAS,HAMA评分越高,干预后改善效果越明显。干预后正念治疗组FFMQ评分明显高于认知行为治疗组(P <0.05)。结论 4周8次的团体正念练习能有效降低中考学生考前焦虑情绪。更多还原

【Abstract】 Objective To explore the effect of short-range group mindfulness therapy on improving students’ anxiety before examination.Methods For two consecutive years,the students with anxiety in the third year of senior high school examination in the same school were selected as the research objects,among which 66 students in 2019 were the control group and 69 students in 2020 were the observation group.All patients were given treatment for4 weeks and 8 times in 5 weeks before the examination.The control group was given group cognitive behavioral therapy,while the observation group was given group mindfulness therapy.The anxiety levels were measured by selfrating anxiety scale(SAS) and Hamilton anxiety scale(HAMA) before intervention and 4 weeks after intervention.The levels of mindfulness were assessed using the Five Facet Mindfulness Questionaire(FFMQ).The difference of therapeutic effect between the two groups was compared and analyzed by combining the factors of the examinee’ s normal grades,family income,parents’ education and so on.Results After 4 weeks of group cognitive behavior intervention and group mindfulness intervention,the scores of SAS、HAMA items were significantly lower than those before intervention(P<0.05),but the effect of mindfulness intervention was better than that of cognitive therapy intervention;the higher the initial SAS,HAMA score,the more obvious the improvement effect after intervention.After intervention,the FFMQ score of the mindfulness intervention group was significantly higher than that of the cognitive behavior therapy group(p <0.05).Conclusion Group Mindfulness Therapy 8 times in 4 weeks can effectively reduce the students’ anxiety before the test.更多还原