【作者】 孙伟；

【导师】 金洪源；

【作者基本信息】 辽宁师范大学 ， 应用心理学， 2013， 硕士

【摘要】 目的：在以往研究的基础上，建立一套适合于临床心理咨询与治疗的理论假设，以弥补过去研究的不足，证明元认知干预技术治疗演讲焦虑的有效性，并运用科学的实验方法探讨元认知干预技术中情感组织者环节对演讲焦虑治的疗程、疗效、防复发等方面产生影响。从而说明情感组织者环节在元认知干预技术治疗演讲焦虑中的重要作用，并能够激发元认知干预技术研究者对情感组织者的研究与探索，从而进一步提高元认知干预技术的治疗效果。方法：采用多基线实验设计进行研究,将演讲者信心自评量表(PRCS)、症状自评量表（SCL-90）的得分作为治愈与否的标准，另外用自编主观满意度等级表，将被试的演讲情景满意度作为多基线实验设计的指标。运用SPSS软件中Wilcoxon秩和检验分析对实验组和控制组在自编自我表现评定表的各相关项目进行差异检验。结果：治疗后所有被试在演讲者信心自评量表(PRCS)、症状自评量表（SCL-90）的得分均明显下降。实验组被试在治疗后和回访时PRCS得分均低于入组标准，SCL-90中焦虑因子得分均低于划界标准，多基线图显示实验组被试的演讲情景满意度迅速上升。控制组被试在第二次干预后，症状开始明显下降。回访时实验组被试量表得分持续下降，最终恢复正常水平；控制组被试量表得分也继续下降，最终降到入组标准之外。结论：干预结束后第三个月回访，所有被试均无演讲焦虑症状，说明元认知干预技术治疗演讲焦虑效果显著、持久、不易复发，且元认知干预技术中的情感组织者环节对演讲焦虑的治疗起到了积极的促进作用。更多还原

【Abstract】 Objective: Based on the researches done by others, this research sets up a hypothesiswhich could be applied into clinical psychology in order to cover the insufficiencies of thestudies of this area and. This research takes the approach of Meta-cognition InterventionTechnique to focus on speech anxiety and with the scientific experiments it scratches theeffect on the treatment period, the outcomes of the treatments and the outcomes after beingcured caused by the training tasks of Meta-cognition Intervention Technique, then explainsthat the emotional advance organizer plays an important role in treating social phobia andarouses study on the training tasks about types, quantity and strength. Furthermore it enhancesthis technique’s treatment effect.Method: This research takes the scores of Personal Report of Confidence as a Speaker(PRCS) and Symptom Checklist90(SCL-90) for the standard of the curing. On the otherhand, it uses the self-made Subjective Satisfaction Level Scale (SSLS) to record the results ofSSLS as indicators of multiple baseline experimental design. And it tests the difference inscores of SSLS between the two groups by the W-test of SPSS software.Results: All the clients’ scores of PRCS and SCL-90are much lower than thedemarcation after the intervention. The experimental group clients’ scores of PRCS and theanxiety factor of SCL-90in the post-treatment and tracing period are all below divisioncriteria. The degree of satisfaction in speech is up rapidly after intervention. The clients’speech anxiety symptoms in control group are decreased to a significant level after the secondintervention. The scores of clients in experimental group continue to decline and becomerelatively stable in the review period, and finally turn back to normal levels. The scores ofclients in control group also begin to decline and finally reduced to the last standard.Conclusion: In the three-month follow up, all the clients have no speech anxietysymptoms. The Meta-cognition Intervention Technique has an obvious promising andenduring effect on the treatment of speech anxiety. The emotional advance organizer of TheMeta-cognition Intervention Technique has played a positive role in treating speech anxiety.更多还原