【作者】 李波； 樊瑞娟；

【Author】 Li Bo Fan Ruijuan Department of Social work and Psychology,Beijing Institute of Technology School of Humanities and Social Science,Beijing 100081,

【机构】 北京理工大学人文学院社会工作与心理学系；

【摘要】 目的:本研究将正念认知疗法用于大学生强迫症状的干预并采用团体的形式,探索团体正念认知疗法对大学生强迫症状的干预是否有效,并用质性分析的方式探索可能的疗效因子。方法:共招募六名受强迫症状困扰的大学生被试。使用耶鲁布朗强迫症严重程度量表(YBOCS),焦虑自评量表(SAS)等对其进行前测、中测、后测及三个月后的追踪测并在八周训练结束后对被试进行半结构式访谈,然后进行类属分析。结果:质性分析的结果表明,团体正念认知疗法对大学生强迫症状的干预是有效的。正念起作用的方式在本研究中集中体现为三个方面,一为接纳的态度减少了压力和焦虑,减轻了症状。二为增强了集中注意力的能力而减轻被症状吸引影响的程度。三为觉知能力的提高并且通过觉知本身就能带来一些调整和改变。量性分析的结果表明,耶鲁布朗严重程度量表及焦虑量表得分前后差异显著,前测中YBOCS平均分为15.83,后测平均分为12.33(P=0.05)。SAS得分从前测平均分39.5下降至35.33(p=0.05)。总体来看5/6被试都在YBOCS及SAS得分上有改善。在三个月后的追踪测中,干预的效果得到维持。总的来说量性分析的结果和质性分析的结果是一致的。结论:这项探索性研究的结果表明MBCT在对大学生强迫症状的干预上是有效的。更多还原

【Abstract】 Objective:in the present research,Mindfulness-based cognitive therapy(MBCT)is used for the treatment of obsessive symptoms happened in undergraduates in a group in my study,aiming at exploring whether it can help and what helps.Methods:6 participants with the symptoms of OCD were recruited to take part in the study.Semi-structured qualitative interviews were conducted after training.Analysis of categorization was used to analyze the data.Results:The qualitative data indicated that MBCT was beneficial to participants.Rationale for the effectiveness of mindfulness in this study may be:acceptance helps reducing pressure, alleviating symptoms;the ability of concentrating one’s attention is enhanced which helps participants be less affected by symptoms; Development of awareness can help self-regulation and change.Statistically significant reductions in mean YBOCS and SAS scores were observed:the mean pre-course YBOCS score was 15.83 and post-course score was 12.33(p=0.5),a similar reduction was noted for anxiety with a mean pre-course SAS score of 39.5 and mean post-course score of 35.33(p=0.05).Overall 5/6 participants showed improvements in YBOCS and SAS.In general,the results of the quantitative changes agreed with the qualitative analysis. Conclusion:The results of this exploratory mixed methods study suggest that MBCT may have a role to play in treating OCD.更多还原