设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
认知疗法提升恶劣心境障碍大学生心理韧性个案研究
作者:王平 
单位:苏州大学教育学院 苏州 215021 
关键词:认知治疗|心理韧性|恶劣心境障碍|大学生|个案 
分类号:R395.5
出版年,卷(期):页码:2013,21(2):334-338
摘要:

目的:初步探索认知疗法对提升恶劣心境障碍大学生心理韧性的效果。方法:1例恶劣心境障碍大学生接受连续9周、每周一次的认知治疗。采用青少年心理韧性量表、抑郁自评量表、焦虑自评量表和领悟社会支持量表在干预前、干预后和干预后3个月对患者分别实施测评,并收集患者的主观报告。结果:患者经过干预后,心理韧性水平提高,同时抑郁、焦虑水平下降。自我报告治疗后社会支持感提高,生活满意度提高,其效果在干预结束后三个月内的跟踪期间仍保持稳定。结论:认知治疗对有效地提升恶劣心境障碍患者的心理韧性存在一定的可能性,但未来仍需更多的实证研究来证实。

Objective: To investigate the effects of cognitive therapy on resilience for one college student with dys themic disorder. Methods: A dysthemic disorder college student received the 9 week and 9 time cognitive therapy. The Self Rating Depression Scale(SDS), Self Rating Anxiety Scale(SAS), Perceived Social Support Scale(PSSS) and Resilience Scale for Chinese Adolescents (RSCA) developed by Hu Yueqin et al were completed pre and post treatment and at a 3 month follow up. Results: Data indicated that RSCA and PSSS were significantly increased, emotion related scores in SDS, SAS were significantly reduced from pre to post intervention, and better life and self satisfaction were reported by the stu dent. These improvements maintained at 3 month follow up. Conclusion: Cognitive threrapy may be helpful to increase re silience for dysthemic disorder patients, however, more empirical studies are needed in the future of this area.

基金项目:
江苏省高校哲社重点项目:社会转型中弱势群体的心理成长与社会支持研究(SK20600211);江苏省体育局体育科技项目(ST12001204)
作者简介:
参考文献:

1 李海垒, 张文新. 心理韧性研究综述. 山东师范大学学报(人文社会科学版), 2006, 51(3): 149-152
2 席居哲. 基于社会认知的儿童心理弹性研究. 华东师范大学博士论文, 2006
3 Davidson RJ. Affective style, psychopathology, and resilience: Brain mechanisms and plasticity. American Psychologist;American Psychologist, 2000, 55(11): 1196
4 Davidson RJ. Affective neuroscience and psychophysiology:Toward a synthesis. Psychophysiology, 2003, 40 (5): 655 -665
5 钱铭怡.变态心理学.第1版.北京:北京大学出版社,2006. 150-151
6 Davydov D, et al. Resilience and mental health. Clinicalpsychology Review, 2010, 30: 479-495
7 Goldin PR, McRae K, Ramel W, Gross JJ. The neural basesof emotion regulation: Reappraisal and suppression of negative emotion. Biological Psychiatry, 2008, 63(6): 577
8 Tugade MM. Positive emotion and coping: Examining dualprocess models of resilience. Oxford Handbook of Stress,Health, and Coping, 2011. 186-199
9 Waugh CE, Fredrickson BL, Taylor SF. Adapting to life' sslings and arrows: Individual differences in resilience whenrecovering from an anticipated threat. Journal of Researchin Personality, 2008, 42(4): 1031-1046
10 陈瑜, 张宁. 孤独症患儿父母复原力的研究现状. 中国心理卫生杂志, 2007, 21(5): 298-300
11 陈虹, 张婷婷. 积极心理学在美国初中和小学的应用: 宾夕法尼亚大学的韧性项目. 中小学心理健康教育, 2010,144(1): 17-19
12 张敏, 邱晓虎, 兰先金. 针药治疗恶劣心境障碍疗效比较.福建医药杂志, 2006, 28(4): 138-139
13 王长虹, 贾福军, 方润领, 等. 理智-情绪疗法对 95 例心境恶劣障碍治疗效应的对照研究.中国心理卫生杂志,1999, 13(3): 172-173
14 Beck JS. Cognitive therapy: Basic and beyond. New York:Guilford
15 胡月琴,甘怡群.青少年心理韧性量表的编制和效度验证. 心理学报, 2008, 40(8): 902-912
16 汪向东, 王希林, 马弘, 等. 编心理卫生评定量表手册. 增订版.北京:中国心理卫生杂志社,1999. 194-197, 235-238, 131-133
17 Robert LL,著.张黎黎,等译.认知治疗技术.第1版.北京: 中国轻工业出版社, 2005. 1-2
18 钱铭怡.心理咨询与心理治疗.北京:北京大学出版社,1994. 178-180
19 Abramson LY, Metalsky GI, Alloy LB. Hopelessness depression: A theorybased subtype of depression. PsychologicalReview, 1989, 96: 358-372
20 张敏. 青少年情绪弹性对认知的影响. 上海师范大学博士论文, 2010
21 Tugade MM, Fredrickson BL. Regulation of positive emotions: Emotion regulation strategies that promote resilience.Journal of Happiness Studies, 2007, 8(3): 311-333
22 朱清, 范方, 郑裕鸿, 孙仕秀, 等. 心理弹性在负性生活事件和抑郁症状之间的中介和调节: 以汶川地震后的青少年为例. 中国临床心理学杂志, 2012, 20(4): 514-517
23 蔡琳, 钟明洁, 朱熊兆, 唐秋萍, 等. 抑郁性障碍患者的症状表现与认知情绪调节方式的关系. 中国临床心理学杂志, 2012, 20(2): 176-178
24 申连城. 社会支持对恶劣心境障碍患者心理压力影响研究. 中国医药指南, 2012, 9(36): 273-275
25 Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M, etal. Resilience as a moderator of pain and stress. Journal ofPsychosomatic Research, 2006, 61(2): 213-219

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com