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目的分析影响内观认知疗法疗效的相关因素,为改善和促进心理健康水平提供依据。方法对77名医学生志愿者进行7 d内观认知治疗,根据前后SCL-90的差值改变,以变化差值的平均分为界将其分为强效组(n=40)和弱效组(n=37)。对两组间的基本情况、心身症状(SCL-90)、自我信念(IBS)、惧怕否认(FNE)、情感平衡(ABS)、领悟社会支持(PSSS)、自尊(SES)和元认知(MCQ)进行比较和分析。结果非条件Logistic回归单因素分析显示,SCL-90总分、自我信念总分、自尊水平、元认知总分等25个因素与治疗有效率显著相关;多因素回归分析显示,男性(OR=0.029)、父母健康(OR=0.262)、出勤(OR=1.627)、强迫(OR=11.727)、恐怖(OR=9.725)等5个因素进入拟合主效应模型。结论男性、父母健康、出勤率高、强迫和恐怖症状是内观认知疗法的显著性有效因素。
Objective To analyze the related factors that affect the efficacy of cognate cognitive therapy and provide the basis for improving and promoting mental health. Methods Totally 77 medical student volunteers were treated with cognitive perception for 7 days. According to the difference of SCL-90 before and after the change, the average difference between the two groups was divided into two groups: the strong group (n = 40) and the weak group Group (n = 37). The basic conditions, SCL-90, IBS, FNE, ABS, PSSS, SES and Metacognition MCQ) for comparison and analysis. Results Unconditional Logistic regression univariate analysis showed that SCL-90 total score, self-confidence score, self-esteem level, total metacognition score and other 25 factors were significantly correlated with treatment effectiveness; multivariate regression analysis showed that men (OR = 0.029), parental health (OR = 0.262), attendance (OR = 1.627), compulsion (OR = 11.727) and horror (OR = 9.725). Conclusions Male, parental health, high attendance rate, compulsive and horrible symptoms are significant and effective factors of cognition therapy.