Effect of group cognitive therapy on negative emotion and impulsivity of college students with Internet addiction
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摘要:
目的 采取团体认知治疗方法，比较干预组和对照组网络成瘾大学生在负性情绪以及冲动性方面的差异变化，探索团体治疗网络成瘾的效果。 方法 将招募的贵阳某高校33名网络成瘾大学生随机分为干预组(16名)和对照组(17名)，在干预前后进行网络成瘾量表、抑郁自评量表、焦虑自评量表、UPPSP冲动行为量表的测量。采用事件相关电位(ERP)技术，检测两组被试在干预前后与冲动抑制功能相关的脑电成分差异。 结果 对照组干预前后两次网络成瘾、焦虑、抑郁及冲动性的得分变化均无统计学意义(P值均>0.05)；对照组后测N1波幅高于前测(t值分别为-3.32，-3.19，P值均<0.05)，N2、P3的波幅变化均无统计学意义(P值均>0.05)。干预组干预前后的抑郁、焦虑得分下降(t值分别为2.20，2.45，P值均<0.05)；消极紧迫感及积极紧迫感得分下降(t值分别为3.84，3.44，P值均<0.05)；干预组干预后，N1波幅的反应任务(GO)和停止任务(STOP)均高于前测(t值分别为-3.08，-2.72，P值均<0.05)，N2、P3的STOP均低于前测(t值分别为2.10，2.07，P值均<0.05)。 结论 团体认知治疗可以改善网络成瘾大学生的负性情绪，降低冲动性水平，并在一定程度上改善其冲动控制功能。 Abstract:Objective To explore the effects of group cognitive therapy on negative emotions and impulsivity among college students with Internet addiction. Methods 33 college students with Internet addiction from one university in Guiyang were randomly divided into intervention group (n=16) and control group (n=17). Before and after the intervention, the Young's Internet Addiction Test, Self-rating Depression Scale, Self-rating Anxiety Scale and UPPSP Impulsive Behavior Scale were administered. In addition, the event-related potential (ERP) technology was used to detect the differences in EEG components related to impulse suppression between the two groups before and after the intervention. Results There were no statistically significant changes in the scores of Internet addiction, anxiety, depression, and impulsivity in the control group before and after(P>0.05); the N1 amplitude in the control group was higher than that in the previous test(t=-3.32, -3.19, P<0.05), and the changes in the amplitude of N2 and P3 were not statistically significant(P>0.05). The depression and anxiety scores of the intervention group were significantly lower than those of the pre-test (t=2.20, 2.45, P<0.05); the negative urgency and positive urgency scores were significantly lower than those of pre-test (t=3.84, 3.44, P<0.05); the N1 amplitude of the intervention group after treatment was higher than the previous test (t=-3.08, -2.72, P<0.05), and the N2 and P3 were lower than the previous test (t=2.10, 2.07, P<0.05). Conclusion Group cognitive therapy can improve the negative emotions of college students with Internet addiction, reduce the impulsivity level of college students with Internet addiction, and improve the impulse control function of college students with Internet addiction to a certain extent. -
Key words:
- Group processes /
- Internet /
- Behavior, addictive /
- Emotions /
- Intervention studies /
- Students
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表 1 网络成瘾大学生团体认知治疗方案
Table 1. Group cognitive therapy program for Internet addiction college students
名称 目标 活动内容 缘聚你我 相识，建立团体契约 1.信任之旅；2.你知我知；3.连环自我介绍；4.讨论团体契约；5.家庭作业 风雨同舟 加深认识，促进团体相互信任 1.天气预报；2.同舟共济；3.海上泛舟；4.我们的理想；5.家庭作业 披荆斩棘 制定成员个体目标，分享以往小点滴 1.天气预报；2.我是不一样的烟火；3.勇往直前；4.家庭作业 情绪知多少 识别自身的情绪，改善不良情绪应对方式，发掘动机和兴趣 1.天气预报；2.你的情绪，我知道；3.如果远离一个月；4.说出心声；5.家庭作业 那些花儿 评估成员人际关系，应对问题社会支持系统，提高问题正向解决能力 1.天气预报；2.那些花儿；3.带高帽；4.家庭作业 生活是个大馅饼 提高时间管理能力，合理分配时间 1.天气预报；2.生活馅饼；3.留作业结束 突破困境 引导成员评估和思考意志力，协助成员制定规划，激发渐进动力 1.天气预报；2.意志力评估；3.突破重围；4.生活拼图 共同的约定 回顾以往活动，讨论心路历程，处理离别情绪 1.天气报告；2.分享变化；3.离别祝福；4.合唱“相亲相爱一家人” 
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表 2 不同组别网络成瘾大学生干预前后情绪量表及网络成瘾得分比较(x±s)
Table 2. Comparison of Emotion Scale and Internet addiction scores of college students with Internet addiction before and after intervention in different groups (x±s)
组别 干预前后 人数 统计值 SDS SAS IAT 对照组 干预前 17 48.53±5.87 45.59±5.96 65.29±10.37 干预后 17 50.29±6.95 45.81±7.98 63.71±10.01 t值 -0.80 -0.09 0.46 P值 0.43 0.93 0.65 干预组 干预前 16 50.00±12.32 48.28±11.35 63.81±9.61 干预后 16 41.25±10.10 39.38±9.09 52.06±4.46 t值 2.20 2.45 4.44 P值 0.04 0.02 < 0.01
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表 3 不同组别网络成瘾大学生干预前后UUPS冲动行为量表各维度得分比较(x±s)
Table 3. Comparison of different dimensions of the UUPS Impulsive Behavior Scale before and after intervention in different groups of Internet addiction college students (x±s)
组别 干预前后 人数 统计值 消极紧迫感 缺乏计划性 缺乏耐性 感觉寻求 积极紧迫感 干预组 干预前 16 32.13±3.50 23.31±3.40 22.38±3.36 31.13±5.57 35.75±4.73 干预后 16 26.38±4.86 22.63±2.25 21.44±3.12 30.44±5.09 29.94±4.82 t值 3.84 0.68 0.82 0.37 3.44 P值 < 0.01 0.51 0.42 0.72 < 0.01 对照组 干预前 17 32.00±5.33 24.47±5.85 25.18±5.04 28.24±5.92 35.06±4.67 干预后 17 31.88±5.07 24.41±4.23 23.88±3.72 29.41±7.35 34.59±6.21 t值 0.07 0.03 0.85 -0.51 0.25 P值 0.95 0.97 0.40 0.61 0.80
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表 4 不同组别网络成瘾大学生干预前后脑电波幅比较(x±s，μv)
Table 4. Comparison of EEG before and after intervention in different groups of Internet addiction college students (x±s, μv)
组别 干预前后 人数 统计值 N1 N2 P3 GO STOP GO STOP GO STOP 对照组 干预前 17 -0.28±2.31 -0.48±2.27 0.20±1.77 0.21±1.68 -0.02±1.57 -0.27±1.53 干预后 17 2.66±2.73 2.35±2.60 -0.13±2.16 -0.04±2.23 -1.08±1.54 -0.56±1.73 t值 -3.32 -3.19 0.45 0.37 1.87 0.50 P值 0.00 0.00 0.65 0.72 0.07 0.62 干预组 干预前 16 -0.72±2.30 -0.60±2.16 0.30±2.09 0.40±1.86 -0.40±1.63 -0.10±1.67 干预后 16 1.92±2.42 1.68±2.51 -0.20±1.42 -0.96±1.42 -0.82±1.42 -1.27±1.30 t值 -3.08 -2.72 0.73 2.10 0.77 2.07 P值 0.00 0.01 0.47 0.04 0.45 0.05
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