高校短程整合取向心理咨询效果研究

王淳颖; 吴冉

doi:10.16835/j.cnki.1000-9817.2021.12.027

高校短程整合取向心理咨询效果研究

doi: 10.16835/j.cnki.1000-9817.2021.12.027

王淳颖,
吴冉^,

华东师范大学心理健康教育与咨询中心, 上海 200062

基金项目:

2020年度上海学校德育实践研究课题 2020-D-029

详细信息

作者简介:
王淳颖(1983-), 女, 上海市人, 硕士, 讲师, 主要研究方向为大学生心理健康教育与心理咨询

通讯作者:
吴冉, E-mail: rwu@mail.ecnu.cn

中图分类号: G647.8 G444 B844.2
计量
- 文章访问数: 543
- HTML全文浏览量: 225
- PDF下载量: 26
- 被引次数: 0
出版历程
- 收稿日期: 2021-01-06
- 修回日期: 2021-05-20
- 网络出版日期: 2021-12-23
- 刊出日期: 2021-12-25

Evaluation of short-term eclectic psychological counseling in higher-education setting/

WANG Chunying,
WU Ran^,

Mental Health Education and Service Center, East China Normal University, Shanghai (200062), China

摘要

摘要: 目的研究高校短程整合式心理咨询效果, 为高校心理健康工作提供实证依据。方法选取上海市某高校短程咨询大学生来访者965名(4 261次会谈), 在心理咨询前后采用常规临床咨询效果评估表中文表(CORE-OM)进行评估。结果咨询后, 除危机外, 幸福感、焦虑、抑郁、躯体化、创伤、亲密、能力得分超过临界分的比例显著下降(χ²值分别为32.91, 42.10, 33.75, 11.81, 29.64, 10.82, 15.55, P值均 < 0.01);除对他人危机外, 幸福感、问题/症状、社会功能、危机总分得分均下降, 差异均有统计学意义(t值分别为15.12, 28.85, 19.96, 5.88, P值均 < 0.01)。在640份有效样本中, 有338例CORE-OM得分变化量达可信改变度(RCI)。结论高校心理咨询可以有效减轻大学生常见的焦虑、抑郁情绪、亲密关系问题等心理困惑。
- 精神卫生 /
- 咨询 /
- 抑郁 /
- 焦虑 /
- 学生
Abstract: Objective To investigate quality of short-term eclectic psychological counseling services. Methods This study recruited 965 clients (4 261 sessions) at the university counseling center. The CORE-OM were implemented before and after the counseling service. Results Except crisis subscale, proportion of high scores over cut-off points in well-being, anxiety, depression, physical problems, trauma, relationships, general social functioning decreased significantly after counseling (χ²=32.91, 42.10, 33.75, 11.81, 29.64, 10.82, 15.55, P < 0.01); Except for harm-toward-other subscale, scores in subjective well-being, problems/symptoms, life/social dysfunctions decreased significantly after counseling (t=15.12, 28.85, 19.96, 5.88, P < 0.01). Changes in CORE-OM score among 338 out of 640 participants achieved significant reliable change index. Conclusion Short-term eclectic psychological counseling in higher educational setting helps alleviate psychological distress including anxiety, depression, relationship issues.
- Mental health /
- Counseling /
- Depression /
- Anxiety /
- Students

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表 1 心理咨询前后大学生CORE-OM各心理因素阳性检出率比较

Table 1. Comparison of the detection rate of college students' psychological factors before and after psychological counseling

心理咨询前后	人数	幸福感低	焦虑	抑郁	躯体化	创伤	亲密能力受损	一般能力受损	社交能力受损	危机
心理咨询前后	人数	幸福感低	焦虑	抑郁	躯体化	创伤	亲密能力受损	一般能力受损	社交能力受损	针对自己	针对他人
咨询前	909	439(48.3)	539(59.3)	451(49.6)	369(40.6)	551(60.6)	358(39.4)	467(51.4)	155(17.1)	59(6.5)	16(1.8)
咨询后	667	76(11.4)	97(14.5)	81(12.1)	123(18.5)	152(22.8)	119(17.8)	160(24.0)	39(5.8)	15(2.2)	17(2.6)
χ²值		32.91^**	42.10^**	33.75^**	11.81^**	29.64^**	10.82^**	15.55^**	5.94^*	2.86	0.21
注： ()内数字为检出率/%；P < 0.05，*P < 0.01。

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表 2 心理咨询前后大学生CORE-OM各维度得分比较(x±s)

Table 2. The CORE-OM scores and t-test results before and after psychological counselling (x±s)

心理咨询前后	人数	幸福感	问题/症状					社会功能				危机
心理咨询前后	人数	幸福感	焦虑	抑郁	躯体化	创伤	总分	亲密能力	一般能力	社交能力	总分	针对自己	针对他人	总分
咨询前	909	1.82±0.83	2.05±0.86	1.90±0.98	1.46±1.05	2.01±1.07	1.89±0.78	1.70±0.82	1.90±0.77	1.14±0.77	1.58±0.61	0.48±0.76	0.20±0.47	0.39±0.57
咨询后	667	1.35±0.43	1.13±0.71	1.04±0.76	0.97±0.80	1.14±0.81	1.08±0.62	1.20±0.82	1.40±0.70	0.74±0.63	1.11±0.55	0.30±0.48	0.18±0.44	0.26±0.41
t值		15.12^**	27.08^**	23.99^**	12.75^**	22.61^**	28.85^**	14.46^**	15.27^**	14.42^**	19.96^**	6.29^**	1.11	5.88^**
注： **P < 0.01。

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参考文献(14)

[1]	王恩界, 周展锋. 心理咨询效果影响因素的研究现状与展望. 中国全科医学, 2017, 20(1): 108-113. doi: 10.3969/j.issn.1007-9572.2017.01.022 WANG E J, ZHOU Z F. Research status and prospect of influencing factors of psychological counseling. Chin Gener Practic, 2017, 20(1): 108-113. doi: 10.3969/j.issn.1007-9572.2017.01.022
[2]	佘壮, 席居哲, 史燕伟, 等. 正式反馈的发展与临床应用. 心理科学, 2021, 44(1): 223-229. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX202101031.htm SHE Z, XI J Z, SHI Y W, et al. The development of formal feedback and its clinical application. J Psychol Sci, 2021, 44(1): 223-229. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX202101031.htm
[3]	杨家平, 刘玎, 张小远. 心理咨询与治疗中的会谈影响的研究进展. 中国全科医学, 2018, 21(19): 2389-2394. doi: 10.12114/j.issn.1007-9572.2018.00.045 YANG J P, LIU D, ZHANG X Y. Session impact in psychological counseling and psychotherapy. Chin Gener Practic, 2018, 21(19): 2389-2394. doi: 10.12114/j.issn.1007-9572.2018.00.045
[4]	鲁艳桦, 江光荣, 林秀彬, 等. 心理咨询中好坏效果案例咨询互动的内容分析. 心理科学, 2017, 40(2): 492-498. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201702037.htm LU Y H, JIANG G R, LIN X B, et al. Content analysis of interaction on the good and poor outcome cases in counseling and its application. J Psychol Sci, 2017, 40(2): 492-498. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201702037.htm
[5]	佘壮, 孙启武, 江光荣. 治疗效果评定量表在中国大学生群体中的信效度检验. 中国临床心理学杂志, 2017, 25(2): 272-275. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201702017.htm SHE Z, SUN Q W, JIANG G R. Reliability and validity of Chinese version of outcome rating scale. Chin J Clinic Psychol, 2017, 25(2): 272-275. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201702017.htm
[6]	ETHERINGTON K. Making research matter: researching for change in the theory and practice of counselling and psychotherapy. Br J Guidanc Counsell, 2016, 44(5): 1-3. doi: 10.1080/03069885.2016.1217981
[7]	BARKHAM M, MELLOR-CLARK J, CONNELL J, et al. A core approach to practice-based evidence: a brief history of the origins and applications of the core-om and core system. Counsell Psychotherapy Res, 2006, 6(1): 3-15. doi: 10.1080/14733140600581218
[8]	EVANS C, MELLOR-CLARK J, MARGISON F, et al. CORE: clinical outcomes in routine evaluation. J Ment Health, 2000, 9(3): 247-255. doi: 10.1080/jmh.9.3.247.255
[9]	ZHANG Y, HU J, CHRIS EVANS, et al. Psychometric properties of the Chinese version of the clinical outcomes in routine evaluation-outcome measure (CORE-OM). Br J Guidanc Counsell, 2020, 48(2): 289-299. doi: 10.1080/03069885.2019.1682120
[10]	周婧, 郑涌. 心理治疗结果的临床显著性分析方法. 心理科学进展, 2009, 17(5): 1002-1009. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD200905019.htm ZHOU J, ZHENG Y. The clinical significance methods for analyzing psychotherapy outcomes. Adv Psychol Sci, 2009, 17(5): 1002-1009. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD200905019.htm
[11]	梁宝勇, 杜桂芝, 刘畅. 心理治疗结果的临床显著性及其统计学评估方法. 中国临床心理学杂志, 1997(1): 55-57, 60. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY701.017.htm LIANG B G, DU G Z, LIU C. The clinical significance and its statistical evaluation for analyzing psychotherapy outcomes. Chin J Clinic Psychol, 1997(1): 55-57, 60. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY701.017.htm
[12]	JACOBSON N S, ROBERTS L J, BERNS S B, et al. Methods for defining and determining the clinical significance of treatment effects: description, application, and alternatives. J Consult Clinic Psychol, 1999, 67(3): 300-307. doi: 10.1037/0022-006X.67.3.300
[13]	EVANS C, MARGISON F, BARKHAM M. The contribution of reliable and clinically significant change methods to evidence-based mental health. Evid-Based Ment Health, 1998, 1: 70-72. doi: 10.1136/ebmh.1.3.70
[14]	于丽霞, 郑晓边, 夏勉, 等. 短程心理咨询的会谈间体验对咨询效果的影响: 来自纵向测量的证据. 心理科学, 2013, 36(5): 1216-1222. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201305032.htm YU L X, ZHEN X B, XIA M, et al. Intersession experiences and treatment outcome in short-term psychotherapy: evidence from longitudinal data. J Psychol Sci, 2013, 36(5): 1216-1222. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201305032.htm