认知行为团体辅导对高强迫特质大学生认知控制的影响

钱梦婷; 睢鹏娇; 蔡翥; 陈璐; 林艳婷; 陈璐; 朱春燕

doi:10.16835/j.cnki.1000-9817.2022.04.016

认知行为团体辅导对高强迫特质大学生认知控制的影响

doi: 10.16835/j.cnki.1000-9817.2022.04.016

1.
安徽医科大学精神卫生与心理科学学院，合肥 230032
2.
海军青岛特勤疗养中心医学心理科

基金项目:

国家自然科学基金项目 81771456

详细信息

作者简介:
钱梦婷(1995-)，女，安徽合肥人，在读硕士，主要研究方向为应用心理学

通讯作者:
朱春燕，E-mail：ayswallow@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.8 B844.2
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- 文章访问数: 593
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- 被引次数: 0
出版历程
- 收稿日期: 2021-10-27
- 修回日期: 2021-12-21
- 网络出版日期: 2022-04-25
- 刊出日期: 2022-04-25

Impact of group cognitive behavioral therapy counseling on cognitive control among college students with high obsessive-compulsive traits

1.
School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei (230032), China

摘要

摘要: 目的探讨认知行为团体辅导(GCBT)对高强迫特质大学生认知控制的影响，为开展高校学生心理辅导干预提供基础资料。方法 2019年3—4月，方便选取合肥市2所高校的687名学生为研究对象，按照纳入与排除标准选取其中58例高强迫特质大学生，随机数字表法分为实验组(29名)和对照组(29名)。实验组接受8次的认知行为团体辅导(共4周，每周2次，每次90 min)，对照组不做任何处理。在基线与4周后对2组进行强迫症状量表(OCI-R)及Stroop色词测验(SWCT)、数字广度测验(DST)和威斯康辛卡片测试(WSCT)测评。结果干预后，GCBT组OCI-R评分(10.28±7.22)低于对照组(15.90±10.20)分(t=2.42，P < 0.05)。在Stroop C和干扰效应(SIE)耗时上，对照组干预前后分别为(21.89±6.63，8.62±4.43；20.52±7.37，8.04±4.84)s，GCBT组分别为(22.14±4.92，8.36±3.87；16.81±3.43，4.82±1.86)s，时间×组别的交互作用均有统计学意义(F值分别为14.60，10.54，P值均 < 0.05)；在DST-倒背得分上，对照组干预前后为(6.21±1.35，6.55±1.45)个，GCBT组为(6.31±1.44，7.24±1.38)个，时间×组别的交互作用有统计学意义(F=3.96，P < 0.05)。结论认知行为团体辅导可以改善高强迫特质大学生的抑制控制和工作记忆，但未改变认知灵活性。
- 团体处理 /
- 强迫 /
- 认知 /
- 干预性研究 /
- 学生 /
- 健康促进
Abstract: Objective To explore the effect of group cognitive behavioral therapy (GCBT) on cognitive control among college students with high obsessive-compulsive traits, to provide basic information for the psychological counseling intervention for college students. Methods From March to April 2019, 687 students were conveniently selected from 2 universities in Hefei. According to the inclusion and exclusion criteria, 58 students with high obsessive traits were selected and divided into experimental group (n=29) and control group (n=29) by random number table method. The experimental group received cognitive behavioral group counseling for 4 weeks (1.5 h each time, twice a week), while the control group receive no intervention. The Obsessive-Compulsive Inventory-Revised (OCI-R), Stroop Color-Word Test (SCWT), Digital Span Test (DST), and Wisconsin Card Sorting Test (WSCT) were used to assess in two groups at baseline and 4 weeks later. Results After 4 weeks, the scores of OCI-R in the GCBT group (10.28±7.22) was lower than that of in the control group (15.90±10.20) (t=2.42, P < 0.05). Before and after intervention, compared with the control group [(21.89±6.63, 20.52±7.37)s, (8.62±4.43, 8.04±4.84)s] in Stroop C and Stroop interfere effects (SIE), the GCBT group [(22.14±4.92, 16.81±3.43)s, (8.36±3.87, 4.82±1.86)s], the interaction of time' group was statistically significant (F=14.60, 10.54, P < 0.05). Compared with the control group (6.21±1.35, 6.55±1.45)times, the scores of DST-reverse in the GCBT group (6.31±1.44, 7.24±1.38) times were statistically significant (F=3.96, P < 0.05). Conclusion It suggests that cognitive behavioral group counseling can improve the inhibitory control and working memory of college students with high obsessive-compulsive traits, but does not change the cognitive flexibility.
- Group processes /
- Coercion /
- Cognition /
- Intervention studies /
- Students /
- Health promotion
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 两组大学生干预前后OCI-R、神经心理学测验结果比较(x±s)

Table 1. Comparison of OCI-R and neuropsychological test scores of two group before and after intervention (x±s)

组别	干预前后	人数	统计值	强迫量表	Stroop色词测验/s				数字广度测验/个		威斯康辛卡片测验/个
组别	干预前后	人数	统计值	强迫量表	卡片A	卡片B	卡片C	干扰效应	顺背	倒背	错误反应总数	持续性反应数	持续性错误总数
实验组	干预前	29		17.28±7.29	11.88±2.76	13.78±2.95	22.14±4.92	8.36±3.87	9.45±1.68	6.31±1.44	22.81±9.71	40.33±7.27	14.85±6.32
	干预后	29		10.28±7.22	11.00±2.26	11.99±2.38	16.81±3.43	4.82±1.86	9.59±1.90	7.24±1.38	16.51±3.56	38.44±5.26	11.40±2.29
			t值	3.68	1.33	2.54	4.78	4.43	-0.29	-2.51	3.03	1.04	2.57
			P值	< 0.05	0.19	< 0.05	< 0.01	< 0.05	0.77	< 0.05	< 0.05	0.30	< 0.05
对照组	干预前	29		16.66±11.75	11.78±1.97	13.28±2.87	21.89±6.63	8.62±4.43	8.90±1.21	6.21±1.35	24.58±9.31	39.34±8.72	14.97±5.38
	干预后	29		15.90±10.20	11.50±2.75	12.48±3.37	20.52±7.37	8.04±4.84	8.79±1.01	6.55±1.45	18.28±4.47	38.72±5.74	12.76±2.85
			t值	0.26	0.28	0.97	0.75	0.47	0.35	-0.94	3.34	0.32	1.95
			P值	0.79	0.78	0.34	0.46	0.64	0.73	0.35	< 0.05	0.75	0.06
注： WSCT实验组干预前完成人数27人，干预后完成人数26人。

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