摘要
目的:基于抑郁症的自我调节模型和自控力研究,开发一套以行为激活与强化为核心的自控力训练项目,检验该项目是否适用于抑郁症患者。方法:招募46名抑郁症大学生为研究对象,随机分入甲组(n=23)和乙组(n=23)。甲组接受为期24周的自控力训练,乙组只完成基线期和24周后评估,使用自我控制量表(SCS)和贝克抑郁量表第2版(BDI-Ⅱ)进行评估。自控力训练包括为期8周的训练模块和16周的巩固模块。结果:甲组24周后的SCS得分高于基线期得分[(38.0±6.3)vs.(34.7±8.2),P<0.01],BDI-Ⅱ得分低于基线期得分[(19.0±6.1)vs.(21.8±4.8),P<0.01];乙组的SCS和BDI-Ⅱ得分在基线期和24周后差异均无统计学意义(均P>0.05)。结论:自控力训练能提高大学生的自控力、改善抑郁症状,支持抑郁症的自我调节模型,提示自控力训练可以作为抑郁症心理行为干预的一种有效策略。
Objectives： To design a self-control training program based on the recent findings of self-control and self-regulation after taking full consideration of the unique characteristics of depression disorder, with an empha- sis on behavioral activation and reinforcement. Methods： Totally 46 students who were diagnosed with major de- pression were randomly assigned to one of the two groups： Group 1 （n =23）, and Group 2 （n =23）. Participants in the Group 1 received 24-week self-control training program, as compared to Group 2 who received only baseline and post-24-week-intervention measurements, the measurements included Self-control Scale （SCS） and Beck Depression Inventory （BDI- Ⅱ）. The self-control training included eight-week training modules and 16-week consolidation module. Results： In Group 1, the SCS scores were higher in post-intervention than in baseline measurement [ （38.0±6. 3） vs. （34. 7±8.2）, P 〈 0. 01], and the BDI-Ⅱ scores were lower in post-intervention than in baseline measurement [（19. 0±6. 1） vs. （21.8±4. 8）,P〈0. 01] in Group 1. Whereas in Group 2, there were no signifi- cant differences between baseline and post-24-week-intervention measurements of SCS and BDI-II scores （Ps 〉 0.05）. Conclusion： The study provides new evidence for the self-regulation model of depression. Self-control training could be an effective intervention strategy for the treatment of depression.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2018年第2期89-94,共6页
Chinese Mental Health Journal
基金
2014年度广东省哲学社会科学"十二五"规划项目"自控力训练在自杀早期干预中的作用(GD14CXL02)"
2014年度教育部人文社会科学研究"情绪启动在共情疲劳与医患冲突中的交互循环作用机制及干预研究(14YJA190013)"
关键词
自我控制
自我调节
抑郁症
行为激活
self-control
self-regulation
depressive disorder
behavioral activation
