内观认知疗法对医学生心理问题干预效果分析

发布时间：2018-05-12 04:59

本文选题：认知疗法 + 干预性研究　；参考：《中国学校卫生》2017年02期

【摘要】：目的分析内观认知疗法对医学生心理问题的干预效果及其相关因素,为该疗法在大中学校的推广应用提供依据。方法将2011—2016年经内观认知疗法干预的天津医科大学325名医学生作为研究对象,评价心理干预效果;采用有序Logistic回归分析评估干预效果的相关因素。结果医学生内观认知疗法干预的总有效率为82.5%(显效为63.4%,有效为19.1%)。有序Logistic回归分析结果显示,女生(OR=0.61,95%CI=0.38~0.96)、家庭经济困难(OR=0.34,95%CI=0.12~0.93)、与父母的关系好(OR=0.19,95%CI=0.06~0.59)、父母之间关系好(OR=0.07,95%CI=0.02~0.22)、手册完成情况好(OR=0.01,95%CI=0.00~0.58)、出勤率高(OR=0.03,95%CI=0.00~0.21)的医学生干预效果较好。结论内观认知疗法能有效解决医学生心理问题,对适应问题、情绪问题、人际关系问题及自我认知失调问题有显著效果。女生、家庭经济困难、与父母的关系好、父母之间关系好、手册完成情况好、出勤率高可能是内观认知疗法的有效因素。
[Abstract]:Objective to analyze the intervention effect of internal cognitive therapy on medical students' psychological problems and its related factors, so as to provide the basis for the popularization and application of this therapy in middle and college schools. Methods 325 medical students of Tianjin Medical University from 2011 to 2016 were selected to evaluate the effect of psychological intervention, and the related factors of intervention effect were evaluated by orderly Logistic regression analysis. Results the total effective rate of the intervention was 82.5% (63.4%, 19.1%). The results of ordered Logistic regression analysis showed that female students had a good relationship with their parents, the parents had a good relationship, and their parents had a good relationship, and a good relationship between their parents and their parents was 0.0795 CI0.020.22. The manual was in good condition, and the medical students with a high attendance rate of 0.0395CI0.000.21 had better intervention effects. Conclusion Insight cognitive therapy can effectively solve the psychological problems of medical students, and has significant effect on the problems of adaptation, emotion, interpersonal relationship and self-cognition disorder. Female students, family financial difficulties, good relationship with parents, good relationship between parents, good completion of manual, high attendance rate may be effective factors of endogenous cognitive therapy.
【作者单位】：天津医科大学精神医学教研室;
【基金】：天津市哲学社会科学规划后期资助项目(TJJXHQ1401)
【分类号】：G448

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