团体辅导对抑郁症家庭情感表达的干预研究

发布时间：2018-08-08 17:53

【摘要】：本研究的目的是调查分析抑郁症患者家庭情感表达和家属相关心理状况，并探讨团体辅导改善抑郁症患者的家庭情感表达和家属相关心理状况，以期促进患者预后康复，进一步充实抑郁症家庭治疗的理论，具有重要的理论及实践意义。本研究运用了量的研究和质的研究相结合的方法。研究一采用坎伯威尔家庭问卷中文版(CFI-CV)、90项症状清单、应对方式量表、社会支持量表、社会功能缺陷筛选量表，抑郁自评量表和焦虑自评量表，对61例抑郁症患者的家庭分别进行测定，通过访谈和问卷调查，对调查样本的分析，目的是对抑郁症患者家庭情感表达现状、患者和家属的相关心理状况进行调查研究，掌握该类群体的特点，结果表明： 1抑郁症家庭不同的人口学变量（与患者关系、家属性别、城乡、家属文化程度和收入）在CFI-CV其中六个维度（患者对治疗的态度、社会歧视的影响、家庭的监护水平、家属对疾病的认识、冷漠和情感过分参入）存在显著差异，其余四个维度不存在显著差异。 2抑郁症患者家属心理健康水平明显低于全国常模；从社会支持度看，男性家属社会支持程度各因子与全国常模差异不显著，但女性家属的主观支持和支持利用的得分都低于常模，存在明显的差异。 3高情感表达和低情感表达家庭收入与患者的文化程度上存在显著差异；在CFI-CV多个维度上存在显著差异；高情感表达家属的心理健康水平、社会支持度和应对方式要明显劣于低情感表达组家属。研究二进行了对抑郁症患者家庭情感表达团体辅导的干预实验，考察了家庭情感表达、家属心理健康水平、应对方式、社会支持和患者社会功能康复及相关症状的干预效果。采用实验组—对照组前后测实验设计，将高情感表达家庭分为二个组，实验组和对照组各11人，实验组采用家庭情感表达干预的团体辅导，每周一次，共8周的干预，对照组不做任何处理，干预结束后六个月对两组进行后测，结果表明： 4家庭情感表达干预的团体辅导方案具有可行性和有效性。 5家庭情感表达干预的团体辅导对家属心理健康状况有显著性提升；家庭情感表达方式显著改善，效果具有一定的长期性和持续性。 6质性研究证明实施家庭情感表达干预团体辅导的家属在抑郁症基本知识掌握、情绪管理、应对压力、社会支持、家庭人际互动、自我探索和感恩希望这几个方面有所提升。研究结果表明，，家庭情感表达对抑郁症家庭成员心理健康有重要意义，家庭情感表达干预的团体辅导对家属有积极的帮助，显著改善家属心理健康状况，但对患者康复尚无显著作用，有待今后进一步探讨。
[Abstract]:The purpose of this study was to investigate and analyze the family emotional expression and family related psychological status of depression patients, and to explore how group counseling can improve the family emotion expression and family related psychological status of depression patients, in order to promote the prognosis and recovery of depression patients. It is of great theoretical and practical significance to further enrich the theory of family therapy for depression. In this study, quantitative and qualitative studies were combined. In the first study, 90 symptom lists, coping style scale, social support scale, social disability screening scale, self-rating depression scale and self-rating anxiety scale were used in the Chinese version of Camberville Family questionnaire (CFI-CV). The family of 61 patients with depression were measured and analyzed by interviews and questionnaires. The purpose of this study was to investigate the present situation of family emotion expression and the psychological status of the patients and their families. The results showed that: (1) different demographic variables (relationship with patients, sex of family members, urban and rural areas, education level and income of family members) were found in six dimensions of CFI-CV (patients' attitude towards treatment). There were significant differences in the effects of social discrimination, the level of family custody, family awareness of disease, apathy and emotional overinvolvement. There was no significant difference in the other four dimensions. 2 the mental health level of the family members of depression patients was significantly lower than that of the national norm, and the social support degree of male family members had no significant difference from that of the national norm. However, the scores of subjective support and support utilization of female family members were lower than that of norm, and there were significant differences between high emotional expression and low emotional expression family income and patients' education level. There were significant differences in the multiple dimensions of CFI-CV, the mental health level, social support and coping style of the family members with high emotional expression were significantly lower than those in the low emotional expression group. In the second study, the intervention effects of family emotion expression, family mental health, coping style, social support, rehabilitation of patients' social function and related symptoms were investigated. The family with high emotional expression was divided into two groups: the experimental group and the control group. The experimental group used group counseling of family emotion expression intervention once a week for a total of 8 weeks. The control group did not do any treatment, six months after the end of the intervention, the two groups were tested. The results showed that: (4) the group counseling program of family emotional expression intervention was feasible and effective. The effect of family emotion expression was improved significantly, and the effect was long-term and continuous. 6 qualitative studies proved that the family members who had implemented family emotion expression intervention group counseling had mastered the basic knowledge of depression, emotion management, and coping with stress. Social support, family interaction, self-exploration and gratitude hope have improved. The results show that family emotional expression plays an important role in the mental health of family members with depression. The group counseling of family emotional expression intervention has positive help to family members, and can significantly improve the mental health status of family members. However, there is no significant effect on the rehabilitation of patients, which needs to be further discussed in the future.
【学位授予单位】：赣南师范学院
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.4

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