本文選題：心理障礙 + 休失學(xué)��； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:研究認(rèn)知行為團(tuán)體干預(yù)對(duì)改善因心理障礙而導(dǎo)致休失學(xué)青少年自尊、應(yīng)對(duì)方式和懼怕否定評(píng)價(jià)的效果,提出適用性較強(qiáng)的藥物治療結(jié)合心理治療的綜合治療方法。對(duì)象:本次研究的被試全部來(lái)自山西省精神衛(wèi)生中心住院部,通過(guò)精神科醫(yī)生篩選出符合條件的被試,根據(jù)被試入組的順序進(jìn)行分組,將單號(hào)組作為對(duì)照組(即藥物治療組),雙號(hào)組為實(shí)驗(yàn)組(認(rèn)知行為團(tuán)體干預(yù)聯(lián)合藥物治療),分別在干預(yù)前、干預(yù)后對(duì)兩組被試進(jìn)行相關(guān)量表的評(píng)估,探究認(rèn)知行為團(tuán)體干預(yù)對(duì)因心理障礙而導(dǎo)致休失學(xué)青少年的干預(yù)效果。方法:1.干預(yù)研究:本研究屬于臨床對(duì)照實(shí)驗(yàn)研究,采用認(rèn)知行為干預(yù)對(duì)被試進(jìn)行團(tuán)體干預(yù),一周兩次,每次大約持續(xù)80分鐘,探究認(rèn)知行為團(tuán)體干預(yù)對(duì)因心理障礙而導(dǎo)致休失學(xué)青少年心理行為的干預(yù)效果。按照是否參與認(rèn)知行為團(tuán)體干預(yù)分為實(shí)驗(yàn)組與對(duì)照組,兩組患者分別在干預(yù)前和干預(yù)后進(jìn)行相關(guān)心理量表的評(píng)估,探究該干預(yù)方案的治療效果。2.統(tǒng)計(jì)方法:采用獨(dú)立樣本t檢驗(yàn)等統(tǒng)計(jì)方法對(duì)所獲得的干預(yù)結(jié)果進(jìn)行分析,探究認(rèn)知行為干預(yù)方案對(duì)因心理障礙而導(dǎo)致休失學(xué)青少年的心理行為的干預(yù)效果。結(jié)果:兩獨(dú)立樣本t檢驗(yàn)結(jié)果顯示干預(yù)前實(shí)驗(yàn)組與對(duì)照組在自尊水平、懼怕否定、積極應(yīng)對(duì)方式和消極應(yīng)對(duì)方式等指標(biāo)得分上沒有顯著性差異(p0.05),即兩組是均衡可比的,具有同質(zhì)性,干預(yù)后的即時(shí)后測(cè)實(shí)驗(yàn)組和對(duì)照組自尊水平(t=11.536,p0.05)、懼怕否定評(píng)價(jià)水平(t=-17.161,p0.05)、積極應(yīng)對(duì)方式(t=4.747,p0.05)、消極應(yīng)對(duì)方式(t=㧟6.783,p0.05)差異顯著。結(jié)論:認(rèn)知行為團(tuán)體干預(yù)對(duì)改善因心理障礙而導(dǎo)致休失學(xué)青少年的自尊水平、懼怕否定水平以及應(yīng)對(duì)方式有一定的效果,藥物治療聯(lián)合心理干預(yù)有助于這個(gè)群體的康復(fù)以及社會(huì)功能的恢復(fù)。
[Abstract]:Objective: to study the effects of cognitive behavioral group intervention on improving self-esteem coping style and fear of negative evaluation of adolescents who are out of school due to psychological disorders. Participants: all the subjects in this study came from the inpatient department of Shanxi Mental Health Center. The eligible subjects were selected by psychiatrists and divided into groups according to the order of the participants. The single number group was used as the control group (i.e. the drug treatment group) and the double number group as the experimental group (cognitive behavior group intervention combined with drug therapy). To explore the effect of cognitive behavior group intervention on adolescents who are out of school due to psychological disorders. Method 1: 1. Intervention study: this study is a clinical controlled trial, using cognitive behavior intervention to the participants group intervention, twice a week, each time for about 80 minutes, To explore the effect of cognitive behavior group intervention on mental behavior of out-of-school adolescents due to psychological disorders. According to whether to participate in cognitive behavior group intervention is divided into experimental group and control group, the two groups of patients before and after intervention were evaluated by the relevant psychological scale, to explore the therapeutic effect of the intervention. 2. Statistical methods: the results of intervention were analyzed by independent sample t-test to explore the effect of cognitive behavior intervention on mental behavior of adolescents who were out of school due to psychological disorders. Results: t test results of two independent samples showed that there was no significant difference in the scores of self-esteem, fear of negation, positive coping style and negative coping style between the two groups before intervention (p0.05), that is, the two groups were balanced and comparable. The level of self-esteem, fear of negative evaluation, positive coping style and negative coping style were significantly different between the experimental group and the control group (t = 11.536 / p 0.05), positive coping style (t = 4.747 / p 0.05) and negative coping style (t = 6.783 / p 0.05). Conclusion: the intervention of cognitive behavior groups can improve the self-esteem, fear of negation and coping style of adolescents who are out of school due to psychological disorders. The combination of drug therapy and psychological intervention contributes to the rehabilitation of this group and the recovery of social function.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：B844.2

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