本文選題：社交焦慮障礙 + 自信心團(tuán)體心理干預(yù)��； 參考：《山西醫(yī)科大學(xué)》2014年碩士論文

【摘要】：研究目的： 1.使用腦誘發(fā)電位儀對被試進(jìn)行聽覺事件相關(guān)誘發(fā)電位檢查,探討社交焦慮障礙患者事件相關(guān)電位P300與正常對照的異同，研究患者聽覺事件相關(guān)電位的特點(diǎn)。 2.設(shè)計(jì)自信心團(tuán)體心理干預(yù)方案對社交焦慮患者進(jìn)行干預(yù)，研究自信心團(tuán)體心理干預(yù)后社交焦慮障礙患者癥狀的改變及事件相關(guān)電位的改變，探討自信心團(tuán)體心理干預(yù)對社交焦慮障礙病人的干預(yù)效果。 研究對象： 所有社交焦慮障礙患者均來源于山西醫(yī)科大學(xué)第一醫(yī)院精神衛(wèi)生科心理咨詢門診和武警山西總隊(duì)醫(yī)院門診，共80例。正常對照以公開招募的方式來源于山西醫(yī)科大學(xué)第一醫(yī)院病人家屬，山西醫(yī)科大學(xué)學(xué)生和職工醫(yī)學(xué)院學(xué)生，共76例。將80例社交焦慮障礙患者按照隨機(jī)排列表法隨機(jī)分為實(shí)驗(yàn)組和對照組各40人。 研究方法： 本研究整合心理學(xué)、社會學(xué)、醫(yī)學(xué)及生物學(xué)相關(guān)技術(shù)和方法，采用橫向（病例對照）、縱向（干預(yù)追蹤評價(jià)）相結(jié)合的實(shí)驗(yàn)設(shè)計(jì)，建立自信心團(tuán)體心理干預(yù)方法。實(shí)驗(yàn)組共進(jìn)行十次干預(yù)，每次三小時(shí)，持續(xù)五周；對照組不進(jìn)行干預(yù)。 采用美國Nicolet Bravo腦誘發(fā)電位儀對社交焦慮障礙患者和正常對照進(jìn)行P300測試。并采用《社交焦慮量表》《社交回避與苦惱量表》《焦慮自評量表》《自尊量表》及P300在心理干預(yù)前、結(jié)束后三個(gè)月、結(jié)束后半年對社交焦慮患者進(jìn)行測量。 運(yùn)用卡方檢驗(yàn)，獨(dú)立樣本t檢驗(yàn)、重復(fù)測量的方差分析等方法對數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。 研究結(jié)果： 1.社交焦慮障礙患者事件相關(guān)電位P300的特征研究結(jié)果： 由獨(dú)立樣本t檢驗(yàn)得出：病人和正常對照P300潛伏期和波幅均有顯著差異（P0.05）。在潛伏期方面,社交焦慮障礙患者N2、P3a、P3b潛伏期較正常人延長，N1、P2較正常人縮短；在波幅方面, P3a、P3b波幅降低，N2、P2波幅較正常組增高。 2.自信心團(tuán)體心理干預(yù)對改善社交焦慮障礙癥狀的研究結(jié)果： 由重復(fù)測量方差分析得出：實(shí)驗(yàn)組和對照組的社交焦慮、社交回避及苦惱、焦慮、自尊評分在處理間的差異顯著（F=20.422，P0.001；F=33.754，P0.001；F=65.404，P0.001；F=11.239，，P=0.001）；社交焦慮、社交回避及苦惱、焦慮、自尊水平有隨時(shí)間變化的趨勢（F=120.080，P0.001；F=7.099，P0.001；F=54.068，P0.001；F=143.503，P0.001），并且時(shí)間因素的作用隨著分組的不同而不同（F=18.777，P0.001；F=16.827，P0.001；F=52.275，P0.001；F=24.864，P0.001）。進(jìn)一步兩兩比較后發(fā)現(xiàn)：在后測和追蹤研究中實(shí)驗(yàn)組和對照組之間都存在顯著差異，實(shí)驗(yàn)組較對照組的社交焦慮、社交回避及苦惱、焦慮、自尊水平改變顯著（P0.001）。 3.自信心團(tuán)體心理干預(yù)對改變社交焦慮障礙P300的研究結(jié)果 由重復(fù)測量方差分析得出：實(shí)驗(yàn)組和對照組的N1、N2、P2、P3a、P3b潛伏期在處理間的差異顯著（F=6.824，P=0.012；F=8.028，P=0.007；F=4.498，P=0.040；F=5.850，P=0.020；F=8.038，P=0.007）；P300潛伏期有隨時(shí)間變化的趨勢（F=4.391，P=0.022；F=18.934，P0.001；F=4.358，P=0.016；F=6.133，P=0.003；F=3.754，P=0.033），并且時(shí)間因素的作用隨著分組的不同而不同（F=4.822，P=0.016；F=7.143，P=0.001；F=4.292，P=0.017；F=4.552，P=0.013；F=12.845，P0.001）。進(jìn)一步兩兩比較后發(fā)現(xiàn)：對不同時(shí)間點(diǎn)上實(shí)驗(yàn)組和對照組P300水平比較可知，兩組P300在追蹤后測中有顯著差異。對兩組在不同時(shí)間點(diǎn)上的差異進(jìn)行兩兩比較得出，實(shí)驗(yàn)組前測與后測之間的差異無統(tǒng)計(jì)學(xué)意義、前測與追蹤之間的差異有統(tǒng)計(jì)學(xué)意義；對照組在不同時(shí)間點(diǎn)的差異沒有統(tǒng)計(jì)學(xué)意義。P300波幅實(shí)驗(yàn)前后，實(shí)驗(yàn)組和對照組無顯著差異。 結(jié)論： 1.社交焦慮患者事件相關(guān)電位P300存在異常改變，與正常人相比，社交焦慮患者存在認(rèn)知功能異常。 2.自信心團(tuán)體心理干預(yù)有助于社交焦慮障礙患者提高自尊和自信水平，改善社交焦慮、回避、苦惱等不良情緒。自信心團(tuán)體心理干預(yù)對緩解患者癥狀和相關(guān)問題有明顯效果。 3.自信心團(tuán)體心理干預(yù)對社交焦慮障礙患者P300潛伏期有顯著改變，說明其對改善社交焦慮障礙的認(rèn)知功能具有一定效果，同時(shí)提示P300可以作為衡量社交焦慮認(rèn)知水平的參照指標(biāo)。
[Abstract]:Purpose of study :

1 . The auditory event - related evoked potentials were examined by using the brain evoked potential instrument , and the differences between the event - related potentials and the normal controls in the patients with social anxiety disorder were investigated . The characteristics of the related potential of auditory event were studied .

2 . To design the psychological intervention program of self - confidence group to intervene in social anxiety patients , to study the change of symptoms and the change of event - related potential in patients with social anxiety disorder after psychological intervention of self - confidence group , and to explore the effect of psychological intervention of self - confidence group on patients with social anxiety disorder .

Study Object :

All patients with social anxiety disorder were from the first hospital of Shanxi Medical University , the psychological consultation clinic of the first hospital of Shanxi Medical University and the outpatient department of Shanxi General Hospital of the Armed Police Force , and 80 cases were enrolled in the normal control . The normal controls were from the family members of the first hospital of Shanxi Medical University , the students of Shanxi Medical University and the students of the staff and staff medical school , and 76 cases . Eighty patients with social anxiety disorder were randomly divided into experimental group and 40 control group according to the random arrangement table method .

Study method :

This study integrates psychology , sociology , medicine and biology - related techniques and methods , and adopts a combination of lateral ( case - control ) and longitudinal ( intervention - tracking evaluation ) to establish the psychological intervention method of self - confidence group . The experimental group carries out ten interventions each time , three hours each time , lasting five weeks ;
The control group did not intervene .

The social anxiety disorder patients and normal controls were tested by using the American Nilet Bravo brain evoked potential instrument . The self - esteem scale of anxiety self - esteem scale ( SCL - 90 ) was measured in three months after the end of psychological intervention , and the patients with social anxiety were measured half a year after the end of psychological intervention .

Statistical analysis of data was carried out by means of Chi - square test , independent sample t test and variance analysis of repeated measurements .

Results of the study :

1 . Results of the study on the characteristics of event - related potential 300 in patients with social anxiety disorder :

The latency and amplitude of P3a and P3b in patients with social anxiety disorder were significantly longer than those in normal controls ( P0.05 ) .
In terms of amplitude , the amplitude of P3a , P3b decreased , and the amplitude of N2 and P2 was higher than that of the normal group .

2 . Research results of self - confidence group psychological intervention to improve symptoms of social anxiety disorder :

The difference of social anxiety , social avoidance and distress , anxiety and self - esteem scores between the experimental group and the control group was significant ( F = 20.422 , P0.001 ) .
F=33.754,P0.001錛

本文編號：2094636