發(fā)布時間：2018-08-08 17:53

【摘要】：本研究的目的是調(diào)查分析抑郁癥患者家庭情感表達(dá)和家屬相關(guān)心理狀況，并探討團(tuán)體輔導(dǎo)改善抑郁癥患者的家庭情感表達(dá)和家屬相關(guān)心理狀況，以期促進(jìn)患者預(yù)后康復(fù)，進(jìn)一步充實抑郁癥家庭治療的理論，具有重要的理論及實踐意義。本研究運(yùn)用了量的研究和質(zhì)的研究相結(jié)合的方法。 研究一采用坎伯威爾家庭問卷中文版(CFI-CV)、90項癥狀清單、應(yīng)對方式量表、社會支持量表、社會功能缺陷篩選量表，抑郁自評量表和焦慮自評量表，對61例抑郁癥患者的家庭分別進(jìn)行測定，通過訪談和問卷調(diào)查，對調(diào)查樣本的分析，目的是對抑郁癥患者家庭情感表達(dá)現(xiàn)狀、患者和家屬的相關(guān)心理狀況進(jìn)行調(diào)查研究，掌握該類群體的特點(diǎn)，結(jié)果表明： 1抑郁癥家庭不同的人口學(xué)變量（與患者關(guān)系、家屬性別、城鄉(xiāng)、家屬文化程度和收入）在CFI-CV其中六個維度（患者對治療的態(tài)度、社會歧視的影響、家庭的監(jiān)護(hù)水平、家屬對疾病的認(rèn)識、冷漠和情感過分參入）存在顯著差異，其余四個維度不存在顯著差異。 2抑郁癥患者家屬心理健康水平明顯低于全國常模；從社會支持度看，男性家屬社會支持程度各因子與全國常模差異不顯著，但女性家屬的主觀支持和支持利用的得分都低于常模，存在明顯的差異。 3高情感表達(dá)和低情感表達(dá)家庭收入與患者的文化程度上存在顯著差異；在CFI-CV多個維度上存在顯著差異；高情感表達(dá)家屬的心理健康水平、社會支持度和應(yīng)對方式要明顯劣于低情感表達(dá)組家屬。 研究二進(jìn)行了對抑郁癥患者家庭情感表達(dá)團(tuán)體輔導(dǎo)的干預(yù)實驗，考察了家庭情感表達(dá)、家屬心理健康水平、應(yīng)對方式、社會支持和患者社會功能康復(fù)及相關(guān)癥狀的干預(yù)效果。采用實驗組—對照組前后測實驗設(shè)計，將高情感表達(dá)家庭分為二個組，實驗組和對照組各11人，實驗組采用家庭情感表達(dá)干預(yù)的團(tuán)體輔導(dǎo)，每周一次，共8周的干預(yù)，對照組不做任何處理，干預(yù)結(jié)束后六個月對兩組進(jìn)行后測，結(jié)果表明： 4家庭情感表達(dá)干預(yù)的團(tuán)體輔導(dǎo)方案具有可行性和有效性。 5家庭情感表達(dá)干預(yù)的團(tuán)體輔導(dǎo)對家屬心理健康狀況有顯著性提升；家庭情感表達(dá)方式顯著改善，效果具有一定的長期性和持續(xù)性。 6質(zhì)性研究證明實施家庭情感表達(dá)干預(yù)團(tuán)體輔導(dǎo)的家屬在抑郁癥基本知識掌握、情緒管理、應(yīng)對壓力、社會支持、家庭人際互動、自我探索和感恩希望這幾個方面有所提升。 研究結(jié)果表明，，家庭情感表達(dá)對抑郁癥家庭成員心理健康有重要意義，家庭情感表達(dá)干預(yù)的團(tuán)體輔導(dǎo)對家屬有積極的幫助，顯著改善家屬心理健康狀況，但對患者康復(fù)尚無顯著作用，有待今后進(jìn)一步探討。
[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.
【學(xué)位授予單位】：贛南師范學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R749.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳元生;家庭干預(yù)對高EE家庭分裂癥患者預(yù)后的影響(附46例分析)[J];福建醫(yī)藥雜志;2003年03期

2 陸亞文;精神分裂癥家庭情感表達(dá)及相關(guān)研究[J];國外醫(yī)學(xué).精神病學(xué)分冊;1992年02期

3 熊衛(wèi);徐四清;;情感表達(dá)的跨文化問題[J];國外醫(yī)學(xué).精神病學(xué)分冊;1993年02期

4 熊衛(wèi);精神分裂癥家庭干預(yù)的療效評估[J];國外醫(yī)學(xué).精神病學(xué)分冊;1995年03期

5 王立娜;抑郁癥的心理治療[J];神經(jīng)疾病與精神衛(wèi)生;2005年04期

6 方建忠;張莉娟;梅其一;梁彥蕊;李鳴;;神經(jīng)癥患者家庭的情感表達(dá)方式及心理機(jī)制研究[J];臨床心身疾病雜志;2006年02期

7 侯再金;情感表達(dá)預(yù)測精神分裂癥結(jié)局的研究進(jìn)展[J];四川精神衛(wèi)生;1997年03期

8 侯再金,向孟澤;情感表達(dá)的實質(zhì)及其假說[J];四川精神衛(wèi)生;1998年02期

9 方建忠;張莉娟;梅其一;梁彥蕊;李鳴;;神經(jīng)癥患者家庭情感表達(dá)方式與復(fù)發(fā)的相關(guān)性[J];中國臨床康復(fù);2006年10期

10 李崢;精神分裂癥患者家屬情感表達(dá)的研究進(jìn)展[J];中華護(hù)理雜志;2002年12期

本文編號：2172561