认知行为疗法干预医学生网络成瘾行为的效果评价.pdfVIP

248 J Bengbu Med Coll,February2014,Vol.398,No.2 [文章编号] 1000-2200(2014)02-0248-04 ·预防医学· 认知行为疗法干预医学生网络成瘾行为的效果评价 1,2 3 2 4 1 明丽娟 ,齐玉龙 ,赵　 静 ,荣梅生 ,徐凌忠 [摘要]目的:探讨认知行为疗法(CBT)对网络成瘾(IA)医学生的干预效果。 方法:将58名IA 医学生分为对照组30 名和观 察组28名,对照组日常进行一般的说服教育和管理;观察组以CBT 为构架,设计方案,进行认知和行为训练干预,每周2 次, 每次1.0~1.5 h,共计10周。 运用SCL-90症状自评量表评估2组学生干预前后的心理健康状况。 结果:CBT 干预后观察组 干预有效率为82.14%,明显高于对照组的13.33%(P 0.01),2 组干预前各项指标评分差异均无统计学意义(P 0.05)。 观察组干预后在心理总分、强迫、精神病性、人际关系等方面评分均较干预前和对照组明显改善(P 0.01),对照组干预后心 理总分、强迫、人际关系、抑郁、焦虑和敌对评分亦均较干预前有所改善(P0.05~P0.01)。 而躯体化、恐怖、偏执和精神病 性各因子评分干预前后差异均无统计学意义(P0.05)。 结论:CBT干预对于IA 医学生戒除网瘾和促进心理健康具有积极 作用。 [关键词] 网络成瘾;医学生;认知行为;干预 [中国图书资料分类法分类号] R395.6　 　 　 [文献标志码]A The effect of cognitive behavioral therapy on the intervention of internet addiction behavior of medical students 1,2 3 2 4 1 MING Li-juan ,QI Yu-long ,ZHAOJing ,RONG Mei-sheng ,XU Ling-zhong (1.Public Health College of Shandong University,Shandong Jinan250012;2.StudentsAffairs Division, 3.Department of Psychiatry,4.Department of ClinicalLaboratory,BengbuMedical College,BengbuAnhui233030,China) [Abstract] Objective:To explore the effects of cognitive behavioral therapy(CBT) on the intervention of internet addiction(IA) behavior of medical students.Methods:Fifty-eight medical students with IA were divided into the observation group and control group (30 cases each group). The routine persuasion,education and management and cognitive and behavioral intervention under CBT framework two times a week,each time 1.0 to 1.5 hours for 10 weeks were implemented in the control group and observation group, respectivel