接纳承诺疗法对双相情感障碍患者情绪调节的干预研究
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摘要
目的探讨接纳承诺疗法(ACT)对双相情感障碍患者情绪调节的干预效果。方法将60例双相情感障碍缓解期患者随机分为两组,对照组(30例)给予常规药物治疗和心理教育,ACT干预实验组(30例)在对照组基础之上,每周进行2次ACT干预,每次1.5-2h,均干预5周。干预前后对两组分别采用杨氏躁狂量表(YMRS)评估躁狂水平、抑郁自评量表(SDS)评定抑郁水平、认知情绪调节问卷(CERQ)评估情绪调节方式、接纳与行动问卷第二版(AAQ-II)评估接纳承诺疗法干预疗效。结果 ACT干预实验组YMRS、SDS前后测差值评分显著低于对照组(P<0.5),ACT实验组与对照组干预前后CERQ(积极情绪调节策略与消极情绪调节策略)比较差异具有统计学意义,其中积极情绪策略(t=6.24, P<0.05)、消极情绪策略(t=-6.12,P<0.05),AAQ-II差异有统计学意义(t=-10.79,P<0.5)。结论接纳承诺疗法可以进一步缓解双相情感障碍患者的临床症状,有效改善患者的情绪调节水平。
Objective To explore the effect of Acceptance and Commitment Therapy on emotion regulation in patients with bipolar disorder. Methods We randomLy assigned 60 patients with bipolar disorder to receive conventional drug treatment and psychological education(control group,30 patients),and acceptance and commitment therapy training twice weekly, with 1.5-2 hours in individual cycles for 5 weeks(10 cycles) on the basis of control group(study group, 30 patients). Patients completed four questionnaires covering mania symptoms(The Young Mania Rating Scale,YMRS), depression symptoms(Self-rating depression Scale,SDS), emotion regulation(Cognitive Emotion Regulation Scale, CERQ) and psychological flexibility(Acceptance and Action Questionnaire-II, AAQ-II) before and after the treatment. Results The treatment of acceptance and commitment therapy result in significant different in YMRS(t=-2.44, P<0.05),SDS(t=-7.96, P<0.05),CERQ(Positive:t=6.24, P<0.05)、(Negative:t=-6.12,P<0.05),and AAQ-II(t=-10.79,P<0.05).Conclusion Acceptance and commitment therapy can alleviate the clinical symptoms of patients with bipolar disorder,and effectively improve the level of emotional regulation in patients.
Objective To explore the effect of Acceptance and Commitment Therapy on emotion regulation in patients with bipolar disorder. Methods We randomLy assigned 60 patients with bipolar disorder to receive conventional drug treatment and psychological education(control group,30 patients),and acceptance and commitment therapy training twice weekly, with 1.5-2 hours in individual cycles for 5 weeks(10 cycles) on the basis of control group(study group, 30 patients). Patients completed four questionnaires covering mania symptoms(The Young Mania Rating Scale,YMRS), depression symptoms(Self-rating depression Scale,SDS), emotion regulation(Cognitive Emotion Regulation Scale, CERQ) and psychological flexibility(Acceptance and Action Questionnaire-II, AAQ-II) before and after the treatment. Results The treatment of acceptance and commitment therapy result in significant different in YMRS(t=-2.44, P<0.05),SDS(t=-7.96, P<0.05),CERQ(Positive:t=6.24, P<0.05)、(Negative:t=-6.12,P<0.05),and AAQ-II(t=-10.79,P<0.05).Conclusion Acceptance and commitment therapy can alleviate the clinical symptoms of patients with bipolar disorder,and effectively improve the level of emotional regulation in patients.
引文
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[3]T.Abreu.Cognitive-behavioral therapy for bipolar disorder[J].European Psychiatry,2016,33.
[4]张婍,王淑娟,祝卓宏.接纳与承诺疗法的心理病理模型和治疗模式[J]中国心理卫生杂志,2012,26(5):377-381.
[5]何厚建,胡茂荣,王敬.接纳承诺疗法的演化及热点分析--基于ISIWeb of Science数据库[A].医学与哲学,2017,38(569):72-76.
[6]沈其杰.双相障碍防治指南[M].北京:北京大学医学出版社,2007:105-108.
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[8]曹静,吉阳,祝卓宏.接纳与行动问卷第二版中文版测评大学生的信效度[J].中国心理卫生杂志,2013,27(11):873-877.
[9]董光恒,朱艳新,杨丽珠.认知情绪调节问卷中文版的应用[J].中国健康心理学杂志,2008,16(4):457-460.
[10]Sara Pankowski,Mats Adler,Gerhard Andersson,et al.Group acceptance and commitment therapy(ACT)for bipolar disorder and co-existing anxiety-an open pilot study[J].Cognitive Behaviour Therapy,2016:1-13.
[11]GumLey Andrew,White Ross,Briggs Andy,et al.A parallel group randomised open blinded evaluation of Acceptance and Commitment Therapy for depression after psychosis:Pilot trial outcomes(ADAPT)[J].Schizophrenia Research,2017:183.
[12]王敬,何厚健,胡茂荣.接纳与承诺疗法的功能性语境主义解读[A]医学与哲学,2016,8(37):43-45.
[13]Johnson,S.L.,Tharp,J.A.,Peckham,A.D.,et al.Emotion in bipolar Idisorder:Implications for functional and symptom outcomes[J].Journal of Abnormal Psychology,2016,125:40-52.
[2]Aparicio A,Santos JL,Jiménez‐López E,et al.Emotion processing and psycho-social functioning in euthymic bipolar disorder[J].Acta Psychiatrica Scandinavica,2017(35):339-350.
[3]T.Abreu.Cognitive-behavioral therapy for bipolar disorder[J].European Psychiatry,2016,33.
[4]张婍,王淑娟,祝卓宏.接纳与承诺疗法的心理病理模型和治疗模式[J]中国心理卫生杂志,2012,26(5):377-381.
[5]何厚建,胡茂荣,王敬.接纳承诺疗法的演化及热点分析--基于ISIWeb of Science数据库[A].医学与哲学,2017,38(569):72-76.
[6]沈其杰.双相障碍防治指南[M].北京:北京大学医学出版社,2007:105-108.
[7]汪向东,王希林,马弘.心理卫生评定量表手册[M].增订版.北京:中国心理卫生杂志社,1999:194-197.
[8]曹静,吉阳,祝卓宏.接纳与行动问卷第二版中文版测评大学生的信效度[J].中国心理卫生杂志,2013,27(11):873-877.
[9]董光恒,朱艳新,杨丽珠.认知情绪调节问卷中文版的应用[J].中国健康心理学杂志,2008,16(4):457-460.
[10]Sara Pankowski,Mats Adler,Gerhard Andersson,et al.Group acceptance and commitment therapy(ACT)for bipolar disorder and co-existing anxiety-an open pilot study[J].Cognitive Behaviour Therapy,2016:1-13.
[11]GumLey Andrew,White Ross,Briggs Andy,et al.A parallel group randomised open blinded evaluation of Acceptance and Commitment Therapy for depression after psychosis:Pilot trial outcomes(ADAPT)[J].Schizophrenia Research,2017:183.
[12]王敬,何厚健,胡茂荣.接纳与承诺疗法的功能性语境主义解读[A]医学与哲学,2016,8(37):43-45.
[13]Johnson,S.L.,Tharp,J.A.,Peckham,A.D.,et al.Emotion in bipolar Idisorder:Implications for functional and symptom outcomes[J].Journal of Abnormal Psychology,2016,125:40-52.