团体认知行为治疗青少年网络成瘾综合征的疗效
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摘要
目的探讨团体认知行为治疗对青少年网络成瘾患者的疗效。方法将130例青少年网络成瘾患者随机分为团体认知行为治疗组(研究组)和对照组,各65例。对照组给予一般心理治疗。研究组在一般心理治疗的基础上给予团体认知行为治疗,每周3次,2 h/次,疗程为16周。在治疗前后进行中文网络成瘾量表(CIAS)、应对方式问卷(CSQ)和自我和谐量表(SCCS)评价治疗效果。结果治疗前研究组与对照组CIAS、CSQ和SCCS得分比较,差异无统计学意义。在治疗结束时,研究组(33.7±6.2)和对照组(41.5±7.8)CIAS总分均较治疗前明显下降(P<0.01)。两组间比较,研究组CIAS得分低于对照组(P<0.01),CSQ中的自责、幻想、退避因子得分低于对照组(P<0.01);SCCS中自我与经验的不和谐得分低于对照组(P<0.01),自我的灵活性得分高于对照组(P<0.05)。结论团体认知行为治疗青少年网络成瘾效果显著,更有利于改善应对方式、提高自我和谐度。
Objective To study the curative effect on internet addiction disorder elimination treated by cognitive-behavioral therapy in groups. Methods 130 adolescents with internet addiction disorders were divided into study group and control group equally at random. Normal psychotherapy treatment was carried out for the control group,while cognitive-behavioral therapy in group treatment was adapted for the study group in addition to psychotherapy treatment for 2 hours per time and three times weekly which lasted for 16 weeks respectively. CIAS,CSQ and SCCS were adapted for evaluating the curative effects of treatment before and after the treatment.Results Before treatment,the scores of CIAS,CSQ and SCCS from the study group and the control group had no statistically significant differences. After treatment,the total score of CIAS from both the study group( 33. 7 ± 6. 2) and the control group( 41. 5 ± 7. 8) decreased significantly( P < 0. 01). By comparing the scores between the two groups,the following data were calculated: The scores of CIAS from the study group were found lower than in the control group( P < 0. 01),as well as the scores of CSQ on remorse,illusion,autistic disorder factors( P < 0. 01). The disharmony score of self consistency and congruence from the form of CSQ was found lower than the scores in the control group( P < 0. 01) while the scores of self-flexibility in SCCS were found higher than the scores in the control group( P <0. 05). Conclusions Treatment by cognitive-behavioral therapy in groups on internet addiction disorder elimination is found significantly effective.
Objective To study the curative effect on internet addiction disorder elimination treated by cognitive-behavioral therapy in groups. Methods 130 adolescents with internet addiction disorders were divided into study group and control group equally at random. Normal psychotherapy treatment was carried out for the control group,while cognitive-behavioral therapy in group treatment was adapted for the study group in addition to psychotherapy treatment for 2 hours per time and three times weekly which lasted for 16 weeks respectively. CIAS,CSQ and SCCS were adapted for evaluating the curative effects of treatment before and after the treatment.Results Before treatment,the scores of CIAS,CSQ and SCCS from the study group and the control group had no statistically significant differences. After treatment,the total score of CIAS from both the study group( 33. 7 ± 6. 2) and the control group( 41. 5 ± 7. 8) decreased significantly( P < 0. 01). By comparing the scores between the two groups,the following data were calculated: The scores of CIAS from the study group were found lower than in the control group( P < 0. 01),as well as the scores of CSQ on remorse,illusion,autistic disorder factors( P < 0. 01). The disharmony score of self consistency and congruence from the form of CSQ was found lower than the scores in the control group( P < 0. 01) while the scores of self-flexibility in SCCS were found higher than the scores in the control group( P <0. 05). Conclusions Treatment by cognitive-behavioral therapy in groups on internet addiction disorder elimination is found significantly effective.
引文
[1]Sung J,Lee J,Noh H M,et al.Associations between the risk of internet addiction and problem behaviors among Korean adolescents[J].Korean J Fam Med,2013,34:115-122.
[2]Block J J.Issues for DSM-V:internet addiction[J].Am J Psychiatry,2008,165:306-307.
[3]Young K S.Internet addiction:the emergence of a new clinical disorder[J].Cyberpsychol Behav,1998,1(3):237-244.
[4]杨永信,吴绍兰,任广来,等.不同干预、治疗方式对网络成瘾临床疗效的对照研究[J].中华行为医学与脑科学杂志,2009,18(3):242-245.
[5]Bieling P J,Mc Cabe R E,Antony M M.团体认知行为治疗[M].北京:世界图书出版公司,2011:46-62.
[6]陈淑惠,翁俪祯,苏逸人,等.中文网络成瘾量表之编制与心理计量特性研究[J].中华心理学刊,2003,45(3):279-294.
[7]肖计划.应付方式问卷[J].中国心理卫生杂志,1999(增刊):109-115.
[8]王登峰.自我和谐量表[J].中国心理卫生杂志,1999(增刊):314-317.
[9]杨永信.网络成瘾的戒治[J].武警医学,2011,22(6):461-464.
[10]程灶火.临床心理学[M].北京:人民卫生出版社,2014:168-169.
[11]李宁,梁宁建.大学生网络成瘾者非适应认知研究[J].心理科学,2007,30(1):65-68.
[2]Block J J.Issues for DSM-V:internet addiction[J].Am J Psychiatry,2008,165:306-307.
[3]Young K S.Internet addiction:the emergence of a new clinical disorder[J].Cyberpsychol Behav,1998,1(3):237-244.
[4]杨永信,吴绍兰,任广来,等.不同干预、治疗方式对网络成瘾临床疗效的对照研究[J].中华行为医学与脑科学杂志,2009,18(3):242-245.
[5]Bieling P J,Mc Cabe R E,Antony M M.团体认知行为治疗[M].北京:世界图书出版公司,2011:46-62.
[6]陈淑惠,翁俪祯,苏逸人,等.中文网络成瘾量表之编制与心理计量特性研究[J].中华心理学刊,2003,45(3):279-294.
[7]肖计划.应付方式问卷[J].中国心理卫生杂志,1999(增刊):109-115.
[8]王登峰.自我和谐量表[J].中国心理卫生杂志,1999(增刊):314-317.
[9]杨永信.网络成瘾的戒治[J].武警医学,2011,22(6):461-464.
[10]程灶火.临床心理学[M].北京:人民卫生出版社,2014:168-169.
[11]李宁,梁宁建.大学生网络成瘾者非适应认知研究[J].心理科学,2007,30(1):65-68.