中国科学院心理健康重点实验室知识库

目的对比接纳承诺疗法(ACT)与认知行为疗法(CBT)对老年人焦虑抑郁的团体辅导效果，同时探讨ACT改善焦虑抑郁的心理机制。方法从北京四个社区筛选25名老年人进行团体辅导，ACT组12人，CBT组13人，采用正念注意觉知量表(MAAS)、老年焦虑量表(GAI)、老年抑郁量表(GDS)、心理僵化闸卷(接纳与行动问卷AAQ-Ⅱ和认知融合问卷CFQ)分别在干预前(T1)、干预6次后(T2)和干预5周后(T3)进行评估。结果(1)正念水平上，在T2时点[ACT组：(80．31．4-6．18)分，CBT组(74．20+4．48)分，t=2．52，P

0bjective To compare the effects of Acceptance Commitment Therapy(ACT)and Cognitive Behavior Therapy(CBT)on anxiety and depression in the elderly，and to explore the psychological mechanism of ACT to improve anxiety and depression．M ethods A total of 25 elderly people were screened from four communities in Beijing．According to the place of residence，12 persons were enrolled in the ACT group and 13 persons were enrolled in the CBT group．The mindful attention awareness scale，geriatric anxiety inventory．geriatric depression scale．the acceptance and action questionnaire一Ⅱ and cognitive fusion questionnaire were evaluated before regrouping(T1)，after six regiments(T2)and 5 weeks after the end of the intervention(T3)．Results (1)On the level of mindfulness，the score of ACT group was higher than that in CBT group at T2(ACT：80．31±6．18，CBTt74．20+4．48，t=2．52，P<0．05)and T3(ACT：82．20+4．48，CBT：7O．00~12．23。￡=4．56，P<0．O1)．(2)On the level of anxiety出ere was significant diference between the two groups at T2(ACT：2．88±1．86，CBT：8．874_2．80，t=一8．15，P<0．01)and T3(ACT：5．38±2．02，CBT：10．50+2．66， -6．93，Psion there was significant difference between the two groups at T1(ACT：4．59±3．97，CBT：7．89±6．39，t=一2．25，Pthere was a significant difference T1 and T2( 2．92，Pthere was a significant difference between the two groups at T2(ACT：41．38±8．28，CBT：49．604-3．52，t=一3．64．／9<0．O1)and T3(ACT：40．804-7．66，CBT：52．4746．23，f=-4．98，P<0．01)，and ACT group was lower than the CBT group．(5)Empirical avoidance only achieved a significant level of intermediate effects between ACT therapy and anxiety．In the ACT group．the median effect of empirical avoidance on anxiety was 1 1．40％ ．Conclusion The efect of CBT on depression is better than that of ACT．while the effect of ACT on the level of mindfulness．anxiety and mental flexibility is better than that of CBT．ACT with psychological flexibility as a psychological mechanism can improve the mental flexibility of the individual more than the CBT．

北京科技计划项目(D151100002315003)