中国科学院心理健康重点实验室知识库

目的:探讨隐喻接纳干预改善大学生负性情绪的效果。方法:112名大学生被分配至隐喻组(n=40)、非隐喻组(n=36)和空白对照组(n=36)。2个干预组接受2周在线团体干预,空白对照组不接受干预。在基线、2周干预后、1周随访和3周随访时施测广泛性焦虑量表-7 (GAD-7)、患者健康问卷-9 (PHQ-9)、接纳与行动问卷第二版(AAQ-Ⅱ)和自评接纳条目。结果:2周干预后,隐喻组的GAD-7、PHQ-9和AAQ-Ⅱ得分均低于基线,自评接纳得分均高于基线(均P<0.01);非隐喻组1周随访时的GAD-7得分,2周干预后和1周随访时的PHQ-9得分及2周干预后、1周随访和3周随访时的AAQ-Ⅱ得分均低于基线(均P <0.05),而2周干预后、1周随访和3周随访时的自评接纳得分均高于基线(均P<0.001)。AAQ-Ⅱ得分的减少仅对隐喻接纳干预造成的GAD-7和PHQ-9得分的减少存在中介作用(95%CI=-2.39～-0.38、-2.65～-0.44)。结论:隐喻接纳在线干预持续改善焦虑情绪的效果更优,经验性回避的减少是隐喻接纳干预改善焦虑和抑郁情绪的重要因素。

Objective: To investigate the effect of metaphorical acceptance-based intervention on alleviating negative emotions in college students. Methods: Totally 112 college students were assigned to the metaphorical intervention group(n=40)，the non-metaphorical intervention group(n=36)，and the control group(n=36). Both intervention groups received online group intervention once a week for 2 weeks, while the control group received no intervention. The Generalized Anxiety Disorder-7(GAD-7 )，Patient Health Questionnaire-9(PHQ-9 )，Acceptance and Action Questionnaire-2nd Edition ( AAQ-II)，and a self-report acceptance item were used to assess participants' anxiety, depression, experiential avoidance, and acceptance at baseline, 2-week post-intervention, 1-week follow-up, and 3-week follow-up. Results: After 2-week interventions, the scores of GAD-7, PHQ-9, and AAQ- II in the metaphorical group were lower than that at baseline, and the scores of self-report acceptance were higher than that at baseline ( Ps<0. O1). In the non-metaphorical group, the scores of GAD-7 at 1-week follow-up, the scores of PHQ- 9 at 2-week post-intervention and 1-week follow-up, and the scores of AAQ- II after 2-week post-intervention were all lower than that at baseline(Ps<0.05). The scores of self-report acceptance after 2 weeks post-intervention were all higher than baseline (P.s<0.001). The decrease of scores of A II only mediated the reduction of scores of GAD-7 (95%CI=-2.39- -0. 38) and PHQ-9 (95 % CI=-2. 65- -0.44) caused by metaphorical acceptance- based intervention. Conclusion: Online metaphorical acceptance-based intervention may have larger efficacy than non-metaphorical intervention in continuously alleviating anxiety, and the reduction of experiential avoidance plays an important role in alleviating anxiety and depression in metaphorical acceptance-based intervention

中国科学院心理研究所自主部署项目(E0CX151008)