中国临床心理学杂志

接受与承诺疗法干预抑郁的效果追踪

作者：赵文¹ 周雅² 刘翔平³ 冉俐雯³

单位：1 西南科技大学心理咨询中心绵阳 621000
2 香港中文大学教育心理系香港
3 北京师范大学心理学院北京 100875

分类号：R395.5

出版年,卷(期):页码：2013,21(1):153-157

摘要：

目的:旨在追踪比较接受与承诺疗法(ACT)与认知行为疗法(CBT)对于抑郁的干预效果。方法:选取27名高抑郁且高穷思竭虑大学生进行为期6周的团体干预,CBT组14人(8男,6女),ACT组13人(4男,9女),分3个时间点(干预前1周、干预结束当天、干预后9周)追踪测量被试的抑郁与穷思竭虑。结果:数据分析采用多元多层线性模型,固定效应结果显示,ACT组抑郁与穷思竭虑均呈持续下降趋势,而CBT组仅有抑郁下降趋势显著;随机效应结果显示,ACT组抑郁与穷思竭虑的斜率呈正相关,而CBT组二者斜率呈负相关。结论:CBT不能有效缓解抑郁个体的穷思竭虑,因而干预抑郁的即时效果显著但长期效果可能欠缺;ACT干预抑郁的即时与长期效果都很显著。

Objective: To compare the effectiveness of the AcceptanceandCommitment Therapy (ACT) and the CognitiveBehavior Therapy(CBT) in alleviating depression and rumination.Methods: 27 college students with severe depression and intense rumination were chosen to receive group intervention.Among them 14(8 male, 6 female) participated in a 6session groupadministered CBT and 13(4 male, 9 female) participated in a 6session groupadministered ACT.Participants' depression and rumination were assessed at 3 time points, i.e.one week before the intervention, the day the intervention ended, and 9 weeks after the intervention.Results: Hierarchical Multivariate Linear Model was used to analyze the data.The fixed effects revealed that continuous declines in both depression and rumination were observed in ACT group, while only depression significantly decreased in CBT group.The random effects showed that in ACT group the slope of depression positively correlated with that of rumination, while in CBT group the slopes of these two variables were correlated negatively.Conclusion: These findings suggest that ①CBT may lack longterm effectiveness in curing depression because of its failure in relieving individuals from rumination; ②ACT turn out to excel in both shortterm and longterm effectiveness in curing depression.

基金项目：

西南科技大学2012年度学生教育管理与改革研究项目(12sxb167)

作者简介：

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