团体人际心理治疗对社交恐惧症青少年的情绪调节自我效能感的疗效

目的 调查社交恐惧症青少年的情绪调节自我效能感状况,探讨其与社交恐惧相关性,并评估团体人际心理治疗对情绪调节自我效能感疗效。 方法 选取了46名于2016年7-8月因"社交恐惧"就诊温州医科大学附属第一医院心理门诊和心理咨询的患者,随机分为对照组和治疗组。使用情绪调节自我效能量表、社交回避及苦恼量表在治疗前、治疗12周后分别评估治疗组和对照组。 结果 社交恐惧症青少年在表达积极自我效能感为(13.91±3.2)分,在管理沮丧自我效能感为(9.80±3.25)分,在管理生气自我效能感为(9.77±3.96)分。表达积极的自我效能感与社交回避及苦恼总分呈显著负相关(P<0.05),与社交回避呈显著负相关(P<0.05)。管理沮丧的自我效能感与社交回避及苦恼总分、社交回避、社交焦虑呈显著负相关(均P<0.05)。管理生气的自我效能感与社交回避及苦恼总分、社交回避、社交焦虑呈显著负相关(均P<0.05)。治疗组经干预后,表达积极情绪的自我效能感显著提高(P<0.05)。对照组则无显著变化(P>0.05)。治疗后,治疗组和对照组在表达积极情绪调节效能感上差异有统计学意义(P<0.05)。 结论 社交恐惧症青少年情绪调节自我效能感偏低。情绪调节自我效能感与社交恐惧症有关,情绪调节自我效能感在团体人际心理治疗后显著提高。 

A study on the effect of the group interpersonal psychotherapy in the regulatory emotional self-efficacy of social phobia adolescents

Objective To discuss the regulatory emotional self-efficacy (RESE) of social phobia in adolescents, analyze the correlation between the RESE and the syndromes of social phobia, and observe the pre-post change in the RESE after group interpersonal psychotherapy. Methods Patients were recruited from July to August, 2016, by outpatient clinics at the Psychiatric Department of The First Affiliated Hospital of Wen zhou Medical University. Patients were diagnosed as "social phobia" by the psychiatrist. They were randomly divided into placebo group and treatment group.The treatment group and the placebo group were both assessed with the Social Avoidance and Distress Scale, the RESE Questionnaire before and after 12 weeks treatment. Results On the perceived self-efficacy in expressing positive affect (POS) dimension, the score was (13.91±3.2). On the perceived self-efficacy in managing despondency/distress (DES) dimension, the score was (9.80±3.25). On the perceived self-efficacy in managing anger/irritation (ANG) dimension, the score was (9.77±3.96). The POS was significantly negatively correlated with the social avoidance and distress total scores (P<0.05). The POS was significantly negatively correlated with social avoidance (P<0.05). The DES was significantly negatively correlated with the social avoidance and distress total scores (P<0.05), social avoidance (P<0.05) and the social anxiety (P<0.05). The ANG was significantly negatively correlated with the social avoidance and distress total scores (P<0.05), social avoidance (P<0.05) and the social anxiety (P<0.05). After therapy, POS was significantly improved (P<0.05). In the placebo group, there was no significant change in RESE (P>0.05). After therapy, there was significant difference between the treatment group and the placebo group in POS (P<0.05). Conclusion The level of the RESE of the social phobia adolescents is low. There is significant correlation between the RESE and the syndromes of social phobia. The RESE is significantly improved after the group interpersonal psychotherapy.