基于PAPM的认知行为干预对抑郁症患者负性情绪与心理灵活性的影响
Effects of PAPM-based cognitive behavioral intervention on negative emotions and mental flexibility in patients with depression
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| DOI |
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| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2025, 52(2) |
| 作者 |
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| 作者单位 |
南京医科大学公共卫生学院
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| 摘要 |
摘 要： 目的：探究预先适应过程模型(Precaution Adoption Process Model，PAPM)和认知行为治疗(Cognitive Behavior Therapy, CBT)的联合应用对抑郁症患者的影响，通过优化心理干预模式帮助抑郁症患者改善健康行为。方法： 研究对象为2022年1月至2023年3月期间南京脑科医院医学心理科符合纳入标准的60名住院患者。将入选患者随机分为实验组和对照组各30例。两组均予以常规药物治疗，其中对照组实施常规心理干预，实验组实施基于PAPM的CBT个体心理干预。两组患者在入组时运用汉密尔顿抑郁评定量表(Hamilton Depression Scale，HAMD)、汉密尔顿焦虑评定量表(Hamilton Anxiety Scale，HAMA)、接纳与行动问卷第二版(Acceptance and action questionnaire-second edition，AAQ-II)、认知融合问卷(Cognitive Fusion Questionnaire,CFQ)予以评定，在干预结束后再次予以评估。结果：实验组在干预后的抑郁、焦虑水平低于对照组（P<0.05），认知融合显著低于对照组（P<0.01），心理灵活性显著高于对照组（P<0.01）。结论：基于PAPM的CBT个体心理干预模式可以改善患者的抑郁、焦虑情绪，对提高患者的心理灵活性具有良好效果。对抑郁症患者临床治疗与长期心理功能康复具有积极意义，值得进一步推广。
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| Abstract |
Abstract: Objective: To explore the effects of PAPM (Precaution Adoption Process Model，PAPM)and CBT(Cognitive Behavior Therapy, CBT) combined application on patients with depression, and to help patients with depression improve their health behavior by optimizing the psychological intervention mode. Methods: The subjects were 60 inpatients who met the inclusion criteria in the psychology department of Nanjing Brain Hospital from January 2022 to March 2023. The enrolled patients were randomly divided into experimental group and control group with 30 cases each. Both groups were given conventional drug treatment, the control group was given routine psychological intervention, the experimental group was given individual psychological intervention based on PAPM CBT. The two groups were evaluated by Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA), Acceptance and Action Questionnaire Second Edition (AAQ-II) and Cognitive Integration Questionnaire (CFQ) at the time of enrollment, and again after the intervention. Results: The level of depression and anxiety in the experimental group after intervention was lower than that in the control group (P<0.05), cognitive integration was significantly lower than that in the control group (P<0.01), psychological flexibility was significantly higher than that in the control group (P<0.01). Conclusion: CBT individual psychological intervention model based on PAPM can improve patients' depression and anxiety, and has a good effect on improving patients' psychological flexibility. It has positive significance for the clinical effect and long-term mental function rehabilitation of patients with depression and is worth further promotion.
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| 关键词 |
关键词:抑郁症，认知行为治疗，预先适应过程模型，心理灵活性，认知融合，情绪
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| KeyWord |
Key words: Depression, cognitive behavioral therapy, preadaptive process model, mental flexibility, cognitive integration, emotion
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| 基金项目 |
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| 页码 |
471-474 |
刘希凌.
基于PAPM的认知行为干预对抑郁症患者负性情绪与心理灵活性的影响 [J].
国际精神病学杂志.
2025; 52; (2).
471 - 474.