接纳承诺疗法对7～10岁阿斯伯格综合征儿童社交的干预效果研究OACSTPCD
Interventional effect of ACT on social interaction in children aged 7-10 years with Asperger syndrome
目的 探讨接纳承诺疗法(ACT)对 7～10 岁阿斯伯格综合征儿童的心理干预效果.方法 选择 2023年 1 月 1 日—2023 年 12 月 31 日抚州市第三医院收治的 60 名阿斯伯格综合征儿童,按数字表法随机分为ACT组和对照组,每组各 30 名儿童.对照组采用健康心理宣教,ACT组在健康心理宣教基础上加用ACT,2 组在干预前后使用孤独症行为量表(ABC)、儿童焦虑障碍自评量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)、接纳行动问卷第 2 版(AAQ-Ⅱ)、认知融合分问卷(CFQ-F)、一般自我效能感量表(GSES)量表进行问卷调查和现场评估.结果 干预后,ACT组儿童的ABC、DSRSC、SCARED、AAQ-Ⅱ、CFQ-F得分均低于组内干预前及对照组儿童干预后的得分,而ACT组GSES得分高于组内干预前和对照组的得分(P均<0.05).对照组儿童的ABC、DSRSC、SCARED、GSES、AAQ-Ⅱ、CFQ-F得分在干预前后比较差异均无统计学意义(P均>0.05).ACT评分中,ACT组儿童的交往能力得分、语言能力得分及总分均低于ACT干预前得分(P均<0.05).ACT组儿童的自我效能GSES得分与DSRSC、SCARED得分呈负相关(P均<0.05),AAQ-Ⅱ的经验性回避、认知融合得分与ABC得分呈正相关(P均<0.05).结论 ACT干预可以提高 7～10 岁阿斯伯格综合征儿童的心理韧性,增强处理生活中各种压力的能力,降低经验性回避和认知融合程度,提高社交能力,整体优于常规心理健康宣教.
Objective To evaluate the effect of acceptance and commitment therapy(ACT)on the psychological intervention of Asperger syndrome children aged 7-10 years.Methods A total of 60 Asperger syndrome children admitted to the Third Hospital of Fuzhou from January 1,2023 to December 31,2023 were enrolled and divided into the ACT(n=30)and control groups(n=30)using the random number table method.Children in the control group were given with health psychological education,and those in the ACT group received ACT on the basis of health psychological education.All children were investigated by using Aberrant Behavior Checklist(ABC),Screen for Child Anxiety Related Emotional Disorders(SCARED),Self-Rating Scale Depressive Disorder in Childhood(DSRSC),Acceptance and Action Questionnaire-2nd Edition(AAQ-Ⅱ),Cognitive Fusion Questionnaire-Fusion(CFQ-F),General Self-Efficacy Scale(GSES)before and after corresponding interventions and on-the-spot assessment.Results After interventions,the scores of ABC,DSRSC,SCARED,AAQ-Ⅱ and CFQ-F in the ACT group were lower than those before interventions and those in the control group after intervention,while the GSES score in the ACT group was higher than that before interventions and that in the control group after interventions,and the differences were statistically significant(all P<0.05).In the control group,no statistical significance was found in the scores of ABC,DSRSC,SCARED,GSES,AAQ-Ⅱ and CFQ-F before and after interventions(all P>0.05).The social interaction,verbal ability and total scores after intervention were lower than those before intervention in the ACT group(all P<0.05).In the ACT group,there was a negative correlation between self-efficiency score of GSES with DSRSC and SCARED scores(both P<0.05),and the experiential avoidance and cognitive fusion scores of AAQ-Ⅱ were positively correlated with the ABC scores(both P<0.05).Conclusions ACT can improve the psychological resilience of Asperger syndrome children aged 7-10 years,enhance their ability to deal with various stresses in life,alleviate the degree of experiential avoidance and cognitive integration and improve their social skills,which yields better overall effect than routine psychological health education.
黄金;袁滨;赵姗;胡茂荣
抚州市第三医院儿童少年心理科,江西 抚州 344000抚州市第三医院儿童少年心理科,江西 抚州 344000抚州市第三医院儿童少年心理科,江西 抚州 344000南昌大学第一附属医院心身医学科,江西 南昌 330000
接纳承诺疗法阿斯伯格综合征自我效能经验性回避认知融合
Acceptance and commitment therapyAsperger syndromeSelf-efficiencyExperiential avoidanceCognitive fusion
《新医学》 2024 (12)
1017-1024,8
国家自然科学基金(81960261)抚州市指导性科技计划项目(202307052)
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