Influence of metacognitive group intervention on resilience among college students with social anxiety disorder

Abstract

Objective To explore the influence of metacognitive group intervention on resilience of college students with social anxiety disorder.

Methods Forty-eight college students with social anxiety disorder were randomized into two groups. The control group (24 patients) received systemic desensitization, and the experiment group (24 patients) received metacognitive group psychological intervention. Social anxiety score, mental health and resilience score were compared before and after intervention of two groups.

Results The total scores of SCL-90 and the sub-scores of each dimension were significantly decreased after intervention, especially among the experiment group ( P<0.05). No significant difference were found in the total score of SCL-90 and the scores of each factor at the last follow-up and after intervention in the experiment group ( P>0.05). For control group, the total scores of SCL-90 and sub-scores of each dimension increased at the last follow-up compared with after intervention. Compared with before intervention, the LSAS and HAMA scores of the two groups significantly decreased, and the ER 89 score increased ( P< 0.05). There were no significant differences in the LSAS, HAMA, and ER 89 scores at the last follow-up and after intervention in the experiment group ( P>0. 05). For control group, the LSAS and HAMA scores at the last follow-up increased, and the ER 89 score decreased compared with after intervention ( P<0.05). The LSAS and HAMA scores in the experiment group were significantly lower, and the ER 89 score was significantly higher, than those of the control group after intervention and at the last follow-up ( P <0.05).

Conclusion Metacognitive group psychological intervention can effectively improve resilience among college students with social anxiety disorder, helps reducing anxiety symptoms and promote social self-confidence and initiative.

Abstract

【摘要】 目的 探讨元认知团体干预对社交焦虑障碍大学生自我心理弹性的影响，为寻找改善大学生心理健康的手 段提供参考。 方法 将48名存在社交焦虑障碍的大学生进行随机分组，对照组（24例）进行系统脱敏治疗，研究组（24 例）接受元认知团体心理干预。对比2组干预前后的社交焦虑评分、心理健康水平及自我心理弹性评分变化。 结果 两组 干预后的SCL-90总评分及各因子评分均较干预前降低（ P值均<0.05)，并且研究组的降幅更明显（P<0.05)。研究组末次 随访的SCL-90总评分及各因子评分与干预后差异无统计学意义（ P>0.05); 对照组末次随访的SCL-90总评分及各因子 评分均较干预后提髙（ P值均<0.05)。与干预前相比，2组干预后的LSAS，HAMA评分均降低，ER 89评分升髙（ P<0.05)。 研究组末次随访的LSAS，HAMA，ER 89评分与干预后比较，差异均无统计学意义（ P值均>0.05)。对照组末次随访的 LSAS，HAMA评分髙于干预后，ER 89评分低于干预后（ P值均<0.05 )。不论是干预后还是末次随访，研究组的LSAS，HAMA 评分均低于对照组，ER 89评分均髙于对照组（ P<0.05)。 结论 元认知团体心理干预能够有效改善社交焦虑障碍大 学生的自我心理弹性，减轻焦虑症状，从而增强社交自信与主动性，改善社交焦虑障碍。