Evaluation of short-term eclectic psychological counseling in higher-education setting

Abstract

Objective To investigate quality of short-term eclectic psychological counseling services.

Methods This study recruited 965 clients (4 261 sessions) at the university counseling center. The CORE-OM were implemented before and after the counseling service.

Results Except crisis subscale, proportion of high scores over cut-off points in well-being, anxiety, depression, physical problems, trauma, relationships, general social functioning decreased significantly after counseling (χ ² = 32.91, 42.10, 33.75, 11.81, 29.64, 10.82, 15.55, P<0.01); Except for harm-toward-other subscale, scores in subjective well-being, problems/symptoms, life/social dysfunctions decreased significantly after counseling ( t = 15.12, 28.85, 19.96, 5.88, P<0.01). Changes in CORE-OM score among 338 out of 640 participants achieved significant reliable change index.

Conclusion Short-term eclectic psychological counseling in higher educational setting helps alleviate psychological distress including anxiety, depression, relationship issues.

Abstract

【摘要】 目的 研究髙校短程整合式心理咨询效果, 为髙校心理健康工作提供实证依据。 方法 选取上海市某髙校短程 咨询大学生来访者965名(4 261次会谈), 在心理咨询前后采用常规临床咨询效果评估表中文表(CORE-OM)进行评估。 结果 咨询后, 除危机外, 幸福感、焦虑、抑郁、躯体化、创伤、亲密、能力得分超过临界分的比例显著下降(χ ²值分别为 32.91, 42.10, 33.75, 11.81, 29.64, 10.82, 15.55, P值均<0.01);除对他人危机外, 幸福感、问题/症状、社会功能、危机总分得分 均下降, 差异均有统计学意义( t值分别为15.12, 28.85, 19.96, 5.88, P值均<0.01)。在640份有效样本中, 有338例CORE-OM得分变化量达可信改变度( RCI)。 结论 髙校心理咨询可以有效减轻大学生常见的焦虑、抑郁情绪、亲密关系问题等 心理困惑。