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自生训练对焦虑相关知觉改变的研究:扎根理论研究。

Perceived changes associated with autogenic training for anxiety: a grounded theory study.

机构信息

South West London and St George's Mental Health NHS Trust, London, UK.

出版信息

Psychol Psychother. 2009 Dec;82(Pt 4):403-19. doi: 10.1348/147608309X444749. Epub 2009 May 20.

DOI:10.1348/147608309X444749
PMID:19460239
Abstract

OBJECTIVES

Autogenic training (AT) is a behaviourally orientated intervention usually taught in eight or nine sessions in the United Kingdom: clients are taught six simple mental formulae designed to induce a calm state of mind and body, five additional emotional expression exercises, and individually tailored 'personal formulae' for supporting positive change. In the absence of existing psychological (as opposed to neuro-physiological) models of AT's mechanisms, this study aimed to produce the first such model, drawing on the perceptions of recent AT clients.

DESIGN

An abbreviated form of grounded theory was used to explore retrospectively and in detail the experiences of a small sample of people of the process of change.

METHODS

Forty people were approached and 12 women participated who had completed AT in group form after referral for anxiety. Each was interviewed individually. A preliminary model of change was produced, grounded in the interview data.

RESULTS

Factors reported to be salient were learning in a group, the core AT experience (the six standard exercises), difficulties with practice, the importance of regular practice integrated into daily life, and enhanced well-being and coping, which incorporated reduced worrying and clearer thinking. Limitations of the study are discussed, as are areas for further research and implications for anxiety treatment.

CONCLUSIONS

This was a small study with a self-selected sample. However, theoretical generalizations can be made about the process of change. Since AT does not specifically focus on challenging negative cognitions, the cognitive changes reported have implications for anxiety treatments.

摘要

目的

自生训练(AT)是一种行为导向的干预方法,通常在英国教授八到九节课:客户被教导六个简单的心理公式,旨在诱导一种平静的身心状态,五个额外的情绪表达练习,以及为支持积极变化而量身定制的“个人公式”。由于缺乏关于 AT 机制的现有心理(而非神经生理)模型,本研究旨在利用最近接受 AT 的客户的看法,制作第一个这样的模型。

设计

使用简化的扎根理论来回顾性和详细探讨一小部分人经历的变化过程。

方法

接触了 40 人,其中 12 名女性参与了团体形式的 AT,她们是因焦虑问题而被推荐参加的。每个人都接受了单独的采访。根据采访数据,生成了一个初步的变化模型。

结果

报告的重要因素是在小组中学习、核心 AT 体验(六个标准练习)、练习困难、将练习纳入日常生活中的重要性以及增强的幸福感和应对能力,包括减少担忧和更清晰的思维。讨论了研究的局限性,以及进一步研究和焦虑治疗的影响。

结论

这是一项具有自我选择样本的小型研究。然而,可以对变化过程进行理论上的概括。由于 AT 并不特别关注挑战负面认知,因此报告的认知变化对焦虑治疗具有影响。

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