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理性情绪行为疗法(REBT)心理病理学和心理健康模型在预测焦虑和抑郁症状方面的实证评估

An Empirical Assessment of REBT Models of Psychopathology and Psychological Health in the Prediction of Anxiety and Depression Symptoms.

作者信息

Oltean Horea-Radu, Hyland Philip, Vallières Frédérique, David Daniel Ovidiu

机构信息

Doctoral School 'Evidence-based assessment and psychological interventions',Babes-Bolyai University,Cluj-Napoca,Cluj,RomaniaandThe International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health,Babeş-Bolyai University,Cluj-Napoca,Romania.

National College of Ireland,Dublin,and Centre for Global Health,Trinity College Dublin,Dublin,Ireland.

出版信息

Behav Cogn Psychother. 2017 Nov;45(6):600-615. doi: 10.1017/S1352465817000133. Epub 2017 Mar 28.

DOI:10.1017/S1352465817000133
PMID:28347384
Abstract

AIMS

This study aimed to assess the validity of two models which integrate the cognitive (satisfaction with life) and affective (symptoms of anxiety and depression) aspects of subjective well-being within the framework of rational emotive behaviour therapy (REBT) theory; specifically REBT's theory of psychopathology and theory of psychological health.

METHOD

397 Irish and Northern Irish undergraduate students completed measures of rational/irrational beliefs, satisfaction with life, and anxiety/depression symptoms. Structural equation modelling techniques were used in order to test our hypothesis within a cross-sectional design.

RESULTS

REBT's theory of psychopathology (χ2 = 373.78, d.f. = 163, p < .001; comparative fit index (CFI) = .92; Tucker Lewis index (TLI) = .91; root mean square error of approximation (RMSEA) = .06 (95% CI = .05 to .07); standardized root mean square residual (SRMR) = .07) and psychological health (χ2 = 371.89, d.f. = 181, p < .001; CFI = .93; TLI = .92; RMSEA = .05 (95% CI = .04 to .06); SRMR = .06) provided acceptable fit of the data. Moreover, the psychopathology model explained 34% of variance in levels of anxiety/depression, while the psychological health model explained 33% of variance.

CONCLUSIONS

This study provides important findings linking the fields of clinical and positive psychology within a comprehensible framework for both researchers and clinicians. Findings are discussed in relation to the possibility of more effective interventions, incorporating and targeting not only negative outcomes, but also positive concepts within the same model.

摘要

目的

本研究旨在评估两种模型的有效性,这两种模型在理性情绪行为疗法(REBT)理论框架内整合了主观幸福感的认知(生活满意度)和情感(焦虑和抑郁症状)方面;具体而言,即REBT的精神病理学理论和心理健康理论。

方法

397名爱尔兰和北爱尔兰本科生完成了理性/非理性信念、生活满意度以及焦虑/抑郁症状的测量。采用结构方程建模技术,以便在横断面设计中检验我们的假设。

结果

REBT的精神病理学理论(χ2 = 373.78,自由度 = 163,p <.001;比较拟合指数(CFI)=.92;塔克·刘易斯指数(TLI)=.91;近似均方根误差(RMSEA)=.06(95%置信区间 =.05至.07);标准化均方根残差(SRMR)=.07)和心理健康理论(χ2 = 371.89,自由度 = 181,p <.001;CFI =.93;TLI =.92;RMSEA =.05(95%置信区间 =.04至.06);SRMR =.06)对数据提供了可接受的拟合度。此外,精神病理学模型解释了焦虑/抑郁水平中34%的方差,而心理健康模型解释了33%的方差。

结论

本研究提供了重要发现,在一个对研究人员和临床医生都易于理解的框架内,将临床心理学和积极心理学领域联系起来。研究结果结合了在同一模型中纳入并针对不仅负面结果而且还有积极概念的更有效干预措施的可能性进行了讨论。

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