Sahranavard Sara, Esmaeili Aliakbar, Dastjerdi Reza, Salehiniya Hamid
Department of Psychology, Faculty of Medicine, Birjand University of Medical Science, Birjand, Iran - Social Determinants of Health Research Center, Faculty of Health, Birjand University of Medical Sciences, Birjand, Iran.
Associate Professor of Psychiatry, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Biomedicine (Taipei). 2018 Dec;8(4):23. doi: 10.1051/bmdcn/2018080423. Epub 2018 Nov 26.
Anxiety sensitivity, positive and negative affection and hope are the important factors in promoting mental health of students. The purpose of this study was to investigate the effectiveness of stress-management-based cognitive-behavioral treatments on anxiety sensitivity, hope, positive and negative affect in female students of Medical Sciences.
This research was a trail study with pre-test, post-test and control group. A sample of 30 subjects, were selected by available sampling and were randomly assigned using Block Randomization Method of two groups (experimental and control groups). Schneider's hope questionnaire, Watson's positive and negative affect questionnaire, Clarke and Tolgman's questionnaire, Reiss et al.'s anxiety sensitivity of the revised index questionnaire, were completed in two stages (pre-test and post-test) by all subjects. A 6-session protocol of cognitive-behavioral group treatment was performed only on the experimental group. The data were analyzed using ANOVA and MANOVA analysis of variance.
Two experimental and control groups with the mean 22, standard deviationl. 13, average age is 22 years. Stress-management-based cognitive-behavioral treatments were effective on the level of anxiety sensitivity and hope (p <0.016), however, it had no significant positive effect on the amount of positive and negative affect (p <0.016).
According to the results, it can be concluded that cognitive-behavioral treatments are effective on anxiety sensitivity and hope. Therefore, stress-management-based cognitive-behavioral training can reduce students' anxiety sensitivity and increase their hopes for coping with challenges.
焦虑敏感性、积极和消极情感以及希望是促进学生心理健康的重要因素。本研究旨在探讨基于压力管理的认知行为疗法对医学专业女学生焦虑敏感性、希望、积极和消极情感的效果。
本研究为一项采用前测、后测和对照组的试验性研究。通过便利抽样选取30名受试者样本，并使用区组随机化方法将其随机分为两组（实验组和对照组）。所有受试者在两个阶段（前测和后测）完成施奈德希望问卷、沃森积极和消极情感问卷、克拉克和托尔格曼问卷、赖斯等人修订版焦虑敏感性指数问卷。仅对实验组实施为期6节的认知行为团体治疗方案。数据采用方差分析（ANOVA）和多变量方差分析（MANOVA）进行分析。
实验组和对照组各有30名受试者，平均年龄22岁，标准差1.13。基于压力管理的认知行为疗法在焦虑敏感性和希望水平上有效（p <0.016），然而，对积极和消极情感量没有显著的积极影响（p <0.016）。
根据研究结果，可以得出认知行为疗法对焦虑敏感性和希望有效。因此，基于压力管理的认知行为训练可以降低学生的焦虑敏感性，并增加他们应对挑战的希望。
