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功能分析心理疗法和接纳承诺疗法(FACT)对公职人员的疗效。

The efficacy of functional-analytic psychotherapy and acceptance and commitment therapy (FACT) for public employees.

机构信息

Universidad de Málaga.

出版信息

Psicothema. 2019 Feb;31(1):24-29. doi: 10.7334/psicothema2018.202.

Abstract

BACKGROUND

The literature is replete with evidence regarding the impact of psychological distress in the workplace. Traditionally, worksite interventions to enhance mental health have been carried out in groups. This study aimed to implement a brief individual program in the workplace through the combination of Functional Analytic Psychotherapy (FAP) and Acceptance and Commitment Therapy (ACT) for Public Administration employees.

METHOD

One hundred and six public employees from a Spanish city council completed pretest measures and forty-three met the inclusion criteria. The participants´ scores on distress, burnout, psychological flexibility, depression, anxiety and stress were examined in a pretest-posttest design with a waiting list control group and random assignment. Thirty-eight employees completed the intervention (FACT group= 19; Waiting list control group= 19). The intervention lasted three individual sessions using a protocol with the processes of FAP and ACT, resulting in a protocol named FACT.

RESULTS

The FACT group showed statistically significant improvements in distress, burnout, psychological flexibility and anxiety compared with the waiting list control group.

CONCLUSION

These results provide a breakthrough and initial support for the inclusion of FAP in the workplace along with the integration with brief ACT in individual sessions to improve employees’ mental health.

摘要

背景

文献中充斥着关于工作场所心理困扰影响的证据。传统上,为了改善心理健康,工作场所干预措施都是以小组的形式进行的。本研究旨在通过将功能分析心理治疗(FAP)和接纳与承诺疗法(ACT)结合起来,为公共行政员工在工作场所实施一项简短的个体项目。

方法

来自西班牙一个市议会的 106 名公共部门员工完成了前测措施,其中 43 名符合纳入标准。采用前测-后测设计,结合等待名单对照组和随机分组,对参与者的困扰、倦怠、心理灵活性、抑郁、焦虑和压力得分进行了评估。38 名员工完成了干预(FACT 组=19;等待名单对照组=19)。干预持续三个单独的疗程,使用包含 FAP 和 ACT 过程的方案,产生了一个名为 FACT 的方案。

结果

与等待名单对照组相比,FACT 组在困扰、倦怠、心理灵活性和焦虑方面显示出统计学上的显著改善。

结论

这些结果为在工作场所中纳入 FAP 并与简短的 ACT 结合起来,以改善员工的心理健康提供了一个突破和初步支持。

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