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心理教育对诊断为抑郁症患者的认知扭曲、负性自动思维和功能失调态度的影响。

The effects of the psychoeducation on cognitive distortions, negative automatic thoughts and dysfunctional attitudes of patients diagnosed with depression.

机构信息

Faculty of Health Sciences, Department of Psychiatric Nursing, Harran University, Şanlıurfa, Turkey.

Faculty of Health Sciences. Department of Psychiatric Nursing, Gaziantep University, Gaziantep, Turkey.

出版信息

Psychol Health Med. 2022 Dec;27(10):2085-2095. doi: 10.1080/13548506.2021.1944654. Epub 2021 Jun 22.

DOI:10.1080/13548506.2021.1944654
PMID:34154459
Abstract

There are many studies showing a positive relationship between depression level and cognitive distortions in the literature. The study was carried out to determine the effects of cognitive behavioral therapy-based psychoeducation on cognitive distortions, negative automatic thoughts and dysfunctional attitudes of patients diagnosed with depression. This study was designed as a two-group pre-posttest study. The study sample composed of a total of 60 patients (30 patients in the treatment group and 30 patients in the control group) who met the eligibility criteria. The data have been collected by using The Personal Information Form, Automatic Thoughts Questionnaire, The Dysfunctional Attitude Scale and Interpersonal Cognitive Distortions Scale. Psychoeducation was provided in the form of individual training once a week in total of eight sessions. For the pretest, assumption and schemas that make people predispose to depression, dysfunctional attitudes and cognitive distortions in interpersonal relationships were seen frequently to be above average in all patients. It was determined that patients in the treatment group used significantly less dysfunctional attitudes and to had lower negative automatic thoughts and interpersonal cognitive distortions compared with patients in the control group in posttest ( < 0.05). Consequently, cognitive behavioral therapy-based psychoeducation has become considerably effective in decreasing the use of negative automatic thoughts, interpersonal cognitive distortions and dysfunctional attitudes in patients with depression. cognitive behavioral therapy-based psychoeducation should be thought of as a treatment component due to its effectiveness in nursing care of depressed patients.

摘要

文献中有许多研究表明抑郁水平与认知扭曲之间存在正相关关系。本研究旨在确定基于认知行为疗法的心理教育对抑郁患者认知扭曲、消极自动思维和功能失调态度的影响。本研究设计为两组前后测研究。研究样本由符合纳入标准的共 60 名患者(治疗组 30 名,对照组 30 名)组成。使用个人信息表、自动思维问卷、功能失调态度量表和人际认知扭曲量表收集数据。心理教育以每周一次、共八次的个体培训形式提供。在预测试中,假设和模式使人们容易患上抑郁症,在所有患者中,人际关系中的功能失调态度和认知扭曲经常高于平均水平。与对照组相比,治疗组患者在后测中使用的功能失调态度明显减少,消极自动思维和人际认知扭曲也较低(<0.05)。因此,基于认知行为疗法的心理教育在减少抑郁患者消极自动思维、人际认知扭曲和功能失调态度方面非常有效。鉴于其在抑郁患者护理中的有效性,应将基于认知行为疗法的心理教育视为一种治疗手段。

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