验证包含自我同情的行为激活模型：三个时间点的纵向研究。
Validation of a Behavioral Activation Model Including Self-Compassion: A Longitudinal Study at Three Time Points.
机构信息
Health Service Center, Hiroshima University, Higashihiroshima, Japan.
Faculty of Humanities, Niigata University, Niigata, Japan.
出版信息
Psychopathology. 2024;57(5):369-376. doi: 10.1159/000538266. Epub 2024 Apr 8.
INTRODUCTION
Depression is highly prevalent among university students. While behavioral activation has been shown to be an effective psychotherapy for depression, there is a lack of research regarding the behavioral activation mechanism. Furthermore, although self-compassion seems to be a factor in promoting behavioral activation, no studies have attempted to validate a behavioral activation model that includes positive self-compassion. In addition, mechanistic studies have lacked consideration in longitudinal studies of behavioral activation. Thus, in this longitudinal study, we constructed and validated an exploratory model of behavioral activation.
METHODS
A total of 300 undergraduate students completed online surveys in 2019, 2020, and 2021. We examined the longitudinal effects of five factors (value-based behavior, goal-oriented and scheduled activities, positive reinforcement, self-compassion, and depressive symptoms) using structural equation modeling based on maximum likelihood estimation using bootstrapping.
RESULTS
The exploratory model was found to be valid and to have a good fit with the data. The results indicate that value-based behaviors increase the frequency of goal-oriented and scheduled activities, which in turn increases the frequency of positive reinforcement in everyday life. Additionally, when self-compassion, value-based behavior, goal-oriented and scheduled activities, and positive reinforcement are considered together, self-compassion may be indirectly related to activation via value-based behavior.
CONCLUSION
From the perspective of preventing depressive symptoms, it is important to increase the frequency of value-based activities. Furthermore, adding self-compassion is effective in behavioral activation to increase value-based activities. However, to address the limitations of this study, future studies should investigate the relationship among behavioral characteristics during interventions.
简介
抑郁症在大学生群体中较为普遍。行为激活已被证明是一种有效的治疗抑郁症的心理疗法，但对于行为激活的机制研究还比较缺乏。此外，虽然自我同情似乎是促进行为激活的一个因素，但没有研究试图验证包含积极自我同情的行为激活模型。此外，在行为激活的纵向研究中，机制研究缺乏考虑。因此，在这项纵向研究中，我们构建并验证了一个行为激活的探索性模型。
方法
共有 300 名本科生在 2019 年、2020 年和 2021 年完成了在线调查。我们使用基于最大似然估计的结构方程模型（bootstrapping 法），考察了五个因素（基于价值的行为、目标导向和计划活动、积极强化、自我同情和抑郁症状）的纵向影响。
结果
探索性模型被证明是有效的，并且与数据拟合良好。结果表明，基于价值的行为增加了目标导向和计划活动的频率，进而增加了日常生活中的积极强化频率。此外，当自我同情、基于价值的行为、目标导向和计划活动以及积极强化一起考虑时，自我同情可能通过基于价值的行为间接与激活相关。
结论
从预防抑郁症状的角度来看，增加基于价值的活动的频率很重要。此外，在行为激活中增加自我同情可以有效增加基于价值的活动。然而，为了克服本研究的局限性，未来的研究应该调查干预期间行为特征之间的关系。
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