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认知行为疗法与辩证行为疗法对提高医学生心理资本的比较分析:一项随机对照试验

Comparative analysis of cognitive behavioral therapy and dialectical behavior therapy in enhancing psychological capital among medical students: a randomized controlled trial.

作者信息

Dong Cexin, Zhao Jinfa, Wei Yating, Wu Deyuan, Cai Zhu

机构信息

School of Mental Health and Psychological Science, Anhui Medical University, Hefei, China.

School of Health Management, Anhui Medical University, Hefei, China.

出版信息

Front Psychol. 2024 Dec 4;15:1479310. doi: 10.3389/fpsyg.2024.1479310. eCollection 2024.

Abstract

BACKGROUND

Medical students are confronted with a complex stress environment, encompassing academic challenges, residency training, and future workplace pressures. Therefore, the exploration of effective psychological capital intervention strategies is crucial for enhancing their mental health and promoting career development.

OBJECTIVE

The aim of this study was to evaluate the efficacy of group cognitive-behavioral therapy (GCBT) and dialectical behavior therapy (DBT) in boosting the psychological capital of medical students and to compare the advantages and disadvantages of these two therapies.

METHOD

A randomized controlled trial was conducted, recruiting 56 second-year medical students, who were randomly assigned into three groups: GCBT intervention group, DBT intervention group, and control group. The intervention period lasted for 6 weeks, during which the GCBT and DBT groups received respective interventions, while the control group did not receive any intervention.

RESULTS

Regardless of whether GCBT or DBT was used as an intervention, the psychological capital levels of the intervention group students showed significant improvement (mean ± SD,  < 0.05), with effect sizes ranging from 0.324 to 0.667. Further follow-up studies revealed that this improvement remained stable within 1 month post-intervention (mean ± SD,  < 0.05).

CONCLUSION

Both group cognitive-behavioral therapy (GCBT) and dialectical behavior therapy (DBT) have been proven to be effective psychological intervention methods, capable of significantly enhancing the psychological capital of medical students. However, there are certain differences in their effects, providing diverse intervention options to cater to the varied psychological needs of medical students.

摘要

背景

医学生面临着复杂的压力环境,包括学术挑战、住院医师培训以及未来的工作场所压力。因此,探索有效的心理资本干预策略对于增进他们的心理健康和促进职业发展至关重要。

目的

本研究旨在评估团体认知行为疗法(GCBT)和辩证行为疗法(DBT)对提升医学生心理资本的疗效,并比较这两种疗法的优缺点。

方法

进行了一项随机对照试验,招募了56名二年级医学生,他们被随机分为三组:GCBT干预组、DBT干预组和对照组。干预期持续6周,在此期间,GCBT组和DBT组接受各自的干预,而对照组未接受任何干预。

结果

无论使用GCBT还是DBT作为干预措施,干预组学生的心理资本水平均有显著改善(均值±标准差,<0.05),效应大小在0.324至0.667之间。进一步的随访研究表明,这种改善在干预后1个月内保持稳定(均值±标准差,<0.05)。

结论

团体认知行为疗法(GCBT)和辩证行为疗法(DBT)均被证明是有效的心理干预方法,能够显著提升医学生的心理资本。然而,它们的效果存在一定差异,为满足医学生多样化的心理需求提供了不同的干预选择。

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