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多模式认知行为干预对16 - 18岁面临考试的学生压力心态、心理健康及表现的影响

The Influence of a Multimodal Cognitive Behavioural Intervention on the Stress Mindset, Psychological Wellbeing, and Performance of Students Aged 16-18 Facing Exams.

作者信息

Sparks Katherine V, Mansell Paul, Wright Jason, Slater Matthew

机构信息

University of Staffordshire, Stoke-on-Trent, UK.

出版信息

Stress Health. 2025 Aug;41(4):e70075. doi: 10.1002/smi.70075.

DOI:10.1002/smi.70075
PMID:40658003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12258111/
Abstract

Exam stress is one of the most influential factors for adolescent students' mental wellbeing (Brown et al. 2022). The typical response is to try and avoid, reduce or eliminate the stress, but it is possible to change the way individuals appraise stress. The present study aimed to investigate the effect of a 6-week multi-modal intervention on markers of performance and mental wellbeing in students that were soon to be completing their secondary and tertiary examination period (16-18 years). The intervention employed a multi-modal approach of stress psychoeducation, self-compassion and reappraisal of irrational beliefs. Content included helpful thinking techniques, badness scale and imagery to promote a more beneficial psychological response to exams. Eighty-six young persons (49 males and 37 females) aged between 16 and 18 years old (M = 16.92, SD = 0.99) participated, 55 participants in the experimental group and 31 participants in the control group. All participants completed measures of stress-mindset, perceived performance, irrational beliefs, anxiety, depression and proactive coping at baseline and post-intervention. The separate ANCOVA's revealed there was greater significant levels of stress-mindset, perceived performance and proactive coping in the experimental compared to the control at post. Furthermore, there was significantly lower levels of depression in the experimental compared to the control from at post. No significant changes were found in irrational beliefs and anxiety at post. Overall, the multi-modal approach demonstrates to be efficacious in aiding a young person's mental wellbeing and performance.

摘要

考试压力是影响青少年学生心理健康的最重要因素之一(布朗等人,2022年)。典型的应对方式是试图避免、减轻或消除压力,但也有可能改变个体评估压力的方式。本研究旨在调查一项为期6周的多模式干预对即将完成中学和大学考试阶段(16 - 18岁)学生的成绩和心理健康指标的影响。该干预采用了压力心理教育、自我同情和对非理性信念进行重新评估的多模式方法。内容包括有益的思维技巧、不良程度量表和意象,以促进对考试产生更有益的心理反应。86名年龄在16至18岁之间的年轻人(49名男性和37名女性)(M = 16.92,SD = 0.99)参与了研究,其中55名参与者在实验组,31名参与者在对照组。所有参与者在基线和干预后都完成了压力心态、感知成绩、非理性信念、焦虑、抑郁和积极应对的测量。单独的协方差分析显示,与对照组相比,实验组在干预后压力心态、感知成绩和积极应对的显著水平更高。此外,与对照组相比,实验组在干预后的抑郁水平显著更低。在干预后,非理性信念和焦虑方面未发现显著变化。总体而言,多模式方法在帮助年轻人的心理健康和成绩方面显示出有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/15ebc671e655/SMI-41-e70075-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/69e58d3bc0a7/SMI-41-e70075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/9745799e6a23/SMI-41-e70075-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/d98549ca8ac1/SMI-41-e70075-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/129abf6fd290/SMI-41-e70075-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/35317a3daeb8/SMI-41-e70075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/15ebc671e655/SMI-41-e70075-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/69e58d3bc0a7/SMI-41-e70075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/9745799e6a23/SMI-41-e70075-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/d98549ca8ac1/SMI-41-e70075-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/129abf6fd290/SMI-41-e70075-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482c/12258111/35317a3daeb8/SMI-41-e70075-g001.jpg
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本文引用的文献

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"I must make the grade!": the role of cognitive appraisals, irrational beliefs, exam anxiety, and affect, in the academic self-concept of undergraduate students.“我必须得高分!”:认知评价、非理性信念、考试焦虑和情感在本科生学业自我概念中的作用。
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The tendency to appraise stressful situations as more of a threat is associated with poorer health and well-being.
将紧张情况评估为更多威胁的倾向与较差的健康和幸福感有关。
Stress Health. 2024 Jun;40(3):e3358. doi: 10.1002/smi.3358. Epub 2023 Dec 18.
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Improving stress mindset through education and imagery.通过教育和意象改善压力思维模式。
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