Huang C Z, Cheng Y Y
School of Psychology, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Jun;10(6):316-31.
This study was to explore the effect of RET's group learning program on improving irrational beliefs and the health condition of the elderly people. There were three major purposes: (1) design a set of group learning programs which are suitable for the native elderly; (2) explore the treatment effect of group learning program on improving their irrational beliefs and health; and verify the effect of the group learning program; and (3) explore the follow-up effect of the group learning program on their rational beliefs and health. The subjects were 51 elderly (66-80 years old), divided into treatment group A (Taiwanese), treatment group B (Mandarin) and control group. There were 17 subjects in each group. Instruments used in the study were the irrational Belief Scale, the Mental Health Scale, and the Life Satisfaction Scale, the Coping Strategies Scale, the Disease Checklist and Symptom Checklist. After pretesting treatment groups A and B were instructed in the group learning program twelve times in a period of six weeks. Then the treatment groups were given the post-test with the same instruments. After another six weeks, all subjects were given a follow-up tests. Data were analyzed by dependent sample t-test, repeated measure two-way ANOVA and one-way ANOVA. The main finding were as follow: 1. treatment effect (1) After the treatment of the group learning program, the elderly in groups A and B had a significant improvement (P < .001) with 14 items for irrational belief, mental health, life satisfaction, coping strategies, physical disease and physical symptom. (2) The difference of treatment effect between treatment groups was not significant (P > .05). This result shows that the language mode in which the learning program was presented was not a significant factor. 2. follow-up effect The 12 items of irrational belief, mental health, physical disease, and physical symptoms of the treatment groups were significantly better than in the control group except the factor of reproaching badness. There was no difference among the three groups in life satisfaction and coping strategies. This study affirmed the effect of the group learning program on improving irrational beliefs and health condition of the elderly.
本研究旨在探讨理性情绪疗法（RET）的团体学习计划对改善老年人非理性信念及健康状况的效果。主要有三个目的：（1）设计一套适合本国老年人的团体学习计划；（2）探究团体学习计划对改善老年人非理性信念及健康状况的治疗效果，并验证该团体学习计划的效果；（3）探究团体学习计划对老年人理性信念及健康状况的后续影响。研究对象为51名66至80岁的老年人，分为治疗组A（讲台湾话）、治疗组B（讲普通话）和对照组，每组17人。本研究使用的工具包括非理性信念量表、心理健康量表、生活满意度量表、应对策略量表、疾病清单和症状清单。在进行预测试后，治疗组A和B在六周内接受了12次团体学习计划指导。然后，使用相同工具对治疗组进行后测。再过六周后，对所有受试者进行随访测试。数据采用相关样本t检验、重复测量双向方差分析和单向方差分析进行分析。主要研究结果如下：1. 治疗效果（1）经过团体学习计划治疗后，治疗组A和B的老年人在非理性信念、心理健康、生活满意度、应对策略、身体疾病和身体症状等14个项目上有显著改善（P <.001）。（2）治疗组之间的治疗效果差异不显著（P >.05）。这一结果表明，学习计划呈现的语言模式不是一个显著因素。2. 后续影响除了自责这一因素外，治疗组在非理性信念、心理健康、身体疾病和身体症状等12个项目上明显优于对照组。三组在生活满意度和应对策略方面没有差异。本研究证实了团体学习计划对改善老年人非理性信念及健康状况的效果。
