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目的评价网络认知行为疗法对医学生社交焦虑的干预效果,为医学生社交焦虑干预治疗提供经验和依据。方法将30名社交焦虑的医学生自愿分成一对一网络干预组和一对五网络干预组,采用认知行为疗法进行干预。于干预前、干预后、干预后3个月及6个月利用社交焦虑问卷和社交焦虑状态访谈问卷,分别对2组学生社交焦虑水平和状态进行评估。结果各干预组干预后较干预前社交焦虑总分均有大幅下降,一对一组分数下降更为明显(P值均<0.05)。2次追踪各干预组社交焦虑水平比干预前均有明显降低(P值均<0.05),与干预后的结果差异无统计学意义(P值均>0.05)。在一对一组中,追踪6个月时,1名亚临床状态者保持不变,2名社交焦虑亚临床和亚健康状态者转为正常;而一对五组中,追踪6个月时,2名亚临床状态者中1名转为正常。结论 2种网络干预方法均能降低医学生社交焦虑水平且效果持久性良好,一对一网络干预疗法效果更为显著。
Objective To evaluate the intervention effect of cognitive behavioral therapy on social anxiety in medical students and provide experience and evidence for medical students’ anxiety intervention. Methods Thirty social anxiety students were randomly divided into one-on-one network intervention group and one-on-five network intervention group, and intervention was made by cognitive behavioral therapy. Social anxiety questionnaire and social anxiety interview questionnaire were used before intervention, after intervention, three months and six months after intervention to evaluate the level and status of social anxiety in two groups of students respectively. Results After intervention, the scores of social anxiety before intervention in each intervention group dropped significantly, and the scores of one to one decrease significantly (P <0.05). The level of social anxiety in each intervention group was significantly lower than that before intervention (P <0.05). There was no significant difference between the two interventions (P> 0.05). In the one-to-one group, one subclinical group remained unchanged at 6 months of follow-up, and two subclinical and sub-social groups with social anxiety turned normal. In a pair of five groups, 6 months One of 2 subclinical patients turned normal. Conclusion Both intervention methods can reduce the social anxiety level of medical students and the effect of lasting good, one-on-one network intervention therapy effect is more significant.