首页|适应理论的积极心理学干预联合合理情绪疗法对甲状腺功能亢进患者的影响

适应理论的积极心理学干预联合合理情绪疗法对甲状腺功能亢进患者的影响

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目的:探讨基于适应理论的积极心理学干预联合合理情绪(REBT)疗法对甲状腺功能亢进患者心理健康、人格特征和应对方式的影响。方法:选取2021年4月-2024年3月在某院确诊的160例甲状腺功能亢进患者,根据入院时间将2021年4月-2022年6月采用常规干预的80例患者纳入为参照组,将2022年7月-2024年3月在参照组基础上加用基于适应理论的积极心理学干预的80例患者纳入为联合组,均持续干预8周。比较两组患者干预前后心理健康[采用评估汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)]、精神症状[采用症状自评量表(SCL-90)评估]、人格特质[采用中国版艾森克人格简式量表(EPQ-RSC)评分评估]、应对方式[采用简易应对方式量表评估]和生活质量[采用生活质量量表(SF-36)评估]。结果:干预后,联合组HAMA和HAMD量表评分、SCL-90量表评分和EPQ-RSC量表评分较参照组低,联合组患者的简易应对方式量表评分和生活质量较参照组高,差异有统计学意义(P<0。05)。结论:基于适应理论的积极心理学干预REBT疗法可以改善患者心理健康,降低患者人格特征倾向化表现,提高其对疾病的积极应对方式和生活质量。
Effects of positive psychology intervention based on adaptive theory combined with rational emotive behavior therapy in patients with hyperthyroidism
Objective:To explore the effects of positive psychology intervention based on adaptive theory combined with rational emotive behavior therapy(REBT)on psychological health,personality characteristics and coping styles in patients with hyperthyroidism.Methods:A total of 160 patients with hyperthyroidism confirmed in the hospital were enrolled between April 2021 and March 2024.According to different admission time,they were divided into con-trol group(80 cases,routine intervention,April 2021-June 2022)and combination group(80 cases,positive psychol-ogy intervention based on adaptation theory on basis of control group,July 2022-March 2024).All patients were in-tervened for 8 weeks.The psychological health[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],mental symptoms[symptom check list-90(SCL-90)],personality traits[Eysenck Personality Ques-tionnaire-Revised,Short Scale For Chinese(EPQ-RSC)],coping styles(simplified coping style questionnaire)and quality of life[the 36-item shot-form health status survey(SF-36)]in the two groups were compared before and after intervention.Results:After intervention,scores of HAMA,HAMD,SCL-90 and EPQ-RSC in combination group were lower than those in control group,and scores of simplified coping style questionnaire and SF-36 were higher than those in control group(P<0.05).Conclusion:Positive psychology intervention based on adaptive theory combined with REBT can improve psychological health,reduce personality traits tendency,improve positive coping styles and quality of life.

Adaptive theoryPositive psychologyRational emotive behavior therapyHyperthyroidismPsycholog-ical healthPersonality characteristicCoping style

刘静娟、刘双双、杨毛毛、齐蕾

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郑州大学第一附属医院内分泌及代谢病科二病区 450000

郑州大学第一附属医院内分泌及代谢病科

郑州大学第一附属医院静配中心

适应理论 积极心理学 合理情绪疗法 甲状腺功能亢进 心理健康 人格特征 应对方式

2025

中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子:1.264
ISSN:1005-1252
年,卷(期):2025.33(1)