group intervention

团体干预
  • 文章类型: Systematic Review
    目的:回忆干预已被广泛用于改善痴呆症患者的心理健康。然而,对于认知完整和轻度认知障碍的老年人,团体回忆干预的有效性存在不确定性.基于我国老年人数量多、医疗卫生资源紧张的现状,我们对认知完整或轻度认知障碍的老年人采用集体怀旧干预措施的有效性的证据进行了系统评价.
    方法:从开始到2022年8月21日检索了五个英文数据库。通过使用Cochrane偏差风险量表或标准(2020)和澳大利亚循证医疗保健中心(2020)评估纳入的文章的质量。提取与研究相关的数据和干预特征。
    结果:包括24篇文章,其中8项为准实验研究,16项为随机对照研究。整体研究质量较高,但是大多数研究并没有使参与者失明。团体回忆干预措施有利于改善认知完整或轻度认知障碍的老年人的抑郁症状和生活满意度,但对生活质量的影响尚无有效结论。
    结论:团体回忆干预是改善老年人心理健康的一种有效的心理干预方式。此外,团体回忆干预措施简单易行,可视为满足认知完整和轻度认知受损老年人精神需求的常规护理活动.
    Reminiscence interventions have been extensively used to improve the psychological health of people with dementia. However, there is uncertainty about the effectiveness of group reminiscence interventions for older adults with intact cognition and mild cognitive impairment. Based on the large number of older adults and strained health care resources in China, we conducted a systematic review of the evidence on the effectiveness of group reminiscence interventions for older adults with intact cognition or mild cognitive impairment.
    Five English databases were searched from inception to 21 August 2022. The quality of the included articles was assessed by using the Cochrane Risk of Bias Scale or Criteria (2020) and the Australian Evidence-Based Health Care Centre (2020). Data related to study and intervention characteristics were extracted.
    Twenty-four articles were included, of which eight were quasiexperimental studies and sixteen were randomized controlled studies. The overall study quality was high, but most studies did not blind the participants. Group reminiscence interventions were beneficial in improving depressive symptoms and life satisfaction in older adults with intact cognition or mild cognitive impairment, but no valid conclusions could be drawn about the effect on quality of life.
    Group reminiscence interventions are an effective type of psychological intervention to improve the psychological health of older people. In addition, group reminiscence interventions are simple and easy to implement and can be considered a routine care activity to meet the spiritual needs of cognitively intact and mildly cognitively impaired older people.
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  • 文章类型: Journal Article
    UNASSIGNED:自尊和自我接纳不仅是心理健康的基本特征,也是心理健康的影响因素。本研究旨在评估心理教育讲座和团体干预对中国大学生自尊和自我接纳的影响。
    UNASSIGNED:共有149名参加心理健康课程的中国大学生被随机分配到心理教育讲座组(n=62)和以自我为中心的干预组(n=87)。讲座小组接受了六期有关精神健康概览的心理教育讲座,校园适应,应力调整,自我理解,情绪管理,和人际关系。自我聚焦干预组接受涉及自我知识方面的自我相关小组活动,自我感觉,和六个会议的自我调节。两组均采用Rosenberg自尊量表和自我接纳问卷进行干预前后的测量。
    UNASSIGNED:六个疗程后,两组的自尊都显着增加。然而,自我集中干预组的自我接受度增强比心理教育讲座组更为强劲.
    UNASSIGNED:心理教育讲座和以自我为中心的干预是提高中国大学生自尊的有效方法。关于自我接纳,自我聚焦的团体干预可能有更突出的效果。
    UNASSIGNED: Self-esteem and self-acceptance are not only basic features but also influential factors of mental health. The present study aimed at assessing the effects of psychoeducational lecture and group intervention on self-esteem and self-acceptance in Chinese college students.
    UNASSIGNED: A total of 149 Chinese college students who participated in a mental health course were randomly class-based assigned into the psychoeducational lecture group (n = 62) and the self-focused intervention group (n = 87). The lecture group received 6-session psychoeducational lectures on overview of mental health, campus adaptation, stress adjustment, self-understanding, emotion management, and interpersonal relationships. The self-focused intervention group was treated with self-related group activities involving aspects of self-knowledge, self-feeling, and self-regulation for six sessions. Pre- and post-intervention measurements were taken with Rosenberg Self-Esteem Scale and Self-Acceptance Questionnaire for both groups.
    UNASSIGNED: Self-esteem significantly increased in both groups after six sessions. However, the enhancement of self-acceptance was more robust for the self-focused intervention group than the psychoeducational lecture group.
    UNASSIGNED: The psychoeducational lecture and self-focused intervention were effective approaches to improve self-esteem for Chinese college students. With respect to self-acceptance, self-focused group intervention might have a more prominent effect.
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  • 文章类型: Journal Article
    This study aimed to delineate changes in the patterns of prolonged grief severity in widowed adults following group bereavement interventions and to identify the predictive factors impacting these patterns. We performed a secondary analysis of data from a randomized trial of 125 Chinese widowed older adults who participated in either LOGBI or DPGBI. Self-ratings of prolonged grief symptoms via Inventory of Complicated Grief (ICG) were subjected to latent class growth analysis to identify subgroups according to symptomatic changes among baseline, post-treatment, and 8-week follow-up. Multinomial regression analysis examined whether participant classification could be predicted by demographics, loss-related characteristics, and the relationship with the deceased and baseline symptom severity. In the results, intervention sample comprised 96 completers with an attendance greater than 60%. A three-class categorization yielded the best model fit for changes in prolonged grief severity for both randomized and intervention samples: improved class (41.6% in the randomized sample, 42.8% in the intervention sample), partial responded class (48.1%/45.5%), and relapse class (10.3%/11.8%). Older widowed adults experiencing a high level of grief at baseline and bereavement following chronic illness had an elevated risk of symptomatic relapse after the completion of intervention. These findings indicated that Chinese widowed adults experienced different changing patterns of prolonged grief severity following group bereavement interventions. Practically, widowed adults with a higher risk of symptomatic relapse might need more intensive or longer term intervention or follow-up support.
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  • 文章类型: Journal Article
    The migrant worker phenomenon in China has negatively impacted the psychological development of these workers\' children, whom researchers have termed \"left-behind children\" (LC) or university students with left-behind experience (USWL). Since USWL are the best among the LC in some sense, we decided to perform two investigations to determine if they might possess unique positive psychological capital factors. Study 1 aimed to explore the development of the psychological capital of USWL, and Study 2 utilized a group intervention design to improve USWL psychological capital. A questionnaire was administered to 281 USWL and 284 control university students in study 1. The results showed that the psychological capital of USWL was moderate, and their self-efficacy, optimism, hope, and overall psychological capital were significantly lower than those with no left-behind experience. However, their psychological resilience was remarkably higher than those who were not left behind. It also suggested that some demographic factors such as gender, grade, only child status, student leadership experience, reunion frequency with parents, and relationship with guardians significantly influence the psychological capital of USWL. In Study 2, a single-factor interventional experimental design based on the psychological capital intervention theory (PCI) was conducted in 73 USWL (38 in the experimental group, 35 in the control group). There were significant post-test differences between groups. Both the pre- and post-test results differed greatly in the experimental and control groups. Overall, our findings indicate that although the left-behind experience in childhood moderately impairs psychological capital development, it also fosters resilience. The psychological intervention based on PCI is an effective \"remedy scheme\" to improve their psychological capital qualities.
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  • 文章类型: Journal Article
    OBJECTIVE: Mindfulness-based intervention (MBI) has been applied in behavioral addiction studies in recent years. However, few empirical studies using MBI have been conducted for smartphone addiction, which is prevalent among Chinese university students. The aim of this study was to investigate the effectiveness of a group mindfulness-based cognitive-behavioral intervention (GMCI) on smartphone addiction in a sample of Chinese university students.
    METHODS: Students with smartphone addiction were divided into a control group (n = 29) and an intervention group (n = 41). The students in the intervention group received an 8-week GMCI. Smartphone addiction was evaluated using scores from the Mobile Phone Internet Addiction Scale (MPIAS) and self-reported smartphone use time, which were measured at the baseline (1st week, T1), post-intervention (8th week, T2), the first follow-up (14th week, T3), and the second follow-up (20th week, T4).
    RESULTS: Twenty-seven students in each group completed the intervention and the follow-up. Smartphone use time and MPIAS scores significantly decreased from T1 to T3 in the intervention group. Compared with the control group, the intervention group had significantly less smartphone use time at T2, T3, and T4 and significantly lower MPIAS scores at T3.
    CONCLUSIONS: This pilot study demonstrated that the GMCI could significantly alleviate smartphone addiction among university students.
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  • 文章类型: Journal Article
    OBJECTIVE: The purpose of this study was to explore the effectiveness of sleep self-management group intervention for insomnia disorder.
    METHODS: One hundred four patients with insomnia disorder were recruited from The Seventh Hospital of Hangzhou, from February to November 2015. After completing the Pittsburgh Sleep Quality Index (PSQI) and Sleep Diary and Beliefs and Attitudes about Sleep Scale (DBAS), they were randomly assigned into the intervention group (n = 52) and the control group (n = 52). The intervention group received the \"sleep self-management group intervention,\" while the control group was trained with routine intervention in the same form combined with 5 to 10 mg Zolpidem nightly. Patients from both groups completed the PSQI, DBAS, and Sleep Diary after 8 weeks of treatment.
    RESULTS: The intervention group scored significantly lower on the PSQI total score, Objective Sleep Efficacy, and Sleep Disturbance but higher on the DBAS total score, misconceptions about the causes of insomnia, misattribution or amplification of the consequences of insomnia, faulty beliefs about sleep-promoting practices than the control group after intervention.
    CONCLUSIONS: The sleep self-management group intervention could enhance sleep efficacy, improve sleep disturbance, and sleep misbeliefs.
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  • 文章类型: Journal Article
    Prenatal psychosocial health has been linked with health behaviors, maternal health, and birth outcomes. This randomized controlled trial evaluated the effects of a prenatal depression intervention on birth outcomes and maternal physical and psychological status at 42 days postpartum. Three hundred fifty-two high-risk pregnant women exposed to obstetric complications with an Edinburgh Postnatal Depression Scale (EPDS) ≥ 9 or a Postpartum Depression Screening Scale (PDSS) ≥ 60 were randomly assigned to the intervention group (n = 176) and control group (n = 176). The intervention group underwent a six-session couple-separated psycho-educational program; the control group received the usual care. All participants were asked to complete questionnaires at late pregnancy (>28 weeks), 3 days postpartum, and 42 days postpartum. The intervention group had a significantly lower cesarean rate and shorter third stage of labor (p < .05). At 42 days after delivery, only 5.1% of participants were lost to follow-up, and the intervention group had significantly less minor and major depression, more sleep time, more satisfaction with their husband and other family members, less concern about taking care of baby, and less breast milk insufficiency than the control group (p < .05). A prenatal psychological intervention model for high-risk pregnant women holds potential as a preventive program that addresses maternal health and birth outcomes.
    Chinese Clinical Trial Registry (ChiCTR-IOR-15006433), http://www.chictr.org.cn/enIndex.aspx (retrospectively registered).
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  • 文章类型: Journal Article
    精神分裂症是一种破坏性和痛苦的疾病,不仅是受影响的人,也是家庭成员。家庭干预,特别是在使用不同形式的团体形式中,被认为可以有效地满足家庭的信息需求,并提高他们在照顾精神分裂症亲属时的应对能力,从而减少病人的疾病复发。这项研究检验了以下假设:与常规护理的家庭相比,家庭心理教育和互助小组的参与者将证明患者和家庭功能水平的显着改善以及重新住院的时间更短。一项随机对照试验以香港68个中国精神分裂症患者家庭为样本,他们被随机分配到家庭心理教育和支持小组(n=34),或常规护理组(n=34)。干预措施在9个月的时间内在两个精神病门诊诊所进行。方差检验的多变量分析结果表明,心理教育和支持小组在两次测试后(干预完成后的一个月和一年)报告了家庭和患者功能的改善以及患者住院时间的缩短。与常规护理组比较。研究结果证实,在中国的背景下,心理教育和互助团体干预可以有效地帮助家庭照顾精神病患者的亲属。
    Schizophrenia is a disruptive and distressing illness, not only for the person affected but also for family members. Family intervention, particularly in a group format using a diverse range of modalities, is thought to effectively satisfy the informational needs of families and enhance their coping abilities when caring for a relative with schizophrenia, and thus reduce a patient\'s relapse from illness. This study tested the hypothesis that participants in a family psychoeducation and mutual support group would demonstrate significant improvements in levels of patient and family functioning and shorter duration of re-hospitalization than families in routine care. A randomized controlled trial was conducted with a sample of 68 Chinese families of schizophrenia sufferers in Hong Kong, who were randomly assigned to either a family psychoeducation and support group (n = 34), or a routine care group (n = 34). The interventions were delivered at two psychiatric outpatient clinics over a nine-month period. Results of multivariate analyses of variance test indicated that the psychoeducation and support group reported greater improvements on family and patient functioning and shorter lengths of patient hospitalizations at the two post-tests (one month and one year after completion of the intervention), compared with the routine care group. The findings substantiate that within a Chinese context, psychoeducation and mutual support group intervention can effectively help families care for a mentally ill relative.
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