摘要

目的 探讨接纳承诺疗法（Acceptance and Commitment Therapy, ACT）对青少年精神分裂症父母自我效能、病耻感及心理灵活性的影响。

方法 选取青少年精神分裂症父母180例，随机分为对照组（90例，行常规心理干预）和观察组（90例，在常规心理干预的基础上行ACT干预），每组均干预5周。比较干预前后两组父母认知融合问卷（Cognitive Fusion Questionnaire, CFQ）、接纳与行动问卷(Acceptance and Action Questionnaire-2nd Edition, AAQ-Ⅱ)、一般自我效能量表(General Self-efficacy Scale, GSES)及贬低歧视量表（Perceived Devaluation-Discrimination Scale, PDDS）评分的变化。

结果 干预5周后，两组CFQ、AAQ-Ⅱ、PDDS评分较干预前降低（P均<0.01），GSES得分较干预前提高（P<0.01），且观察组CFQ、AAQ-Ⅱ、PDDS得分低于对照组(P均<0.05)，GSES得分高于对照组(P<0.01)。

结论 接纳承诺疗法可以提高青少年精神分裂症父母的自我效能，减轻病耻感，提高心理灵活性。

关键词：接纳承诺疗法 精神分裂症父母 自我效能 病耻感 心理灵活性

ABSTRACT

Objective To explore the effects of acceptance and commitment therapy（ACT） on self-efficacy, stigma and psychological flexibility in parents of adolescent with schitophrenia.

Methods A total of 180 parents of adolescent with schitophrenia were randomly divided into control group (90 cases, routine psychological intervention) and observation group (90 cases, ACT intervention on the basis of routine psychological intervention), each group received intervention for 5 weeks. The scores of parents' Cognitive Fusion Questionnaire (CFQ), Acceptance and Action Questionnaire-2nd Edition (AAQ-II), General Self-efficacy Scale and Perceived Devaluation-Discrimination Scale (PDDS) were compared before and after intervention between two groups.

Results After 5 weeks of intervention, the scores of CFQ, AAQ-Ⅱ and PDDS in both groups were lower，but GEES was higher than before (P<0.01), the scores of CFQ, AAQ-Ⅱ and PDDS were significantly lower (P<0.05) while GESE was significantly higher (P<0.01) in observation group than those in control group.

Conclusion   ACT can improve psychological flexibility and self-efficacy, alleviate stigma in parents of adolescent who diagnosed schitophrenia.

Key words: Acceptance and commitment therapy; Schitophrenia parents; Self-efficacy; Stigma; Psychological flexibility