團體認知行為治療對門診憂鬱症青少年之成效初探

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團體認知行為治療對門診憂鬱症青少年之成效初探

The Effectiveness of Group Cognitive Behavioral Therapy for Outpatient Adolescents With Depression: A Pilot Study

謝玉萍 , Masters　　Advisor：張秀如　　

繁體中文

認知行為治療團體；憂鬱症青少年； cognitive behavioral group therapy ； adolescents with depression

Abstract │ Reference (144) │ Times Cited (2) │ Altmetrics

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The purpose of this study was to study the effectiveness of short-term group cognitive-behavioral therapy for the outpatient adolescents with depression . The research design was to adopt the one-group pretest-
posttest of experimental method. This study was on four outpatient adolescents at a teaching hospital at northern Taiwan. They participated the tailor-made cognitive group therapy with once weekly for eight times, and each session lasted for 60-70 minutes. The research instruments consisted of the Beck Depression Inventory (BDI-II), Cognitive Triad Inventory for Children (CTI-C), Scale of Suicidal Risk, Self-harm Behaviors Scale, and Group Effectiveness Scale. The data were analyzed using descriptive statistics and nonparametric paired sample t-test used to analyze for different between pre-tests and post-tests. 
The results of this study showed that patients' pre-test 11±6.7 (mean±SD)to post-test of 5.8±5.4, the score of Cognitive Traid was improved from pre-test 40.5±14.3 to post-test 51.7±12.3, the Scale of Suicidal Risk was reduced from pretest 6.8±9.2 to post-test 2.5±3, and the score of Slf-harm Bhaviors Sale was decreased from pretest 22.3±15 to post-test 
10.3±10.7 But those improvements did not reach any significant differences from pre-test to post-tests. We used the content analysis method to analyze group process, and we found that illness process of the members began with the examination of the origin of illness-cause, inspection of negative cognition of depression, and inspection of diversified impacts of negative cognition. To further analyze the group processes with content analysis method, we needed to include emotion recognition, emotion control, inspection of thought, and shift of thoughts as we resorted to the process of internal transformation of group process analysis. 
The results further included thought, cognition, and impact of daily life from illness to emotion discovery of the group, challenge of irrational thoughts, emotion control and change of interaction with the external world.These finding of this pilot study may provide as the preliminary 
reference to the related research and the nursing practice of group cognitive behavioral therapy in the future.

keyword：cognitive behavioral group therapy 、adolescents with depression

Reference ( 144 ) 〈TOP〉

王建楠、吳重達(2003)．兒童及青少年憂鬱症．基層醫學，18(7)，154-165。
連結：
沈詠萱、詹其峰、呂碧鴻(2003)．青少年憂鬱症．基層醫學，18(4)，84-90。
連結：
吳秋玉、黃俊仁(2004)．以認知理論應用於憂譽症病患之經驗．安泰醫護專雜誌，10(3)，141-151。
連結：
吳珮瑱(2003)．諮商歷程的研究方法．諮商與輔導，209，2-5。
連結：
吳純儀、顏正芳、余麗樺(2007)．青少年自殺危險因子之後設分析．台灣精神醫學，21(4)，271-281。
連結：

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