负性生活事件对青少年焦虑的影响:基于认知行为疗法的视角

doi:10.16187/j.cnki.issn1001-4918.2023.05.12

摘要/Abstract

摘要： 本研究将用于干预治疗的认知行为疗法应用于青少年焦虑发生机制的探索中,采取整群抽样选取山东省和河南省6所学校的1097名中学生,使用压力性生活事件、反刍思维、生命意义感和焦虑自评量表对其进行调查,检验并建构了一个解释青少年焦虑产生的有调节的中介模型。结果发现:(1)反刍思维在负性生活事件与青少年焦虑间起部分中介作用;(2)生命意义感调节反刍思维引发的焦虑反应。结合该结果,本研究利用问题发生后的治疗视角理解青少年焦虑的发生机制,探讨对实践预防的重要启示,从“后视”的角度为改善青少年焦虑问题提供“前瞻”的思考。

关键词: 负性生活事件, 焦虑, 反刍思维, 生命意义感, 认知行为疗法

Abstract: Based on the CBT framework, the current study explored the relationship between experience of negative life events and adolescent anxiety, which was mediated by rumination and moderated by meaning in life. A total of 1097 students from six middle schools of Shandong and Henan Province were recruited using cluster sampling. To assess the level of negative life events, rumination, meaning in life and anxiety, this study used the Stressful Life Events Scale, Ruminative Responses Scale, Self-Rating Anxiety Scale and the Revised Meaning in Life Questionnaire, correspondingly. The results showed that: (1) Rumination partially mediated the relationship between negative life events and adolescent anxiety; (2) The association between rumination and anxiety was moderated by meaning in life. The results were explained and discussed to explain the occurrence mechanism of adolescent anxiety from the perspective of CBT model, which is usually an approach for interventional treatment after anxiety occurs.

Key words: negative life events, anxiety, rumination, meaning in life, cognitive behavioral therapy

中图分类号:

B844

辛素飞, 王金睿, 彭海云, 徐柳青, 张一林, 盛靓. 负性生活事件对青少年焦虑的影响:基于认知行为疗法的视角[J]. 心理发展与教育, 2023, 39(5): 710-717.

XIN Sufei, WANG Jinrui, PENG Haiyun, XU Liuqing, ZHANG Yilin, SHENG Liang. The Influence of Negative Life Events on Adolescent Anxiety: The Perspective of Cognitive Behavioral Therapy[J]. Psychological Development and Education, 2023, 39(5): 710-717.

参考文献

Cann, A., Calhoun, L. G., Tedeschi, R. G., Triplett, K. N., Vishnevsky, T., & Lindstrom, C. M. (2011). Assessing posttraumatic cognitive processes: The event related rumination inventory.Anxiety, Stress, & Coping, 24(2), 137-156.
Chen, X., & Yan C. G. (2021). Hypostability in the default mode network and hyperstability in the frontoparietal cognitive network ofdynamic functional architecture during rumination. Neuroimage, 241, 118427.
Dickson, K. S., Ciesla, J. A., & Zelic, K. (2017). The role of executive functioning in adolescent rumination and depression.Cognitive Therapy and Research, 41(1), 62-72.
Doan, S. N., Fuller-Rowell, T. E., & Evans, G. W. (2012). Cumulative risk and adolescent’s internalizing and externalizing problems: The mediating roles of maternal responsiveness and self-regulation.Developmental Psychology, 48(6), 1529-1539.
Dobson, K. S., & Dozois, D. J. (2001). Historical and philosophical bases of the cognitive-behavioral therapies. In K. S. Dobson (Eds.), Handbook of cognitive-behavioral therapies (2nd ed., pp.3-39). New York: Guilford Press.
Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires.Cognition & Emotion, 19, 313-332.
Fritz, H. L. (1999). Rumination and adjustment to a first coronary event. Psychosomatic Medicine, 61(1), 105.
Gall, M. D., Gall, J. P., & Borg, W. R. (2007). Educational research: An introduction. Boston, MA: Pearson.
Humphrey, A., & Vari, O. (2021). Meaning matters: Self-perceived meaning in life, its predictors and psychological stressors associated with the COVID-19 pandemic.Behavioral Sciences, 11(4), 50. https://doi.org/10.3390/bs11040050
Joseph, S., & Linley, P. A. (2008). Trauma, recovery, and growth: Positive psychological perspectives on posttraumatic stress. NJ: John Wiley and Sons.
Kendall, P. C., & Peterman, J. S. (2015). CBT foradolescents with anxiety: Mature yet still developing. The American Journal of Psychiatry, 172(6), 519-530.
Knapp, A. A., Blumenthal, H., Mischel, E. R., Badour, C. L., & Leen-Feldner, E. W. (2016). Anxiety sensitivity and its factors in relation to generalized anxiety disorder among adolescents.Journal of Abnormal Child Psychology, 44(2), 1-12.
Knapp, P., & Beck, A. T. (2008). Cognitive therapy: Foundations, conceptual models, applications and research.Revista Brasileira de Psiquiatria, 30(Suppl. 2), S54-S64.
Li, D., Zhang, W., Li, X., Zhen, S., & Wang, Y. (2010). Stressful life events and problematic Internet use by adolescent females and males: A mediated moderation model.Computers in Human Behavior, 26(5), 1199-1207.
Luthans, F., Youssef, C. M., & Avolio, B. J. (2007).Psychological capital: Developing the human competitive edge. UK: Oxford University Press.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes.Journal of Abnormal Psychology, 100(4), 569-582.
Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping.Review of General Psychology, 1(1), 115-144.
Riskind, J. H., & Alloy, L. B. (2006). Cognitive vulnerability to emotional disorders: Theory and research design/methodology.Annual Review of Clinical Psychology, 1, 167-195.
Solfrid, R. (2017). Negative life events, social support, and self-efficacy in anxious adolescents.Psychological Reports, 120(4), 609-626.
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life.Journal of Counseling Psychology, 53(1), 80-93.
Vanderbilt-Adriance, E., & Shaw, D. S. (2008). Conceptualizing and reevaluating resilience across levels of risk, time, and domains of competence.Clinical Child and Family Psychology Review, 11(1-2), 30-58.
Whitmer, A. J.,& Gotlib, I. H., (2013). An attentional scope model of rumination. Psychological Bulletin, 139(5), 1036-1061.
Wright, M. O., Masten, A. S., & Narayan, A. J. (2013).Handbook of resilience in children. Bosten: Spring US.
Yek, M. H., Olendzki, N., Kekecs, Z., Patterson, V., & Elkins, G. (2017). Presence of meaning in life and search for meaning in life and relationship to health anxiety.Psychological Reports, 120(3), 383-390.
Zhou, X., & Wu, X. (2016). The relationship between rumination, posttraumatic stress disorder, and posttraumatic growth among Chinese adolescents after earthquake: A longitudinal study.Journal of Affective Disorders, 193, 242-248.
Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics, 12, 371-379.
陈红敏, 赵雷, 伍新春. (2014). 生活事件对情感和行为的影响: 理论比较与启示. 心理科学进展, 22(3), 492-501.
陈佳琦, 邱奋, 刘昱君, 野兆学, 秦亚平. (2019). 中学生反刍思维如何影响学业拖延: 心理韧性的作用. 中国健康心理学杂志, 27(4), 607-609.
陈燕, 金岳龙, 康耀文, 郑丽, 龚伟志, 姚应水. (2012). 中学生的亚健康状况与应激性生活事件、应对方式. 中国心理卫生杂志, 26(4), 257-261.
范兴华, 余思, 彭佳, 方晓义. (2017). 留守儿童生活压力与孤独感、幸福感的关系: 心理资本的中介与调节作用. 心理科学, 40(2), 388-394.
韩黎, 袁纪玮, 龙艳. (2021). 苔花盛开如牡丹? 农村留守儿童负性生活事件与心理健康的关系. 心理发展与教育, 37(2), 266-274.
韩秀. (2015). 反刍思维对中学生神经质和抑郁的中介作用. 心理技术与应用, (4), 21-25.
韩秀, 杨宏飞. (2009). Nolen-Hoeksema反刍思维量表在中国的试用. 中国临床心理学杂志, 17(5), 550-551.
李大林, 黄梅, 陈维, 吴文峰. (2019). 生活事件对初中生抑郁的影响: 自尊和反刍思维的链式中介作用. 心理发展与教育, 35(3), 352-359.
刘世宏, 许晓璠, 章益磊, 刘啸莳, 李丹. (2019). 同伴压力知觉与青少年自杀意念: 侵入性反刍和回避应对的链式中介作用. 中国临床心理学杂志, 27(2), 321-325+329.
陶明, 高静芳. (1994). 修订焦虑自评量表(SAS－CR)的信度及效度. 中国神经精神疾病杂志, (5), 301-303.
王润程, 明庆森, 蒋雅丽, 高一点, 曹曦瑜, 姚树桥. (2014). 高中生生活事件与焦虑症状关系的追踪研究: 神经质的调节作用. 中国临床心理学杂志, 22(4), 615-618.
王文超, 伍新春, 田雨馨, 周宵. (2018). 青少年创伤后应激障碍和创伤后成长对亲社会行为的影响: 生命意义的中介作用. 心理发展与教育, 34(1), 112-119.
王鑫强. (2013). 生命意义感量表中文修订版在中学生群体中的信效度. 中国临床心理学杂志, 21(10), 720-729.
温忠麟, 叶宝娟. (2014). 有调节的中介模型检验方法: 竞争还是替补? 心理学报, 46(5), 714-726.
邢怡伦, 王建平, 尉玮, 闫煜蕾. (2016). 社会支持对青少年焦虑的影响: 情绪调节策略的中介作用. 中国临床心理学杂志, 24(6), 1079-1082.
杨娟, 章晨晨, 姚树桥. (2010). 高中生沉思与应激性生活事件对抑郁症状的影响: 1年追踪研究. 心理学报, 42(9), 939-945.
杨营凯, 刘衍玲. (2016). 抑郁反刍的认知神经机制. 心理科学进展, 24(7), 1042-1049.
叶一舵, 方必基. (2015). 青少年学生心理资本问卷编制. 福建师范大学学报(哲学社会科学版), 191(2), 135-141.
余益兵, 邹泓. (2011). 青少年负性生活事件的特征及其与社会适应的关系——以我国六城市调查为例. 内蒙古师范大学学报(教育科学版), 24(7), 59-62.
袁加锦, 刘莹莹, 杨洁敏. (2014). 应对方式与认知训练对青少年情绪障碍易感性的影响.心理科学进展, 22(7), 1062-1074.
张蓉. (2014). 认知行为疗法对广泛性焦虑障碍的疗效研究. 中国全科医学, 17(7), 832-834.
张庭辉, 杨秀清, 张丽. (2020). 广西大学生负性生活事件对孤独感的影响: 反刍思维的中介作用. 贵州师范学院学报, 36(12), 32-37.
周浩, 龙立荣. (2004). 共同方法偏差的统计检验与控制方法. 心理科学进展, 12(6), 942-950.

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