摘要
目的探讨认知行为综合治疗对青少年暴力行为的干预效果,以期为青少年暴力行为的矫正提供有益借鉴。方法使用青少年暴力风险评估量表(VRS-YV)在石家庄廉北中学选取120名有暴力行为或暴力倾向的中学生作为研究对象。使用随机数字表法分为观察组(n=60)和对照组(n=60)。对照组不做任何干预,观察组接受认知行为综合治疗。比较两组学生干预前后的暴力行为、暴力风险、冲动行为、外显攻击行为变化。结果观察组学生干预后的人格侮辱、关系攻击、攻击他人、自虐行为、自杀意念、严重暴力维度评分及总暴力评分均较干预前降低(t值分别为6.32,7.88,10.05,7.05,9.27,8.01,P值均<0.05),对照组干预前后各维度评分均无明显变化(t值分别为0.35,0.24,1.01,0.78,0.49,0.53,P值均>0.05)。观察组学生干预后的人格侮辱、关系攻击、攻击他人、自虐行为、自杀意念、严重暴力维度评分及总暴力评分均低于对照组(t值分别为9.65,6.95,10.54,9.77,6.54,4.28,16.20,P值均<0.05)。观察组干预后的VRS-YV评分较干预前明显降低,干预后VRS-YV评分≥27分者占比比干预前更低(χ^(2)=80.00,P<0.05)。组间比较显示,观察组干预后VRS-YV评分≥27分者占比低于对照组(χ^(2)=59.61,P<0.05)。结论对有暴力行为倾向的青少年实施认知行为综合治疗,能够有效提升其共情能力,降低暴力风险水平。
Objective To explore the effectiveness of cognitive behavioral therapy on adolescent violent behaviors.Methods A total of 120 middle school students with violence or violence tendency were selected from Lianbei Middle School in Shijiazhuang and divided into intervention and control group(n=60).The intervention group received comprehensive cognitive behavioral intervention while the control group did not.The changes of violence,violent risk,impulsive behavior and explicit aggressive behavior before and after intervention were compared between the two groups.Results The scores of personality insult,relational aggression,self-abuse,suicide ideation,severe violence dimension and total violence in the intervention group decreased significantly compared to before intervention(t=6.32,7.88,10.05,7.05,9.27,8.01,P<0.05).No similar changes were observed in the control group(t=0.35,0.24,1.01,0.78,0.49,0.53,P>0.05).The scores of personality insult,relational aggression,self-abuse,suicide ideation,severe violence and total violence in the intervention group were significantly lower than those in the control group(P<0.05).In the intervention group,the VRS-YV score after intervention was significantly lower than that before intervention,and the proportion of individuals with VRS-YV score≥27 after intervention decreased significantly compared to before intervention(P<0.05)and the control group(P<0.05).Conclusion The comprehensive cognitive behavior intervention shows effectiveness in improving the empathy ability and reduce the level of violent risk.
作者
李亚伟
朱静敏
LI Yawei;ZHU Jingmin(Huaxin College,Hebei Geosciences University,Shijiazhuang(050000),China)
出处
《中国学校卫生》
CAS
北大核心
2021年第7期1005-1008,共4页
Chinese Journal of School Health
关键词
认知
行为
暴力
干预性研究
健康促进
青少年
Cognition
Behavior
Violence
Intervention studies
Health promotion
Adolescent
