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Development and validation of a school-based cognitive-behavioural therapy (CBT) intervention for Malaysian high school students with depressive symptoms 发展和验证基于学校的认知行为疗法(CBT)干预马来西亚高中学生的抑郁症状
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-06-12 DOI: 10.1080/21507686.2019.1629973
J. Saw, C. Tam, Gregory Bonn
ABSTRACT Depressive symptoms commonly begin in late childhood and early adolescence and, left untreated, can increase in frequency and severity and last through adulthood. Recent estimates of depression rates among Malaysian adolescents have been as high as 24%, suggesting a need for effective intervention measures. Cognitive Behavioural Therapy (CBT) is a widely accepted and empirically validated psychological intervention for depression. This project took an existing CBT programme targeting adolescent depressive symptoms and adapted it for use with Malaysian high school students. The resulting eight session school-based “STAR” CBT module was assessed through a pilot study involving 20 Malaysian secondary students (10 intervention and 10 control) who reported clinical levels of depressive symptoms on a screening survey. Results showed lower levels of depressive symptoms, post-intervention and 1-month post-intervention, in intervention but not control groups. Similar results were also found for frequency of automatic negative thoughts. These results indicate that the Malay-language ‘STAR’ CBT protocol could be an effective means of reducing depressive symptoms among Malaysian high school students in school settings.
抑郁症状通常始于儿童期晚期和青春期早期,如果不及时治疗,发作频率和严重程度会增加,并持续到成年。最近对马来西亚青少年抑郁率的估计高达24%,这表明需要采取有效的干预措施。认知行为疗法(CBT)是一种被广泛接受和经验验证的抑郁症心理干预方法。该项目采用了针对青少年抑郁症状的现有CBT方案,并对其进行了改造,以供马来西亚高中生使用。通过一项涉及20名马来西亚中学生(10名干预学生和10名对照学生)的试点研究,评估了由此产生的八期校本“STAR”CBT模块,这些学生在筛查调查中报告了抑郁症状的临床水平。结果显示,干预后和干预后1个月,干预组抑郁症状水平较低,而对照组没有。自动产生消极想法的频率也有类似的结果。这些结果表明马来语“STAR”认知行为治疗方案可能是在学校环境中减少马来西亚高中生抑郁症状的有效手段。
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引用次数: 5
‘Oh, it is a special gift you give to me … ’: a phenomenological analysis of counsellors in Cambodia “哦,这是你给我的特别礼物……”:对柬埔寨咨询师的现象学分析
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-06-10 DOI: 10.1080/21507686.2019.1629470
Lorien S. Jordan, Desiree M. Seponski, Stephanie E. Armes
ABSTRACT Research on mental health in Cambodia is increasing, yet there is limited focus on experiences of counsellors within this developing profession. This paper reports an Interpretative Phenomenological Analysis conducted with thirteen practicing counsellors in Cambodia. Our specific interest was to gain an idiographic understanding of the meanings participants made of the changes they experienced in becoming counsellors, while also considering the unique context of Cambodia. Our findings are presented through an integration of description and interpretation, which grounds our participants’ experiences of change, tension, and meaning-making in the socio-historical context of Cambodia and mental health development. Implications recommend ways to improve support needed to assist counsellors in this developing field.
摘要:柬埔寨对心理健康的研究正在增加,但对咨询师在这一发展中的职业中的经验关注有限。本文对柬埔寨13名执业辅导员进行了解释现象学分析。我们的具体兴趣是具体了解参与者在成为顾问过程中所经历的变化的含义,同时考虑柬埔寨的独特背景。我们的研究结果是通过描述和解释的结合呈现的,这为我们的参与者在柬埔寨和心理健康发展的社会历史背景下的变化、紧张和意义创造的经历奠定了基础。影响建议如何改进对这一发展中领域辅导员的协助所需的支持。
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引用次数: 1
Understanding Xin-Yang among Chinese college students 了解中国大学生的心性
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-01-02 DOI: 10.1080/21507686.2018.1563554
Shengnan Li, Changming Duan, Fenglan Li
ABSTRACT This qualitative study was conducted to understand Chinese college students’ spirituality. The results from two focus groups suggested that spirituality in Chinese did not communicate its intended meaning, and the concept Xin-Yang (信仰) was more appropriate instead. A brief interview was then conducted with 180 students to explore their view of Xin-Yang. Data were analysed using a qualitative approach. The results were organized into subcategories, categories, and core categories. The three core categories were the definition and the function of Xin-Yang, and the characteristics of people who have Xin-Yang. The results supported the use of Xin-Yang as an important construct for understanding Chinese college students’ spiritual life. Implications of the results and the limitations are discussed.
摘要本研究旨在了解中国大学生的精神状态。两个焦点小组的研究结果表明,汉语中的灵性并没有传达出它的意图(信仰) 反而更合适。随后对180名学生进行了简短的访谈,探讨他们对辛扬的看法。采用定性方法对数据进行分析。结果被分为子类别、类别和核心类别。三个核心范畴分别是心阳的定义、心阳的功能、心阳人的特征。研究结果支持将辛扬作为理解中国大学生精神生活的一个重要建构。讨论了结果的含义和局限性。
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引用次数: 3
Promoting a deep understanding of clients, psychotherapy needs and clinical supervision 促进对来访者、心理治疗需求和临床监督的深入了解
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-01-02 DOI: 10.1080/21507686.2019.1563961
D. Zhou, Ho Ling Kwok
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引用次数: 1
Interactional patterns of clinical supervision: using sequential analysis 临床监督的互动模式:使用序列分析
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2019-01-02 DOI: 10.1080/21507686.2018.1553791
Dan Li, D. Duys, D. H. Granello
ABSTRACT This study targets interactional patterns of clinical supervision by using sequential analysis. Specifically, it explores (a) the overall transitional dynamics of clinical supervision; (b) different transitional patterns of supervisory dyads with more experienced supervisors and those with less experienced supervisors; and (c) different transitional patterns of supervisory dyads with more experienced supervisees and those with less experienced supervisees. Findings of this study have implications for the professional development of both supervisors and supervisees, particularly international counselling and psychotherapy trainees. Dyads with more experienced supervisors or supervisees displayed a repetitive pattern between opinions and positive social emotional behaviours over time compared to supervisory dyads with less experienced supervisors or supervisees.
摘要本研究采用序列分析法,针对临床监督的互动模式进行研究。具体而言,它探讨了(a)临床监督的整体过渡动态;(b) 经验丰富的监管者和经验不足的监管者的不同过渡模式;以及(c)经验丰富的监管人员和经验不足的监管人员的监管二人组的不同过渡模式。这项研究的结果对导师和被导师的专业发展都有影响,尤其是国际咨询和心理治疗学员。与经验较少的主管或被监督人的主管二人组相比,经验较多的主管或受监督人的二人组随着时间的推移,意见和积极的社会情感行为之间表现出重复模式。
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引用次数: 6
The mediating role of authenticity on mindfulness and wellbeing: a cross cultural analysis 真实性对正念和幸福感的中介作用:跨文化分析
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2018-12-10 DOI: 10.1080/21507686.2018.1556171
Shun Chen, David Murphy
ABSTRACT Both mindfulness and authenticity have been found to positively affect psychological well-being. The current study investigated the relationships between an interesting mix of eastern and western phenomena including mindfulness, authenticity and psychological well-being and considered the cultural diversities in measures of these variables. Participants (N = 165) completed the Mindful Attention Awareness Scale, Authenticity Scale, and the Psychological Well-Being Scale. Findings demonstrated that authenticity acts as a partial mediator for the relationship between mindfulness and psychological well-being. Authenticity remained a partial mediator in the White British sample but acted as a complete mediator of the relationship between mindfulness and well-being in the Chinese sample. We make several suggestions for therapeutic approaches that focus on authenticity and support a previous claim that person-centred psychotherapy can be considered a form of mindful therapy.
研究发现,正念和真实性都会对心理健康产生积极影响。目前的研究调查了东西方有趣的混合现象之间的关系,包括正念、真实性和心理健康,并在测量这些变量时考虑了文化多样性。参与者(N=165)完成了正念注意意识量表、真实性量表和心理幸福感量表。研究结果表明,真实性是正念和心理健康之间关系的部分中介。在英国白人样本中,真实性仍然是部分中介,但在中国样本中,它是正念和幸福感之间关系的完全中介。我们对注重真实性的治疗方法提出了一些建议,并支持了之前的说法,即以人为中心的心理治疗可以被视为一种正念治疗。
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引用次数: 26
Psychometric properties of the English and Filipino version of the inventory of attitudes towards seeking mental help services 英语和菲律宾版本对寻求心理帮助服务的态度清单的心理测量特性
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2018-12-06 DOI: 10.1080/21507686.2018.1552880
Antover P. Tuliao, M. Hechanova, Pocholo Andrew E. Velasquez
ABSTRACT This paper examined the psychometric properties of the Inventory of Attitudes Towards Seeking Mental Help (IASMHS) English and translated Filipino versions in a sample of Filipino college students and overseas migrant workers. The IASMHS three-factor solution was replicated (psychological openness, help-seeking propensity, and indifference to stigma) with both English and Filipino versions, but dropping items and adding residual covariances were needed to achieve requisites of a good model fit. Measurement invariance test indicated partial metric and scalar invariance across versions. Past use and intent to utilize mental health services were positively associated with help-seeking propensity factor, but not with psychological openness and indifference to stigma. Bivariate correlations among IASMHS factors and other help-seeking variables were also examined.
摘要本文以菲律宾大学生和海外移民工人为样本,检验了《寻求心理帮助态度量表》(IAMHS)英文版和菲律宾翻译版的心理测量特性。IASMHS三因素解决方案在英语和菲律宾语版本中都得到了复制(心理开放性、寻求帮助的倾向和对污名的漠不关心),但需要删除项目和添加残差协变量来实现良好模型拟合的必要条件。测量不变性测试表明,各版本之间存在部分度量和标量不变性。过去使用和有意使用心理健康服务与求助倾向因素呈正相关,但与心理开放性和对污名的漠不关心无关。还检验了IASMHS因素和其他求助变量之间的双变量相关性。
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引用次数: 2
Feeling better or worse? The lived experience of non-suicidal self-injury among Malaysian University students 感觉好些了还是更糟了?马来西亚大学生非自杀性自伤的生活经验
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2018-11-11 DOI: 10.1080/21507686.2018.1541912
S. Tan, C. Tam, Gregory Bonn
ABSTRACT This article explores subjective experiences related to non-suicidal self-injury (NSSI) through a qualitative analysis of interviews with 7 Malaysian university students who had recently engaged in NSSI. Participants discussed their feelings, motivations, and experiences related to self-injury in one-on-one, semi-structured interviews. Interpretative Phenomenological Analysis (IPA) was used to identify shared themes across participants’ accounts of their involvement with non-suicidal self-injury. Four major themes were identified: (a) Emotion dysregulation, (b) NSSI as emotion regulation strategy, (c) Negative self-perceptions, and (d) Struggling with the adverse consequences of self-injury. Implications of these findings for the support and treatment of those engaging in non-suicidal self-injury are discussed.
摘要本文通过对7名近期有自伤行为的马来西亚大学生的访谈进行定性分析,探讨与非自杀性自伤相关的主观体验。参与者在一对一的半结构化访谈中讨论了他们与自残相关的感受、动机和经历。解释现象学分析(IPA)被用于确定参与者参与非自杀性自伤的共同主题。确定了四个主要主题:(a)情绪失调,(b)自伤作为情绪调节策略,(c)消极的自我认知,(d)与自伤的不良后果作斗争。这些发现对那些从事非自杀性自伤的人的支持和治疗的意义进行了讨论。
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引用次数: 16
Mental imagery in social anxiety disorder: the development and clinical utility of a Japanese version of the Spontaneous Use of Imagery Scale (SUIS-J) 社交焦虑障碍的心理意象:日本版自发性意象使用量表的编制与临床应用
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2018-07-03 DOI: 10.1080/21507686.2018.1487455
Yasuko Tanaka, Naoki Yoshinaga, Aki Tsuchiyagaito, Chihiro Sutoh, Diasuke Matsuzawa, Y. Hirano, M. Nakazato, E. Shimizu
ABSTRACT The purpose was to develop a Japanese version of the Spontaneous Use of Imagery Scale (SUIS-J) and test its clinical utility. Undergraduate students answered the SUIS-J and the Liebowitz Social Anxiety Scale (LSAS-J). Twenty patients with social anxiety disorder (SAD) completed these scales before and after CBT. The SUISJ demonstrated acceptable internal consistency. No significant correlations were found between SUIS-J and LSAS-J. No difference was found in healthy controls and SAD. No significant increase in SUIS-J after CBT. SUIS-J scores values of Japanese were similar to Western people. Findings suggest that daily use of mental imagery is not related to SAD symptoms.
摘要:目的是开发一种日语版的图像自发使用量表(SUIS-J),并测试其临床实用性。本科生回答了SUIS-J和Liebowitz社会焦虑量表(LSAS-J)。20名社交焦虑症(SAD)患者在CBT前后完成了这些量表。SUISJ证明了可接受的内部一致性。SUIS-J和LSAS-J之间没有发现显著的相关性。在健康对照组和SAD中没有发现差异。CBT后SUIS-J无明显增加。日本人的SUIS-J得分值与西方人相似。研究结果表明,日常使用心理意象与SAD症状无关。
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引用次数: 2
Editorial 编辑
IF 0.4 4区 心理学 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2018-07-03 DOI: 10.1080/21507686.2018.1493372
R. Zhou
This issue is a collection of articles that examines effective supervision and provides reflective models based on case work with additional empirical research studies and a book review. In this edition of the Asia Pacific Journal of Counselling and Psychotherapy, practitioners from Hong Kong, India, Israel, Canada and the United States give voice to their ideas and experiences of counselling and psychotherapy from differing perspectives. Regardless of the level of experience of counsellors and psychotherapists, supervision is required to enable them to reflect on their practice as well as to encourage critical self-care to sustain themselves and work effectively with their clients. Karin Jordan proposes a trauma-informed counselling supervision, especially involving traumaaffected clients. This supervision model can be considered to assist clinical supervisors to support counsellors who are working with trauma-affected clients. Self-reflection is a core ability and an attribute that human service professionals find essential. Smadar Ben-Asher and Nitza Roskin develop a structured reflective tool which originates from psychotherapy and operates on the basis of self-narrative. With an emphasis on reflective examination of the event, critical observation, re-conceptualisation, and new action, the tool, as discussed in their paper, can help educational counselling students gain a reflective understanding of their own personal and professional development during the educational or training process. A qualitative approach is employed to analyse narratives of the interviewees and demonstrate the effectiveness of the tool in Ben-Asher and Roskin’s paper. Assessment of needs of clients serves to help counsellors and psychotherapists better understand the situation of their clients. In their article, Palanisamy Amirthalingam, Rajendran Natham and Gnaesvaran Arunachalam examine the usefulness of Montreal Cognitive Assessment (MOCA). They compare the MOCA and the Mini Mental State Examination (MMSE) as means to attend to the cognitive status of epilepsy population receiving phenytoin monotherapy. This study suggests that the sensitivity of the MOCA as an assessment tool can help counsellors to identify the clients who have mild cognitive impairment and provide hints for appropriate counselling service. An additional assessment related study in this issue addresses the development of a Japanese version of the Spontaneous Use of Imagery Scale (SUIS-J). Yasuko Tanaka, Naoki Yoshinaga, Aki Tsuchiyagaito, Chihiro Sutoh, Daisuke Matsuzawa, Yoshiyuki Hirano, Michiko Nakazato and Eiji Shimizu conducted two studies. In study 1, they translated and validated a Japanese version of Spontaneous Use of Imagery Scale (SUIS-J). In study 2, this scale was rated by people with social anxiety disorders before and after the CBT. Their study examined the relationship between mental imagery and social anxiety symptoms. ASIA PACIFIC JOURNAL OF COUNSELLING AND PSYCHOTHERAPY 2018,
本期是一系列文章,探讨有效监督,并提供基于案例工作的反思模型,以及额外的实证研究和书评。在本期《亚太咨询和心理治疗杂志》中,来自香港、印度、以色列、加拿大和美国的从业人员从不同角度阐述了他们在咨询和心理疗法方面的想法和经验。无论咨询师和心理治疗师的经验水平如何,都需要监督,使他们能够反思自己的实践,并鼓励批判性的自我护理来维持自己,并与客户有效合作。Karin Jordan建议进行创伤知情咨询监督,尤其是涉及受创伤影响的客户。这种监督模式可以被认为是帮助临床监督人员支持与创伤患者合作的顾问。自我反思是一种核心能力,也是人类服务专业人士认为必不可少的一种属性。Smadar Ben Asher和Nitza Roskin开发了一种结构化的反思工具,这种工具源于心理治疗,并在自我叙事的基础上运作。正如他们在论文中所讨论的,该工具强调对事件的反思性检查、批判性观察、重新概念化和新的行动,可以帮助教育咨询学生在教育或培训过程中对自己的个人和职业发展有反思性的了解。在Ben Asher和Roskin的论文中,采用了定性方法来分析受访者的叙述,并证明了该工具的有效性。对客户需求的评估有助于咨询师和心理治疗师更好地了解客户的情况。Palanisamy Amirthalingam、Rajendran Natham和Gnaeswaran Arunachalam在他们的文章中研究了蒙特利尔认知评估(MOCA)的有用性。他们比较了MOCA和简易精神状态检查(MMSE)作为关注接受苯妥英钠单一治疗的癫痫患者认知状态的手段。本研究表明,MOCA作为一种评估工具的敏感性可以帮助咨询师识别轻度认知障碍的客户,并为适当的咨询服务提供提示。本期的另一项评估相关研究涉及日本版图像自发使用量表(SUIS-J)的开发。田中康子(Yasuko Tanaka)、吉永直树(Naoki Yoshinaga。在研究1中,他们翻译并验证了日语版的《自发使用图像量表》(SUIS-J)。在研究2中,该量表由CBT前后的社交焦虑症患者进行评分。他们的研究考察了心理意象与社交焦虑症状之间的关系。《亚太咨询与心理治疗杂志2018》,第9卷,第2期,125-126https://doi.org/10.1080/21507686.2018.1493372
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引用次数: 0
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Asia Pacific Journal of Counselling and Psychotherapy
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