The Influence of Acceptance and Commitment Group Counseling on a Student's Self-esteem Level

目的探讨接纳承诺团体辅导提升医学生自尊水平的效果。方法筛选符合入组标准的某医学院校40名低自尊医学生随机分为试验组和对照组,各20人。对试验组被试开展每周1次,每次120min,共计8次的接纳承诺团体辅导。对照组不接受干预,两组被试者在研究前后使用自尊量表、症状自评量表进行测评。结果经8次团体辅导后,试验组自尊量表得分显著高于干预前,差异有统计学意义(t=5.103,P<0.05);症状自评量表总分显著低于干预前,差异有统计学意义(t=-3.424,P<0.05),对照组自尊量表、症状自评量表前后评分比较,差异均无统计学意义(t=2.054、-0.459,P>0.05);试验组自尊量表得分在干预前后的变化值显著大于对照组,差异有统计学意义(t=2.288,P<0.05)。结论接纳承诺团体辅导对医学生自尊水平的提升有积极效果。

Abstract: Objective To investigate the effectiveness of acceptance and commitment group counseling in improving the self-esteem of medical students. Methods Forty medical students with low self-esteem who met the inclusion criteria were randomly divided into an experimental group and a control group, with 20 participants in each group. The experimental group received eight weekly 120-minute sessions of acceptance and commitment group counseling. The control group received no intervention. Both groups were assessed using the Self-Esteem Scale and the Symptom Self-Rating Scale before and after the study. Results After 8 sessions of group counseling, the self-esteem scale score of the experimental group was significantly higher than that before the intervention, with a statistically significant difference (t=5.103, P<0.05); the total score of the symptom self-rating scale was significantly lower than that before the intervention, with a statistically significant difference (t=-3.424, P<0.05). There was no statistically significant difference in the self-esteem scale and symptom self-rating scale scores before and after the intervention in the control group (t=2.054, -0.459, P>0.05). The change in the self-esteem scale score before and after the intervention in the experimental group was significantly greater than that in the control group, with a statistically significant difference (t=2.288, P<0.05). Conclusion Acceptance and commitment group counseling has a positive effect on improving the self-esteem level of medical students.