理情團體對改善護理系學生非理性信念及憂鬱程度之初步成效探討

The Effectiveness of Rational-Emotive Group on Irrational Belief and Depression of Students in a Nursing College-A Preliminary Study

10.6847/TJPMHN.201504_9(2).0002

曾慧雯(Hui-Wen Tseng)；吳佳珍(Chia-Chen Wu)；翁欣蓉(Hsin-Yung Wong)；賴倩瑜(Chien Yu Lai)；陳淑蘭(Shu-Lan Chen)

護生 ； 理情團體 ； 憂鬱 ； 非理性信念 ； Nursing Students ； Rational-Emotive Group ； Depression ； Irrational Belief

精神衛生護理雜誌

9卷2期（2015 / 04 / 01）

12 - 19

繁體中文

研究目的：探討理情團體對改善護理學院護理系學生非理性信念及憂鬱程度之成效。方法：採用類實驗研究法的單組前後測設計，方便取樣南部某護理學院學生為樣本，進行四次理情團體並完成前後測驗。以「簡式認知型態問卷」、「簡式認知錯誤型態問卷」、「董氏憂鬱量表（大專版）」分別測量受試者的認知型態、非理性信念及憂鬱程度。研究結果：理情團體介入後，研究個案的整體認知型態前後測達顯著差異（z=-42.00，p＜.05）；整體認知錯誤型態前後測達顯著差異（z=-2.92，p＜.01）；憂鬱程度前後測達顯著差異（z=-86.50，p＜.01）。結論：透過理情團體介入，可顯著改善護生的非理性信念及憂鬱程度。此研究成果可提供未來相關研究及護理實務介入措施的依據及參考。

Purpose: To develop and examine the effectiveness of rational-emotive group in reducing irrational belief and depression of students at a nursing college in southern Taiwan. Method: A quasi-experimental research with test-retested design was used to collect data via convenience sampling and group interventions. Nineteen participants were recruited and later accepted 4-weeks rational-emotive group.Cognitive style test in Chinese version, cognitive error questionnaire in Chinese version, and Tung's depression inventory for college students were used to exam nursing students' cognitive style, irrational belief and depression levels respectively. Results: After the intervention of 4-weeks rational-emotive group, nursing students' cognitive style (z=-42.00, p＜.05) and irrational belief (z=-2.92, p＜.01) were significantly different from the score of pretest. In addition, the depression level of nursing students was significantly lower than the level of pretest (z=-86.50, p＜0.01). Conclusion: The results suggest that 4-weeks rational-emotive group could be effective in improving irrational belief and depression level of nursing students. Accordingly, the study results can be taken into a consideration as an evidence and guideline to design a rational-emotive group for helping nursing students with depression in the future.

1. 林家興, C. H.,陳玉芳, Y. F.,葉雅馨, Y. H.,徐佳玲, C. L.,孫正大(2008)。「董氏憂鬱量表（大專版）」編製研究。測驗學刊，55(3)，509-533。
   連結：
2. 柯慧貞, H. C.,林美芳, M. F.,廖聆岑, L. C.,蘇鈴茱, L. C.,林旻沛, M. P.,丁建谷, C. K.,何進財, J. T.(2004)。南區大專校院學生之社團活動參與程度及其與社會支持、壓力因應型態、憂鬱、自殺之關係。中華心理衛生學刊，17(2)，43-66。
   連結：
3. 陳偉任, W. J.,鄭琇分, C. F.,周立修, L. S.,周煌智, H. C.,林耕新, K. S.(2008)。認知行為團體治療對女性門診憂鬱症患者的療效。台灣精神醫學，22(1)，37-46。
   連結：
4. Al-Busaidi, Z.,Bhargava, K.,Al-Ismaily, A.,Al-Lawati, H.,Al-Kindi, R.,Al-Shafaee, M.,Al-Maniri, A.(2011).Prevalence of depression symptom among University students in Oman.Oman Medical Journal,26(4),235-239.
5. Buchanan, J. L.(2012).Prevention of depression in the college student population: a review of the literature.Archives of Psychiatric Nursing,26(1),21-42.
6. Cantwell, D. P.,Baker, L.(1991).Manifestations of depressive affect in adolescence.Journal of Youth and Adolescence,20(2),121-133.
7. David, D.,Cramer, D.(2010).Rational and Irrational Beliefs in Human Feelings and Psychophysiology.Rational and Irrational Beliefs. Research, Theory, and Clinical Practice,New York:
8. Ellis, A.(2003).Early theories and practices of rational emotive behavior therapy and how they have been augmented and revised during the last three decades.Journal of Rational-Emotive & Cognitive-Behavior Therapy,21(3/4),219-243.
9. Jurado, D.,Gurpegui, M.,Moreno, O.,Fernandez, M. C.,Luna, J. D.,Galvez, R.(2005).Association of personality and work conditions with depressive symptoms.European Psychiatry,20,213-222.
10. Kim, M. A.,Kim, J.,Kim, E. J.(2015).Effects of rational emotive behavior therapy for senior nursing students on coping strategies and self-efficacy.Nurse Education Today,35,456-460.
11. National Institute of Mental Health [NIMH] (2012). Depression and College Students: Answers to college students’ frequently asked questions about depression. http://www.nimh.nih.gov/health/topics/depression/index.shtml.
12. Shalini, S.,Geap, O. K.,Harveen, K. O. L. S.,Barkri, S. H. S. L.,Balg, M. R.,Dhanaraj, S. A.(2011).Prevalence of depression and the impact of psychosocial factors in undergraduate students at a private university in Kedah, Malaysia.International of Pharmaceutical Sciences and Nanotechnology,4(1),1388-1346.
13. Turner, A. P.,Hammond, C. L.,Gilchrist, M.,Barlow, J. H.(2007).Coventry University students’ experience of mental health problems.Counseling Psychology Quarterly,20(3),247-252.
14. Vanessa, B.,Paul, R.,Fernando, L.,Patricia, O.(2014).Predictors of prevention failure in college students participating in two indicated depression prevention programs.International Journal of Environmental Research and Public Health,11,3803-3821.
15. 王春展, C. J.(2004)。台灣地區大學生情緒智慧、憂鬱傾向與情緒調整策略之研究。嘉南學報，30，443-460。
16. 周淑椿, S. C.(2007)。屏東=Pingtung City, Taiwan, ROC，教育大學=National Pingtung University of Education。
17. 翁素月, S. Y.,陸汝斌, R. B.,陳碧霞, P. H.,賴姿如, T. J.,吳玫勳, M. H.,周桂如, K. R.(2005)。憂鬱症患者非理性信念、生活壓力及其憂鬱程度之關係探討。新臺北護理期刊，7(2)，13-22。
18. 張艾如, A. J.,柯慧貞, H. C.,葉宗烈, T. L.,陸汝斌, R. B.(1996)。簡式認知型態測驗與認知錯誤問卷之信、效度研究。中華精神醫學，10，36-44。
19. 莫惠玲(2003)。新竹，國立新竹師範學院研究所。
20. 陳靜芳, C. F.(2004)。台北=Taipei City, Taiwan, ROC，臺北醫學大學護理學研究所=Taipei Medical University, Graduate Institute of Nursing。
21. 馮瓊儀, C. Y.(2010)。臺北=Taipei City, Taiwan, ROC，臺北醫學大學護理學研究所=Taipei Medical University, Graduate Institute of Nursing。
22. 董氏基金會（2008）．大學生憂鬱情緒與壓力的主觀感受相關性調查．取自http://www.jtf.org.tw/psyche/melancholia/survey.asp?This=69&Page=1 [John Tung Foundation. (2008). Correlation of subjective sources of stress and depressive emotions in university students.Retrieved from http://www.jtf.org.tw/psyche/melancholia/survey.asp?This=69&Page=1]