认知融合与心理健康的相关研究

PSYCH OpenIR > 健康与遗传心理学研究室

	认知融合与心理健康的相关研究
其他题名	TheRelationshipbetweenCognitive Fusion and Mental Health
	张维晨
	2014-05
摘要	本研究聚焦于接纳与承诺疗法（ACT）病理模型中的核心概念之一认知融合。目的：分析认知融合问卷（Cognitive Fusion Questionnaire，CFQ）中文版在一般人群中施测的信效度，为研究认知融合提供可靠有效的测量工具。探究认知融合与心理健康症状、生活满意度的关系。方法：引进认知融合问卷并翻译成中文版，采用问卷调研的方法，选取两个样本（n1=789，n2=233）共计1022名被试，并分别对其施测认知融合问卷（CFQ）、自评抑郁量表（SDS）、自评焦虑量表（SAS）、症状自评量表（SCL-90）、生活满意度量表（SWLS）、正性负性情绪量表（PANAS）等。对数据进行了因素分析、相关分析、回归分析等。研究得到以下结果：第一，CFQ-D的四个条目均不符合测量学标准，予以删除后仅保留CFQ-F进行了后续分析。研究发现CFQ-F具有较好的结构效度。探索性因素分析提取出一个因子，所有条目对因子的负荷均在0.5以上，该因子的方差贡献率为60.3%。验证性因素分析的结果表明单因素模型拟合良好（χ2/ df = 2.01, NFI = 0.97, IFI = 0.99, CFI = 0.99, RMSEA = 0.064）。信度分析结果显示CFQ-F具有较好的内部一致性，Cronbach α系数0.92，重测系数0.67。CFQ-F得分与效标SDS、SAS得分显著正相关（r=0.50、0.55，P<0.01）；CFQ-F得分越高，体验到的抑郁、焦虑情绪越多。第二，CFQ和SCL-90总均分的偏相关系数为0.50（P<0.01），与SCL-90各因子均分的偏相关系数为0.29~0.50（P<0.01），即认知融合和心理健康症状具有中等程度的正相关。第三，CFQ和SWLS得分的偏相关系数为-0.41（P<0.01），CFQ和PA得分的偏相关系数为-0.30（P<0.01），CFQ和NA得分的偏相关系数为0.52（P<0.01）。在控制了认知融合对生活满意度的影响后，负性情感对生活满意度的负性预测力从-0.290（P<0.01）的显著水平变为-0.106（P=0.16）不显著。在控制了认知融合对生活满意度的影响后，正性情感对生活满意度的预测力从0.484（P<0.01）变为0.396（P<0.01）。本研究的结论为：第一、认知融合问卷中文版的信效度良好，可在国内用于认知融合和ACT的相关研究。建议采用9条目单维度的认知融合问卷。第二、认知融合和心理健康症状具有中等程度的正相关，具体包括躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐惧、偏执、精神病性症状等。这意味着认知融合水平可以一定程度上预测广泛的心理健康症状水平；认知融合程度越高，个体各方面的心理健康症状越严重；认知融合程度越低，则意味着个体各方面心理健康症状越轻。第三、认知融合与生活满意度具有中等程度的负相关，与正性情感具有中等程度的负相关，与负性情感具有正等程度的正相关。认知融合越高，生活满意度越低，正性情感越低，负性情感越高。认知融合在“负性情感—生活满意度”的关系中发挥完全中介作用；认知融合在“正性情感—生活满意度”的关系中发挥部分中介作用。该结论符合ACT的病理模型，即认知融合是影响心理痛苦和生活满意度的因素之一。同时，本研究也验证了ACT的治疗模型，即促进认知解离，降低认知融合，提高心理灵活性，能使个体过更符合价值观的有意义的生活，从而提高生活满意度。
其他摘要	This study focusedon the concept of cognitive fusion, which wasone of the sixprocessesinthe model ofpsychopathologyof Acceptance and commitment therapy(ACT). Objective: To examine the reliability and validity of the Chinese version of Cognitive Fusion Questionnaire( CFQ). To verify the relationship between cognitive fusion and mental health symptoms, as well as satisfaction with life. Methods: The English version of the CognitiveFusionQuestionnaire(CFQ)was translated into Chinese. Twosamples(n1=789，n2=233) were selected and assessed with the CognitiveFusionQuestionnaire(CFQ), The Self-rating Depression Scale ( SDS) , Self-rating Anxiety Scale ( SAS), Symptom Checklist 90(SCL-90), Satisfaction With Life Scale(SWLS), The Positive and Negative Affect Scale(PANAS). Factor analysis, correlation analysisand regression analysiswere implemented. Results: First, the four items of CFQ-Dwere deleted for not meetingthe standards of psychological measurement, leaving CFQ-Fforanalysis of construct validity. The exploratory factor analysis extracted one components, and explained 60.3%of the total variance. The factor loading of items had all above 0.5. The confirmatory factor analysis verified the 1-factor model (χ2/ df = 2.01, NFI = 0.97, IFI = 0.99, CFI = 0.99, RMSEA = 0.064). The Cronbach’s αcoefficient of CFQ-F was 0.92, and the test-retest reliability was 0.67. Concurrent validity results showed that CFQ-F were positively correlated with total scores of SDS (r=0.50, P<0.01) and SAS (r=0.55, P<0.01). The higher score of CFQ-F, the more emotional feeling of depression and anxiety. Second,the partial correlationcoefficientbetween CFQand the mean score of SCL-90was 0.50, P<0.01. the partial correlationcoefficients between CFQand the score of nine sub-factors of SCL-90were between 0.29 to 0.50, P<0.01, meaning that cognitive fusionwasmoderately related to the sub-factors of Symptom Checklist 90. Third,the partial correlationcoefficientbetween CFQand SWLSwas-0.41, P<0.01. The partial correlationcoefficientbetween CFQand PA was-0.30, P<0.01. The partial correlationcoefficientbetween CFQand NA was0.52, P<0.01. With controling the effect ofcognitive fusion, the predictive powerofnegativeaffectto satisfaction with life was vanished,from (β=-0.290, P<0.01) to(β=-0.106, P=0.16). With controling the effect of cognitive fusion, the predictive powerofpositive affectto satisfaction with life was reduced from (β=0.484, P<0.01) to(β=0.396, P<0.01). Conclusion: First, it suggests that the Chinese version of CFQ-F is a reliable and valid assessment of Cognitive Fusion, and can be used in China for the studys of Cognitive Fusion. Second, cognitive fusion wasmoderately related to the mean score of Symptom Checklist 90 and the nine sub-factors of Symptom Checklist 90, such as Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, depessiong, Anxiety, Hostility, Phobia Anxiety,Paranoid ideation, and Psychoticism, meaning that cognitive fusion could be used to predict most mental health symptoms. The higher score of CFQ, the more serious psychological problems. Third,cognitive fusion wasmoderately related to satisfaction with life, positive affect and negative affect. cognitive fusionfully mediated the relationship between the negative affect and satisfaction with life.Cognitive fusion partialmediated the relationship between the positive affect and satisfaction with life.These results proved the model of acceptance and commitment therapy(ACT), and verified the influence of cognitivefusion to satisfaction with life. The most thrilled implication was that satisfaction with life couldbe improved by improving cognitive defusion, with no need for changing negative affect. It impled that increasing psychological flexbility andhaving a value-based lift was important to improve life satisfaction.
学科领域	应用心理学
关键词	认知融合认知融合问卷接纳与承诺疗法认知融生活满意度心理健康症状
学位类型	硕士
语种	中文
学位专业	心理学
学位授予单位	中国科学院研究生院
学位授予地点	北京
文献类型	学位论文
条目标识符	http://ir.psych.ac.cn/handle/311026/19769
专题	健康与遗传心理学研究室
作者单位	中国科学院心理研究所
推荐引用方式 GB/T 7714	张维晨. 认知融合与心理健康的相关研究[D]. 北京. 中国科学院研究生院,2014.

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