CAJ | 학술논문

本研究对青少年危险行为高危人群进行结构化的个体与团体心理干预，评估两种干预的即时效果和六个月的预后情况。采用《青少年健康相关危险行为问卷》等量表对16所中职院校的学生进行初步筛查和咨询师面询，最终555名高危被试参与了本研究。结果发现：干预后，个体干预组被试的危险行为水平、心理健康以及抑郁和焦虑情绪均获得显著改善，并且6个月的预后效果依然明显，而接受团辅干预组仅在抑郁指标上有所改善，在危险行为评分、焦虑和心理健康水平上均没有明显的改善。研究认为，对危险行为易感青少年的心理干预应以经过良好设计的个体心理干预为主、团体干预为辅的方式进行。
본연구대청소년위험행위고위인군진행결구화적개체여단체심리간예，평고량충간예적즉시효과화륙개월적예후정황。채용《청소년건강상관위험행위문권》등량표대16소중직원교적학생진행초보사사화자순사면순，최종555명고위피시삼여료본연구。결과발현：간예후，개체간예조피시적위험행위수평、심리건강이급억욱화초필정서균획득현저개선，병차6개월적예후효과의연명현，이접수단보간예조부재억욱지표상유소개선，재위험행위평분、초필화심리건강수평상균몰유명현적개선。연구인위，대위험행위역감청소년적심리간예응이경과량호설계적개체심리간예위주、단체간예위보적방식진행。
Nowadays, high risk behaviors in adolescents are more and more critical and serious. However, few studies are related to psychological intervention of the adolescents high risk behaviors. In this study, we worked out and implemented a practicable program which consisted of structured individual counseling and group counseling to help high risk adolescents. The aim of this research is to as sess the effectiveness of the counseling intervention both right at the end of the program and six months later. We used the Adolescent Health Related Risky Behavior Inventory （AHRBI） and the Mental Health Scale for Secondary School Students （ MHS SSS） to choose subjects from 16 vocational schools in Wuhan and Jinzhou. A sample of 555 adolescents volunteered to participate in this study. Their ages ranged from 14 to 19 years old （averaged age = 16.4）. These students were randomly assigned to three groups：（1） 207 in indi vidual counseling group, （2） 139 in group counseling group, （3） 209 in control group. To assess the effect of the intervention, we asked all the subjects to complete the AHRBI, the MHS SSS, the Center for Epidemiological Studies Depression Scale （ CES D） and the Self Rating Anxiety Scale （SAS） before and after the counseling, as well as six months later. The participants in group 1 received individual counseling 3 times at weekly intervals. Each time it lasted about 50 minutes, while the participants in group 2 received group counseling 6 times, twice a week. The control group didnt receive the intervention. All interventions were focused on the topics of per sonality, family, study, emotion, relationship and sexual problems. As a result, after the psychological intervention, the score of the AHRBI, CES D, and SAS of the students in the individual counseling group were significantly lower than the control group, while the scores of the MHS SSS were significantly higher. It showed that the levels of risk behaviors, mental health, depression and anxiety had remarkably improved. Moreover, the improvements lasted stably six months later. However, there was only a measurable reduction in the students＇depression for group counseling. And there were no improvements in the other aspects of group counseling students. It sug gested that the psychological intervention for the adolescents of high risk behaviors have been designed well. Specifically, individual counseling should be considered as the first and the main form of intervention.