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来访者的咨询动机和咨询关系对心理健康症状改善的影响

Influence of clients'counseling motivation and the counseling relationship on symptom improvement
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摘要 目的揭示心理能力提升的咨询动机在高水平咨询关系下与改善心理健康症状的关系。方法选取某高等院校心理咨询室里寻求心理咨询的294名大学生为研究样本,使用症状自评量表(SCL-90)对来访者进行咨询前后的测量以及了解他们的咨询动机和咨询关系。结果(1)咨询动机主效应显著[F_((1,284.3))=8.25,P=0.004],但是咨询关系主效应不显著[F_((1,7.00))=0.39,P=0.552];(2)咨询关系和咨询动机交互作用显著[F_((1,228.1))=4.70,P=0.029];(3)简单效应显示,在高水平的咨询动机下,寻求提升心理自主能力的咨询动机比寻求解决实际问题的咨询动机在降低心理健康症状分数上差异有统计学意义(β=-3.19,SE=1.11,t=-2.87,P=0.004)。结论咨询关系和咨询动机之间存在显著的交互效应,心理咨询对心理健康水平的改善有显著作用,其中咨询动机的作用比较明显。 Objective This study aimed to reveal the relationship between the counseling motivation with improved mental ability and the improvement of mental health symptoms under the high-level counseling background.Methods A total of 294 students at a college counseling center participated in the study and completed the Chinese version of Symptom Checklist 90(SCL-90)at the beginning and one week after counseling.Additionally,clients reported their motivation at the start of counseling and described their counseling relationships afterward.Results(1)Counseling motivation predicted the change in symptoms[F_((1,284.3))=8.25,P=0.004].Different change rates could not be well predicted by the counseling relationship[F_((1,7.00))=0.39,P=0.552].(2)There was a significant interaction between consumer motivation and counseling relationships[F_((1,228.1))=4.70,P=0.029].(3)A simple effect analysis revealed that aiming to improve the psychological aptitude of consultation moti-vation was more likely to decrease symptom severity than solving practical problems(β=-3.19,SE=1.11,t=-2.87,P=0.004).Conclusion There is a significant interaction between counseling relationships and counseling moti-vation.Psychological counseling significantly improves mental health levels,among which client motivation plays a prominent role.
作者 罗苏梅 徐文明 Luo Sumei;Xu Wenming(Psychological Consultation Center,Jiaying University,Meizhou 514015,China;St.Paul University Philippines,Tuguegarau 3500,Philippines)
出处 《校园心理》 2022年第5期372-376,共5页 Journal of Campus Life & Mental Health
基金 广东省青少年研究项目(2021WT046) 嘉应学院2022年教改项目(JYJG2022226)。
关键词 咨询动机 咨询关系 心理健康症状 线性混合模型 Client motivation Counseling relationship Mental health symptoms Linear mixed model
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