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一所高校心理健康教育中心的心理咨询效果 ——基于实践的证据

The Effectiveness of Counseling Delivered at A University Mental Health Service Center: Practice-based Evidence

Theory and Practice of Psychological Counseling / 2021,3(4): 206-213 / 2021-04-23 760 828

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• Authors: 闫玉朋¹ 江光荣¹ 应梦婷² 于丽霞¹³ 林秀彬¹ 李丹阳¹
• Information:

  1．华中师范大学心理学院，湖北省人的发展与心理健康重点实验室，青少年网络心理与行为教育部重点实验室，武汉；
  2．武汉体育学院健康科学学院心理学系，武汉；
  3．华中师范大学大学生心理健康教育中心，武汉

• Keywords:
  University mental health center; Counseling effectiveness; Practice-based evidence; Benchmarking
  高校心理健康教育中心; 心理咨询效果; 基于实践的证据; 基准法
• Abstract: Objectives: To investigate the effectiveness of Objectives: To investigate the effectiveness of counseling at a university mental health center, therefore providing practice-based evidence in China. Methods: The data of this study were collected from a research database that was established ten years ago regarding counseling processoutcome in a university mental health center. One hundred and three university students who participated in this study were reduced to a sample of 63 clients (mean age = 21.75, SD = 2.28; female 79.4%; average number of session = 7.05, SD = 3.53) after removing some data that couldn’t be used to calculate pre-post outcomes due to missing data or ending too early (i.e. terminating counseling after just one or two sessions). A clinical sample of 31 clients (average number of session = 7.45, SD = 3.71) was generated according to the clinical cut-off score (a score of 63) on the Chinese version of Outcome Questionnaire-45.2 (OQ-45.2). The effect size and the clinically significant change status of the samples were benchmarked against that of two clinical samples from two American university counseling centers. Results: (1) This university mental health center obtained a medium prepost effect size (d =.57) based on the total sample and a large pre-post effect size (d = 1.22) based on the clinical sample, which was larger than that of the available clinical sample from an American university counseling center; (2) According to the clinically significant change status, 14 clients (22.2%) recovered, 9 clients (14.3%) improved, 36 clients (57.1%) didn’t change and 4 clients (6.3%) deteriorated, which was similar to the available general sample from another American university counseling center with a non-significant difference. However, the rates of recovery of the two samples differed significantly (p< .05) when these two samples were divided into the recovered and the unrecovered group. Conclusion: Counseling delivered at this university mental health center seemed to be effective which was not worse than two American samples and even better in some aspects, which should be considered cautiously due to the data limitation. 目的：考察某高校的心理咨询效果。方法：数据来自于十年前国内一所高校心理健康中心使用中文版心理咨询效果问卷（OQ-45.2）从第二次会谈开始持续收集的效果数据，为时一年半，期间测量了103 名当事人随着咨询进程发生的改变，筛除无效数据后，共计63 名当事人，其中临床样本包括31 名当事人。结果：总样本前后测效应量为中等效应量（d=0.57）；临床样本前后测效应量为大效应量（d=1.22），优于基准；总样本康复率22.2%，改善率14.3%，无变化率57.1%，恶化率6.3%，趋势与基准一致，无显著差异；将总样本分为康复与未康复两类后，总样本康复率优于基准（p<0.05）。结论：本研究提示该中心可能取得了良好的咨询效果。
• DOI: https://doi.org/10.35534/tppc.0304026
• Cite: 闫玉朋，江光荣，应梦婷，等．一所高校心理健康教育中心的心理咨询效果——基于实践的证据［J］．心理咨询理论与实践，2021，3（4）：206-213．