A Study On The Self-acceptance And Group Counseling Of Medical Freshmen With Social Avoidance

ObjectiveTo understand the relationship between social avoidance and distress,self-acceptance of medical freshmen,explore the relationship between the two;On this basis,the feasibility and effectiveness of group intervention programs based on enhancing self-acceptance in reducing social avoidance of medical freshmen were formulated and tested.MethodQuestionnaire survey was conducted on 620 freshmen in Binzhou Medical College by random cluster sampling.Subsequently,using 2(experimental group,control group)× 3(pretest,post-test,follow-up test)repeated measurement experimental design,32 medical freshmen enrolled in the group were randomly assigned to the experimental group and the control group,only the experimental group received intervention.The pretest,post-test and follow-up test scores were compared and analyzed,and the effect of group intervention was evaluated by combining the self-report of the experimental groupResult1.The total score of social avoidance and distress of medical freshmen was between 1 and 28(11.54±6.10),among which 38.9%had problems of social avoidance and distress,and the total score of self-acceptance was between 17 and 60(39.62±6.51).The total scores of social avoidance and distress were significantly different in gender,whether to serve as class cadre or not and place of origin(all P<0.01);There were significant differences in the total score of self-acceptance in terms of whether to serve as class cadre or not,place of origin(all P<0.01)and gender(P<0.05)2.The total score and factor score of social avoidance and distress of medical freshmen were significantly negatively correlated with the total score and factor score of self-acceptance(all P<0.01).Both the total score of self-acceptance and the factor score were effective in negative prediction of social avoidance and distress scores(all P<0.01)3.In post-test and follow-up test,there were significant group differences in social avoidance and distress,self-acceptance,and psychological flexibility scores.The pretest was compared with the timely post-test and the tracking post-test,In terms of social avoidance and distress,self-acceptance and psychological flexibility,the scores of the experimental group in the timely post-test and the tracking post-test were significantly lower than those of the pretest(all P<0.05),while the changes of the scores of the control group did not reach the significant levelConclusion1.The social avoidance and distress problems of medical freshmen were more prominent,and their self-acceptance was above the average level2.High self-acceptors usually have less social avoidance behavior and social distress3.The Self-Acceptance Intervention Program can significantly improve the self-acceptance and social problems of social avoidance medical freshmen,and at the same time can improve psychological flexibility to a certain extent,and these benign changes have a good continuity in a certain period of time.