积极反刍思维训练的团辅干预下大学生抑郁情绪改善情况OA

Objective:To improve college students' depressive symptoms and verify the mediating role of self-effi-cacy through a group counseling intervention experiment using active rumination thinking training.Methods:Partici-pants with mild to moderate depression were randomly assigned to three groups:An active rumination thinking training group,an active control group(traditional cognitive behavioral therapy),and a control group(no interven-tion).Assessments were conducted using the Depression Self-Rating Scale,General Self-Efficacy Scale,and Rumi-nation Scale.Results:This study conducted an 8-week active rumination training group intervention on the interven-tion group,active control group,and control group.The results showed that before the intervention,there were no significant differences(P＞0.05)in age,active rumination,negative rumination,self-efficacy,and depression scores among the three groups,indicating good homogeneity.After intervention,the intervention group showed a significant decrease in scores for negative rumination,negative attribution,and self denial factors(t=3.67,2.17,Z=-2.70,P＜0.05),while scores for enjoyment of pleasure and self-efficacy were significantly improved(Z=-2.20,-2.10;P＜0.05).Depression scores also decreased;However,there were no significant changes in various indicators between the active control group and the control group.Further mediation analysis showed that self-efficacy partially mediated the relationship between positive rumination and depression,as well as negative rumination and depression,with sig-nificant mediation effects and effect values of-0.419 and 0.354,respectively;Self efficacy was an important mediating mechanism by which rumination affects depression.Conclusion:Positive rumination group counseling effectively im-proves rumination,enhances self-efficacy,and alleviates depressive symptoms,with self-efficacy playing a key me-diating role.This provides a novel approach for mental health interventions for college students.It is recommended to incorporate this method into mental health curricula and conduct long-term follow-up and multicenter randomized controlled trials in future research.