CN107169272A - cognitive behavior training method and system - Google Patents

cognitive behavior training method and system Download PDF

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CN107169272A
CN107169272A CN201710309053.5A CN201710309053A CN107169272A CN 107169272 A CN107169272 A CN 107169272A CN 201710309053 A CN201710309053 A CN 201710309053A CN 107169272 A CN107169272 A CN 107169272A
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CN107169272B (en
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李汇方
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Zhang Ning
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Beijing Sea Navigation Education Polytron Technologies Inc
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Abstract

The cognitive behavior training method and system that the present invention is provided, method is:User logging request information is obtained, realizes and logs in;Enter the corresponding course training page of the training course being pre-selected after login, it is trained the selection of course, training course includes depression and anxiety, has a sleepless night and force four training courses, each course includes multiple training stages, and the course training page includes corresponding training content of each training stage;According to the training course being pre-selected, the training stage being presently in reference to user, according to training stage corresponding training content in training interface, the cognitive behavior training to user is realized.The cognitive behavior training method and system of the present invention, user can be achieved to carry out autonomous cognitive behavior training whenever and wherever possible, improve the cognitive Bias of user by network entry platform, is recurred with preventing, reducing, improves user's quality of life.

Description

Cognitive behavior training method and system
Technical field
The present invention relates to human psychological's medical domain, more particularly to cognitive behavior training method and system field.
Background technology
Cognitive behavioral therapy (Cognitive Behavioral Therapy, CBT) be at present in the world it is most widely used, The most clear and definite psychotherapy method of curative effect, to depression and anxiety, force, have a sleepless night, interpersonal relationships, emotional problems, career development etc. it is many Plant the systematic treatment method of psychological problems and clear and definite therapeutic effect.Since 2004, the CBT expert in west started hair CBT computer program is put on display, treatment is completed instead of therapist, i.e., interactive mode realizes treatment, and achieves into Work(.Here it is the cognitive behavioral therapy (CCBT) of computerization.
In the prior art, generally carry out cognitive behavior training all to carry out by human intervention, be not based on computer The technology of automation cognitive behavior training is carried out, user can not independently be trained whenever and wherever possible, and user experience is low.
The content of the invention
For above-mentioned technical problem, the present invention provides a kind of cognitive behavior training method and system, and user is stepped on by network Platform is recorded, can be achieved to carry out autonomous cognitive behavior training whenever and wherever possible, improve the cognitive Bias of user, is recurred with preventing, reducing, Improve user experience.
In order to solve the above technical problems, the technical scheme that the present invention is provided is:
In a first aspect, the present invention provides a kind of cognitive behavior training method, including:
Step S1, obtains user logging request information, realizes and logs in;
Step S2, enters the corresponding course training page of the training course being pre-selected, is trained course after login Selection, the training course includes depression and anxiety, has a sleepless night and forces four training courses, and each course includes multiple training ranks Section, the course training page includes corresponding training content of each training stage;
Step S3, according to the training course being pre-selected, the training stage being presently in reference to the user, in instruction Practice in interface according to the training stage corresponding training content, realize the cognitive behavior training to the user.
The cognitive behavior training method that the present invention is provided, its technical scheme is:User logging request information is obtained, realization is stepped on Record;Enter the corresponding course training page of the training course being pre-selected after login, training course includes depression and anxiety, insomnia With force four training courses, each course includes multiple training stages, and the course training page includes each training stage Corresponding training content;According to the training course being pre-selected, the training stage being presently in reference to the user, in instruction Practice in interface according to the training stage corresponding training content, realize the cognitive behavior training to the user.
The cognitive behavior training method of the present invention, user can be achieved to carry out whenever and wherever possible independently by network entry platform Cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as cognition The system training instrument of behaviour therapy's teacher basic skills and theory.
Further, in the step S3, when the training course being pre-selected is anxiety training course, with reference to described The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described The cognitive behavior training of user:
When the user is presently in the training stage for the first anxiety training stage, obtain the user record daily to A few event, including time, content, emotional information at that time and the evaluation information to the event that event occurs, record After preset number of days, the first anxiety thinking record inventory is formed;
Inventory is recorded according to the first anxiety thinking, the mode of thinking of the user is analyzed, after the completion of to enter second burnt Consider the training stage;
When the user is presently in the training stage for the second anxiety training stage, described first is obtained according to described Recording mode in the anxiety training stage proceeds record, records after the preset number of days, forms the second anxiety thinking record Inventory;
Inventory is recorded according to the second anxiety thinking, a relaxation training is carried out daily, is entered according to the preset number of days Row relaxation training, after the completion of enter the 3rd anxiety training stage;
When the user is presently in the training stage for the 3rd anxiety training stage, described first is obtained according to described Recording mode in the anxiety training stage proceeds record, records after the preset number of days, forms the 3rd anxiety thinking record Inventory;
According to a variety of confrontation method of thinkings, inventory is recorded with reference to the 3rd anxiety thinking, resists pre- described in thinking training If after number of days, forming the first anxiety confrontation thinking record inventory;
Thinking record inventory is resisted according to first anxiety, anxiety grade classification is carried out to the event, anxiety is formed Rank list, after the completion of enter the 4th anxiety training stage;
When the user is presently in the training stage for the 4th anxiety training stage, according to a variety of confrontation thinkings Method proceeds after confrontation thinking exercise, the confrontation thinking training for carrying out the preset number of days, forms second and resists thinking note Record inventory;
Positive thinking record of the user in confrontation thinking training is obtained, anxiety positive thinking record inventory is formed, Preserved;
According to the different anxiety level events in the anxiety rank list, progress exposes training and respiratory training, gone forward side by side Entered for the 5th anxiety training stage, the exposure training and respiratory training are continued until the anxiety in the anxiety rank list Grade terminates training when dropping to specified value, into the 5th anxiety training stage;
When the user is presently in the training stage for the 5th anxiety training stage, according to a variety of confrontation method of thinkings Carry out confrontation thinking and consolidate exercise, practise after the preset number of days, and inventory is recorded according to the anxiety positive thinking, pass through meaning As training method and formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety train rank Section;
When the user is presently in the training stage for the 6th anxiety training stage, carried out by anxiety scale of testing oneself The checking of anxiety training, completes the training of the anxiety training course.
Further, in the step S3, when the training course being pre-selected is depressed training course, with reference to described The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described The cognitive behavior training of user:
Be the first depressed training stage when the user is presently in the training stage, obtain the user record daily to A few event, including time, content, emotional information at that time and the evaluation information to the event that event occurs, record After preset number of days, the first depressed thinking record inventory is formed;
According to the described first depressed thinking record inventory, analyze the mode of thinking of the user, after the completion of enter the second suppression The strongly fragrant training stage;
It was the described second depressed training stage when the user is presently in the training stage, described first is obtained according to described Recording mode in the depressed training stage proceeds record, records after the preset number of days, forms the second depressed thinking record Inventory;
According to the described second depressed thinking record inventory, activity schedule training is carried out daily, when training described default Between after, after the completion of entered for the 3rd depressed training stage;
It was the described 3rd depressed training stage when the user is presently in the training stage, described first is obtained according to described Recording mode in the depressed training stage proceeds record, records after the preset number of days, forms the 3rd depressed thinking record Inventory;
According to a variety of confrontation method of thinkings, with reference to the described 3rd depressed thinking record inventory, resist pre- described in thinking training If after number of days, forming the first depressed confrontation thinking record inventory;
According to the activity schedule training in the described second depressed training stage, the activity schedule instruction of the preset number of days is carried out Practice, and obtain to the activity schedule train in event performance and implementation after mood, after the completion of enter the 4th suppression The strongly fragrant training stage;
It was the described 4th depressed training stage when the user is presently in the training stage, obtains the user and think in confrontation Positive thinking record in dimension training, forms depressed positive thinking record inventory, is preserved;
Inventory is recorded by the depressed positive thinking, is trained, the Attributional style and processing for changing the user are appointed The mode of business, into the 5th depressed training stage;
It it was the described 5th depressed training stage when the user is presently in the training stage, according to the anxiety positive thinking Record inventory, by formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training Stage;
It was the described 6th depressed training stage when the user is presently in the training stage, is carried out by depression scale of testing oneself The checking of depression training, completes the training of the depressed training course.
Further, in the step S3, when the training course being pre-selected is insomnia training course, with reference to described The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described The cognitive behavior training of user:
It it was the first insomnia training stage when the user is presently in the training stage, what the acquisition user recorded daily sleeps Dormancy log information, including the bedtime in evening, time for falling asleep, wake-up time, the time of getting up, be accumulated at a time, add up into Sleep the time and number of times of dozing off daytime, after record preset number of days, form Sleep diaries, and enter second and have a sleepless night the training stage;
It was the described second insomnia training stage when the user is presently in the training stage, described first is obtained according to described Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the second Sleep diaries;
According to second Sleep diaries, insomnia training is carried out by learning the method for sleep knowledge, insomnia training is described After preset number of days is carried out, the second insomnia for having a sleepless night the training stage is carried out by severity index scale of having a sleepless night and trains checking, after the completion of Into the 3rd insomnia training stage;
It was the described 3rd insomnia training stage when the user is presently in the training stage, described second is obtained according to described Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the 3rd Sleep diaries;
According to the 3rd Sleep diaries, calculate average in bed time, the length of one's sleep and Sleep efficiency every night;
According to the length of one's sleep and preferable Sleep efficiency, calculating is obtained should be in the bed time, and determines corresponding go to bed Time and get up the time;
According to the corresponding bedtime and getting up the time, with reference to sleep suggestion, after training in one week, to described right The bedtime answered carries out first time adjustment, forms daily schedule;
By have a sleepless night severity index scale carry out it is described 3rd insomnia the training stage insomnia train checking, after the completion of enter 4th insomnia training stage;
It was the described 4th insomnia training stage when the user is presently in the training stage, the described 3rd is obtained according to described Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the 4th Sleep diaries;
According to the 4th Sleep diaries, by stimulating control method to carry out Behavioral training, and to the daily schedule Carry out first time renewal;
The daily schedule updated according to first time, with reference to the sleep suggestion, is carried out to the corresponding bedtime Second of adjustment;
Checking is trained in the insomnia for carrying out the 4th insomnia training stage by the insomnia severity index scale, after the completion of Into the 5th insomnia training stage;
When the user is presently in the training stage for the described 5th insomnia training stage, the feedback for obtaining the user is asked Topic, is answered the feedback problem;
Proceed record according to the recording mode in the acquisition the 4th insomnia training stage, record described default After number of days, the 5th Sleep diaries are formed;
According to the 5th Sleep diaries, with reference to the answer to the feedback problem, the is carried out to the daily schedule It is secondary to update;
The daily schedule updated according to second, with reference to the sleep suggestion, is carried out to the corresponding bedtime Third time is adjusted;
Checking is trained in the insomnia for carrying out the 5th insomnia training stage by the insomnia severity index scale, after the completion of Into the 6th insomnia training stage;
It was the described 6th insomnia training stage when the user is presently in the training stage, the described 4th is obtained according to described Recording mode in the insomnia training stage proceeds record, records after the preset number of days, forms the 6th Sleep diaries;
According to the Sleep diaries of the described 6th insomnia training stage, third time renewal is carried out to the daily schedule;
The daily schedule updated according to third time, with reference to the sleep suggestion, is carried out to the corresponding bedtime 4th adjustment;
Checking is trained in the insomnia for carrying out the 6th insomnia training stage by severity index scale of having a sleepless night, and completes described lose The training of dormancy training course.
Further, in the step S3, the training course being pre-selected is when forcing training course, with reference to described The training stage that user is presently in, according to the training stage corresponding training content in training interface, realize to described The cognitive behavior training of user:
Forced the training stage for first when the user is presently in the training stage, obtain the obsession record of the user Daily record, including date of generation, time, stimulation event, thinking reaction, behavior reaction, force consequence and subjective uncomfortable unit point After number, record preset number of days, the training stage is forced into second;
The training stage is forced for described second when the user is presently in the training stage, passes through exposure response prevention method The training of training stage is forced described in carrying out:
Obsession log in the training stage is forced according to described first, exposure grade table, described exposure etc. is made Level table sorts from low to high according to subjective discomfort unit fraction in the obsession log, each subjective uncomfortable unit fraction One exposed symptom of correspondence, the exposure grade table is constantly updated;
The corresponding exposed symptom of the uncomfortable unit fraction of medium subjectivity in the exposure grade table proceeds by exposure The exercise of project, until the corresponding exposed symptom of the subjective discomfort unit fraction of highest is exposed item excessively in the exposure grade table Purpose is practised, and completes once the exercise of the exposed project, and the exposed project includes reality exposure and imagination exposure;
Repeat repeatedly the exposed project exercise, until the user produces a desired effect, instruction is forced into the 3rd Practice the stage;
Forced the training stage for the described 3rd when the user is presently in the training stage, obtain reward inventory, the prize Encourage inventory and include the user and wish the behavior oneself accomplished and corresponding reward content;
According to the exposure grade table, the exposure project of exercise is selected;
According to the exposure project of the selection exercise, corresponding exercise is carried out, training is forced into the 4th after completing exercise Stage;
The training stage is forced for the described 4th when the user is presently in the training stage, according in the exposure grade table The corresponding exposed symptom of the uncomfortable unit fraction of minimum subjectivity proceeds by exposure exercise repeatedly, until producing habituation;
After the completion of exercise, the exposure exercise of the corresponding exposed symptom of next subjective discomfort unit fraction is carried out, works as highest The corresponding exposed symptom of subjectivity discomfort unit fraction produces habituation, end exercise, generation exposure after exposure exercise repeatedly Exercise is single, and the training stage is forced into the 5th;
Forced the training stage for the described 5th when the user is presently in the training stage, carry out exercise and look back test;Survey After the completion of testing, formulate life plan, complete described in force the training of training course.
Further, in three training courses of the depression and anxiety and insomnia, in addition to:In each training rank The user is tested and assessed before section, evaluating result is graphically shown.
Further, in the depression and anxiety, have a sleepless night and force four training courses, in addition to:In each instruction The homework of the user and the feedback of the correspondence homework are obtained before practicing the stage.
Further, before the step S1, for the user registered first, in addition to:
Obtain the log-on message of user;
According to the log-on message of the user, registration is completed, into the personal information page;
In the personal information page, the personal information of the user is obtained.
Further, in the depression and anxiety, have a sleepless night and force four training courses, in addition to:
According to the feedback of the homework of the user and the correspondence homework, the finger of doctor is obtained by message box Lead opinion.
After doctor is finishing watching the homework that visitor is done, visitor can be given some professional feedbacks, instead Present after visitor logs in APP i.e. it can be seen that the pop-up box of physician feedback, visitor can select to check or look into later immediately See, feedback can also check corresponding feedback in the homework of correspondence number of times, and in training module, our interface can be more Close friend with it is intelligent, such as in anxiety training module, we can combine biofeedback in exposure training and respiratory training The data of instrument, are trained, with reference to voice guidance, and different audios of loosening can be selected to carry out relaxation training, anxiety grade by Level training, progressivelyes reach therapeutic effect.
Second aspect, the invention provides a kind of cognitive behavior training system, including:
Login module, for obtaining user logging request information, realizes and logs in;
Training course selecting module, the corresponding course training page of training course being pre-selected for entering after login, It is trained the selection of course, the training course includes depression and anxiety, have a sleepless night and force four training courses, each course Including multiple training stages, the course training page includes corresponding training content of each training stage;
Cognitive behavior training module, for the training course being pre-selected according to, is presently in reference to the user Training stage, according to the training stage corresponding training content in training interface, realize the cognitive row to the user For training.
A kind of cognitive behavior training system that the present invention is provided, its technical scheme is:By login module, obtain user and step on Solicited message is recorded, realizes and logs in;By training course selecting module, the corresponding class of training course being pre-selected is entered after login The Cheng Xunlian pages, are trained the selection of course, and the training course includes depression and anxiety, have a sleepless night and force four training sessions Journey, each course includes multiple training stages, and the course training page includes corresponding training content of each training stage;It is logical Cognitive behavior training module is crossed, according to the training course being pre-selected, the training stage being presently in reference to the user, According to the training stage corresponding training content in training interface, the cognitive behavior training to the user is realized.
The cognitive behavior training system of the present invention, user can be achieved to carry out whenever and wherever possible independently by network entry platform Cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as cognition The system training instrument of behaviour therapy's teacher basic skills and theory.
Brief description of the drawings
, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical scheme of the prior art The accompanying drawing used required in embodiment or description of the prior art is briefly described.
Fig. 1 shows a kind of flow chart for cognitive behavior training method that the embodiment of the present invention is provided;
Fig. 2 shows a kind of schematic diagram for cognitive behavior training system that the embodiment of the present invention is provided.
Embodiment
The embodiment of technical solution of the present invention is described in detail below in conjunction with accompanying drawing.Following examples are only used for Clearly illustrate technical scheme, therefore be intended only as example, and the protection of the present invention can not be limited with this Scope.
Embodiment one
As shown in figure 1, a kind of cognitive behavior training method that the present embodiment is provided, including:
Step S1, obtains user logging request information, realizes and logs in;
Step S2, enters the corresponding course training page of the training course being pre-selected, is trained course after login Selection, training course includes depression and anxiety, has a sleepless night and forces four training courses, and each course includes multiple training stages, class The Cheng Xunlian pages include corresponding training content of each training stage;
Step S3, according to the training course being pre-selected, the training stage being presently in reference to user, in training interface According to training stage corresponding training content, the cognitive behavior training to user is realized.
The cognitive behavior training method that the present invention is provided, its technical scheme is:User logging request information is obtained, realization is stepped on Record;Enter the corresponding course training page of the training course being pre-selected after login, training course includes depression and anxiety, insomnia With force four training courses, each course includes multiple training stages, and the course training page includes each training stage correspondingly Training content;According to the training course being pre-selected, the training stage being presently in reference to user, the basis in training interface Training stage corresponding training content, realizes the cognitive behavior training to user.
The cognitive behavior training method of the present invention, user can be achieved to carry out whenever and wherever possible independently by network entry platform Cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as cognition The system training instrument of behaviour therapy's teacher basic skills and theory.
Cognitive behavioral therapy (CBT) is current psychological training method most widely used in the world, is that one kind passes through change The effective ways of anxiety are treated in cognitive and behavior.The mood of one people and his cognition and behavior influence each other, therefore we The mood of anxiety can be changed by changing cognitive and behavior.The mood of people is allowed not come from what there occurs, And come from people and how to treat and evaluate this part thing, here it is cognitive (i.e. idea).The idea of people is objective, actively rise Come, be exactly the important technology of CBT treatments, based on this, in following 5 days (preset number of days), complete a homework, record Idea and resulting mood to certain event, form the first anxiety thinking record inventory, such as:
Event Idea Mood
During the journey, half bottle of water has been drunk Half bottle of water is only remained, may be not enough Worry
By CBT, the factor for causing anxiety to produce and maintain is will appreciate that, oneself regulation mood is learned how, defeats anxiety.
It is described in detail with reference to specific training process:
Preferably, in step S3, when the training course being pre-selected is anxiety training course, it is presently in reference to user Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
The test of mental scale can be first carried out training every time into fashionable, the anxiety state current to user is measured, Understand the truth of user, help to deploy the training of the first anxiety training stage.
When user is presently in the training stage for the first anxiety training stage, at least something that user records daily is obtained After part, including time, content, emotional information at that time and the evaluation information to event that event occurs, record preset number of days, shape Inventory is recorded into the first anxiety thinking;
According to the first anxiety thinking record inventory, analyze user the mode of thinking, after the completion of enter the second anxiety train rank Section;
When user is presently in the training stage for the second anxiety training stage, according in the first anxiety training stage of acquisition Recording mode proceeds after record, record preset number of days (5 days), forms the second anxiety thinking record inventory;
Inventory is recorded according to the second anxiety thinking, a relaxation training is carried out daily, carries out loosening instruction according to preset number of days Practice, after the completion of enter the 3rd anxiety training stage;
The mode of relaxation training has many kinds, such as gradual muscular relaxation training training (PMR), by the motions of four limbs and exhales Inhale adjustment and carry out relaxation training.During relaxation training, some blood oxygen saturations and pulse frequency can be gathered by pulse blood oxygen instrument Data, the relaxation state of user is judged by these data.
When user is presently in the training stage for the 3rd anxiety training stage, according in the first anxiety training stage of acquisition Recording mode proceeds after record, record preset number of days, forms the 3rd anxiety thinking record inventory;
According to a variety of confrontation method of thinkings, recorded with reference to the 3rd anxiety thinking after inventory, confrontation thinking training preset number of days, Form the first anxiety confrontation thinking record inventory;
Thinking record inventory is resisted according to the first anxiety, anxiety grade classification is carried out to event, anxiety rank list is formed, After the completion of enter the 4th anxiety training stage;
Wherein, confrontation thinking is one kind confrontation to distorted perceiving, and common distorted perceiving has seven kinds, including arbitrarily pushes away Summarize by, selectivity, it is excessively extensive, individualize, exaggerate and reduce, the thinking that polarises, should doctrine and necessary doctrine;Common Confrontation method of thinking also has seven kinds, including goes the content of disaster, i.e., record the content in inventory by analytic thinking, and arrangement is each The possibility that consequence occurs is planted, is reappraised with positive thinking and epistemic context.Such as, someone fear to take a lift may Think:" door will be closed, and then I can be stranded several hours herein, and also no one knows, I is finished the oxygen in elevator just It can faint ".It is then to think deeply in the opposite manner to go disasterization:" elevator door will be shut, and then I can be sent to me by elevator The floor to be gone, door can be opened again.Even if elevator is seized, it can also be asked for help by danger button.Last time, I took a lift Just have no problem, the possibility very little that I faints ".
The statement of reply property, i.e., tell oneself how to go to face some pressure scene, forecasting problem, and retouch to oneself at heart State the process for tackling these problems.Such as:" I can accomplish this point, as long as my effort, and thing can become simply too much, and I am only Need to step the first step ".
Utilitarianism resists thinking, i.e., investigate thing not too much in itself, and pays close attention to oneself idea and attitude to this part thing It is whether useful.Such as, although be at fault, but thing has occurred that, self-accusation is otiose.Tell that energy is placed on solution by oneself In problem, or draw lesson from it, it is to avoid next time recommits, rather than feel guilty simply.
Label is changed, i.e., the passive label being attached in scene or thing is changed turns into objective, positive statement, changes into Positive.Such as, remove with the label of " conceited " to evaluate a people, use " confidence " instead to evaluate;Remove the label of " difficulty ", change Into " challenge;" remove the label of " pressure ", change into " power ".
The confrontation thinking of humour, that is, find the humorous point in passive automatic thought, or come anti-in a kind of humorous mode Refute, this is a kind of particularly useful way of refutation.Such as, it is busy when thinking again all to accomplish ultimate attainment and current conditions are not permitted Perhaps when, tell oneself " and oneself as superman with laughing at oneself formula.”
The confrontation thinking of famous sayings of famous figures or proverb is quoted, e.g., when something is not carried out, passive automatic idea is:" I Be dead " or " I does anything well, " can quote " Failure is the mother of success ", " It is the first step that costs troublesome " etc. confrontation.
The confrontation thinking of presence, i.e. many passive automatic thoughts be it is dogmatic, without foundation of truth, refute also without Based on the fact that.Such as, " why it is me" so the problem of can be refuted by another idea:" why not it is me”
Wherein, anxiety rank list is divided into 5 different degree, causes emotional reactions most fierce event, things or field Scape is 10 points, and smaller degree is 8 points, successively decreases successively, the situation of 6 points, 4 points and 2 points degree is listed respectively.Listed event, thing Thing or scene must be specific, with operability, to be trained after facilitating training next time.
When user is presently in the training stage for the 4th anxiety training stage, proceed according to a variety of confrontation method of thinkings Resist after thinking exercise, the confrontation thinking training for carrying out preset number of days, form second and resist thinking record inventory;
Positive thinking record of the user in confrontation thinking training is obtained, anxiety positive thinking record inventory is formed, carries out Preserve;
According to the different anxiety level events in anxiety rank list, progress exposes training and respiratory training, and enters the Five anxiety training stages, exposure training and respiratory training be continued until the anxiety grade in anxiety rank list is dropped to it is specified Terminate training during standard, into the 5th anxiety training stage;
Specifically, first, 4 points of event, things or scene in active exposure last time homework anxiety rank list, it is hard Hold, kept for contact certain time without escaping, respiratory training can be combined while contact, can also be instructed without breathing Practice.
When 4 points of event, things or scene, (it is generally necessary to train several days when caused emotional reactions are down to 2 points or less Or several weeks), the contact training of 6 points of events, things or scene can be proceeded by, the timing of active exposure one is equally to maintain Between without escaping, with or not with respiratory training.
Likewise, (being generally also required to train a few days or a few weeks after 6 points near 2 points of event, things or scene or less ), event, things or the scene that 8 point of retraining.
After 8 points of event, things or scene is down to 2 points and is following, the training of 10 points of events is finally carried out.This is usually required Spend it is a few week to some months times, some people can not be reached in 8 points and 10 points of event, things or scene, always 2 points and with Under effect, then can be just regarded at oneself receive degree terminate training.
Wherein, exposure training is a kind of classical Behavioral training method, feared things or scene by constantly contacting, Be allowed to recognize these things or scene be can face, without what is avoided, and the mood such as can alleviate anxiety, fear.According to The anxiety rank list of last homework, practises since 4 points of event, things or scene.Principle is not escape, step by step Training.Become apparent from by repeating Anxiety decline.When 4 points of event, things or scene Anxiety drop to acceptable model After enclosing, 6 points of training, followed by 8 points are carried out, are finally 10 points.Relaxation training or breathing can also be done in the training process Training, helps to alleviate sense of discomfort.
Respiratory training is very useful to the situation in panic attack or AAA.Respiratory training is burnt to other The alleviation of the mood such as worry, anxiety, fear is also easy and effective, and can make patient that notice is transferred to pass from the cognition of disaster In note breathing.
Specially:Step 1:Abdominal respiration profound several times is first done (to exhale, empty intraperitoneal all air, belly Cave in;Air-breathing, feels that whole abdominal cavity is full of ozone, belly loosens).Step 2:Normal speed is arrived in adjustment breathing:Every point Clock breathes 15-16 times (every about 4 seconds breath cycles).It is recommended that normally being exhaled by watching the second hand of clock and watch attentively to help to return to Suction mode.Step 3:Know from experience the control sense to body that breathing is normally brought.
Positive thinking when also thinking can be resisted is preserved simultaneously, oneself thinking to oneself valuable, help very Big positive thinking is recorded at any time, can again be reviewed, extracts at any time, be caused next time for resisting when needed later The distorted perceiving of anxiety.For example:" everyone is not perfect, and I has the advantages that oneself, should not only stare at deficiency and see.” " do well and also have no relations, make great efforts next time still to have harvest." " it is probably not hear that he, which does not pick up, does not represent and does not exist I." etc..Exposure training and respiratory training continue to keep this exercise after all training are completed, and this training may need Continue some months or more long.
When user is presently in the training stage for the 5th anxiety training stage, resisted according to a variety of confrontation method of thinkings Thinking is consolidated after exercise, exercise preset number of days, and records inventory according to anxiety positive thinking, passes through imagery training method and formulation Problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training stage.
Wherein, imagery training method refers to imagine a tranquil scene, such as imagines and oneself is just rambling about seabeach or just putting Body to shift the notice to painful idea, or reduces the sense of discomfort on body in the holiday resort oneself liked.Can be single Solely use, the training of positive image can also be added during respiratory training, relaxation training or exposure training is carried out.Meaning The content of elephant is very abundant, can play the imagination of oneself, such as " as small bird circles in the air on high " or " allows anxiety as ice, slowly Slowly melt, evaporate, disappear." or " worry is blown away by strong wind as leaf, blows to the remotest places, do not see again." etc..
Generally it is used in combination with other CBT methods, such as relaxation training, respiratory training and exposure training can help these Technology preferably reaches effect.
The method of formulation problem and correspondence solution is referred specifically to:Clearly what clear and definite problem is.Setting is clear, can be real Existing solution target.Propose some different solutions.Inquire about the information that piecemeal solution scheme needs.According to information state, Selected one of which solution.Specific step is made, to realize solution, and sets about implementing.Verify entering for oneself Exhibition.
When user is presently in the training stage for the 6th anxiety training stage, anxiety training is carried out by anxiety scale of testing oneself Checking, complete anxiety training course training.
The cognitive behavior training of anxiety is carried out by the above method, user can voluntarily realize the improvement of anxiety symptom, strengthened User rationally treats problem and problem-solving ability, better adapts to life.
Equally, cognitive behavioral therapy (CBT) is a kind of effective ways for alleviating depression by cognitive and behavior change.One The mood of people and his cognition and behavior influence each other, therefore change the mood of depression by changing cognitive and behavior.Allow people Idea it is objective, actively get up, this be CBT treatment important technology, therefore firstly the need of recognize people in life send out The idea of raw event.In following 5 days, a homework is completed, is recorded to the idea of event and resulting Mood, forms the first depressed thinking record inventory, such as:
Event Idea Mood
During the journey, half bottle of water has been drunk Half bottle of water is only remained, may be not enough Worry
By CBT, will appreciate that causes the depressed factor for producing and maintaining, and learns how oneself regulation mood, walks out depression.
It is described in detail with reference to specific training process:
Preferably, in step S3, when the training course being pre-selected is depressed training course, it is presently in reference to user Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
The test of scale can be first carried out training every time into fashionable, the current Condition of depression of user is detected, understands and uses The truth at family, contributes to the training of the depressed training stage of expansion first.
It was the first depressed training stage when user is presently in the training stage, obtains at least something that user records daily After part, including time, content, emotional information at that time and the evaluation information to event that event occurs, record preset number of days, shape Into the first depressed thinking record inventory;
According to the first depressed thinking record inventory, analyze the mode of thinking of user, after the completion of enter the second depressed training rank Section;
It it was the second depressed training stage when user is presently in the training stage, according in the depressed training stage of acquisition first Recording mode proceeds after record, record preset number of days (5 days), forms the second depressed thinking record inventory;
According to the second depressed thinking record inventory, carry out after activity schedule training, training preset time, complete daily Entered for the 3rd depressed training stage afterwards;
Wherein, the activity of (at least 5 days) before activity schedule training brainchild is once trained from today to third time, daily Simple possible is wanted in one content, the activity of plan, and preceding two contents (time and activity) of at least 5 days are please just filled now, Carry out according to schedule daily, every time after the completion of open the activity of webpage record performance and implementation after mood.
It it was the 3rd depressed training stage when user is presently in the training stage, according in the depressed training stage of acquisition first Recording mode proceeds after record, record preset number of days, forms the 3rd depressed thinking record inventory;
According to a variety of confrontation method of thinkings, with reference to the 3rd depressed thinking record inventory, resist after thinking training preset number of days, Form the first depressed confrontation thinking record inventory;
According to the activity schedule training in the second depressed training stage, the activity schedule training of preset number of days is carried out, and is obtained Mood after the performance of event in being trained to activity schedule and implementation, after the completion of entered for the 4th depressed training stage;
Wherein, a variety of confrontation method of thinkings are consistent with the method in anxiety training course, carried out by resisting method of thinking While dual training, activity schedule training is carried out always and is noted down, incremental training is carried out.
It was the 4th depressed training stage when user is presently in the training stage, obtains product of the user in confrontation thinking training Pole thinking record, forms depressed positive thinking record inventory, is preserved;
Inventory is recorded by depressed positive thinking, is trained, changes the Attributional style of user and handles the mode of task, Into the 5th depressed training stage;
It is have recorded in positive thinking record to product of events pole view, for example:" everyone is not perfect, and I has certainly Oneself advantage, should not only stare at deficiency and see." " do well and also have no relations, make great efforts next time still to have harvest." " he does not connect Phone is probably not hear, does not represent and does not mind me." etc..By these energetically idea be constantly trained, attribution can be changed Mode, that is, change the view to something, will not summed up in the point that the reason for event on one's body, it is to avoid some are felt oneself inferior, feel guilty, pressed down Idea that is strongly fragrant, losing the confidence.Attempt to carry out resolution process to something simultaneously, resolve into different small tasks mitigations and do things The feeling of stress of feelings.
It was the 5th depressed training stage when user is presently in the training stage, inventory is recorded according to anxiety positive thinking, led to Cross formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training stage;
It was the 6th depressed training stage when user is presently in the training stage, depressed training is carried out by depression scale of testing oneself Checking, complete the training of depressed training course.
Depressed cognitive behavior training is carried out by the above method, user can voluntarily realize the improvement of depressive symptom, strengthened User rationally treats problem and problem-solving ability, better adapts to life.
Preferably, in step S3, when the training course being pre-selected is insomnia training course, it is presently in reference to user Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
It was the first insomnia training stage when user is presently in the training stage, obtains the Sleep diaries letter that user records daily Breath, including the bedtime in evening, time for falling asleep, wake-up time, the time of getting up, be accumulated at a time, accumulative time for falling asleep and Doze off daytime number of times, after record preset number of days, form Sleep diaries, and enter second and have a sleepless night the training stage;
The record letter of the Sleep diaries of 5 days, for understanding and assessing the work and rest rule of user, for the conviction and state of sleep Degree, and the order of severity having a sleepless night.
It it was the second insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition first Recording mode proceeds after record, record preset number of days, forms the second Sleep diaries;
According to the second Sleep diaries, insomnia training, insomnia training preset number of days are carried out by learning the method for sleep knowledge After progress, by have a sleepless night severity index scale carry out second have a sleepless night the training stage insomnia train verify, after the completion of enter the 3rd Have a sleepless night the training stage;
Wherein, sleep knowledge is:
1st, the length of one's sleep number depend on patient's clear-headed situation of second day;
2nd, every morning or regular aerobic exercise in afternoon can help to sleep;Hobby is cultivated, life is enriched;
3rd, avoid receiving strong stimulation before sleeping, dark lighting a bit, is washed a hot bath and relaxed, it is to avoid carry out excitability Activity (except certain sexuality), it is to avoid phobic books or video display, it is to avoid with people argue;
4th, tea, coffee and wine are avoided, especially in the afternoon or evening;A few houres non-smoking before sleeping;
5th, reasonable arrangement work sleep sanitary regulations:Time, the problem of processing is in brain or idea is evacuated at night, extremely Carry out within few 1 hour before sleeping.Write the thing or difficulty to be done for second day, it is impossible to these problems is become more and more annoying;
If the 6, feeling hungry just before going to bed, eating a light meal to help for sleep;
7th, make bedroom as quiet as possible and dim, while making bedroom temperature keep being adapted to;
If the 8, can not fall asleep quickly, it should get up immediately, gone to another room, do some activities loosened, it is to avoid Feel lose heart;
If the 9, waken up at midnight, clock should not be seen, continues to turn round sleep;Bedroom had better not put clock;
10th, regularly get up and rest, be beneficial to biological clock.Will regularly it be got up at neutralization weekend weekly;
11st, can not have afternoon nap daytime or doze off, otherwise can reduce sleepiness at night, it may also reduce oneself want to sleep when Between;
12nd, worry to sleep several hours every night, the alertness and mobility on daytime can be influenceed.As long as the vigilance on daytime Property and mobility it is good, illustrate the time of having slept well.
By these sleep knowledge, voluntarily sleep is adjusted, sleep quality is improved, and record daily sleep feelings Condition.
It it was the 3rd insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition second Recording mode proceeds after record, record preset number of days, forms the 3rd Sleep diaries;
According to the 3rd Sleep diaries, calculate average in bed time, the length of one's sleep and Sleep efficiency every night;
According to the length of one's sleep and preferable Sleep efficiency, calculating is obtained should be in the bed time, and determines corresponding bedtime With the time of getting up;
According to corresponding bedtime and getting up the time, with reference to sleep suggestion, after training in one week, gone to bed to corresponding Time carries out first time adjustment, forms daily schedule;
Wherein, sleep suggestion refers to suggestion of the insomniac before and after sleep, assists in sleep, is specially:
1st, the sleep diary of 2 weeks is first done, including some is gone to bed, some is fallen asleep, what time wakes up, what time gets up, and in the daytime Length of one's sleep etc..
2nd, according to diary calculate this week every night it is average bed time (m- bedtime when getting up) and the length of one's sleep with Sleep efficiency (length of one's sleep/in the percentage of bed time).Such as one people lies in bed 8 hours daily, has only slept 4 hours, sleeps Efficiency is then 50%.
3rd, according to the length of one's sleep and preferable Sleep efficiency (>90%) come calculate oneself the bed time (length of one's sleep/ 90%), assist in and go to bed and get up the time, the time of getting up will be fixed with alarm clock, the time of bed cannot be below 5 hours.
4th, after the training of one week, if the Sleep efficiency of this week averagely every night reaches more than 90%, next week can carry It is early to go to bed within 15~30 minutes;If Sleep efficiency is 80~90%, next week maintains the original time;As Sleep efficiency is less than 80%, then next week bedtime to postpone 15~30 minutes.Above sleep cycle is adjusted weekly once.
5th, according to mentioned above principle, by periodicity adjustment bed rest time, until reaching enough lengths of one's sleep.
By have a sleepless night severity index scale carry out the 3rd have a sleepless night the training stage insomnia train checking, after the completion of enter the 4th Have a sleepless night the training stage;
Equally daily sleep quality is noted down in phase III training process, adjusts and works and rests as next stage The foundation of timetable.
It it was the 4th insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition the 3rd Recording mode proceeds after record, record preset number of days, forms the 4th Sleep diaries;
According to the 4th Sleep diaries, first is carried out by stimulating control method to carry out Behavioral training, and to daily schedule It is secondary to update;
The daily schedule updated according to first time, with reference to sleep suggestion, carries out second to corresponding bedtime and adjusts It is whole;
Wherein, it is that a set of help insomniac reduces the behavior unrelated with sleep and sets up regularity and sleeps to stimulate control method The program of dormancy-awakening pattern, purpose is that insomniac is set up with the condition of insomnia contacts, and sets up connection with sleep System, and human body is formed normal sleep-wake rhythms.Specific practice:
1st, in addition to sleep, other times should not be treated in bed or in bedroom.Special place of the bed as sleep, do not exist The activity unrelated with sleep is engaged on bed, the reading that should not lie on a bed, TV is seen, listens to the radio programme.
2nd, if still can't fall asleep after lying on a bed 30 minutes, it is necessary to get up and withdraw from a room, a little gentle things are done, only true Just gone to bed when just having sleepiness.As can not be fallen asleep rapidly again after going to bed, and get up at once, waiting again has sleepiness just to return bed.If begin Eventually without sleepiness, that must be thus and thus until daybreak.
3rd, among whole night, as long as midway has been waken up and can not fallen asleep again rapidly, it should all be done by the method for upper bar.
4th, adhere to every morning waking up and getting up in synchronization, how slept but regardless of evening.
5th, daytime never goes to bed.
By have a sleepless night severity index scale carry out the 4th have a sleepless night the training stage insomnia train checking, after the completion of enter the 5th Have a sleepless night the training stage;
It was the 5th insomnia training stage when user is presently in the training stage, obtains the feedback problem of user, feedback is asked Topic is answered;
Recording mode according to obtaining in the 4th insomnia training stage proceeds after record, record preset number of days, is formed 5th Sleep diaries;
According to the 5th Sleep diaries, with reference to the answer to feedback problem, second is carried out to daily schedule and is updated;
The daily schedule updated according to second, with reference to sleep suggestion, third time tune is carried out to corresponding bedtime It is whole;
By have a sleepless night severity index scale carry out the 5th have a sleepless night the training stage insomnia train checking, after the completion of enter the 6th Have a sleepless night the training stage;
In time the problem of answer insomniac, assist in insomniac and preferably trained.
It it was the 6th insomnia training stage when user is presently in the training stage, according in the insomnia training stage of acquisition the 4th Recording mode proceeds after record, record preset number of days, forms the 6th Sleep diaries;
According to the Sleep diaries of the 6th insomnia training stage, third time renewal is carried out to daily schedule;According to third time The daily schedule of renewal, with reference to sleep suggestion, the 4th adjustment is carried out to corresponding bedtime;
6th insomnia for having a sleepless night the training stage is carried out by severity index scale of having a sleepless night and trains checking, insomnia training session is completed The training of journey.
The cognitive behavior training being had a sleepless night by the above method, user can voluntarily realize the improvement of insomnia, enhancing User rationally treats problem and problem-solving ability, better adapts to life.
Preferably, in step S3, the training course being pre-selected is when forcing training course, to be presently in reference to user Training stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user:
Forced the training stage for first when user is presently in the training stage, obtain the obsession log of user, bag Include date of generation, time, stimulation event, thinking reaction, behavior reaction, force consequence and subjective uncomfortable unit fraction, record After preset number of days, the training stage is forced into second;
Wherein, subjective uncomfortable unit is that the standard scale of pain is brought to forcing thinking to give people, and 0 point is the feelings for having no pain Border, such as a kind of state loosen completely, deep sleep;100 points are then experiencing so far or can imagining most painful State.According to subjective uncomfortable unit, force the thing of pain sensation to be noted down and given a mark to being brought to user, form obsession Log.User needs to record the generation of symptom at any time.
The training stage is forced for second when user is presently in the training stage, is forced by exposure response prevention method The training of training stage:
Force obsession log in the training stage according to first, make exposure grade table, exposure grade table according to Subjective discomfort unit fraction sorts from low to high in obsession log, one exposure of each subjective uncomfortable unit fraction correspondence Symptom, exposure grade table is constantly updated;
Wherein, whether the making of exposure grade table, by checking symptom in symptom diary in the past few days, examine by institute one by one Some symptoms are all monitored, if accomplish to have recorded the obsessive symptoms of oneself at any time;Obsessive symptoms are arranged by painful journey Degree (SUDs) is rearranged from low to high, has just obtained exposure grade table.
The corresponding exposed symptom of the uncomfortable unit fraction of medium subjectivity in exposure grade table proceeds by exposed project Exercise, until the corresponding exposed symptom of the subjective uncomfortable unit fraction of highest is exposed the white silk of project excessively in exposure grade table Practise, complete once exposure exercise, exposure project includes reality exposure and imagination exposure;
In general exercise is exposed since the medium symptom of SUDs scores.Such as SUDs scorings highest ranking in symptom diary For 80 points, correspondence symptom is " directly touch dustbin and can not wash one's hands at once ", then the symptom from 40 points can be selected to enter Row exposure exercise, the symptom of the higher SUDs scores of reselection after it can bear the distress level that the exposure is excited substantially;Until Distress level highest symptom is also sufficiently practised.
Wherein, reality exposure means individual directly facing the stimulation for causing anxiety fear.Such as fear the patient of bacterium Toilet seat of seat, metope, communal bathroom of public place etc. is touched with hand.Many symptoms have no idea to arrange reality sudden and violent Dew, such as because causing electrical equipment to kill the thought of household, on profanity or the impulsion committed incest etc. without inspection switch.These can be adopted With imagination exposure, the situation that oneself can not put up with is write down, repeatedly loud to read;Or content is recorded listened attentively to repeatedly, Imagined with this in brain and be among the anxiety fear for making oneself extreme discomfort, and undergo the sufficiently long time.Imagination exposure Design need pay attention to detail, can be described in detail the situation generation time, place, what there occurs, at that time idea, sense By, the tone spoken, there are what sound, what taste, the people of surrounding is saying that what etc. what do.It is as lively as possible, detailed.
Repeat repeatedly to expose project exercise, until user produces a desired effect, the training stage is forced into the 3rd;
Wherein, the exercise of exposure project is trained by exposure response prevention therapy, and exposure response prevention therapy is one Cognitive-behavioral therapy is planted, help learns reply and forces thinking and compulsive behavior.During exercise, need deliberately, for a long time exposed to those Cause mandatory anxiety, pain and promote in the situation using compulsive behavior, do not allow for using conventional compulsive behavior reduction Tension, until anxiety spontaneous remission.By repeatedly, repeatedly practising, answering pressure environment is helped, even if finding without strong Compel behavior, disaster will not also occur, gradually association receives the uncertainty of life.
Such as, when A starts exposure exercise, the exposure project that he selects is to touch the face of oneself after contact dustbin;In advance The ceremony first formulated prevents rules from requiring that he can not wash one's hands.A is allowed deliberately (to contact dustbin under the situation for making his fear Hand to touch the face of oneself), and limit escape and/or by wash one's hands wait behavior reduction anxiety.Now A can produce strong Mood and/or Tenseness, feel that bacterium pollutes the palm of oneself by dustbin, and because the face for touching oneself is rapid Ground corrodes the body of oneself, and he is completely by bacterial phagocytosis, so that unsmooth breath, dripping cold sweat, he is fast to collapse, now SUDs Fraction rises quickly, and he enters stress situation.But, because lacking real danger, by certain period of time (because of people Different, typically within 90 minutes), A body can readily recognize that the anxiety of this height be it is unnecessary, body stress shape State is released, and the information feeds back to the mood center of brain simultaneously, thus mood and body Anxiety by can natural remission, until Disappear.Repeat the exercise.It will feel to adapt to many when repeating this training for the second time, anxiolytic is obtained also than before It hurry up, because the preceding experience once practised tells A that this is safe.The exercise is repeated several times, A can have found that he experiences most every time High SUDs fractions are gradually being reduced, and the time needed for clear-cutting forestland also gradually decreases.Here it is the target that we train. In ERP therapeutic processes, we will not go to change stimulant, because dustbin is not wrong in itself, it is necessary to which what is changed is to stimulating The excessive anxiety reaction that thing is made.Because regardless of whether taking avoidance or ceremonial, anxiety is experienced in the situation It will not be permanently present.Even if failing to carry out ceremony, the event feared may, will not may also occur, and both do not close necessarily System.
Forced the training stage for the 3rd when user is presently in the training stage, obtain reward inventory, reward inventory includes User wishes the behavior oneself accomplished and corresponding reward content;
According to exposure grade table, the exposure project of exercise is selected;
The exposure project practised according to selection, the corresponding exercise of progress (including reality exposure is practised and imagines that exposure is practiced Practise), force the training stage into the 4th after completing exercise;
The training stage is forced for the 4th when user is presently in the training stage, according to subjectivity minimum in exposure grade table not The suitable corresponding exposed symptom of unit fraction proceeds by exposure exercise repeatedly, until producing habituation;
After the completion of exercise, the exposure exercise of the corresponding exposed symptom of next subjective discomfort unit fraction is carried out, works as highest The corresponding exposed symptom of subjectivity discomfort unit fraction produces habituation, end exercise, generation exposure after exposure exercise repeatedly Exercise is single, and the training stage is forced into the 5th;
Forced the training stage for the 5th when user is presently in the training stage, carry out exercise and look back test;
After the completion of test, life plan is formulated, completes to force the training of training course.
The cognitive behavior training forced by the above method, user can voluntarily realize the improvement of obsessive symptoms, enhancing User rationally treats problem and problem-solving ability, better adapts to life.
Preferably, in three training courses of depression and anxiety and insomnia, in addition to:Before each training stage to Family is tested and assessed, and evaluating result is graphically shown.Including Data View, line chart and several display formats of block diagram, And preservation can be downloaded to evaluating result chart.
Preferably, in depression and anxiety, have a sleepless night and force four training courses, in addition to:Before each training stage Obtain the homework of user and the feedback of correspondence homework.Training content is preferably adjusted by feedback, realized more preferable Training effect.
Preferably, before step S1, for the user registered first, in addition to:
Obtain the log-on message of user;
According to the log-on message of user, registration is completed, into the personal information page;
In the personal information page, the personal information of user is obtained.The user registered first needs to be filled according to instruction Relevant information, aided assessment is carried out to user in itself.
Preferably, in four training courses, the relation of supplemental training is set up with relevant hospital, is provided by doctor Professional advice, to improve training result.
Specifically, it is that doctor sets certain authority, doctor can see the training for the user that undergoes training, including phase Should be tested and assessed record, the statistical graph of evaluating result, the chart of user's training dropping situations, the homework of user, feedback interaction, Add User.Hospital director can check the training general status of each section office visitor simultaneously.Section office director can look into The training of each doctor visitor is seen, the situation is presented in the form of chart or form.
Preferably, visitor can issue user certainly and send information, remind before each course new training stage is entered Visitor timely enters the training of new stage, and doctor can also select some patients's (being searched for by name) to send short message, be returned Visit.
Preferably, in depression and anxiety, have a sleepless night and force four training courses, in addition to:
According to the feedback of the homework of user and correspondence homework, the instruction of doctor is obtained by message box.
After doctor is finishing watching the homework that visitor is done, visitor can be given some professional feedbacks, instead The pop-up box that physician feedback can be seen after visitor logs in is presented, visitor can select to check or check later immediately, Feedback can also check corresponding feedback in the homework of correspondence number of times, course is trained page close friendization, intelligent.Than Such as in anxiety training, the data of biofeed back instrument can be combined in exposure training and respiratory training, are trained, with reference to language Sound is instructed, and different audios of loosening can be selected to carry out relaxation training, anxiety grade is trained step by step, progressivelyes reach therapeutic effect.
Second aspect, the invention provides a kind of cognitive behavior training system 10, including:
Login module 101, for obtaining user logging request information, realizes and logs in;
Training course selecting module 102, the corresponding course training page of training course being pre-selected for entering after login Face, is trained the selection of course, and training course includes depression and anxiety, have a sleepless night and force four training courses, each course bag Multiple training stages are included, the course training page includes corresponding training content of each training stage;
Cognitive behavior training module 103, the training course being pre-selected for basis, the training being presently in reference to user In the stage, according to training stage corresponding training content in training interface, realize the cognitive behavior training to user.
The cognitive behavior training system 10 of the present invention, user can be achieved to carry out whenever and wherever possible certainly by network entry platform Main cognitive behavior training, improves the cognitive Bias of user, is recurred with preventing, reducing, user experience is improved, at the same time as recognizing Knowing and doing is the system training instrument of therapist's basic skills and theory.
Embodiment two
A kind of cognitive behavior training method and system provided based on embodiment one, in three instructions of depression and anxiety and insomnia Practice in course, user is tested and assessed before each training stage, evaluating result is graphically shown, for being surveyed Comment the test and appraisal data of result directly to react the training result of active user, there is very big booster action to behavior cognitive training, because This, how test and appraisal data understand that it is that the present embodiment technology to be solved is asked accurately to carry out reaction to data by the form of chart Topic, based on this, it is preferable that test and appraisal data are shown by the way of based on quartile figure in the present embodiment, are specially:
Data lattice Gx is defined, and determines the displaying scale step of X-axis;
Configuration, scanning and the read step of test and appraisal data are carried out, including:Test and appraisal number is carried out according to independent variable X and dependent variable Y According to configuration;The minimum value and maximum of variable X are obtained from, maximum and minimum value are modified according to interval;Scanning Test and appraisal data, read the X and Y value of each record:X and y, and the corresponding data lattice Gx of x and y are calculated, store data into this In Gx;
Analyze data storage and show number in scale, and then each data lattice Gx of each scale rank of calculating with modified chi axle According to quartile step;When the quantity of Gx in the scale of some rank is less than 2 times of the Gx quantity of higher level, some described level is deleted Other scale;
Data display step is carried out using quartile figure, including:The displaying can carry out the upper limit or the modification of lower limit one direction Integrally dragged with scope, the scope is integrally dragged to realize the scaling that scale is shown to Gx by switching, and the displaying is optional Panel region progress is selected, it is described to be shown as details in corresponding data lattice Gx.
By the above method, test and appraisal data are configured, scanned and read, will be surveyed finally by the form of quartile figure Comment data display to come out, test and appraisal data are subjected to visual displaying, the displaying for accurately carrying out data can be understood, auxiliary is carried out Cognitive behavior training.
Wherein, displaying scale is 4 kinds, and can mutually be switched over.Wherein, each data lattice of each scale rank are calculated The quartile of data includes in Gx:Lowest order, a quarter position, intermediate value position, 3/4ths and highest order.Wherein, foundation takes Value interval is modified to maximum and minimum value;So that the multiple of minimum value, maximum for 10 n powers (n is integer), i.e., Xmin (or Xmax)=m*10^n.Actual interval such as X is [0.1,983.7], and X minimum value is 0 after being repaired, most Big value is changed into for 1000, i.e. interval:[0,1000].It is divided into according to revised X-axis interval a series of equidistant Gx, Gx spaced scale Sx will dynamically be identified as 10 n powers (n is integer), i.e. s=10^n, possible value is 1, 10th, 100,1000000,0.1,0.01 etc..Simultaneously in order to support zoom function, the system will support 3 kinds of Gx displaying scales simultaneously, And support switching (n is continuous, often switches once, corresponding to amplify, reduce 10 times).4 kinds of Gx displaying scales know Dynamic Recognition Other standard is make it that X-axis is divided into 10-100 Gx during maximum displaying scale, and such as distributed area of X data arrives for 0 50000, then the Gx displaying scale that the system is supported will be:1、10、100、1000.
Wherein, scanning test and appraisal data, read X, the Y value x and y of each record, and calculate the corresponding data lattice Gx of x and y, Store data into the Gx.When such as x=155.3 and X-axis scale being " 10 ", 155.3/10=15.53, then Gx be Gx 150, 160 }, Gx { 155,156 } is then belonged to when scale is 1.
Wherein, after reading test and appraisal data are finished, the data of storage, modified chi axle displaying scale, if some small rank are analyzed Scale in effective Gx quantity (number is recorded in Gx be more than 0 claim the Gx effective) be less than 2 times of effective Gx quantity of higher level, then Delete the scale.The reason for deleting the scale is that information is increased and few when being amplified to the rank, and real data is detailed simultaneously Do not amplified effectively.It is determined that the maximum scale for initial presentation in the effective displaying scale retained.
Embodiment three
A kind of cognitive behavior training method and system provided based on embodiment one, and to test and appraisal data in embodiment two Quartile figure methods of exhibiting, in depression and anxiety, has a sleepless night and forces four training courses, can the psychological condition based on user, The intensity and content of adjusting training course, such as the homeostais of nearest a period of time user, can increase training strength; If the nearest a period of time psychological condition of the user is unstable, fluctuation is big, then appropriate to reduce training, and mitigates training strength, this Sample is lifted and one is provided in Consumer's Experience, the present embodiment according to the different mental state of each user, adjustment training course The decision method of psychological condition is planted, is specially:
At least two psychological condition indexs are determined to describe the psychological condition of test individual;Design luring for different stimulated pattern Reason of making up one's mind state change experiment, and the psychological condition achievement data of test individual is gathered and obtained in real time, build test individual Training set corresponding to different mental state;
The significance level of psychological state index data in training set corresponding to default different mental state, and then construct The judgment matrix of psychological condition achievement data corresponding to different mental state, calculates the training corresponding to different mental state The eigenvalue of maximum of the weight matrix of psychological state index data and corresponding judgment matrix in collection;
By psychological state index data in the training set corresponding to different mental state respectively with its respective weights matrix phase Multiply, obtain the training set psychological condition achievement data matrix corresponding to different mental state and store to training set psychological condition collection Close;
Gather tested under non-experiment condition individual psychological condition achievement data, and respectively with corresponding to different mental state Weight matrix be multiplied after, then it is corresponding with training set psychological condition set interior element make it is poor, obtain matrix of differences;If difference square Battle array either element absolute value be respectively less than current training set psychological condition set interior element corresponding to eigenvalue of maximum, then judge Psychological condition of the psychological condition of test individual corresponding to current training set psychological condition set interior element.
Wherein, psychological condition achievement data includes facial micro- facial expression image characteristic value and data of physiological index.Wherein, in real time The detailed process of psychological condition achievement data for gathering and obtaining test individual is:
Facial micro- facial expression image and data of physiological index are gathered in real time;
According to the two-dimentional visual angle faceform of prebuild, the characteristic value of facial micro- facial expression image is extracted, and then obtain test The characteristic value of facial micro- facial expression image of individual, in conjunction with the data of physiological index of collection, obtains the psychological condition of test individual Achievement data.
The camera that facial micro- facial expression image needs user to open user terminal while the event of record is gathered in real time, with Just facial micro- expression of user is gathered.Specifically, a two-dimentional visual angle faceform comprising front and side is initially set up.
Positive visual angle model is made up of 30 features, wherein 25 features are determined by the characteristic point of 19 people on the face, is left Be some mouths and chin shape facility.The faceform of side is made up of 10 face profile points, with side profile rate Ultimate attainment point it is corresponding.These most significant face characteristic profiles are positioned first, the multi-view image then inputted for a width Extract individual features.These most significant face characteristic profiles are positioned first, and the multi-view image then inputted for a width is carried Take individual features.
To n facial expression image being collected into, it is divided into k classes, is expressed as { X1, X2..., XK};I-th class XiInclude niIndividual image. All image vectors, a data matrix A is constituted, size is tieed up for N × n, and each row of matrix A are all piece image matrixes Embodiment after element vector, if a conversion G ∈ Rn, A each row ai(1≤i≤n) is from a N-dimensional space reflection into one The vectorial b of individual I dimension spacesi
Define two scatter matrixes:Scatter matrix S in classWThe scatter matrix S between classb, it is respectively defined as:
Wherein, miAverage in the class of the i-th class facial expression image is represented, m represents the population mean of all images, then optimum variation For G maximization characteristic value.
The characteristic value of facial micro- facial expression image is extracted in the present embodiment by two-dimentional visual angle faceform, so can be accurate Most significant face characteristic profile is really obtained, and then easily and accurately extracts the individual features of the multi-view image of reception, is defined Really judge that the psychological condition of test individual is laid a good foundation.
Wherein, data of physiological index includes:Heart rate, body temperature and respiratory rate.The induction psychological condition of different stimulated pattern Change experiment, such as change, this reality using including external force, language and material incentive pattern to induce the psychological condition of test individual Apply the psychological condition change for grasping user in example by way of user voluntarily records event.
It is more accurate to integrate using facial micro- facial expression image characteristic value and data of physiological index multidimensional data in the present embodiment The psychological condition of test individual really is described, it is to avoid caused by the psychological condition for describing because of single data target test individual Error.
Finally it should be noted that:Various embodiments above is merely illustrative of the technical solution of the present invention, rather than its limitations;To the greatest extent The present invention is described in detail with reference to foregoing embodiments for pipe, it will be understood by those within the art that:Its according to The technical scheme described in foregoing embodiments can so be modified, or which part or all technical characteristic are entered Row equivalent substitution;And these modifications or replacement, the essence of appropriate technical solution is departed from various embodiments of the present invention technology The scope of scheme, it all should cover among the claim of the present invention and the scope of specification.

Claims (10)

1. cognitive behavior training method, it is characterised in that including:
Step S1, obtains user logging request information, realizes and logs in;
Step S2, enters the corresponding course training page of the training course being pre-selected, is trained the selection of course after login, The training course includes depression and anxiety, has a sleepless night and forces four training courses, and each course includes multiple training stages, institute Stating the course training page includes corresponding training content of each training stage;
Step S3, according to the training course being pre-selected, the training stage being presently in reference to the user, on training circle According to the training stage corresponding training content in face, the cognitive behavior training to the user is realized.
2. cognitive behavior training method according to claim 1, it is characterised in that
In the step S3, when the training course being pre-selected is anxiety training course, it is presently in reference to the user Training stage, according to the training stage corresponding training content in training interface, realize the cognitive row to the user For training:
When the user is presently in the training stage for the first anxiety training stage, the user records daily at least one is obtained Part event, including time, content, emotional information at that time and the evaluation information to the event that event occurs, record are default After number of days, the first anxiety thinking record inventory is formed;
Inventory is recorded according to the first anxiety thinking, the mode of thinking of the user is analyzed, after the completion of enter the second anxiety instruction Practice the stage;
When the user is presently in the training stage for the second anxiety training stage, first anxiety is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the second anxiety thinking record inventory;
Inventory is recorded according to the second anxiety thinking, a relaxation training is carried out daily, is put according to the preset number of days Pine training, after the completion of enter the 3rd anxiety training stage;
When the user is presently in the training stage for the 3rd anxiety training stage, first anxiety is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the 3rd anxiety thinking record inventory;
According to a variety of confrontation method of thinkings, inventory, default day described in confrontation thinking training are recorded with reference to the 3rd anxiety thinking After number, the first anxiety confrontation thinking record inventory is formed;
Thinking record inventory is resisted according to first anxiety, anxiety grade classification is carried out to the event, anxiety grade is formed List, after the completion of enter the 4th anxiety training stage;
When the user is presently in the training stage for the 4th anxiety training stage, according to a variety of confrontation method of thinkings Proceed after confrontation thinking exercise, the confrontation thinking training for carrying out the preset number of days, form the second confrontation thinking record clear It is single;
Positive thinking record of the user in confrontation thinking training is obtained, anxiety positive thinking record inventory is formed, carries out Preserve;
According to the different anxiety level events in the anxiety rank list, progress exposes training and respiratory training, and enters the Five anxiety training stages, the exposure training and respiratory training are continued until the anxiety grade in the anxiety rank list Terminate training when dropping to specified value, into the 5th anxiety training stage;
When the user is presently in the training stage for the 5th anxiety training stage, carried out according to a variety of confrontation method of thinkings Resist thinking and consolidate exercise, practise after the preset number of days, and inventory is recorded according to the anxiety positive thinking, instructed by image The method for practicing method and formulation problem and correspondence solution is giveed intensive training, after the completion of entered for the 6th anxiety training stage;
When the user is presently in the training stage for the 6th anxiety training stage, anxiety is carried out by anxiety scale of testing oneself The checking of training, completes the training of the anxiety training course.
3. cognitive behavior training method according to claim 1, it is characterised in that
In the step S3, when the training course being pre-selected is depressed training course, it is presently in reference to the user Training stage, according to the training stage corresponding training content in training interface, realize the cognitive row to the user For training:
It was the first depressed training stage when the user is presently in the training stage, obtains the user records daily at least one Part event, including time, content, emotional information at that time and the evaluation information to the event that event occurs, record are default After number of days, the first depressed thinking record inventory is formed;
According to the described first depressed thinking record inventory, analyze the mode of thinking of the user, after the completion of enter the second depressed instruction Practice the stage;
It was the described second depressed training stage when the user is presently in the training stage, first depression is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the second depressed thinking record inventory;
According to the described second depressed thinking record inventory, activity schedule training is carried out daily, is trained after the preset time, After the completion of entered for the 3rd depressed training stage;
It was the described 3rd depressed training stage when the user is presently in the training stage, first depression is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the 3rd depressed thinking record inventory;
According to a variety of confrontation method of thinkings, with reference to the described 3rd depressed thinking record inventory, day is preset described in confrontation thinking training After number, the first depressed confrontation thinking record inventory is formed;
According to the activity schedule training in the described second depressed training stage, the activity schedule training of the preset number of days is carried out, And obtain event in being trained to the activity schedule performance and implementation after mood, after the completion of enter the 4th depressed instruction Practice the stage;
It was the described 4th depressed training stage when the user is presently in the training stage, obtains the user in confrontation thinking instruction Positive thinking record in white silk, forms depressed positive thinking record inventory, is preserved;
Inventory is recorded by the depressed positive thinking, is trained, changes the Attributional style of the user and handles task Mode, into the 5th depressed training stage;
It was the described 5th depressed training stage when the user is presently in the training stage, is recorded according to the anxiety positive thinking Inventory, by formulation problem and correspondence solution method give intensive training, after the completion of enter the 6th anxiety training stage;
Be the described 6th depressed training stage when the user is presently in the training stage, by depression test oneself scale carry out it is depressed The checking of training, completes the training of the depressed training course.
4. cognitive behavior training method according to claim 1, it is characterised in that
In the step S3, when the training course being pre-selected is insomnia training course, it is presently in reference to the user Training stage, according to the training stage corresponding training content in training interface, realize the cognitive row to the user For training:
It was the first insomnia training stage when the user is presently in the training stage, obtains the sleep day that the user records daily Will information, including the bedtime in evening, time for falling asleep, wake-up time, the time of getting up, be accumulated at a time, it is accumulative when falling asleep Between and number of times of dozing off daytime, record preset number of days after, formed Sleep diaries, and enter second have a sleepless night the training stage;
It was the described second insomnia training stage when the user is presently in the training stage, first insomnia is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the second Sleep diaries;
According to second Sleep diaries, insomnia training is carried out by learning the method for sleep knowledge, insomnia training is described default Number of days carry out after, by have a sleepless night severity index scale carry out second have a sleepless night the training stage insomnia train verify, after the completion of enter 3rd insomnia training stage;
It was the described 3rd insomnia training stage when the user is presently in the training stage, second insomnia is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the 3rd Sleep diaries;
According to the 3rd Sleep diaries, calculate average in bed time, the length of one's sleep and Sleep efficiency every night;
According to the length of one's sleep and preferable Sleep efficiency, calculating is obtained should be in the bed time, and determines corresponding bedtime With the time of getting up;
According to the corresponding bedtime and getting up the time, with reference to sleep suggestion, after training in one week, to described corresponding Bedtime carries out first time adjustment, forms daily schedule;
By have a sleepless night severity index scale carry out it is described 3rd insomnia the training stage insomnia train checking, after the completion of enter the 4th Have a sleepless night the training stage;
It was the described 4th insomnia training stage when the user is presently in the training stage, the 3rd insomnia is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the 4th Sleep diaries;
According to the 4th Sleep diaries, carried out by stimulating control method to carry out Behavioral training, and to the daily schedule Update for the first time;
The daily schedule updated according to first time, with reference to the sleep suggestion, second is carried out to the corresponding bedtime Secondary adjustment;
Checking is trained in the insomnia for carrying out the 4th insomnia training stage by the insomnia severity index scale, after the completion of enter 5th insomnia training stage;
It was the described 5th insomnia training stage when the user is presently in the training stage, obtains the feedback problem of the user, The feedback problem is answered;
Proceed record according to the recording mode in the acquisition the 4th insomnia training stage, record the preset number of days Afterwards, the 5th Sleep diaries are formed;
According to the 5th Sleep diaries, with reference to the answer to the feedback problem, the daily schedule is carried out second Update;
The daily schedule updated according to second, with reference to the sleep suggestion, the 3rd is carried out to the corresponding bedtime Secondary adjustment;
Checking is trained in the insomnia for carrying out the 5th insomnia training stage by the insomnia severity index scale, after the completion of enter 6th insomnia training stage;
It was the described 6th insomnia training stage when the user is presently in the training stage, the 4th insomnia is obtained according to described Recording mode in training stage proceeds record, records after the preset number of days, forms the 6th Sleep diaries;
According to the Sleep diaries of the described 6th insomnia training stage, third time renewal is carried out to the daily schedule;
The daily schedule updated according to third time, with reference to the sleep suggestion, the 4th is carried out to the corresponding bedtime Secondary adjustment;
Checking is trained in the insomnia for carrying out the 6th insomnia training stage by severity index scale of having a sleepless night, and completes the insomnia instruction Practice the training of course.
5. cognitive behavior training method according to claim 1, it is characterised in that
In the step S3, the training course being pre-selected is when forcing training course, to be presently in reference to the user Training stage, according to the training stage corresponding training content in training interface, realize the cognitive row to the user For training:
Forced the training stage for first when the user is presently in the training stage, obtain the obsession record day of the user Will, including date of generation, time, stimulation event, thinking reaction, behavior reaction, consequence and subjective uncomfortable unit fraction are forced, Record after preset number of days, the training stage is forced into second;
The training stage is forced for described second when the user is presently in the training stage, is carried out by exposure response prevention method The training for forcing the training stage:
Obsession log in the training stage is forced according to described first, exposure grade table, the exposure grade table is made Sorted from low to high according to subjective discomfort unit fraction in the obsession log, each subjective uncomfortable unit fraction correspondence One exposed symptom, the exposure grade table is constantly updated;
The corresponding exposed symptom of the uncomfortable unit fraction of medium subjectivity in the exposure grade table proceeds by exposed project Exercise, until the corresponding exposed symptom of the subjective uncomfortable unit fraction of highest is exposed project excessively in the exposure grade table Exercise, completes once the exercise of the exposed project, and the exposed project includes reality exposure and imagination exposure;
Repeat repeatedly the exposed project exercise, until the user produces a desired effect, training rank is forced into the 3rd Section;
Forced the training stage for the described 3rd when the user is presently in the training stage, obtain reward inventory, the reward is clear List includes the user and wishes the behavior oneself accomplished and corresponding reward content;
According to the exposure grade table, the exposure project of exercise is selected;
According to the exposure project of the selection exercise, corresponding exercise is carried out, the training stage is forced into the 4th after completing exercise;
The training stage is forced for the described 4th when the user is presently in the training stage, according to minimum in the exposure grade table The corresponding exposed symptom of the uncomfortable unit fraction of subjectivity proceed by exposure exercise repeatedly, until producing habituation;
After the completion of exercise, the exposure exercise of the corresponding exposed symptom of next subjective discomfort unit fraction is carried out, when highest is subjective The corresponding exposed symptom of uncomfortable unit fraction produces habituation after exposure exercise repeatedly, terminates exercise, generation exposure exercise It is single, force the training stage into the 5th;
Forced the training stage for the described 5th when the user is presently in the training stage, carry out exercise and look back test;
After the completion of test, formulate life plan, complete described in force the training of training course.
6. cognitive behavior training method according to claim 1, it is characterised in that
In three training courses of the depression and anxiety and insomnia, in addition to:Used before each training stage described Family is tested and assessed, and evaluating result is graphically shown.
7. cognitive behavior training method according to claim 1, it is characterised in that
In the depression and anxiety, have a sleepless night and force four training courses, in addition to:Before each training stage Homework and the feedback of the correspondence homework to the user.
8. cognitive behavior training system according to claim 1, it is characterised in that
Before the step S1, for the user registered first, in addition to:
Obtain the log-on message of user;
According to the log-on message of the user, registration is completed, into the personal information page;
In the personal information page, the personal information of the user is obtained.
9. cognitive behavior training method according to claim 7, it is characterised in that
In the depression and anxiety, have a sleepless night and force four training courses, in addition to:
According to the feedback of the homework of the user and the correspondence homework, the guidance for obtaining doctor by message box is anticipated See.
10. cognitive behavior training system, it is characterised in that including:
Login module, for obtaining user logging request information, realizes and logs in;
Training course selecting module, the corresponding course training page of training course being pre-selected for entering after login, is carried out The selection of training course, the training course includes depression and anxiety, has a sleepless night and force four training courses, and each course includes Multiple training stages, the course training page includes corresponding training content of each training stage;
Cognitive behavior training module, for the training course being pre-selected according to, the instruction being presently in reference to the user Practice the stage, according to the training stage corresponding training content in training interface, realize and the cognitive behavior of the user is instructed Practice.
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CN116936036B (en) * 2023-07-28 2024-03-15 北京又见一心网络文化有限公司 Insomnia positive-concept treatment task training scheme generation method and system
CN117695501A (en) * 2024-02-02 2024-03-15 北京智精灵科技有限公司 Self-help suicide idea intervention method and system for young people
CN117695501B (en) * 2024-02-02 2024-05-28 北京智精灵科技有限公司 Self-help suicide idea intervention system for young people

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