STUDY ON THE EFFECT OF MINDFULNESS COGNITIVE BEHAVIOR THERAPY IN THE TREATMENT OF ANXIETY DISORDER -- BASED ON THE PERSPECTIVE OF INDIVIDUAL REHABILITATION
Authors: Li Xiaofeng , Lu Yun , Cheng Xiantao 
Published: July 2022

Abstract

Background
Among many psychotherapy, beck cognitive therapy was once regarded as a classic therapy for mood disorders and anxiety neurosis. A. T. Beck believes that people's emotional and behavioral problems are related to individual distorted cognition, and abnormal cognition produces abnormal emotion and behavior. A large number of “Automatic negative thinking” In the minds of patients with depression is the root cause of mood disorders such as depression and anxiety. Finding and correcting these unreasonable cognitive patterns is the key to treatment. However, from the perspective of effect feedback, people have some disputes about beck cognitive therapy. Many scholars rely too much on the changing effect of cognitive model, have strong “Psychological aggression”, and are prone to great resistance. With the continuous development of psychological counseling and treatment technology, the new generation of cognitive therapy not only aims at the narrow cognitive process, but also pays more attention to the connection between situation and symptoms, and uses experiential change strategies to supplement direct cognitive preaching strategies, in order to establish a more flexible and broader technical path. Mindfulness cognitive behavioral therapy (mbct), as a representative of the new generation of cognitive behavioral therapy, has achieved remarkable results in the treatment of anxiety and depression, obsessive-compulsive disorder, somatization disorder and chronic pain. Its technical methods are worthy of application and promotion. Important includes six key treatment processes: (1) acceptance: Help the client establish a positive and defenseless attitude, embrace various experiences, and encourage the client not to avoid his / her past experiences. (2) cognitive deconfusion. Cognitive de integration, also known as cognitive dissociation, is to let visitors “Step back” To observe their various ideas, open the distance between them and various ideas, do not fall into the wave of ideas, and let patients try to treat them as psychological events rather than self or accurate inevitable response to reality, so as to achieve the purpose of adjusting thinking, imagination and memory functions. (3) self as context: Change the visitors' understanding of “Self-concept”, and let the visitors realize that the self-concept or self-concept network / system in their mind is not a true reflection of their real self through corresponding metaphor practice and psychological education, so as to liberate the visitors from their “Mind”. (4) being present: Encourage visitors to focus on the current situation and what is happening, rather than focusing on the past and future in their minds, or immersing themselves in various concepts and semantic relationships in their minds. Let visitors learn to feel the real life in a non evaluative way. (5) clarify values: Encourage visitors to find a life direction that is valuable and meaningful to visitors in their own life and professional fields. (6) committed action: Help visitors implement their values into specific short-term, medium-term and long-term goals. Based on the perspective of case rehabilitation, this study investigated the effect of mindfulness cognitive behavior therapy on the counseling and rehabilitation of diffuse anxiety disorder.

Subjects and methods
In this study, 30 college students diagnosed with diffuse anxiety disorder in a university were selected as the research object. There were three selection criteria: 1. The subjects were clearly diagnosed as anxiety disorder or in an anxiety state by the professional institution, and 2. The effect of the patients was not ideal after taking drugs for more than 3 months. 3. Anxiety disorder accompanied by depression. The randomized experimental group and the control group were used in the study. There were 16 subjects in the experimental group and 14 in the control group. The experimental group participated in mindfulness cognitive behavior training for 8 weeks, 2 days a week, once a day, a total of 16 times. The control group did not carry out any intervention. One week before the study, the organizer carried out short-term training for the experimental group, and then implemented phased treatment experience as planned to complete: “Live in the present”, “Perceive the body”, “Walk in the present”, “Emotion and body”, “Mindfulness perceive the feelings”, “Smart life, future life” And other mindfulness themes. During the training, encourage patients to communicate their physical feelings and questions. At the same time, the relevant scale is used for state detection. It mainly includes: Self rating anxiety scale (sas), self rating depression scale (sds) and related physiological indexes. To better control the impact of training on anxiety, this study arranged pre-test and post-test in the examination week as an external stressor. However, according to the two results of the two groups before and after the test, the paired sample test within the group and the independent sample test between the groups were carried out respectively. In the inter group difference test, in order to exclude the influence of the initial state, we first conduct an independent sample test on the baseline value of the variable, and then conduct an independent sample test on the difference obtained by subtracting the pre-test score from the post-test score.

Results
The results showed that in the intra group comparison, the scores of the experimental group and the post test were lower than those of the pre test, and the difference was significant, but there was no significant difference in the control group; in the comparison between groups, the reduction of post test scores in the experimental group was higher than that in the control group, and the difference between the two groups was significant. The above results show that mindfulness training has a positive effect on improving diffuse anxiety and accompanying depression, and the maintenance effect is good. It is generally believed that the realization principle of this function is to improve the ability of emotion management by increasing the current emotional experience and maintaining a neutral and objective attitude, and acquire the skills to get rid of negative thinking and feeling, so as to improve acceptance and reduce empirical avoidance behavior. In exploring the impact of mindfulness cognitive behavior therapy on physiological indicators, the study found that mindfulness cognitive behavior therapy can reduce muscle tension through the regulation of consciousness, improve the efficacy of physiological indicators such as electromyography, skin electricity, heart rate and respiration, activate and amplify positive emotional experience, and alleviate negative emotions such as tension, anxiety and depression. Life in a more peaceful and relaxed state. Affected by this state, the individual's evaluation of external stimuli may weaken the negative degree and enhance the positive degree. Therefore, negative emotions decrease and positive emotions increase. He no longer regards anxiety and depression as his enemy. He can coexist with it instead of living timidly for fear of its recurrence.

Conclusion
It can be used as an effective therapy to effectively regulate the anxiety of college students with anxiety disorder. It can improve individual negative emotional experience such as anxiety and depression, reduce individual muscle tension, reduce skin electricity, heart rate and respiratory rate, and improve brain wave level, which is helpful to alleviate tension and pressure. In conclusion, mindfulness cognitive behavioral therapy plays an obvious role in the treatment of anxiety neurosis and depression, and can be popularized in public patients.

Acknowledgement
This paper is supported by Teaching Research Project of Wuchang Shouyi University titled “Evaluation model and training method of innovation ability of robot professionals under OBE mode” with Grant No. 2021Y02 and Doctoral Research Start-Up Fund of Wuchang Shouyi University in 2022.