A Study On Group Intervention Of Cognitive Behavioral Therapy To The Elderly’s Disease Anxiety

As an externalization of irrational belief,disease anxiety seriously affects the elderly’s disease cognition,reduces their treatment compliance,and causes adverse effects on their daily life.Compared with the general elderly group,those who in welfare institute are troubled by more negtive events.They tend to consider the events negatively,which breeds the anxiety.Therefore,through the group intervention of cognitive behavior group,this study aims to improve the life quality of the elderly in welfare institute.And based on the practice of social work,this paper analyzes the interaction between cognition and emotion,and explores the effectiveness of cognitive behavioral therapy in the intervention of elderly disease anxiety.During the intervention,firstly,in order to analyze the elderly’s irrational cognition of disease,the author observed and interviewed the clients with disease anxiety in the Welfare institute,and measured their anxiety level through SAS scale.Secondly,based on the current situation and needs of the clientss,the irrational cognition is sorted out and the group service plan is made.The whole plan was divided into three stages: correcting deviant cognition,establishing positive e motion and cultivating good behavior.By means of scenario simulation,role play and sugradian questioning,the group inspired the elderly to think deeply and guided them to recognize their own irrational cognition,so as to establish positive therapeutic behaviors gradually.Finally,the evaluation of process,effect and satisfaction evaluation were carried out.And the evaluation method is to use the SAS scale pre-and post-data,interview datas,the group process record form and the member satisfaction questionnaire.Based on the practice and evaluation of intervention,the conclusions was drawned: 1.Cognitive behavioral therapy can effectively intervene the disease anxiety of the elderly.It guides the elderly to recognize their wrong perception of the disease through homework,health education and other forms.Then it helps them build adaptive cognition by role play and poitive events,encouraging them to change their wrong thought and behavior.So as to effectively alleviate the anxiety disease;2.There is interaction among cognition,behavior and emotion influence each other and cognition plays a dominant role.The irrational cognition of the disease makes the elderly psychologically uneasy and anxious,thus leading to improper behaviors.By correcting the misperception,the anxiety of the elderly can be alleviated and the behavior can be corrected.3.The motivation of cognitive change can be strengthed by the sense of disease certainty.The key to cognitive change is the patient’s sense of certainty about the disease.Through the explanation of disease knowledge and the support of team members,we can enrich the elderly’s health knowledge reserve,reduce the sense of uncertainty about the disease and strengthen positive cognition,there so as to change negative emotions.In short,the intervention of cognitive behavioral group can effectively alleviate the disease anxiety of the elderly in the welfare institute and improve their life quality in the institute.Then it provides experience for the expansion of social work and related theories.