认知行为疗法配合穴位刺激调控法治疗地震所致创伤后应激障碍临床研究
|
摘要
目的研究穴位刺激调控法对地震所致创伤后应激障碍(PTSD)的疗效。方法对汶川大地震后的91例PTSD患者进行对照研究,其中对照组(认知行为疗法)24例,治疗组(认知行为疗法加穴位刺激调控法)67例。以事件影响量表修订版(IES-R)的中文版本和自编的重大创伤后心理状况调查表进行评分并比较两组效果。结果两组患者IES-R总分、各因子分以及心理状况调量表总分较治疗前均有明显降低(P<0.01)。两组患者各因子减分值的比较,治疗组优于对照组(P<0.05或P<0.01)。结论穴位刺激调控法对地震所致PTSD具有肯定的疗效,并且优于单纯认知行为疗法。
Objective To study the therapeutic effect of acupoint stimulation on post-traumatic stress disorder(PTSD) after earthquake is Sichuan.Methods The 91 PTSD patients were randomized into two groups: the control group(n=24) was treated with cognitive-behavior therapy,and the treatment group(n=67) treated by acupoint stimulation plus cognitive-behavior therapy.The therapeutic effect was evaluated by IES-R and self-made questionnaire,and the result of both groups was compared.Results Significant reduction in the IES-R total scores,scores of all factors,and total scores of self-made questionnaire was found in both groups(P<0.01).The comparison of score reduction of two groups showed that the treatment group was better than the control group(P<0.05 or P<0.01).Conclusion Acupoint stimulation plus cognitive-behavior therapy is effective for PTSD,better than the cognitive-behavior therapy only.
Objective To study the therapeutic effect of acupoint stimulation on post-traumatic stress disorder(PTSD) after earthquake is Sichuan.Methods The 91 PTSD patients were randomized into two groups: the control group(n=24) was treated with cognitive-behavior therapy,and the treatment group(n=67) treated by acupoint stimulation plus cognitive-behavior therapy.The therapeutic effect was evaluated by IES-R and self-made questionnaire,and the result of both groups was compared.Results Significant reduction in the IES-R total scores,scores of all factors,and total scores of self-made questionnaire was found in both groups(P<0.01).The comparison of score reduction of two groups showed that the treatment group was better than the control group(P<0.05 or P<0.01).Conclusion Acupoint stimulation plus cognitive-behavior therapy is effective for PTSD,better than the cognitive-behavior therapy only.
引文
[1]中华医学会精神科分会编著.中国精神障碍分类与诊断标准[S].3版.济南:山东科学技术出版社,2001:95-98.
[2]樊富珉.SARS危机干预与心理辅导模式初探[J].中国心理卫生杂志,2003,17(9):600.
[3]世界卫生组织编著.ICD-10精神与行为障碍分类/研究用诊断标准[S].北京:人民卫生出版社,1995:95.
[4]Nozomua A,Hiroshi K,Noriyuki K,et al.Reliability andvalidity of the Japanese-language version of the impact ofevent scale-revised(IES-R-J):for studies of different trau-matic events[J].J Nerv Ment Dis,2002,190(3):175-182.
[5]Weiss DS,Marmar CR.The impact of the Event Scale-Revised.In Wilson JP and Keane TM(Eds),Assessingpsychological trauma and PTSD:A practitioner's handbook[M].New York:Guilford Press,1997:399-411.
[6]孙海霞,杨蕴萍.创伤后早期心理干预[J].中国心理卫生杂志,2005,19(2):102-104.
[7]苏衡,王家同,谭庆荣,等.认知暴露疗法治疗急性应激障碍的临床对照研究[J].第四军医大学学报,2004,25(22):2097-2100.
[8]山下刚利,藤本坚三,青井展一,等.恐怖症.强迫神经症の病态にっぃての考察——皮肤电气刺激にょる制御法の治疗经验から[J].神经精神学杂志,1991,93(8):645-673.
[9]山下刚利著,冯斌,童振华译.心理解压有办法[M],杭州:浙江人民出版社,2008:27-56.
[10]山下刚利,藤本坚三,石村荣作,等.恐怖症.强迫神经症治疗の新しぃ试み[J].精神医学,1989,31(11):1165-1173.
[11]冯斌,刘兰英,徐方忠,等.穴位刺激加行为疗法与氯米帕明治疗强迫性障碍的对照研究[J].中华精神科杂志,2006,39(1):38-41.
[12]胡伯虎主编.现代针灸师手册[M].北京:北京出版社,1990:80.
[2]樊富珉.SARS危机干预与心理辅导模式初探[J].中国心理卫生杂志,2003,17(9):600.
[3]世界卫生组织编著.ICD-10精神与行为障碍分类/研究用诊断标准[S].北京:人民卫生出版社,1995:95.
[4]Nozomua A,Hiroshi K,Noriyuki K,et al.Reliability andvalidity of the Japanese-language version of the impact ofevent scale-revised(IES-R-J):for studies of different trau-matic events[J].J Nerv Ment Dis,2002,190(3):175-182.
[5]Weiss DS,Marmar CR.The impact of the Event Scale-Revised.In Wilson JP and Keane TM(Eds),Assessingpsychological trauma and PTSD:A practitioner's handbook[M].New York:Guilford Press,1997:399-411.
[6]孙海霞,杨蕴萍.创伤后早期心理干预[J].中国心理卫生杂志,2005,19(2):102-104.
[7]苏衡,王家同,谭庆荣,等.认知暴露疗法治疗急性应激障碍的临床对照研究[J].第四军医大学学报,2004,25(22):2097-2100.
[8]山下刚利,藤本坚三,青井展一,等.恐怖症.强迫神经症の病态にっぃての考察——皮肤电气刺激にょる制御法の治疗经验から[J].神经精神学杂志,1991,93(8):645-673.
[9]山下刚利著,冯斌,童振华译.心理解压有办法[M],杭州:浙江人民出版社,2008:27-56.
[10]山下刚利,藤本坚三,石村荣作,等.恐怖症.强迫神经症治疗の新しぃ试み[J].精神医学,1989,31(11):1165-1173.
[11]冯斌,刘兰英,徐方忠,等.穴位刺激加行为疗法与氯米帕明治疗强迫性障碍的对照研究[J].中华精神科杂志,2006,39(1):38-41.
[12]胡伯虎主编.现代针灸师手册[M].北京:北京出版社,1990:80.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心