心理干预对鲁甸地震灾民创伤后应激症状的影响
|
摘要
目的评估心理干预对地震后灾民心理应激症状的影响。方法结合访谈、心理量表测评结果将灾民分级。一级、二级受害者以及有明显创伤后应激症状(post-traumatic stress symptoms,PTSS)的人员为重点干预对象,采用个体访谈进行心理危机干预。对于三级以上受害者及存在一定程度PTSS的人员,主要采用小组晤谈的方式进行心理危机干预。干预前后用《创伤后应激障碍自评量表》(post-traumatic stress disorder checklist-civilian form,PCL-C)对灾民心理状态进行评估。结果地震后60.4%的灾民出现了PTSS,心理干预后创伤评分明显降低(t=22.33,P<0.01)。结论有计划地心理干预可明显改善震后灾民的PTSS。
Objective To evaluate effects of psychological intervention on post-traumatic stress victims after the earthquake.Methods The victims were classified basing on interviews and psychological scale assessment results. Level one and level two victims and the ones had obvious PTSS were mainly intervented,and individual interview was applied on them. Group psychotherapy was applied on level three and above victims and also the ones existed a certain degree of PTSS. PCL-C was used to estimate symptoms of victims before and after the intervention. Results It showed that 60. 4% victims suffered PTSS after the earthquake,and the trauma score was significantly alleviated after the psychological intervention( t = 22. 33,P < 0. 01). Conclusions Well-planned psychological intervention could evidently alleviate PTSS of earthquake victims.
Objective To evaluate effects of psychological intervention on post-traumatic stress victims after the earthquake.Methods The victims were classified basing on interviews and psychological scale assessment results. Level one and level two victims and the ones had obvious PTSS were mainly intervented,and individual interview was applied on them. Group psychotherapy was applied on level three and above victims and also the ones existed a certain degree of PTSS. PCL-C was used to estimate symptoms of victims before and after the intervention. Results It showed that 60. 4% victims suffered PTSS after the earthquake,and the trauma score was significantly alleviated after the psychological intervention( t = 22. 33,P < 0. 01). Conclusions Well-planned psychological intervention could evidently alleviate PTSS of earthquake victims.
引文
[1]姚志林,李艳丽.汶川大地震灾后基层心理援助体系的构建[J].职业卫生与应急救援,2014,32(3):173-174.
[2]陈文军,浦金辉,徐志鹏,等.紧急事件应激晤谈对灾难救援人员的早期心理干预疗效[J].神经损伤与功能重建,2009,4(6):417-419.
[3]李娟,胡晓琴,刘潇霞,等.汶川县中学生地震后1年创伤后应激障碍调查[J].中国学校卫生,2010,31(10):1201-1203.
[4]汪茜,彭碧波,史宇,等.地震现场心理干预方法探讨[J].中华灾害救援医学,2014,2(2):101-103.
[5]Powers M B,Halpern J M,Ferenschak M P,et al.Ameta-analytic review of prolonged exposure for posttraumatic stress disorder[J].Clin Psychol Rev,2010,30(6):635-641.
[6]van den Berg D P,van der Gaag M.Treating trauma inpsychosis with EMDR:a pilot study[J].J Behav TherExp Psychiatry,2012,43(1):664-671.
[7]王宁霞,翟瑞,沈莎.团体心理辅导对四川震后中学生心理重建的干预效果评价[J].中国学校卫生,2011,32(7):788-789.
[2]陈文军,浦金辉,徐志鹏,等.紧急事件应激晤谈对灾难救援人员的早期心理干预疗效[J].神经损伤与功能重建,2009,4(6):417-419.
[3]李娟,胡晓琴,刘潇霞,等.汶川县中学生地震后1年创伤后应激障碍调查[J].中国学校卫生,2010,31(10):1201-1203.
[4]汪茜,彭碧波,史宇,等.地震现场心理干预方法探讨[J].中华灾害救援医学,2014,2(2):101-103.
[5]Powers M B,Halpern J M,Ferenschak M P,et al.Ameta-analytic review of prolonged exposure for posttraumatic stress disorder[J].Clin Psychol Rev,2010,30(6):635-641.
[6]van den Berg D P,van der Gaag M.Treating trauma inpsychosis with EMDR:a pilot study[J].J Behav TherExp Psychiatry,2012,43(1):664-671.
[7]王宁霞,翟瑞,沈莎.团体心理辅导对四川震后中学生心理重建的干预效果评价[J].中国学校卫生,2011,32(7):788-789.
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