玉树震后伤员急性应激障碍心理干预效果观察
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摘要
目的探讨认知暴露疗法对玉树地震灾区伤员急性应激障碍(ASD)的治疗效果。方法玉树地震灾区伤员ASD病例59例,随机分成心理治疗组30例,常规治疗组29例。心理治疗组给予4个疗程的结构化认知暴露疗法(CET)治疗;常规治疗组给予同期药物治疗。治疗前后疗效评定采用SCL-90、MMPI-PK量表,检验比较两组疗效差异。结果治疗前后所有患者的SCL-90总分(-x±s=157.48±34.29,95.36±23.45)、因子分和MMPI-PK总分均显著降低,心理治疗组较常规治疗组改善更明显(P<0.05)。结论 CET对震后伤员ASD有较好疗效。
Objective To explore the efficacy of cognitive exposure therapy(CET) for acute stress disorder(ASD) of the wounded in Yushu earthquake.Methods A total of 59 cases of ASD were divided into two groups randomly,the psychological treatment group was given 4 period's CET with the control group given routine drug treatment at the same time.SCL-90,MMIP-PK were used to evalue the clinical effect,and test was chosed to compare the difference of effect.Results For every patients,the total scores and factor scores of SCL-90,MMIP-PK after intervention all lowered significantly.Psychological therapy showed much more efficacy than routine therapy(P<0.05).Conclusion CET is well effective for ASD of the wounded after earthquake.
Objective To explore the efficacy of cognitive exposure therapy(CET) for acute stress disorder(ASD) of the wounded in Yushu earthquake.Methods A total of 59 cases of ASD were divided into two groups randomly,the psychological treatment group was given 4 period's CET with the control group given routine drug treatment at the same time.SCL-90,MMIP-PK were used to evalue the clinical effect,and test was chosed to compare the difference of effect.Results For every patients,the total scores and factor scores of SCL-90,MMIP-PK after intervention all lowered significantly.Psychological therapy showed much more efficacy than routine therapy(P<0.05).Conclusion CET is well effective for ASD of the wounded after earthquake.
引文
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[6]任凯,彭龙颜,邢济春,等.什邡地震灾区984名灾民心理健康调查[J].中国公共卫生管理,2008,24(3):243-245
[7]Rao K.Lessons learnt in mental health and psychosocial care in India after disasters[J].Int Rev Psychiatry,2006,18(6):547-552
[8]American Psychiatric Association.Diagnostic and StatisticManual of Mental Disorders fDSM-1V1.4th edition[W].Washington DC:American Psychiatric Association,1994:424-429
[2]Richard A B,Michelle L M,Reginald V D.Nixon.Cognitive be-haviourtherapy of acute stress disorder:A four-yearfollow up[J].Behat'Res Ther,2003,2:89-100
[3]Richard A.Bryant.Thought control strategies in acute stress dis-order[J].Behav Res Ther,1998,5:189-19
[4]张本,王学义,孙贺祥,等.唐山大地震所致截瘫患者远期心身健康状况调查研究[J].中国心理卫生杂志,2002,16(1):23-25
[5]Graham J R.MMPI-2:Assessing personality antipsy-chopathology.3rd ed[M].New York:Oxford University Press,2000:182-186
[6]任凯,彭龙颜,邢济春,等.什邡地震灾区984名灾民心理健康调查[J].中国公共卫生管理,2008,24(3):243-245
[7]Rao K.Lessons learnt in mental health and psychosocial care in India after disasters[J].Int Rev Psychiatry,2006,18(6):547-552
[8]American Psychiatric Association.Diagnostic and StatisticManual of Mental Disorders fDSM-1V1.4th edition[W].Washington DC:American Psychiatric Association,1994:424-429
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