汶川地震后女性应激相关障碍54例临床分析及心理危机干预治疗
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摘要
目的报告对汶川大地震后四川省绵阳市第三人民医院妇女心理卫生科收治54例女性应激相关障碍病人的临床分析与心理危机干预治疗结果。方法用BPRS、HAMD、HAMA及BPMS量表对该院收治的54例地震后女性应激相关障碍病人进行评定,根据不同临床类型分别进行抗精神病、抗抑郁、抗焦虑及抗躁狂治疗,同时对全部入组病人进行以认知行为疗法为主的专业心理治疗。1个月后用相同量表再次进行评定。结果全组54例病人中,其应激源同为汶川大地震,但临床表现各异。经及时进行针对性药物治疗,及强化心理危机干预治疗后,病人的BPRS、HAMD和HAMA量表评分均较治疗前明显降低(P值均<0.01)。结论大灾后及时有效地进行心理危机干预治疗,在增强免疫、减轻症状、缩短病程、心身康复方面,对受灾群体,尤其是对女性病人至关重要。
Objective To analyze stress-related disorders and the effect of crisis prevention in 54 females admitted to the Female Psychiatry Department of The Third Hospital of Mianyang City after the Wenchuan earthquake. Methods The patients were assessed with BPRS, HAMD, HAMA, and BPMS scales. According to their clinical manifestations, antipsychiatric, antidepressive, anxiolytic, and antimanic treatment were administered to them. All patients received cognitive-behavior and psychological therapy and were assessed after one month. Results Although all patients were earthquake suflerers, their clinical manifestations varied. Strengthened crisis prevention combined with appropriate drug treatment alleviated their symptoms. Conclusion In terms of alleviating symptoms, curtailing disease course, and facilitating mental rehabilitation, post-catastrophe crisis prevention is extremely important for female patients with stress-related disorders.
Objective To analyze stress-related disorders and the effect of crisis prevention in 54 females admitted to the Female Psychiatry Department of The Third Hospital of Mianyang City after the Wenchuan earthquake. Methods The patients were assessed with BPRS, HAMD, HAMA, and BPMS scales. According to their clinical manifestations, antipsychiatric, antidepressive, anxiolytic, and antimanic treatment were administered to them. All patients received cognitive-behavior and psychological therapy and were assessed after one month. Results Although all patients were earthquake suflerers, their clinical manifestations varied. Strengthened crisis prevention combined with appropriate drug treatment alleviated their symptoms. Conclusion In terms of alleviating symptoms, curtailing disease course, and facilitating mental rehabilitation, post-catastrophe crisis prevention is extremely important for female patients with stress-related disorders.
引文
1范肖冬,等译.ICD-10精神与行为障碍分类.第1版.北京:人民卫生出版社,1993.
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5Chrousos GP.Cold PW.The concepts of stress system elisorders:overview of physical and behavioral homeostasis.JAMA,1992,267(9):1244-1252.
6Laudenslager ML,Ryan SM,Drugan RC,et al.Coping and immnosuppression inescapable but not escapable shock suppresses lymphocyte proliferation.Science,1983,221(4610):568-570.
2张明圆,主编.精神科评定量表手册,第1版,长沙:湖南科学技术出版社,1993.
3张本,王学义,孙贺祥,等.唐山大地震对人类心身健康远期影响.中国心理卫生杂志,1998,12(4):200-202.
4崔新佳,译.应激性生活事件对健康的影响.国外医学精神病学分册,1989,16(3):163-166.
5Chrousos GP.Cold PW.The concepts of stress system elisorders:overview of physical and behavioral homeostasis.JAMA,1992,267(9):1244-1252.
6Laudenslager ML,Ryan SM,Drugan RC,et al.Coping and immnosuppression inescapable but not escapable shock suppresses lymphocyte proliferation.Science,1983,221(4610):568-570.
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