紧急事件应激晤谈对灾难救援人员的早期心理干预疗效  

The Effects of Critical Incident Stress Debriefing on Mental Intervention of the Disaster Relief Soldiers

作　　者：陈文军[1] 浦金辉[1] 徐志鹏[1] 邓胜平[1] 华沙[1] 

机构地区：[1]广州军区武汉总医院神经内科,武汉430070

出　　处：《神经损伤与功能重建》2009年第6期417-419,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:探讨紧急事件应激晤谈(CISD)对地震救援官兵的早期心理干预效果。方法:将316名地震救援官兵按连队建制随机分为研究组150名和对照组166名,于地震后第11天应用CISD技术对研究组进行心理干预,于地震后第10天和第5个月采用症状自述量表(SCL-90)进行心理评估。结果:2组官兵第1次SCL-90评分无显著差异;研究组第2次SCL-90评分较第1次评分明显降低,以躯体化和敌对性尤为明显(P<0.05);对照组第2次SCL-90评分较第1次评分明显增高(P<0.001);研究组第2次SCL-90评分明显低于对照组第2次评分(P<0.001)。结论:重大灾难对救援人员的心理影响在未干预的情况下,可能持续数月或更长时间;CISD对地震救援官兵的早期心理干预有效。Objective：To investigate the effects of Critical Incident Stress Debriefing（CISD） on mental intervention of the disaster-relief soldiers.Methods： 316 disaster-relief soldiers were divided randomly into research（150 subjects） and control groups（166 subjects）.The research group soldiers received CISD at day 11 after the earthquake.The results were evaluated by SCL-90 at day 10 and 5 months after the earthquake.Results： The SCL-90 scores of the soldiers in the two groups had no significant difference before the mental intervention（P0.05）,but the scores of soldiers in the research group in the second evaluation were significantly lower than those obtained at the first evaluation,especially the scores of somatization and hostility（P0.05）.The scores of the soldiers in the control group in the second evaluation were higher when compared with the first evaluation（P0.001）.The scores of the soldiers in the research group were significantly lower than those in control group in the second evaluation（P0.001）.Conclusion： In major disasters,the mental influence of disaster-relief people would last several months or even longer if without intervention.CISD is an effective mental intervention for disaster-relief soldiers.

关 键 词：紧急事件应激晤谈 地震救援官兵 SCL-90 

分 类 号：R741[医药卫生—神经病学与精神病学]