玉树震后伤员急性应激障碍心理干预效果观察  

Observation on the Efficacy of Cognitive Exposure Therapy for Acute Stress Disorder of the Wounded in Yushu Earthquake

作　　者：闫涛[1] 王开平[1] 周丁华[1] 邹练[1] 白杨[1] 张帆[1] 李冬[1] 武涧松[1] 穆飞航[1] 张麟[1] 

机构地区：[1]中国.中国人民解放军第二炮兵总医院,北京100088

出　　处：《中国健康心理学杂志》2011年第2期189-190,共2页China Journal of Health Psychology

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（P0.05）.Conclusion CET is well effective for ASD of the wounded after earthquake.

关 键 词：认知暴露疗法 急性应激障碍 治疗 玉树 地震 藏族 

分 类 号：R363.27[医药卫生—病理学]