认知治疗缓解洪灾后居民创伤后应激症状的研究  

Cognitive Therapy for Relieving Post-traumatic Stress Symptoms in Flood-affected People

作　　者：刘桥生 胡斌 魏波 郭中孟 聂勇彪 张咏梅 俞丽华 

机构地区：[1]江西省精神病院精神科,南昌330029

出　　处：《南昌大学学报（医学版）》2011年第1期8-10,共3页Journal of Nanchang University：Medical Sciences

基　　金："十一五"国家科技支撑计划(2008BAI68B08)

摘　　要：目的初步探讨认知治疗对洪灾后受灾居民创伤后应激症状的疗效。方法将56位存在创伤后应激症状的受灾居民按随机数字表法分成干预组和对照组,干预组29人,对照组27人。采用团体心理干预的形式,应用认知治疗技术,对干预组进行为期3周共3次的心理干预,采用事件影响量表-修改版(IES-R)评价干预效果;对照组仅进行一般社会支持。结果干预组干预后IES-R总分、闯入因子分及高警觉性因子分显著低于干预前(均P<0.01),回避因子分干预前后差异无统计学意义(P>0.05);而对照组干预前后IES-R总分及各因子分差异均无统计学意义(P>0.05)。干预组IES-R总分、闯入因子、警觉性增高因子减分值显著高于对照组(P<0.01),2组回避因子减分值差异无统计学意义(P>0.05)。结论认知治疗有助于缓解洪灾后受灾居民的创伤后应激症状。Objective To explore the effect of cognitive therapy on post-traumatic stress symptoms in flood-effected people.Methods Fifty-six people with post-traumatic stress symptoms were randomly divided into intervention group（n=29） and control group（n=27）.Cognitive therapy was performed once a week in intervention group for 3 weeks.Control group was given general social support only.The Impact of Event Scale-Revised（IES-R） was used to evaluate the effect of intervention.Results After intenvention,except avoidation factor,the scores of total IES-R,invasion factor and high alert factor significantly increased in intervention group（P0.01）,but no obvious changes in all the scores were found in control group（P0.05）.Compared with control group,cognitive therapy induced a significant decrease in the scores of total IES-R,invasion factor and high alert factor（P0.01）,but no differences in the reduction of avoidation factor were observed between the two groups（P0.05）.Conclusion Cognitive therapy can relieve the post-traumatic stress symptoms in flood-effected people.

关 键 词：认知治疗 洪灾 创伤后应激症状 疗效 

分 类 号：R129[医药卫生—环境卫生学]