丧亲创伤后应激障碍患者眼动脱敏和再加工治疗与认知行为治疗的对照研究  

Efficacy of Eye Movement Desensitization and Reprocessing and Cognitive Behavioral Therapy on Posttraumatic Stress Disorder due to Bereavement: A Control Study

作　　者：陈玲[1] 张桂青[2] 胡敏[2] 时若欢 

机构地区：[1] 石河子大学医学院,新疆石河子市832002 [2] 石河子大学医学院第一附属医院

出　　处：《中国全科医学》2015年第16期1957-1960,共4页Chinese General Practice

基　　金：“十二五”兵团医药卫生重点领域科技攻关项目(2012BA023)--精神创伤后应激相关障碍的识别与干预技术研究

摘　　要：目的探讨眼动脱敏和再加工治疗(EMDR)与认知行为治疗(CBT)对丧亲所致创伤后应激障碍(PTSD)疗效的优劣性。方法将2013年1—12月在石河子大学医学院第一附属医院诊断为PTSD的丧亲者随机分为EMDR组与CBT组,分别于治疗前后评价两组患者PTSD症状及焦虑、抑郁情况。结果共纳入34例患者,两组各17例。治疗前两组创伤后应激障碍量表平民版(PCL-C)总分及3个症状群得分、汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)得分间差异均无统计学意义(P>0.05);而治疗后EMDR组PCL-C总分及再体验症状群、易激惹症状群得分和HAMA得分均低于CBT组,差异有统计学意义(P<0.05)。结论对于丧亲所致的PTSD患者,EMDR和CBT均是较为有效的心理治疗方法,EMDR在改善PTSD症状和焦虑情绪方面较CBT更为有效。： Objective To investigate the advantages and disadvantages of eye movement desensitization and reprocessing（ EMDR）and cognitive behavioral therapy（ CBT）in the treatment of posttraumatic stress disorder（ PTSD）due to bereavement. Methods We enrolled patients Who Were diagnosed With PTSD due to bereavement in the First Affiliated Hospital of Shihezi University from January to December in 2013 and randomly divided them into EMDR group and CBT group. The PTSD symptoms,anxiety and depression Were assessed before and after treatment. Results A total of 34 patients Were included（ 17 patients each group）. Before treatment,the tWo groups Were not significantly different（P〉0. 05）in the total score of PCL-C, the scores of three syndromes,and scores of HAMA and HAMD. After treatment,EMDR group Was loWer（P〈0. 05）than CBT group in the total score of PCL-C,the scores of flashback and hyperarousal and the score of HAMA. Conclusion EMDR and CBT are all effective in the treatment of PTSD,While EMDR is more effective in alleviating PTSD symptoms and anxiety.

关 键 词：丧亲 应激障碍 创伤后 眼动脱敏和再加工治疗 认知行为治疗 

分 类 号：R395.5[哲学宗教—心理学]