团体艺术治疗介入失独父母哀伤辅导的研究  

Research on Group Art Therapy Intervention in Grief Counseling of Parents Who Have Lost Their Only Child

作　　者：余银 孙婵媛 陈带军 刘洪凤 余桂林[2] YU Yin;SUN Chanyuan;CHEN Daijun;LIU Hongfeng;YU Guilin(Department of Respiratory Intensive Care Unit,Zhongnan Hospital of Wuhan University,Wuhan Hubei 430065,China)

机构地区：[1]武汉大学中南医院呼吸重症监护室,湖北武汉430065 [2]武汉科技大学医学院

出　　处：《华南国防医学杂志》2022年第10期820-824,共5页Military Medical Journal of South China

基　　金：国家社会科学基金项目(17BSH119);湖北省教育厅人文社会科学研究项目(19D016)。

摘　　要：目的探究团体艺术治疗介入哀伤辅导对缓解失独父母哀伤的效果。方法选取武汉市Z社区70名失独父母,分为对照组与实验组,各35例。对照组失独父母不参加任何心理辅导和个体心理咨询;实验组失独父母参与团体艺术治疗的哀伤辅导,每周2次,每次持续45~150 min。干预前后采用悲伤体验问卷(grief experience questionnaire,GEQ)和社会支持评定量表(social support rating scale,SSRS)评估干预效果。结果干预前两组失独父母GEQ和SSRS得分比较差异均无统计学意义(P>0.05)。干预后,实验组失独父母GEQ总分、躯体反应、寻求解释、缺少社会支持、耻辱感、内疚感、死亡责任感、羞耻感、被遗弃感及自毁行为均较对照组降低(P均<0.05);失独父母SSRS总分、客观支持、主观支持及社会支持利用度得分均较对照组提高(P均<0.05)。对照组干预后较干预前,得分差异均无统计学意义(P>0.05)。结论团体艺术治疗介入哀伤辅导干预对缓解失独父母的哀伤,促其回归正常生活具有积极作用。Objective To explore the effects of group art therapy intervention in grief counseling of parents who have lost their only child.Methods A total of 70 parents who have lost their only child in Z community in Wuhan were divided into control group and experimental group with 35 cases in each.The parents who have lost their only child in the control group didn′t participate in any psychological counseling or individual psychological counseling,and the parents who have lost their only child in the experimental group participated in group art therapy intervention twice a week,each lasting 45-150 minutes.The effect before and after the intervention were evaluated by grief experience questionnaire(GEQ)and social support rating scale(SSRS).Results There was no significant difference in the scores of GEQ and SSRS between the two groups before the intervention(P>0.05).The scores of GEQ,somatic response,explanation seeking,lack of social support,sense of disgrace,sense of guilt,sense of responsibility for death,sense of shame,sense of abandonment and self-destructive behavior in the experimental group were lower than those in the control group after the intervention(all P<0.05).The scores of SSRS,objective support,subjective support and social support utilization in the experimental group were higher than those in the control group(all P<0.05).There was no statistical difference in scores of the control group after intervention compared with before intervention(P>0.05).Conclusion Group art therapy intervention in grief counseling has a positive effect on alleviating the grief level of parents who have lost their only child and promoting their return to normal life.

关 键 词：失独父母 哀伤辅导 团体艺术治疗 心理干预 

分 类 号：R749.5[医药卫生—神经病学与精神病学]