接纳承诺疗法在军人中应用的研究分析  

Research analysis in applications of acceptance commitment therapy in military personnel

作　　者：王文筱 王信喆 李秋 王俊巧 WANG Wenxiao;WANG Xinzhe;LI Qiu;WANG Junqiao(Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250100,China)

机构地区：[1]山东第一医科大学附属省立医院,济南250100

出　　处：《军事医学》2025年第2期125-132,共8页Military Medical Sciences

摘　　要：接纳承诺疗法作为新兴的心理疗法为军人提供心理治疗及康复,保障军人健康水平和维持军队战斗力。该文对接纳承诺疗法在军人中应用的研究进行范围综述,此疗法应用于军人实践的领域主要为:改善创伤后应激障碍、缓解术后或慢性疼痛、治疗焦虑抑郁症、控制体重、戒烟、控制乙醇使用障碍等。接纳承诺疗法在军人中尤其是退伍军人中有良好的应用效果,在创伤后应激障碍的女性军人中疗效突出,在伤后应激障碍合并物质使用障碍或合并慢性疼痛中的效果优于其他传统疗法,在减轻疼痛、焦虑、抑郁、自杀倾向及减轻体重方面较传统疗法未表现出优势,改善睡眠方面传统疗法比接纳承诺疗法更具疗效。当下研究数量有限,地域分布不均,国内研究缺乏,应在国外研究的基础上进一步开展多中心大样本的随机对照研究,以验证接纳承诺疗法在我国军人中的应用效果。Acceptance commitment therapy is accepted as a new psychological therapy to provide psychological treatment and rehabilitation for soldiers,to ensure their health level and maintain the combat effectiveness of the army.In this paper,the applications of acceptance commitment therapy in military personnel are reviewed,including improving post-traumatic stress disorders,relieving postoperative or chronic pain,mitigating anxiety and depression,controlling weight,quitting smoking,and controlling alcohol use disorders.Acceptance commitment therapy is highly applicable among soldiers,especially veterans,exceedingly effective among female soldiers with post-traumatic stress disorders and better than other traditional therapies in treating post-traumatic stress disorders combined with substance use disorders or combined with chronic pain.However,traditional therapy is more effective than acceptance commitment therapy in improving sleep.Unfortunately,the number of current studies is small,research is not widely-distributed geographically,and domestic studies are lacking.Multi-center randomized controlled studies with large samples on the basis of foreign studies are needed to verify the applicability of acceptance commitment therapy in Chinese military.

关 键 词：接纳承诺疗法 军事人员 范围综述 

分 类 号：R749.055[医药卫生—神经病学与精神病学]