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玉树震后伤员急性应激障碍心理干预效果观察
引用本文:闫涛,王开平,周丁华,邹练,白杨,张帆,李冬,武涧松,穆飞航,张麟.玉树震后伤员急性应激障碍心理干预效果观察[J].中国健康心理学杂志,2011,19(2):189-190.
作者姓名:闫涛  王开平  周丁华  邹练  白杨  张帆  李冬  武涧松  穆飞航  张麟
作者单位:中国.中国人民解放军第二炮兵总医院,北京,100088
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。

关 键 词:认知暴露疗法  急性应激障碍  治疗  玉树  地震  藏族

Observation on the Efficacy of Cognitive Exposure Therapy for Acute Stress Disorder of the Wounded in Yushu Earthquake
Institution:Yan Tao,Wang Kaiping,Zhou Dinghua,et al.The Second Artillery General Hospital of PLA.Beijing 100088,P.R.China
Abstract: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.
Keywords:Congnitive exposure therapy  Acute stress disorder  Treatment  Yushu  Earthquake  Tibetan
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