早期结构化的心理干预对车祸创伤患儿抑郁和行为问题的影响

目的]探讨早期心理干预对车祸后患儿抑郁及行为问题的影响。方法]采用随机数字表法将车祸创伤的73例患儿随机分为干预组和对照组，对照组患儿进行创伤后常规健康教育和心理护理，干预组患儿除进行常规护理外，同时实施早期结构化的心理干预。采用儿童抑郁量表（CDI）和儿童行为评定量表（CBCL）对两组患儿进行3次测量，分别为初测T0（入组时）、干预后 T1（干预结束后2个月）和随访 T2（干预结束后6个月）。结果]两组患儿抑郁、行为问题总分、退缩行为、躯体主诉、焦虑抑郁和攻击行为维度上的主效应均显著（〈0.01），干预组在干预后2个月、干预后6个月抑郁、行为问题总分、退缩行为、躯体主诉、焦虑抑郁、社交问题和攻击行为上比对照组改善显著（〈0.05）。干预时间在抑郁和行为问题总分、退缩行为、躯体主诉、焦虑抑郁、社交问题和攻击行为维度上主效应显著（〈0.05或〈0.01），随着干预时间的延长，干预组与对照组各维度得分及总分均呈下降趋势。结论]早期结构化的心理干预可以改善车祸创伤患儿近期抑郁及行为问题。

Influence of early structured psychological intervention on depression and behavior problems in children with traffic accident trauma

Obj ective：To probe into influence of early structured psychological intervention on depression and behavior problems in children with traffic accident trauma.Methods：A total of 73 children with traffic accident trauma were randomly divided into intervention group and control group by using random number table method.Patients in control group received the conventional health education and psychological care after the trauma;in addition to routine nursing care,patients in intervention group received early structured psychological intervention.The both groups of patients were investigated with Children＆#39;s depression inventory （CDI）and Achenbach’s Child Behavior Checklist（CBCL）for three times respectively at T0 ,T1 ,T2 .Results：There was statistical significant difference in main effect in children’s depression,total score of behavior problems,withdrawal behavior,body complained,anxiety,depression and aggression between both groups （P〈0.01）.The total score of depression and behavior problems,withdrawal behavior,body complained,anxiety,depression,social problem and aggression were improved significant-ly compared with control group at two and sixth months after intervention（P〈0.05）.the main effect of intervention time out of depression and behavioral problems,withdrawn behavior,somatic complaints,anxiety and depression,social problems and aggressive behaviors was significant （P〈0.05 or P〈0.01）.With the extension of the intervention period, the dimension scores and total score decreased in intervention group and control group.Conclusion：Early implementation of structured psychological interventions can improve recent depression and behavioral problems in children with traffic accident trauma.