神经语言程式学方法治疗外伤所致创伤后应激障碍的临床疗效分析

目的观察神经语言程式学(NLP)方法对创伤后应激障碍患者(PTSD)的治疗效果。方法根据美国精神障碍诊断与统计手册第四版(DSM-IV)和PTSD症状自评量表由精神科医生筛选30名PTSD患者,随机分为NLP干预组和单纯手术组各15例。NLP干预组术前进行2-4h心理干预,然后手术,单纯手术组术前不进行心理干预,直接手术。2个月后随访,比较PTSD症状自评量表前后变化,评价干预效果。结果 NLP干预组与单纯手术组的PTSD症状评分在手术前差异无统计学意义;2个月后,NLP干预组的总分较单纯手术组明显降低(P<0.01)。干预后反复再现体验、回避症状评分干预组低于单纯手术组(P<0.01或0.05);其余3项因子评分均差异无统计学意义(P>0.05);NLP干预组干预后比干预前的PTSD-SS总分明显降低(P<0.01),创伤主观评定、警觉性增高和社会功能受损评分干预组干预前后的差异无统计学意义(P>0.05);干预组反复再现体验、回避症状评分干预后低于干预前(P<0.01或0.05)。结论 NLP方法能明显改善PTSD患者心理障碍。

The Clinical Curative Effect of Neuro Linguistic Programming Method on Injury Induced Post Traumatic Stress Disorder

Objective To observe the clinical effect of neuro-linguistic programming method on patients with post-traumatic stress disorder.Methods According to Diagnostic and Statistical Manual of Mental Disorders in the United States(DSM-IV) and the PTSD symptom self-rating scale,the psychiatrist selected 30 injury induced PTSD patients who were randomly divided into NLP intervention group and simple surgical group with 15 cases respectively.For NLP intervention group,2 - 4 hours’ psychological intervention was carried out before surgery;for simple surgical group,no psychological intervention before surgery but direct surgery was conducted.After 2 months,a follow-up visit was made to compare the changes in PTSD symptom self-rating scale before and after the surgery and then to assess the intervention effects.Results No significant difference was found in PTSD symptom scores between NLP intervention group and simple surgical group before and after the surgery;after 2 months,the aggregate score of NLP intervention group was significantly lower than that of simple surgery group(P < 0.01).After intervention,the repeatedly recurrent experience and avoidance symptom scores of intervention group was lower than that of the simple surgery group(P < 0.01 or 0.05);no significant difference was found among the remaining 3 items of factor scores(P > 0.05);the PTSD-SS aggregate score after intervention was significantly lower than the score before intervention in NLP intervention group(P < 0.01),no significant difference was found among the scores of subjective trauma evaluation,increased alertness and damaged social function(P > 0.05);the repeatedly recurrent experience and avoidance symptom scores of intervention group after intervention was lower than the scores after intervention(P <0.01,0.05).Conclusion NLP method can significantly improve mental disorder of PTSD patients.