认知心理干预对创伤后应激障碍患者自我心理弹性的影响

The impact of cognitive intervention on self-resilience of post-traumatic stress disorder patients.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

四川省泸州市精神病医院 ;
四川省泸州医学院附属医院 ;

摘要
目的 探讨认知心理干预对创伤后应激障碍(PTSD)患者自我心理弹性的影响。方法 将120例经创伤后应激障碍17项筛查问卷(PCL-C)确诊为创伤后应激障碍患者按照抽签法将患者分为观察组(n =60)及对照组(n =60)。对照组行精神科常规性护理,观察组在对照组基础上应用认识心理干预,干预时间为6个月,对比分析两组患者干预前后创伤后应激障碍评分、自我心理弹性评分及应对方式评分的变化。结果 观察组干预后PTSD评分显著低于对照组,而自我心理弹性评分高于对照组(P <0.05)。观察组干预后逃避、姑息、宿命及依靠自我评分低于对照组(P <0.05),而面对、乐观、情感宣泄及寻求支持等评分高于对照组(P <0.05)。结论 认知心理干预能有效改善创伤后应激障碍患者自我心理弹性,让患者能以积极的方式应对疾病,有利于改善患者临床症状,提高患者生命质量。
Abstract
Objective To investigate the impact of cognitive intervention on self-resilience of post-traumaticstress disorder(PTSD)patients. (PTSD)patients. PTSD)patients. )patients. patients. Methods 120 cases of patients with post-traumatic stress disorder who diagnosedby 17 screening questionnaire(PCL-C)weredividedintoobservationgroup( (PCL-C)weredividedintoobservationgroup( PCL-C)weredividedintoobservationgroup( )weredividedintoobservationgroup( were divided into observation group(n =60)andcontrol group( )andcontrol group( and control group(n =60).The ).The .Thecontrol group were treated with conventional drugs and observation group were treated with cognitive intervention on thebasis of conventional drugs. The scores of PCL-C,ER89andStrategyof Copingof twogroupsbeforeandafterthein- ,ER89andStrategyof Copingof twogroupsbeforeandafterthein- ER89 and Strategy of Coping of two groups before and after the in-tervention were compared. Results The PCL-C score of observation group was significantly lower than that in the controlgroup,whileER89scoreof observationgroupwassignificantlyhigherthanthat inthecontrol group’s( ,whileER89scoreof observationgroupwassignificantlyhigherthanthat inthecontrol group’s( while ER89 score of observation group was significantly higher than that in the control group’s(P <0.05).The ).The .Thescores of 4 factors of Coping Strategy(palliation,escape,fate,relyingonself)intheobservationgroupweresig- (palliation,escape,fate,relyingonself)intheobservationgroupweresig- palliation,escape,fate,relyingonself)intheobservationgroupweresig- ,escape,fate,relyingonself)intheobservationgroupweresig- escape,fate,relyingonself)intheobservationgroupweresig- ,fate,relyingonself)intheobservationgroupweresig- fate,relyingonself)intheobservationgroupweresig- ,relyingonself)intheobservationgroupweresig- relying on self)intheobservationgroupweresig- )intheobservationgroupweresig- in the observation group were sig-nificantly lower than that in the control group,whilethescoresof other4factorsof CopingStrategy(optimistic,face, ,whilethescoresof other4factorsof CopingStrategy(optimistic,face, while the scores of other 4 factors of Coping Strategy(optimistic,face, (optimistic,face, optimistic,face, ,face, face,seek support,emotional catharsis)intheobservationgroupweresignificantlyhigherthanthat inthecontrol group ,emotional catharsis)intheobservationgroupweresignificantlyhigherthanthat inthecontrol group emotional catharsis)intheobservationgroupweresignificantlyhigherthanthat inthecontrol group )intheobservationgroupweresignificantlyhigherthanthat inthecontrol group in the observation group were significantly higher than that in the control group(P <0.05). ). Conclusion Cognitive intervention can effectively improve the PTSD patient’s self-resilience,sothat ,sothat so thatpatients will respond to disease in a positive way,whichwillhelptoimprovetheclinicalsymptomsandpatients quality ,whichwillhelptoimprovetheclinicalsymptomsandpatients quality which will help to improve the clinical symptoms and patients qualityof life
关键词
认知心理干预;创伤后应激障碍;自我心理弹性;应对方式
KeyWord
Cognitive intervention;Post-traumaticstressdisorder;Self-resilience;Copingstrategy ;Post-traumaticstressdisorder;Self-resilience;Copingstrategy Post-traumatic stress disorder;Self-resilience;Copingstrategy ;Self-resilience;Copingstrategy Self-resilience;C
基金项目
页码 259-262
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张雪梅*,杨 斌,张 艳,刘 勇. 认知心理干预对创伤后应激障碍患者自我心理弹性的影响 [J]. 国际精神病学杂志. 2016; 43; (2). 259 - 262.

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