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多发性创伤患者急性应激障碍的联合干预

何小燕 王睿 马梁红 李存超

中国健康心理学杂志2017,Vol.25Issue(5):644-647,4.
中国健康心理学杂志2017,Vol.25Issue(5):644-647,4.DOI:10.13342/j.cnki.cjhp.2017.05.002

多发性创伤患者急性应激障碍的联合干预

Intervention of Acute Stress Disorder Patients with Multiple Traumas

何小燕 1王睿 1马梁红 1李存超1

作者信息

  • 1. 中国.广西医科大学第四附属医院(广西柳州) 545005
  • 折叠

摘要

Abstract

Objective:To examine the effect of psychotherapy and pharmacotherapy for acute stress disorder in pa-tients with multiple trauma.Methods:Sixty inpatients with multiple trauma who met the DSM—IV diagnostic crite-ria for acute stress disorder were randomized to two groups.The research group(n=30)received psychotherapy and medication and the control group received medication.Psychological intervention methods were:Emotional manage-ment training,self—help booklet,cognitive therapy,group counseling for families.Clinical efficacy were assessed with Hamilton depression rating scale(HAMD),Hamilton anxiety scale(HAMA),and Impact of Event Scale—Revised (IES—R)before treatment and at the end of 4th.Results:Before treatment there were no differences in the scores of both HAMD,HAMA,and IES—R between the two groups (P>0.05 ).After 4 weeks treatment,the scores of HAMD,HAMA,total IES—R in both groups were lower than those before pretreatment.And the scores of the HA-MA,HAMD,IES—R were lower in the research group than that in the control group(t=-3.670,-2.780,-2.120;P<0.05).Conclusion:Psychotherapy and medication may have better efficacy in the treatment of ASD patients with mul-tiple trauma.

关键词

多发性创伤/急性应激障碍/联合干预研究/心理治疗

Key words

Multiple trauma/Acute stress disorder/Interventional therapy/Psychotherapy

分类

医药卫生

引用本文复制引用

何小燕,王睿,马梁红,李存超..多发性创伤患者急性应激障碍的联合干预[J].中国健康心理学杂志,2017,25(5):644-647,4.

基金项目

广西柳州市应用技术研究与开发计划课题(编号:2011J0302018) (编号:2011J0302018)

广西科学研究与技术开发计划(编号:桂科攻 11138003) (编号:桂科攻 11138003)

广西自治区卫生厅自筹经费科研课题(编号:Z2011494) (编号:Z2011494)

中国健康心理学杂志

2096-4811

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