空军军医大学学报2026，Vol.47Issue(3)：364-369,6.DOI:10.13276/j.issn.2097-1656.2026.03.008
创伤后应激障碍短程强化团体接纳承诺疗法干预方案的德尔菲法构建研究
Developing a brief,intensive trauma-focused group acceptance and commitment therapy for posttraumatic stress disorder:a Delphi study
摘要
Abstract
Objective To develop a systematic and standardized brief,intensive trauma-focused group acceptance and commitment therapy(T-F GACT)intervention program suitable for the Chinese cultural context.Methods Building upon a prior systematic review and integrating clinical practice for posttraumatic stress disorder,a preliminary version of the T-F GACT intervention program was drafted,using the acceptance and commitment therapy(ACT)therapeutic model as the framework.The Delphi method was employed,involving two rounds of consultations with 17 experts in the field of ACT psychological counseling and therapy.The final version of the program was formulated after deliberation and refinement based on the expert feedback.Results The response rates for the two rounds of expert consultation questionnaires were 100％ and 94.12％,respectively.The expert authority coefficients were 0.894 and 0.909,respectively.The coefficient of variation for all items ranged from 0 to 0.11.Kendall's W coefficients were 0.517(x2=764.427,P＜0.001)and 0.581(x2=779.306,P＜0.001),respectively.The importance scores for individual items ranged from 4.05 to 5.00 and 4.13 to 5.00 across the two rounds,with standard deviation ranges of 0-0.49 and 0-0.48,respectively.The final intervention program comprised five stages—starting phase,opening phase,focusing phase,exploring phase,and concluding phase—consisting of a total of 88 items.Conclusion The T-F GACT intervention program is scientifically sound,clinically practical,and operationally feasible.It can be used to guide symptom intervention and emotional regulation for trauma-related disorders in fast-paced occupational groups.关键词
创伤后应激障碍/创伤后成长/德尔菲法/系统综述/心理治疗/接纳承诺疗法/认知行为疗法/正念Key words
posttraumatic stress disorder/posttraumatic growth/Delphi technique/systematic review/psychotherapy/acceptance and commitment therapy/cognitive behavioral therapy/mindfulness分类
医药卫生引用本文复制引用
张新晨,张嘉瑛,马竹静,刘斌,宋磊,丛贝勒,孟伟业,杨群..创伤后应激障碍短程强化团体接纳承诺疗法干预方案的德尔菲法构建研究[J].空军军医大学学报,2026,47(3):364-369,6.基金项目
××后勤科研项目(A231002) （A231002）
