眼动脱敏与再加工技术治疗儿童灾后应激反应的疗效
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摘要
目的探讨眼动脱敏与再加工技术(EMDR)对儿童灾后应激反应的疗效。方法将地震后应激反应明显的68名受灾儿童,随机均分为两组,一组采用集体心理治疗(对照组),另一组采用EM-DR技术治疗(研究组),疗程均为2周,每周治疗3次,均于治疗前及治疗2周后采用自制的地震后儿童心理应激反应症状量表进行评定。结果两组治疗后各症状频度均较治疗前明显下降;研究组与震灾有关的所有12个症状治疗后下降频度均高于对照组(P<0.05),以闪回、房屋摇晃感及恐惧为著。结论 EMDR技术治疗儿童灾后应激反应疗效较好,尤其对闪回、房屋摇晃感及恐惧症状治疗效果更明显。
Objective To explore the response of eye movement desensitization and reprocessing(EMDR) in children with stress reaction post-earthquake.Methods A total of 68 children with stress reaction post-earthquake were randomly assigned to control group and experimental group,and received group psychotherapy or EMDR for 2 weeks respectively.Both groups were treated 3 times every week.The scale of children stress reaction symptom post-earthquake were assessed at prior treatment and post-treatment.Results The frequency of symptoms in both groups significantly decreased after treatment.The frequency of flash back,house wabble and fear in experimental group were significant lower than that of control group after treatment.Conclusion EMDR have a good efficacy in the treatment of stress reaction post-earthquake in children,especially for flash back,house wabble,and fear.
Objective To explore the response of eye movement desensitization and reprocessing(EMDR) in children with stress reaction post-earthquake.Methods A total of 68 children with stress reaction post-earthquake were randomly assigned to control group and experimental group,and received group psychotherapy or EMDR for 2 weeks respectively.Both groups were treated 3 times every week.The scale of children stress reaction symptom post-earthquake were assessed at prior treatment and post-treatment.Results The frequency of symptoms in both groups significantly decreased after treatment.The frequency of flash back,house wabble and fear in experimental group were significant lower than that of control group after treatment.Conclusion EMDR have a good efficacy in the treatment of stress reaction post-earthquake in children,especially for flash back,house wabble,and fear.
引文
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[9]赵冬梅.心理创伤的治疗模型与理论[J].华南师范大学学报:社会科学版2,009,(3):125-129.
[10]何江军,毛文君,杨德华,等.灾难所致“闪回”症状的心理治疗测略[J].西部医学,20102,2(10):1844-1845.
[2]吕秋云,钱铭怡.EMDR在中国的发展历程[J].西华大学学报:哲学社会科学版,2010,29(5):1-22,0.
[3]何侃.震灾后儿童心理重建的复杂性与长效机制[J].现代预防医学,20083,5(23):4625-4627,4630.
[4]李宁,宋梓祥,李光耀,等.催眠治疗地震后心理应激反应21例[J].东南国防医药,2009,11(2):157-159.
[5]王爽,张泽良,贺婧菲.儿童地震灾害创伤后应激障碍的心理干预策略初探[J].沙洋师范高等专科学校学报,2009,10(1):73-77.
[6]Maxfield L,Hyer L.The relationship between efficacy and method-ology in studies investigating EMDR treatment of PTSD[J].J ClinPsych,20025,8(1):23-41.
[7]Karatzias T,Power K,Brown K,et al.A controlled comparison ofthe effectiveness and efficiency of two psychological therapies forposttranmatic stress disorder:eye movement desensitization and re-processing vs.emotional freedom techniques[J].J Nerv Ment Dis,201,1199(6):372-378.
[8]周宁,刘将.眼动脱敏与再建治疗的回顾与展望[J].中国医疗前沿2,009,4(7):31-33.
[9]赵冬梅.心理创伤的治疗模型与理论[J].华南师范大学学报:社会科学版2,009,(3):125-129.
[10]何江军,毛文君,杨德华,等.灾难所致“闪回”症状的心理治疗测略[J].西部医学,20102,2(10):1844-1845.
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