摘要
目的:了解延时暴露疗法对创伤后应激障碍(PTSD)患者症状的疗效。方法:使用创伤后应激障碍自评量表(PTSD-SS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对高中生进行测评,采用延时暴露疗法对21名PTSD患者进行了治疗。结果:地震后1年高中生PTSD患病率为6.65%,女性高于男性,延时暴露治疗后症状明显改善。结论:延时暴露疗法对地震后高中生PTSD治疗有效,在以后的心理干预中应注意关注PTSD患者的恐惧和回避症状。
Objective:To explore the effect of prolonged exposure therapy on high school students of post traumatic stress disorder( PTSD). Method:The post traumatic stress disorder self-rating scale( PTSD-SS) ,self-rating anxiety scale( SAS) ,self-rating depression scale( SDS) were used in the pre and post-measure. The prolonged exposure therapy was used to treat 21 high school students of PTSD. Results:There are 6. 65% high school students showing PTSD symptoms,and female( 4. 11% ) has higher rate than male( 2. 53% ). Between the pre and post-measure,all symptoms showed significant difference except avoidance and anxiety. Conclusion:The prolonged exposure therapy is significantly effective for PTSD.
引文
[1]Foa EB,Steketee G,Rothbaum BO.Behavioral/cognitive conceptu-alization of post-traumatic stress disorder[J].Behavior Therapy,1989,20:155-176.
[2]Mowrer OH.On the dual nature of learning:A re-interpretation of“conditioning”and“problem-solving”[J].Harvard Educational Review,1947,17:102-148.
[3]Foa EB,Hembree EA,Cahill SP,et al.Randomized trail of pro-longed exposure for PTSD with and without cognitive restructuring:outcome at academic and community clinics[J].Journal of Consult-ing and Clinical Psychology,2005,73:953-964.
[4]赵丞智,李俊福,王明山,等.地震灾后17个月受灾青少年PTSD及其相关因素[J].中国心理卫生杂志,2001,15:145-147.
[5]汪向东,赵丞智.地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,13:28-30.
[6]Salcioglu E,Basoglu M,Livanou M.Effects of live exposure on symptoms of posttraumatic stress disorder:The role of reduced be-havioral avoidance in improvement[J].Behavior Research and Therapy,2007,45:2268-2279.