叙事治疗对创伤暴露者错误记忆的干预研究

发布时间：2018-08-29 17:51

【摘要】：目的通过叙事治疗对创伤暴露者的错误记忆进行干预并观察其干预效果和相关影响因素。方法收集2015年10月至2016年10月市区经历交通事故后的创伤暴露者,经随机分组后,干预组记忆内容变化者20例,对照组记忆内容变化者15例,所有被试均接受一般资料调查、韦氏记忆量表中文修订版(CWM-RC)、创伤后应激障碍量表平民版(PCL-C)及汉密尔顿抑郁、焦虑量表(HAMA,HAMD)。干预组由专业心理治疗师行叙事治疗干预。结果1.经历创伤事件后的亲历者记忆内容发生改变,在经过叙事治疗干预后,记忆内容减少者的记忆得到改善,有统计学意义(P0.05);2.经干预后亲历者记忆水平有所改变,经前后比较,图片记忆(p0.05)、理解记忆(p0.05)、焦虑症状(p0.05)、抑郁症状(p0.05)及应激障碍症状(p0.05)均有统计学意义,而在视觉再认、视觉再生联想记忆及背诵方面无统计学意义(p≥0.05)。3.在PTSD的危险因素分析中性别(p0.05)、记忆内容改变(p0.05)有统计学意义,而在躯体伤害(p≥0.05)、文化水平(p≥0.05)、经济压力(p≥0.05)及年龄方面(p≥0.05)无统计学意义。结论1.叙事治疗能够改善创伤后应激相关障碍患者的记忆内容;2.对交通事故亲历者行叙事治疗干预后其应激症状及抑郁、焦虑症状有所改善;
[Abstract]:Objective to investigate the effect of narrative therapy on the false memory of traumatic exposed patients and its related influencing factors. Methods from October 2015 to October 2016, 20 patients in the intervention group and 15 patients in the control group were randomly divided into intervention group and control group. All subjects were investigated with general data. Wechsler memory scale (CWM-RC), Post-traumatic stress Disorder (PCL-C) and Hamilton Depression scale (HAMA,HAMD). The intervention group was treated with narrative therapy by professional psychotherapists. Result 1. After experiencing traumatic events, the memory content of those who experienced traumatic events changed. After the intervention of narrative therapy, the memory of those with decreased memory content was improved, which had statistical significance (P0.05). 2. After intervention, the memory level of those who had experienced it changed. After comparison, picture memory (p0.05), understanding memory (p0.05), anxiety symptom (p0.05), depression symptom (p0.05) and stress disorder symptom (p0.05) had statistical significance. There was no significant difference in visual regenerative associative memory and recitation (p 鈮，

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