丧亲创伤后应激障碍患者眼动脱敏和再加工治疗与认知行为治疗的对照研究

发布时间：2018-10-13 14:26

【摘要】：目的探讨眼动脱敏和再加工治疗(EMDR)与认知行为治疗(CBT)对丧亲所致创伤后应激障碍(PTSD)疗效的优劣性。方法将2013年1—12月在石河子大学医学院第一附属医院诊断为PTSD的丧亲者随机分为EMDR组与CBT组,分别于治疗前后评价两组患者PTSD症状及焦虑、抑郁情况。结果共纳入34例患者,两组各17例。治疗前两组创伤后应激障碍量表平民版(PCL-C)总分及3个症状群得分、汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)得分间差异均无统计学意义(P0.05);而治疗后EMDR组PCL-C总分及再体验症状群、易激惹症状群得分和HAMA得分均低于CBT组,差异有统计学意义(P0.05)。结论对于丧亲所致的PTSD患者,EMDR和CBT均是较为有效的心理治疗方法,EMDR在改善PTSD症状和焦虑情绪方面较CBT更为有效。
[Abstract]:Objective to investigate the efficacy of (EMDR) and (CBT) in the treatment of post-traumatic stress disorder (PTSD) caused by bereavement. Methods the bereaved patients diagnosed as PTSD in the first affiliated Hospital of Shihezi University Medical College from January to December 2013 were randomly divided into two groups: EMDR group and CBT group. The symptoms of PTSD, anxiety and depression were evaluated before and after treatment. Results A total of 34 patients were included, 17 cases in each group. Before treatment, there was no significant difference in the total scores of PCL-C and 3 symptom groups, the (HAMD) scores of Hamilton anxiety scale (HAMA) and Hamilton Depression scale (HAMD) between the two groups (P0.05), but the total PCL-C score and reexperience symptom group in EMDR group after treatment were not significantly different (P0.05). The scores of irritable symptom group and HAMA were lower than those of CBT group (P0.05). Conclusion both EMDR and CBT are effective psychotherapy for PTSD patients caused by bereavement. EMDR is more effective than CBT in improving PTSD symptoms and anxiety.
【作者单位】：石河子大学医学院;石河子大学医学院第一附属医院;
【基金】：“十二五”兵团医药卫生重点领域科技攻关项目(2012BA023)——精神创伤后应激相关障碍的识别与干预技术研究
【分类号】：R749.5

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