眼动脱敏再加工对地震幸存者创伤后应激障碍及应对方式的研究

Effectiveness of eye movement desensitization and reprocessing therapy on post-traumatic stress disorder and coping styles of earthquake survivors

目的探讨眼动脱敏再加工（EMDR）结合药物治疗地震幸存者创伤后应激障碍（PTSD）及应对方式的效果。方法符合PTSD诊断标准的45例患者被随机分成实验组23例和对照组22例。实验组为EMDR结合药物治疗，对照组仅接受常规药物治疗。采用PTSD量表（CAPS），汉密尔顿抑郁量表（HAMD）及应对策略量表（CSS）对2组患者进行评定，并行X^2检验，t检验及多元线性回归分析。结果实验组的各项指标在治疗后均显著优于治疗前及对照组的同期指标。解决问题、寻求社会支持和逃避均与PTSD及抑郁评分显著相关。结论EMDR能有效改善PTSD和抑郁的症状，能提高患者适应性的应对方式，从而有助于患者的康复。

Objective The aim of the study was to explore the effectiveness of eye movement desen- sitization and reprocessing （EMDR） combined with medication therapy on post-traumatic stress disorder （PTSD） and coping styles of earthquake survivors. Methods 45 survivors of the earthquake who met diagnostic criteria for PTSD were randomly divided into the experimental group （23 cases） and the control group （22 cases）. The control group was treated with routine medication, while the experimental group was treated with EMDR and routine medication therapy. The Clinician Administered PTSD Scale, Hamilton Depression Scale and Coping Strategies Scale were used for the measurements and X^2 test, t test and multi-linear regression analysis were adopted. Results The indexes of the experimental group after treatment were better than those before treatment and those of the control group. Problem-solving, social support-seeking and avoidance together showed significant correlation with PTSD and depression scores. Conclusions EMDR therapy can effectively lighten the symptoms of PTSD and depression, improve coping styles of earthquake survivors and help to recover their mental health.