情绪性腹痛的临床干预与个案研究

Clinical Intervention and Case Study for Emotional Bellyache

目的探讨条件性情绪干预法对情绪性腹痛干预的有效性,为情绪性腹痛的临床治疗提供借鉴。方法采用多基线实验设计,运用条件性情绪干预法对情绪性腹痛来访者进行9天临床干预,每天1次,每次1.5小时。采用汉密尔顿焦虑量表(HAMA)得分和腹痛症状体验分值的变化评估干预的有效性。结果实验结束后,来访者的HAMA得分由前测的35分降至8分,低于14分的临界值;基线观察阶段来访者症状体验分值很高,干预后指标值迅速降低并达到稳定,6个月回访无复发迹象。结论条件性情绪干预法是治疗情绪性腹痛的有效方法。

Objective To explore the validity of Conditioned Emotional Intervention （CEI） on treating with emotional bellyache. Methods This research was treated a client with emotional bellyache with the CEI for 9 days with 90 minutes session daily for one time. A multiple baseline simple subject design was employed to conduct the experiment. The scores of HAMA and bellyache symptom were used to examine the treatment effect. Results After the whole intervention,the score of HAMA of the client decreased from 35 to 8,lower than the critical value 14. Baseline observation period displayed obvious stability of the symptoms of bellyache. After formal intervention,the client＇s bellyache significantly improved and the results of bellyache survey presented a declining trend. The bellyache of the client almost eliminated and the follow up 6 months had no relapse. Conclusion CEI is an effective method in treating emotional bellyache.