心理干预对交通事故致脑外伤患者配偶心理状况的影响

Influences of psychological intervention on spouse＇s psychological status of patients with brain trauma by traffic accidents

目的 探讨心理干预对交通事故致脑外伤患者配偶心理状况的影响.方法 将96例交通事故致脑外伤患者的配偶随机分为研究组和对照组,每组48例,研究组予以有针对性的心理干预,对照组不接受任何心理干预,观察6个月.于入组时及心理干预6个月末采用症状自评量表评定两组的心理健康状况.结果 两组入组时症状自评量表各因子评分差异无显著性（P＞0.05）,躯体化、强迫症状、人际关系、抑郁、焦虑、敌对和其他因子分显著高于中国常模（P＜0.05或0.01）;研究组心理干预6个月末,症状自评量表躯体化、强迫症状、人际关系、抑郁、焦虑、敌对因子分显著低于入组时（P＜0.05或0.01）,对照组仅强迫症状、人际关系、抑郁、焦虑因子分显著低于入组时（P＜0.05或0.01）,研究组抑郁、焦虑因子分显著低于对照组（P＜0.05或0.01）.结论 脑外伤患者配偶存在不同程度的心理问题,心理干预能改善其心理健康状况.

Objective To explore the influences of psychological intervention on spouse＇s psychological status of patients with brain trauma by traffic accidents （BTTA）. Methods Ninety-six spouses of BTTA patients were randomly divided into two groups of 48 ones each, research group received purposeful mental intervention and control group did not receive any mental intervention for 6 months. Mental health conditions were assessed with the Symptom Checklist-90 （SCL-90） at baseline and at the end of 6 month intervention. Results There were no significant group differences in each factor score of the SCL 90 at baseline （P〉0.05）, such factors＇ scores were significantly higher compared with Chinese norm as somatization, obsessive symptoms, interpersonal relation, depression, anxiety, hostility and other （P〈0.05 or 0.01）; such factors＇ scores were significantly lower in research as somatization, obsessive symptoms, interpersonal relation, depression, anxiety and hostility （P〈0.05 or 0.01） and as obsessive symptoms, interpersonal relation, depression and anxiety in control group （P〈0.05 or 0.01） after 6-month intervention compared with those at baseline, depression and anxiety score were significantly lower in research than in con trol group （P〈0.05 or 0.01）. Conclusion Spouses of BTTA patients have various degrees of psychoproblems and psychological intervention could effectively improve their mental health status.