桂北地区特大山体滑坡事件后死者家属急性应激障碍心理干预效果观察

The effect of psychological interventions on acute stress disorder of the family of the deceased after the huge Landslides in north Guilin

目的:探讨认知暴露疗法对急性应激障碍(ASD)的治疗效果。方法:桂北特大山体滑坡事件后死者家属急性应激障碍58例,均给予1个疗程的结构化认知暴露疗法(CET)治疗。治疗前后采用SCL-90、HAMD及HAMA量表评定疗效,进行治疗前后自身对照。结果:治疗后所有患者的SCL-90总分、躯体化、人际关系、抑郁、焦虑、恐怖因子分均明显下降,HAMD和HAMA总分亦显著降低。结论:CET对ASD有较好疗效,能显著改善患者的抑郁及焦虑情绪。

Objective ：To explore the effect of the cognition exposed therapy＇s on acute stress disorder. Methods：After the huge landslides in north Guilin, acute stress disorder in 58 cases. All of them were given one courses of treatment of structured cognition exposed therapy （ECT）. SCL - 90, HAMD and HAMA were used to evaluate effect,and then make self- compare before and after treatment. Results：All patients＇ SCL-90 total score and factor scores of somatization, interpersonal relation, depression, anxiety and fear were significantly decreased, the total scores of HAMD and HAMA were also significantly decreased. Conclusion：CET has good effect on the ASD, which can improve patients＇ depression and anxiety.