支持性团体心理辅导对军人创伤后心理应激症状的作用

The effect of supportive group counseling on military servicemen with post-traumatic stress syndromes

目的探讨支持性团体心理辅导对军人创伤后心理应激症状的作用。方法 35名官兵暴露于危机事件后,其中14名报名参加团体心理辅导的成员为团体组,21名未参加的官兵为非团体组,分别在团体前、团体后即刻和半年时对所有受试者施测事件影响量表-修改版(Impact of Event Scale-Revised,IES-R),并统计受试者症状受时间和分组因素影响的结果。结果 (1)35名官兵整体情况:团体前、团体后即刻及团体后半年受试官兵创伤后应激症状的严重程度结果构成比的差异具有统计学意义(χ~2=16.245,P=0.001)。(2)组间比较:用IES-R的团体前总分作为协变量控制基线分值的影响后,团体组与非团体组团体后即刻回避量表、侵袭量表、高唤醒量表、严重程度量表及总分比较,差异均具有统计学意义(P<0.05)。(3)组内比较:团体组团体后即刻除高唤醒量表外,均较团体前得分显著降低,团体后半年侵袭量表、高唤醒量表及总分较团体前显著降低(P<0.05),而团体后即刻与团体后半年5个维度分值差异均无统计学意义。非团体组5个维度分值在3个时间点间差异均无统计学意义。结论支持性团体心理辅导可在创伤初期明显改善军人创伤后心理应激症状。

Objective The objective of this study was to explore the effect of supportive group counseling on military servicemen with post-traumatic stress syndromes. Methods Among 35 soldiers exposed to a crisis event, 14 registered for supportive psychological group counseling were the intervention group, and the remaining 21 were the control group. The Impact of Event Scale-Revised (IES-R) was conducted before the session, at the end of the session and half a year after the session. Symptoms influenced by time and grouping were measured using SPSS 17.0. Results (1) The overall situation: the severity degree of post-traumatic stress syndromes before the session, at the end of the session and half a year after the session were compared, and the differences were statistically significant (χ^2=16.245, P=0.001).(2) Inter-group comparison: After using IES-R total score before the session as a covariate control baseline, immediate avoidance scale, aggression scale, high arousal scale, severity scale and total score after the session were compared between two groups, and the differences were statistically significant (P<0.05).(3) Intra-group comparison: The scores of the intervention group at the end of the session were significantly lower than those before the session except the high arousal scale. The aggression scale, high arousal scale and total score of the intervention group at half a year after the session were significantly lower than those before grouping (P<0.05), but there was no significant difference between the five dimensions immediately after the intervention and half a year after the intervention (P<0.05). The differences in five dimensions at the end of the session and half a year after the session was not statistically significant. There was no significant difference in five dimensions between three time points in the control group. Conclusions The supportive group counseling can significantly help cope with post-traumatic stress syndromes in soldiers at the early traumatic stage.