焦点解决短期心理治疗对青少年家庭创伤后应激障碍的干预效果

Effectiveness of solution-focused brief therapy for adolescents with family post-traumatic stress disorder

目的研究焦点解决短期心理治疗(SFBT)对青少年家庭创伤后应激障碍(PTSD)的干预效果,为青少年PTSD的心理干预提供参考。方法2017年1月至2018年6月,在河南科技大学附属中学通过老师推荐、招募选取青少年家庭PTSD共42名,随机分为观察组与对照组各21例,另选取21名健康青少年为健康组。3组青少年入组后均测定埃森创伤问卷-儿童青少年版(ETI-CA)、Rosenberg自尊量表(RSES)、自我和谐量表(SCCS)、心理健康诊断测验(MHT)评分,观察组采取SFBT干预6次后复测,对照组不予特殊干预并于同时间点复测,比较3组各量表评分的差异。结果干预前,观察组和对照组RSES评分为(26.68±3.12)(27.58±3.72)分,低于健康组的(31.25±6.73)分(F=13.63,P<0.05);SCCS评分为(109.89±21.85)(108.60±20.46)分,高于健康组的(78.21±15.71)分(F=12.69,P<0.05);ETI-CA评分分别为(28.10±8.12)(27.98±7.89)分,高于健康组的(12.02±2.13)分(F=13.62,P<0.05);MHT评分分别为(25.20±6.81)(25.03±6.64)分,高于健康组的(17.55±4.69)分(F=11.90,P<0.05)。干预后,观察组RSES评分为(31.31±4.65)分,高于对照组的(28.04±4.11)分(P<0.05);观察组ETI-CA、SCCS、MHT评分分别为(14.95±2.03)(96.66±17.02)(18.55±5.17)分,低于对照组的(26.57±7.34)(111.29±21.71)(25.81±7.12)分(P值均<0.05)。结论SFBT干预可减轻家庭PTSD青少年的PTSD水平,改善自尊心、自我和谐及心理健康水平。

Objective To investigate the effectiveness of solution-focused brief therapy(SFBT)for adolescents with family post-traumatic stress disorder(PTSD),and to provide a reference for the mental intervention for adolescents of PSTD.Methods From January 2017 to June 2018,42 cases of PTSD adolescents with family trauma were randomly divided into observation group and control group,with 21 cases in each group;21 healthy adolescents were enrolled as healthy group.The scores of Essen Trauma Inventor for children and adolescents(ETI-CA),Rosenberg Self-Esteem Scale(RSES),Self-Consistency and Congruence Scale(SCCS)and Mental Health Test(MHT)were evaluated.The observation group received SFBT intervention 6 times,the control group received no special intervention.The scores of the three groups were compared.Results Before the intervention,the RSES scores of the observation group and the control group were(26.68±3.12)and(27.58±3.72),significantly lower than(31.25±6.73)of the healthy group(F=13.63,P<0.05);the SCCS score was(109.89±21.85)and(108.60±20.46),significantly higher than(78.21±15.71)of the healthy group(F=12.69,P<0.05);The ETI-CA scores was(28.10±8.12)and(27.98±7.89),significantly higher than(12.02±2.13)of the healthy group(F=13.62,P<0.05);The MHT scores was(25.20±6.81)and(25.03±6.64),significantly higher than(17.55±4.69)of the healthy group(F=11.90,P<0.05).After intervention,the RSES score of the observation group was(31.31±4.65),significantly higher than(28.04±4.11)of the control group(P<0.05);The ETI-CA,SCCS and MHT scores of the observation group were respectively(14.95±2.03)(96.66±17.02)and(18.55±5.17),significantly lower than(26.57±7.34)(111.29±21.71)and(25.81±7.12)of the control group(P<0.05).Conclusion SFBT intervention can reduce PTSD level in adolescents with family PTSD,improve self-esteem,self-harmony and mental health.