丧亲创伤后应激障碍患者眼动脱敏和再加工治疗与认知行为治疗的对照研究

被引：7

作者：

陈玲 ^{[1
]}

张桂青 ^{[2
]}

胡敏 ^{[2
]}

时若欢 ^{[2
]}

机构：

[1] 石河子大学医学院

[2] 石河子大学医学院第一附属医院

来源：

中国全科医学 | 2015年 / 18卷 / 16期

关键词：

丧亲; 应激障碍,创伤后; 眼动脱敏和再加工治疗; 认知行为治疗;

D O I：

暂无

中图分类号：

R749.5 [反应性精神障碍];

学科分类号：

100205 ;

摘要：

目的探讨眼动脱敏和再加工治疗(EMDR)与认知行为治疗(CBT)对丧亲所致创伤后应激障碍(PTSD)疗效的优劣性。方法将2013年1—12月在石河子大学医学院第一附属医院诊断为PTSD的丧亲者随机分为EMDR组与CBT组,分别于治疗前后评价两组患者PTSD症状及焦虑、抑郁情况。结果共纳入34例患者,两组各17例。治疗前两组创伤后应激障碍量表平民版(PCL-C)总分及3个症状群得分、汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)得分间差异均无统计学意义(P>0.05);而治疗后EMDR组PCL-C总分及再体验症状群、易激惹症状群得分和HAMA得分均低于CBT组,差异有统计学意义(P<0.05)。结论对于丧亲所致的PTSD患者,EMDR和CBT均是较为有效的心理治疗方法,EMDR在改善PTSD症状和焦虑情绪方面较CBT更为有效。

引用

页码：1957 / 1960

页数：4

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