摘要
目的调查2014年湖南爆炸事件幸存者的心理应激反应和评估心理危机干预的效果。方法采用事件影响量表(Impact of Event Scale-Revised,IES-R)修订版分别在灾难后1周、2周及3周对72名幸存者进行测量,对第一周IES-R总分≥35分组(研究组)给予综合性心理干预(团体辅导加个别治疗),对IES-R总分<35分组(对照组)仅给予团体辅导。随访3个月。结果第一周的IES-R筛查阳性率为31.9%,研究组和对照组的IES-R总分逐周显著下降(P<0.01),研究组的闯入、回避及高警觉3个因子分均分也逐周显著下降(P<0.01),且第二周下降较少,第三周下降较多。随访3个月,无1例发生精神障碍。结论及时、适当的心理危机干预可有效缓解幸存者的心理应激反应,避免发生精神障碍。
Objective To investigate the responses of the survivors to the bombing in Hunan province in2014,and to assess the efficacy of psychological crisis intervention for them.Methods A total of 72 survivor were assessed with the Impact of Event Scale-Revised（IES-R）on the first,second and third week after the bombing.The first week total scores of IES-R≥35 group（study group）was intervened with comprehensive psychological intervention（group counseling plus individual intervention）,while the IES-R35 group（control group）was intervened with group counseling only.The mental health of the survivors were follow up for 3 months.Results The IES-R positive rate at first week was 31.9%.The total scores of IES-R in two groups and the 3 mean factor scores in the study group were significantly decreased week by week（P〈0.01）,and the decrease range of IES-R scores in week 2 was less than in week 3.No one was diagnosed with mental disorders during 3 months of follow-up.Conclusion Timely and appropriate psychological crisis intervention could released the responses of posttraumatic stress among the survivors,and avoided the occurrence of mental disorders in three months.
出处
《华南国防医学杂志》
CAS
2015年第10期774-777,共4页
Military Medical Journal of South China
关键词
灾难事件
幸存者
心理评估
心理危机干预
Disaster
Survivor
Psychological assessment
Psychological crisis intervention
