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一种新的心理干预方法:“512 心理干预模式”,用于中国汶川地震中的军事救援人员。

A new psychological intervention: "512 Psychological Intervention Model" used for military rescuers in Wenchuan Earthquake in China.

机构信息

Department of Psychology, School of Aerospace Medicine, Fourth Military Medical University, 169 West Changle Road, Xi'an, 710032, People's Republic of China.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2012 Jul;47(7):1111-9. doi: 10.1007/s00127-011-0416-2. Epub 2011 Jul 26.

Abstract

OBJECTIVE

We sought to compare the efficacy of the "512 Psychological Intervention Model" (that is, "512 PIM", a new psychological intervention) with debriefing on symptoms of post-traumatic stress disorder (PTSD), anxiety and depression of Chinese military rescuers in relation to a control group that had no intervention.

METHOD

We conducted a randomized controlled trial with 2,368 military rescuers 1 month after this event and then at follow-up 1, 2 and 4 months later to evaluate changes in symptoms of PTSD, anxiety and depression based on DSM-IV criteria, respectively.

RESULTS

Baseline analysis suggested no significant differences between the study groups. Severity of PTSD, anxiety and depression decreased over time in all three groups, with significant differences between the groups in symptoms of PTSD (P < 0.01). Compared with the debriefing and control group, significant lower scores of PTSD and positive efficacy in improving symptoms of re-experiencing, avoidance and hyperarousal were found in the "512 PIM" group.

CONCLUSION

"512 PIM" was an effective psychological intervention for military rescuers in reducing symptoms of PTSD, anxiety and depression after a crisis.

摘要

目的

我们旨在比较“512 心理干预模式”(即新的心理干预“512PIM”)与创伤后应激障碍(PTSD)、焦虑和抑郁症状的汇报对中国军事救援人员的疗效,与未进行干预的对照组进行比较。

方法

我们在事件发生后 1 个月对 2368 名军事救援人员进行了一项随机对照试验,然后在 1、2 和 4 个月后进行随访,分别根据 DSM-IV 标准评估 PTSD、焦虑和抑郁症状的变化。

结果

基线分析表明研究组之间无显著差异。三组 PTSD、焦虑和抑郁的严重程度随时间逐渐降低,且 PTSD 症状组间存在显著差异(P<0.01)。与汇报和对照组相比,“512PIM”组在再体验、回避和过度警觉症状的改善方面表现出更低的 PTSD 评分和更高的正疗效。

结论

“512PIM”是一种有效的针对危机后军事救援人员 PTSD、焦虑和抑郁症状的心理干预措施。

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