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1. 重庆医科大学附属儿童医院康复中心
2. 重庆市第五人民医院儿科
纸质出版日期:2017,
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余文玉, 肖农, 刘润宁, 等. 沙盘游戏疗法对癫痫患儿心理障碍的干预效果研究[J]. 重庆医科大学学报, 2017,42(10):1258-1261.
Yu Wenyu, Xiao Nong, Liu Running, et al. Effect of sand-play therapy on psychological obstacle of epileptic children:a randomized controlled study[J]. Journal of Chongqing Medical University, 2017,42(10):1258-1261.
余文玉, 肖农, 刘润宁, 等. 沙盘游戏疗法对癫痫患儿心理障碍的干预效果研究[J]. 重庆医科大学学报, 2017,42(10):1258-1261. DOI: 10.13406/j.cnki.cyxb.001149.
Yu Wenyu, Xiao Nong, Liu Running, et al. Effect of sand-play therapy on psychological obstacle of epileptic children:a randomized controlled study[J]. Journal of Chongqing Medical University, 2017,42(10):1258-1261. DOI: 10.13406/j.cnki.cyxb.001149.
目的:探讨沙盘游戏对癫痫患儿心理问题的治疗作用。方法:采用随机对照研究方法
随机纳入在重庆医科大学附属儿童医院神经内科门诊确诊为癫痫的40例患儿
排除无严重躯体疾病及精神病史。40例癫痫患儿随机分为实验组(20例)与对照组(20例)。实验组在药物治疗的同时进行20周沙盘游戏心理治疗
对照组仅进行药物治疗。采用SCL-90症状自评量表为测评工具
对治疗前后的癫痫组患儿进行评估。结果:(1)癫痫组躯体化[(1.97±0.59)分]、强迫[(2.85±0.55)分]、人际关系[(3.12±0.74)分]、抑郁[(3.22±0.85)分]、焦虑[(3.15±0.66)分]、敌对[(3.93±0.94)分]、恐怖[(2.34±0.72)分]、偏执[(3.15±0.81)分]、精神病性[(2.93±0.78)分]指数得分明显高于国内常模
差异具有统计学意义(P<0.05)。(2)治疗后实验组躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性指数得分均较对照组有明显降低(P<0.05)。(3)治疗后实验组躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性指数得分均较治疗前有明显降低(P<0.05)。结论:癫痫患儿有心理障碍。沙盘游戏心理治疗能够有效缓解癫痫患儿的心理行为问题。
Objective:To study the effect of sand-play therapy on psychological obstacle of epileptic children. Methods:Forty epileptic children without severe somatic and mental disease who visited neurology clinic of the Children’s Hospital of Chongqing Medical University were included. These children were randomly and averagely separated into experimental group and control group. Besides
forty health children were also included as normal control group. The experimental group received sand-play therapy while receiving drug treatment for 20 weeks. The control group had drug treatment only. The normal control group had no treatment. Symptom Checklist90(SCL-90)was conducted before and after treatment for epileptic children and for normal children. Results:(1)Compared with normal control group
the epileptic children had higher score of somatization(1.97±0.59)
obsessive-compulsive(2.85±0.55)
interpersonal sensitivity(3.12 ±0.74)
depression(3.22 ±0.85)
anxiety(3.15 ±0.66)
hostility(3.93 ±0.94)
phobia(2.34 ±0.72)
paranoid(3.15±0.81)
ideation(2.93±0.78)
psychoticism before treatment(P<0.05).(2)For children of experimental group
the scores of the factors mentioned above were all lower than that of control group after treatment(P<0.05).(3)For children of experimental group
the scores of the factors mentioned above were all lower after treatment(P<0.05). Conclusion:Psychological obstacle exists in children with epilepsy. Sand-play therapy is an effective treatment to improve epileptic children’s psychological state.
沙盘游戏癫痫患儿心理障碍
sand-play therapyepileptic childrenpsychological obstacle
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