正念减压训练对交通事故幸存者创伤后应激障碍的干预效果

刘强; 秦燕

doi:10.16016/j.1000-5404.202009241

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正念减压训练对交通事故幸存者创伤后应激障碍的干预效果

医学心理学 | 更新时间：2026-01-09

- 正念减压训练对交通事故幸存者创伤后应激障碍的干预效果
- Intervention effects of mindfulness-based stress reduction training on post-traumatic stress disorder in traffic accident survivors
- 第三军医大学学报 2021年43卷第7期页码：663-669
- 作者机构：
  
  1.400010 重庆，重庆医科大学附属第二医院神经内科
  2.401147 重庆，重庆市精神卫生中心金紫山院区早期干预一科
- 作者简介：
  
  [ 秦燕. E-mail: 358345381@qq.com QIN Yan. E-mail: 358345381@qq.com
- 基金信息：
  
  重庆市精神卫生中心院级课题(2018-yjkt-11)
- DOI：10.16016/j.1000-5404.202009241
  中图分类号： R642;R749.055;R749.5
- 收稿：2020-09-29，
  
  修回：2020-11-30，
  
  纸质出版：2021-04-15
- 稿件说明：
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刘强, 秦燕. 正念减压训练对交通事故幸存者创伤后应激障碍的干预效果[J]. 第三军医大学学报, 2021,43(7):663-669.

Qiang LIU, Yan QIN. Intervention effects of mindfulness-based stress reduction training on post-traumatic stress disorder in traffic accident survivors[J]. Journal of Third Military Medical University, 2021, 43(7): 663-669.
刘强, 秦燕. 正念减压训练对交通事故幸存者创伤后应激障碍的干预效果[J]. 第三军医大学学报, 2021,43(7):663-669. DOI： 10.16016/j.1000-5404.202009241.

Qiang LIU, Yan QIN. Intervention effects of mindfulness-based stress reduction training on post-traumatic stress disorder in traffic accident survivors[J]. Journal of Third Military Medical University, 2021, 43(7): 663-669. DOI： 10.16016/j.1000-5404.202009241.

摘要

目的

探讨正念减压训练对交通事故幸存者创伤后应激障碍的影响。

方法

采用便利抽样法选取重庆市精神卫生中心2018年1月至2019年6月收治的交通事故所致创伤后应激障碍（post-traumatic stress disorder

PTSD）患者52例。采用随机数字表法将研究对象分为对照组和干预组各26例。干预组给予正念减压训练（mindfulness-based stress reduction

MBSR），对照组给予减压团体心理治疗，两组干预均连续进行3个周期，每周期为8周，每周1次，每次50 min。干预前和每周期干预后采用临床用创伤后应激障碍诊断量表（Clinician-Administered PTSD Scale

CAPS）和创伤后应激障碍自评量表（Post-Traumatic Stress Disorder Self-rating Scale

PTSD-SS）对两组患者进行测评。比较两组干预前后反复重现体验症状、回避症状、警觉性增高症状、主观评定、社会功能受损情况。

结果

干预前两组CAPS、PTSD-SS各维度得分及总分差异无统计学意义（

0.05）；干预1个周期后干预组CAPS回避症状维度、PTSD-SS主观评定和社会功能受损维度及总分低于对照组，差异有统计学意义（

0.05），干预2、3个周期后，干预组CAPS、PTSD-SS各维度得分及总分均低于对照组，差异有统计学意义（

0.05）；与干预前相比，干预组干预后第1、2、3个周期CAPS、PTSD-SS各维度得分及总分均逐渐降低，差异有统计学意义（

0.05）。

结论

MBSR较减压团体心理治疗在改善PTSD患者症状方面更加迅速，且随干预时间增加疗效更显著。

Abstract

Objective

To investigate the effect of mindfulness-based stress reduction (MBSR) training on post-traumatic stress disorder (PTSD) in survivors of traffic accidents.

Methods

A total of 52 PTSD patients caused by traffic accidents admitted to Chongqing Mental Health Center from January 2018 to June 2019 were subjected in this study with convenient sampling. Then they were randomly divided into control group and intervention group (

=26). The patients of the former group were given decompression group psychotherapy

and those of the latter received MBSR training. Both the interventions were carried out for 3 consecutive cycles

with each time for 50 min

once a week

and 8 weeks as a cycle. Clinician-Administered PTSD Scale (CAPS) and Post-Traumatic Stress Disorder Self-rating Scale (PTSD-SS) were us

ed to evaluate the 2 groups of patients before intervention and after each cycle of intervention. Repeated reproduction of accident scene

avoidance symptoms

increased alertness symptoms

subjective assessment

and impairment of social function were compared before and after intervention and between the 2 groups.

Results

Before the intervention

there were no statistical differences in the score of every item and total scores of CAPS and PTSD-SS between the 2 groups (

0.05). After the first cycle of intervention

the score of avoidance symptom dimensions of CAPS and those of subjective assessment and social impairment dimensions of PTSD-SS and total scores of the 2 scales were significantly lower in the intervention group than the control group (

0.05). After 2 and 3 cycles of intervention

similar trends were seen in the score of every dimension and total scores of CAPS and PTSD-SS (

0.05). Compared with the scores before the intervention

the score of each dimension and total scores of CAPS and PTSD-SS were in a gradually decreasing trend in the first

second and third cycles after the intervention in the intervention group (

0.05).

Conclusion

MBSR shows rapider effectiveness in improving the symptoms of PTSD patients than decompression group psychotherapy

with the efficacy stronger with the elapse of intervention time.

关键词

Keywords

references

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