摘要
目的研究创伤聚焦单元（TF．CBT）干预听力障碍、智力障碍儿童心理应激障碍（PTSD）的疗效。方法选取符合纳入标准的听力障碍、智力障碍儿童资料104例，按随机数字表法分为苏南听障组28例、苏南智障组26例、苏北听障组24例、苏北智障组26例，分别给予TF-CBT干预，并于干预1个月和干预3个月后评估各组儿童干预疗效并进行比较。结果各组儿童TF-CBT干预1个月或干预3个月后显效率均超过60％，其中听障组内苏北儿童干预3个月后的显效率较苏南儿童明显增加（P〈0.05），智障组内苏南儿童干预3个月后显效率较干预1个月后者亦明显增加（P〈0.05）。结论TF—CBT干预听力障碍和智力障碍儿童PTSD有效．听障儿童中苏北儿童干预3个月后较苏南儿童疗效更好．苏南智障儿童则干预3个月较干预1个月疗效更优。
Objective To study the efficacy of trauma-focused cognitive behavioral treatment （TF-CBT） in treating post-traumatic stress disorder （PTSD） among hearing-impaired or mentally-disabled children. Methods One hundred and four children with PTSD who were either hearing-impaired or mentally disabled were randomly divid- ed into a hearing-impaired Sunan group （n = 28） and a hearing-impaired Subei group （n = 24）. The mentally-disabled children were similarly divided into Sunan （ n = 26） and Subei （ n = 26） groups. All of the groups were given TF- CBT, and the effects were compared after one and three months of intervention. Results After one and three months the effectiveness rate was over 60% for all four groups. After 3 months the efficacy in the hearing-impaired Su- bei group was significantly better than in the Sunan group. In the mentally-disabled Sunan group the treatment was more effective after 3 months than after one month. Conclusion Trauma-focused cognitive behavioral treatment is effective for hearing-impaired and mentally disabled children with post-traumatic stress disorder. For hearing-impaired children, the effect of Sunan is significantly better that of Subei. Mentally disabled children improve gradually for at least 3 months.
作者
何胜晓
He Shengxiao(College of Rehabilitation Sciences,Nanjing Normal University of Special Education,Nanjing 210038,China)
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2018年第10期750-753,共4页
Chinese Journal of Physical Medicine and Rehabilitation
基金
江苏高校哲学社会科学研究基金项目（2017SJB0640）
关键词
听力残疾
智力残疾
创伤后
儿童
心理应激障碍
Hearing loss
Mental disability
Post-traumatic stress
Cognitive therapy
