【摘要】：目的通過敘事治療對創(chuàng)傷暴露者的錯誤記憶進行干預并觀察其干預效果和相關(guān)影響因素。方法收集2015年10月至2016年10月市區(qū)經(jīng)歷交通事故后的創(chuàng)傷暴露者,經(jīng)隨機分組后,干預組記憶內(nèi)容變化者20例,對照組記憶內(nèi)容變化者15例,所有被試均接受一般資料調(diào)查、韋氏記憶量表中文修訂版(CWM-RC)、創(chuàng)傷后應激障礙量表平民版(PCL-C)及漢密爾頓抑郁、焦慮量表(HAMA,HAMD)。干預組由專業(yè)心理治療師行敘事治療干預。結(jié)果1.經(jīng)歷創(chuàng)傷事件后的親歷者記憶內(nèi)容發(fā)生改變,在經(jīng)過敘事治療干預后,記憶內(nèi)容減少者的記憶得到改善,有統(tǒng)計學意義(P0.05);2.經(jīng)干預后親歷者記憶水平有所改變,經(jīng)前后比較,圖片記憶(p0.05)、理解記憶(p0.05)、焦慮癥狀(p0.05)、抑郁癥狀(p0.05)及應激障礙癥狀(p0.05)均有統(tǒng)計學意義,而在視覺再認、視覺再生聯(lián)想記憶及背誦方面無統(tǒng)計學意義(p≥0.05)。3.在PTSD的危險因素分析中性別(p0.05)、記憶內(nèi)容改變(p0.05)有統(tǒng)計學意義,而在軀體傷害(p≥0.05)、文化水平(p≥0.05)、經(jīng)濟壓力(p≥0.05)及年齡方面(p≥0.05)無統(tǒng)計學意義。結(jié)論1.敘事治療能夠改善創(chuàng)傷后應激相關(guān)障礙患者的記憶內(nèi)容;2.對交通事故親歷者行敘事治療干預后其應激癥狀及抑郁、焦慮癥狀有所改善;
[Abstract]:Objective to investigate the effect of narrative therapy on the false memory of traumatic exposed patients and its related influencing factors. Methods from October 2015 to October 2016, 20 patients in the intervention group and 15 patients in the control group were randomly divided into intervention group and control group. All subjects were investigated with general data. Wechsler memory scale (CWM-RC), Post-traumatic stress Disorder (PCL-C) and Hamilton Depression scale (HAMA,HAMD). The intervention group was treated with narrative therapy by professional psychotherapists. Result 1. After experiencing traumatic events, the memory content of those who experienced traumatic events changed. After the intervention of narrative therapy, the memory of those with decreased memory content was improved, which had statistical significance (P0.05). 2. After intervention, the memory level of those who had experienced it changed. After comparison, picture memory (p0.05), understanding memory (p0.05), anxiety symptom (p0.05), depression symptom (p0.05) and stress disorder symptom (p0.05) had statistical significance. There was no significant difference in visual regenerative associative memory and recitation (p 鈮，

本文編號：2211959