摘要
目的探讨森田疗法与阅读疗法结合对海员疗养期间心理异常的干预效果。方法选择2022年2-8月在武警武汉特勤疗养中心疗养的143例海员为治疗对象。根据海员的心理治疗意愿,将海员分为对照组(35例)、森田疗法组(37例)、阅读疗法组(34例)和结合组(37例)。对照组进行团体心理辅导等常规心理治疗,森田疗法组增加森田疗法治疗干预,阅读疗法组增加阅读疗法治疗干预,结合组采取常规疗法、森田疗法和阅读疗法结合的方法,治疗时间为1个月。比较治疗前后4组汉密尔顿焦虑症量表(HAMA)、汉密尔顿抑郁症量表(HAMD)和睡眠状况自评量表(SRSS),比较海员对心理治疗的满意程度。结果各组治疗后HAMA、HAMD、SRSS评分均低于治疗前,差异均有统计学意义(P<0.05)。治疗后,森田疗法组和阅读疗法组HAMA、HAMD、SRSS评分均低于对照组,结合组HAMA、HAMD、SRSS评分低于对照组、森田疗法组和阅读疗法组,差异均有统计学意义(P<0.05)。结合组海员对心理治疗的总体满意度高于对照组,差异均有统计学意义(P<0.05)。结论在海员疗养期间,采取森田疗法结合阅读疗法进行治疗干预,可以有效提高其心理异常的治疗效果。
Objective To investigate the intervention effect of Morita therapy combined with reading therapy on submarine seafarers’psychological abnormalities during their rehabilitation.Methods A total of 143 submarine officers and soldiers admitted to the Wuhan Special Service Recuperation Center of the Chinese People,s Armed Police Force from February to August 2022 were selected as treatment objects.According to the seafarers’willingness for psychotherapy,they were divided into control group,Morita therapy group,reading therapy group and combination group,with 35,37,34 and 37 cases respectively.The control group received conventional psychotherapy such as group psychological counseling,Morita therapy group received additional Morita therapy treatment intervention,reading therapy group received additional reading therapy treatment intervention,and the combination group adopted a combination of conventional therapy,Morita therapy and reading therapy,and the treatment time was one month.The Hamilton Anxiety Disorder Scale(HAMA),the Hamilton Depression Scale(HAMD)and the Sleep Self-Report Scale(SRSS)were compared among the four groups before and after treatment,and seafarers’satisfaction with psychotherapy was compared.Results The HAMA,HAMD and SRSS scores of all groups after treatment were lower than those before treatment,and the differences were statistically significant(P<0.05).After treatment,the HAMA,HAMD and SRSS scores in the Morita therapy group and reading therapy group were lower than those in the control group,the HAMA,HAMD and SRSS scores in the combined group were lower than those in the other three groups,and the differences were statistically significant(P<0.05).The overall satisfaction of seafarers with psychotherapy in the combined group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions During the recuperation of submarine seafarers,Morita therapy combined with reading therapy can effectively improve the treatment effect of psychological ab
作者
孟宪勇
冯小力
张禁
贾志龙
MENG Xianyong;FENG Xiaoli;ZHANG Jin;JIA Zhilong(Department of Training Injury Prevention and Treatment,Wuhan Special convalescence Center of Chinese People’s Armed Police Force,Wuhan 430092,China;Health Convalescent Department of District,Wuhan Special convalescence Center of Chinese People’s Armed Police Force,Wuhan 430092,China;Department of Medicine and Research,Characteristics Medical Center of Chinese People’s Armed Police Force,Tianjin 300162,China)
出处
《武警医学》
CAS
2023年第9期790-793,共4页
Medical Journal of the Chinese People's Armed Police Force
关键词
森田疗法
阅读疗法
潜艇海员
心理焦虑
心理抑郁
睡眠质量
Morita therapy
reading therapy
seafarers
psychological anxiety
psychological depression
sleep quality