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【目的】通过对102例心理门诊来访的学龄儿童心理治疗情况分析,寻找所存在的问题,提出干预措施。【方法】2005年3月~2008年3月来心理门诊进行心理治疗,资料较全的102例学龄儿童,在治疗结束或治疗脱落后半年进行电话随访,评估治疗效果,就治疗目标症状、家庭情况、治疗情况、治疗脱落原因等进行分析。【结果】家长求助的目标症状中学习问题占52.0%、核心家庭占52%、由母亲陪伴来访的占53.9%、治疗次数≤5次的有68.6%、治疗时间≤2个月占64.7%、家长合作性差的占31.4%、较好的占27.4%、家长感觉治疗无效的22.5%、有效的47.9%;治疗结束21例、治疗脱落81例,脱落原因中自认好转不需要来的23.5%、认为无效果占13.4%、其他以各种理由推托。目标症状与治疗效果和家长的合作性无关(P>0.05)。治疗效果与家长合作性差异有显著性(P<0.01)。【结论】在提高家长对心理治疗和技术认知水平的同时,要加大对儿童心理治疗师的专职培训,以适应社会要求。
【Objective】 Through the analysis of psychological treatment of 102 school-age children visiting psychology clinic, the author found out the existing problems and put forward the intervention measures. 【Methods】 From March 2005 to March 2008, 102 school-age children who were psychologically treated and had complete data were followed up by telephone at the end of treatment or six months after the treatment was lost to evaluate the therapeutic effect. Situation, treatment, treatment shedding reasons for analysis. 【Results】 Among the target symptoms that parental help, 52.0% were learning problems, 52% were nuclear families, 53.9% were accompanied by mothers, 68.6% were treated less than 5 times, 64.7% were treated less than 2 months, Parents poor cooperation accounted for 31.4%, preferably 27.4%, parents feel that treatment is invalid 22.5%, effective 47.9%; treatment ended in 21 cases, 81 cases of treatment fall off, consider the reasons for the loss do not need to 23.5% , Think that no effect accounted for 13.4%, others dodge for various reasons. The target symptom has nothing to do with the curative effect and parental cooperation (P> 0.05). There was significant difference in the therapeutic effect and parental cooperation (P <0.01). 【Conclusions】 While improving the parents’ cognition of psychological treatment and technology, it is necessary to increase the full-time training of children psychotherapists to meet the social requirements.