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目的对特大城市火灾中1例中年女性目击者心理危机干预的治疗。方法采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评估,并运用情感支持、肌肉渐进式放松疗法、认知领悟疗法、合理情绪疗法等技术对该目击者的急性应激反应进行分析和咨询治疗。结果心理测量结果提示(HAMD17)23、(HAMA)25,通过心理危机干预,帮助目击者从严重的心理痛苦中解脱出来。结论火灾目击者经历了现场悲惨境况,身心健康受到不同程度的心理损伤,加强社会支持、采用积极应对方式可取得很好的急性应激反应心理干预效果。
Objective To treat the psychological crisis intervention of a middle-aged woman witness in a megacity fire. Methods The Hamilton Depression Rating Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were used to evaluate the acute stress response of the witness using the techniques of emotional support, progressive muscle relaxation therapy, cognitive comprehension therapy and rational emotion therapy. Analysis and counseling treatment. Results HAMD17 23, (HAMA) 25, through the psychological crisis intervention, to help witnesses relieved from the severe psychological pain. Conclusion The fire witnesses experienced the tragic situation on the scene, the physical and mental health suffered psychological injury to varying degrees, to strengthen social support, the use of positive coping styles can be very good acute psychological stress response psychological intervention.