中国科学院心理研究所机构知识库

目的 探讨突发群体性暴力事件无辜受伤者的心理应激反应、心理健康状况及心理干预效果. 方法 将突发群体性暴力事件无辜受伤者36例住院患者设为研究组,32例在门诊治疗的患者设为对照组.研究组在受伤后1周内有针对性地进行个体及团体心理干预与辅导,每名伤者平均6次,每次时间≥30 min;对照组未进行心理干预.采用事件冲击量表、睡眠量表及90项症状清单对两组患者进行测评分析. 结果 突发群体性暴力事件中无辜受伤者事件冲击量表总分、各因子分及睡眠量表总分均显著高于正常范围;90项症状清单总分、总均分、阳性项目数及各因子分均显著高于中国常模（P＜0.01）.研究组事件冲击量表总分、各因子分及睡眠量表总分均显著低于对照组（P＜0.01）;90项症状清单总分、总均分及各因子分均显著低于对照组（P＜0.05或0.01）. 结论 突发群体性暴力事件无辜受伤者普遍存在严重的心理应激反应及心理问题,及时地有针对性地进行心理干预与辅导,能有效地减轻心理应激反应,减少心理问题的发生.

Objective To explore the psychological stress reactions, mental health status and effectiveness of mental intervention in innocent wounded persons in sudden group violent events. Methods Thirty-six hospitalized innocent wounded persons in sudden group violent events were assigned to research group and 32 outpatient ones to control group. Individual and group mental interventions were purposely given to the wounded of the research wihtin 1 week after injure, 6 times per week, 30 minutes and more per time; psychotherapy wasn＇t given to the control group. Assessments were conducted with the Impact of Event Scale （IES）, Sleep Scale （SS） and Symptom Checklist-90 （SCL-90） in the 2 groups. Results The total and each factor score of the LES and the total score of the SS of both groups were all significantly higher than normal limits; the SCL-90 total and total average score, positive items and each factor score of both groups were significantly higher than those of the Chinese norm （P〈0.01）. The total and each factor score of the LES and the total score of the SS （P〈0.01） and the total, total average and each factor score of the SCL- 90 （P〈0.05 or 0.01）in the research were significantly lower than in the control group. Conclusion Innocent wounded persons in sudden group violent events generally have serious psychological stress reactions and psychoproblems, timely and purposeful mental intervention and counselling can effectively lessen psychological stress reactions and reduce the developments of psychoproblems.

国家社科基金2009军事学项目（编号09GJ192-027）