理性情绪行为疗法在新生儿中枢神经系统缺氧患儿母亲中的应用效果分析

I. Mamaychuk, Y. Milanich
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摘要

住院新生儿的父母往往会经历更严重的心理困扰。与此相关的是对母亲的具体非理性信念的影响,目的是提高对生活状况的适应。有必要研究认知行为干预方法在治疗这类病人方面的可能性。本研究的目的是研究中枢神经系统(CNS)缺氧新生儿母亲在理性情绪行为疗法(REBT)的基础上开发的程序过程中窘迫指标的动态。本研究包括98名新生儿缺氧影响中枢神经系统的母亲。基于半结构化访谈的结果,80位母亲被确定为对生活状况的功能失调型反应。干预组(N=50)接受8次REBT治疗,为期3周。心理治疗的主要目标是非理性信念,这是负面情绪的基础,也是应对住院和面对新生儿状况和发育预后信息所引起的压力的非建设性方式。对照组30例接受1次会诊。干预组在治疗前后使用综合焦虑测试和Zung抑郁自评量表,对照组每隔三周使用一次。干预组抑郁、情境焦虑、情绪不适、焦虑恐惧症等指标均有所下降。对照组情境焦虑指标和焦虑衰弱成分均有所下降。与对照组相比,干预组的母亲表现出更显著的积极变化。在REBT的基础上制定的方案在减少新生儿缺氧影响中枢神经系统的母亲的痛苦有中等疗效。
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Analysis of the results of application of the rational-emotive behaviour therapy for mothers of newborns with hypoxic affection of the central nervous system
Parents of hospitalized newborns tend to experience more severe psychological distress. Rel- evant to this is the impact on the specific irrational beliefs of mothers for the purpose of improving adaptation to the life situation. It is necessary to study the possibilities of cognitive- behavioral methods of intervention in working with this client category. The objective of this work is to study the dynamics of distress indicators in mothers of newborns with hypoxic affection of the central nervous system (CNS) in the process of the program developed on the basis of rational-emotive behaviour therapy (REBT). The study included 98 mothers of newborns with hypoxic affection of CNS. Based on the results of a semi-structured inter- view, 80 mothers were identified with a dysfunctional type of response to a life situation. The intervention group (N=50) received 8 REBT sessions for three weeks. The main target for psychotherapy was irrational beliefs, which underlie negative emotions and non-constructive ways coping with stress caused by hospitalization and facing information on the condition and developmental prognosis of a newborn. The control group (N=30) received one consul- tation session. To assess the dynamics of distress indicators, the Integrative Anxiety Test and Zung Self-Rating Depression Scale were used before and after the program in the intervention group and with an interval of three weeks in the control group. In the intervention group, the indicators of depression, situational anxiety, emotional discomfort and the phobic component of anxiety decreased. In the control group, the indicators of situational anxiety and asthenic component of anxiety decreased. In comparison with the control group, the mothers in the intervention group showed more significant positive changes. The programs developed on the basis of REBT have moderate efficacy in reduction of the distress in mothers of newborns with hypoxic affection of CNS.
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