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运用电影疗法对一名地震灾后创伤后应激障碍儿童的干预报告

A Case Report of Film Therapy for a Child with Post-Traumatic Stress Disorder Following an Earthquake Disaster

心理咨询理论与实践 / 2024,6(8)：477-486 / 2024-09-06 105 104

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• 作者： 刘莎¹      向润武¹      张磊¹      赵东荣¹      ²     
• 单位：

  1．甘肃中医药大学，兰州；
  2．甘肃省人民医院；兰州

• 关键词： 创伤后应激障碍；电影疗法；个案报道；儿童；地震
• PTSD; Film therapy; Case report; Child; Earthquake
• 摘要： 儿童是社会中最脆弱的群体之一，在灾难发生后，他们的心理健康往往会受到负面影响。及时采取有效的干预措施，减轻儿童的心理压力，对于保护他们的心理健康和促进他们的健康成长非常重要。本文是一例积石山地震引发创伤后应激障碍（PTSD）的案例报告。小芳（化名）是一名四年级学生，存在创伤性重现体验、回避、抑郁以及意志行为活动减退等问题。采用电影疗法为该儿童患者提供了专业的干预措施，精心挑选了六部电影进行了六次心理治疗。在治疗过程中，运用意外创伤者早期心理反应量表、汉密尔顿抑郁量表和汉密尔顿焦虑量表对儿童患者的心理状态进行综合评估，以监测疗效。治疗结束后，小芳在情绪反应、抑郁、焦虑以及睡眠质量等方面均展现出了显著的改善。电影疗法的应用在处理儿童心理创伤领域展现出了创新性和有效性，为心理康复提供了新的治疗途径。
• Children are one of the most vulnerable groups in society and their mental well-being can be negatively impacted in the aftermath of a disaster. Timely and effective interventions to reduce children’s psychological stress are important to protect their mental health and promote their healthy development. This is a case report of a case of post-traumatic stress disorder (PTSD) triggered by the earthquake of Jishi Mountain. Xiaofang (pseudonym) is a fourth grader with problems with traumatic reenactment experiences, avoidance, depression, and diminished volitional behavioral activity. We used film therapy to provide a professional intervention for our child patient Xiaofang, with six carefully selected films for six sessions of psychotherapy. During treatment, the psychological status of the child patient was comprehensively assessed using the Early Psychological Response Scale for the Accidentally Traumatized, the Hamilton Depression Rating Scale (HAMD), and the Hamilton Anxiety Rating Scale (HAMA) to monitor the efficacy of the treatment. At the end of treatment, Xiaofang demonstrated significant improvements in emotional reactions, depression, anxiety, and sleep quality. The application of the film demonstrates innovation and effectiveness in the field of dealing with childhood trauma and provides a new therapeutic avenue for psychological rehabilitation.
• DOI： https://doi.org/10.35534/tppc.0608058
• 引用： 刘莎，向润武，张磊，等．运用电影疗法对一名地震灾后创伤后应激障碍儿童的干预报告［J］．心理咨询理论与实践，2024，6（8）：477-486.