Caseª²control study of cognitive exposure therapy of acute stress disorder

    SU Heng£¬WANG Jiaª²Tong£¬TAN Qingª²Rong£¬ZHANG Fengª²Gang£¬YAN Qiª²Le£¬L¨¹ Jing

    1Department of Psychology£¬2Department of Psychiatry£¬Xijing Hospital£¬Fourth Military Medical University£¬Xi¬ðan 710033£¬China.

    ¡¾Abstract¡¿ AIM: To investigate the effect of the cognitive behavioral therapy in treating the acute stress disorder (ASD) and to compare the effect of treating the acute stress disorder with medication and with psychotherapy. METHODS: Sixtyª²three continuous patients with acute stress disorder were collected and divided into group A (psychotherapy) and group B (medication). The cognitive exposure therapy was used in treating group A. The curative effect was rated with SCLª²90, Beck Depression Inventory (BDI), Hamilton Depression Scale (HAMD), Stateª²Trait Anxiety Inventory (STAI) and Hamilton Anxiety Scale (HAMA). RESULTS: The scores of SCLª²90, BDI, HAMD, STAI and HAMA before treatment were significantly higher than the scores after treatment. The treating time of group B was significantly shorter than group A and the total scores of SCLª²90, somatization, obsessiveª²compulsive and anxiety in group B reduced more significantly than those of group A(P<0ª±01),while depression and phobicª²anxiety were better alleviated in group A than in group B(P<0ª±05).There was no significant difference in the scores of HAMA, HAMD and BDI between the two groups. CONCLUSION: Cognitive behavioral therapy is effective for ASD patients and has the same effect in many aspects, but medication may have more obvious shortª²term effect. ......