健康与遗传心理学研究室知识库

目的探讨短程正念练习对孕妇焦虑抑郁情绪的影响。方法选取2016年北京妇产医院门诊自愿参与团体辅导的115例孕晚期待产孕妇,根据就诊日期整群分配到正念练习组(38例)、理性情绪疗法(RET)组(40例)及对照组(37例),采用一般资料调查表、医院焦虑抑郁量表(HAD)对干预前后、自我练习7 d及产后2~7 d进行四点评估。结果焦虑、抑郁情绪在干预组中均呈下降趋势,与对照组的比较差异具有统计学意义(P<0.01)。其中,正念练习组与对照组焦虑得分比较:β11=1.05,P<0.001;与对照组抑郁得分比较:β11=0.75,P<0.01。结论与经典的理性情绪疗法相比较,短程团体正念练习同样可以降低孕晚期孕妇的焦虑、抑郁情绪,对降低产后抑郁的发生具有一定影响作用。 

Objective To explore the effects of mindfulness training on anxiety and depression of pregnant women.
Methods One hundred and fifteen late- stage pregnant voluntary women were included in guidance groups from antenatal clinic of Beijing Obstetrics and Gynecology Hospital in 2016 and were divided into mindfulness training group （38），Rational-Emotive Therapy（RET）group（40）and control group（37）according to their clinic dates by cluster distribution. The intervention effects were evaluated by self-made general information questionnaire and the Hospital Anxiety and Depression Scale（HAD）among four periods：before intervention，after intervention，after 7 days of selfexercise and 2- 7 days after delivery. Results Anxiety and depression in the two intervention groups showed a tendency of falling，and compared with the control group，the difference was of statistical significance（P<0.01）. The results of comparison in anxiety between the mindfulness training group and control group was β11=1.05（P<0.001），and β11=0.75（P<0.01）in depression.Conclusion Compared with the RET therapy，mindfulness training is proved to be effective to relieve the anxiety and depression emotions of late-stage pregnant women.That means mindfulness training has a certain influence on reducing the occurrence of postpartum depression.