| 引用本文： |
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张淼苗,张引,胡敏,等.自助式正念减压疗法改善女性更年期综合征负性情绪的随机对照研究[J].同济大学学报（医学版）,2022,43(2):254-261. [点击复制]
- ZHANG Miaomiao,ZHANG Yin,HU Min,et al.Self-help mindfulness-based stress reduction therapy improves negative emotion of female menopausal syndrome[J].同济大学学报（医学版）,2022,43(2):254-261. [点击复制]
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| 摘要: |
| 目的探究自助式正念减压（self-help mindfulness based stress reduction, Self-MBSR）疗法改善女性更年期综合征负性情绪的作用。方法将2020年6月—2021年5月参加上海市静安区天目西路街道社区卫生服务中心健康教育讲座的92例女性（年龄40~60岁）纳入研究，随机分为训练组和对照组，每组各46例。训练组采取4周自助式MBSR疗法，对照组不采取任何干预。分别采用改良Kupperman评分(Kupperman Index, KI)、五因素正念量表（Five Facet Mindfulness Questionnaire, FFMQ）、抑郁自评量表（Self-Rating Depression Scale, SDS）和焦虑自评量表（Self-Rating Anxiety Scale, SAS）统计干预前及干预4周后的得分情况。结果训练组完成率为91.30%；对照组完成率为97.83%。干预后训练组在潮热及出汗、感觉障碍、失眠、易激动、疲乏、心悸6个项目得分及总得分低于干预前评分（P<0.05），并低于对照组干预后评分（P<0.05）；干预后训练组在观察、非评判维度得分及总得分高于干预前评分（P<0.05），并高于对照组干预后评分（P<0.05）；干预后训练组的SDS、SAS评分低于干预前评分（P<0.05），并低于对照组干预后评分（P<0.05）。对照组干预前后各量表评分无统计学差异（P>0.05）。结论自助式MBSR有助于改善女性更年期症状、提高正念度、改善负性情绪。 |
| 关键词: 自助式正念减压疗法 更年期综合征 负性情绪 |
| DOI：10.12289/j.issn.1008-0392.21352 |
| 投稿时间：2021-08-09 |
| 基金项目:上海市静安区卫生健康委员会医学科研课题（2020SQ03） |
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| Self-help mindfulness-based stress reduction therapy improves negative emotion of female menopausal syndrome |
| ZHANG Miaomiao,ZHANG Yin,HU Min,HUANG Dongjuan,ZHOU Jianhong |
| (West Tianmu Community Health Service Center of Jingan District, Shanghai 200070, China;Department of Obstetrics and Gynecology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai 200072, China) |
| Abstract: |
| ObjectiveTo evaluate the efficacy of self-help mindfulness-based stress reduction(Self-MBSR) therapy for negative emotion of female menopausal syndrome. MethodsNinety-two women aged 40-60 with menopausal syndrome who attended the health education lecture from June 2020 to May 2021 were enrolled in the study. They were randomly divided into training group and control group, with 46 cases in each group. The training group was trained with self-MBSR, and the control group was not trained. The Modified Kupperman Index(KI), Five Facet Mindfulness Questionnaire（FFMQ）, Self-Rating Depression Scale（SDS）and Self-Rating Anxiety Scale（SAS）were assessed before and 4 weeks after intervention in two groups. ResultsForty-two(91.30%) and 45(97.83%) subjects completed the study in training group and in the control group, respectively. After 4 weeks of intervention, the total KI scores and scores of hot flashes and sweating, sensory disturbance, insomnia, irritability, fatigue and palpitation in the training group were lower than those before intervention(P<0.05), and also were lower than those in the control group(P<0.05). The total FFMQ scores and scores of observations, nonjudgment dimension in the training group were increased compared to those before intervention(P<0.05), and the scores were higher than those of the control group(P<0.05). After intervention, SDS and SAS scores of the training group were lower than those before intervention(P<0.05), and also lower than those of the control group(P<0.05). There were no significant differences in the scores of each scale in the control group before and after the intervention(P>0.05). ConclusionThe self-help mindfulness-based stress reduction therapy is conducive to improve menopausal symptoms, mindfulness and negative emotion of female with menopausal syndrome. |
| Key words: self-help mindfulness based stress reduction therapy climacteric syndrome negative emotion |
