中国健康心理学杂志2024，Vol.32Issue(4)：514-519,6.DOI:10.13342/j.cnki.cjhp.2024.04.007
正念分娩疗法对孕期抑郁障碍情绪、睡眠及产时疼痛的影响
Impact of mindfulness-based childbirth therapy on mood,sleep and labor pain in pregnancy depression disorder
摘要
Abstract
Objective:To explore the effectiveness of mindfulness-based childbirth therapy on the mood,sleep,and labor pain of patients with pregnancy depression disorder.Methods:A total of 140 women who gave birth between January 2022 to January 2023 were diagnosed with depression according to the diagnostic criteria of depressive disor-der in Diagnostic and Statistical Manual of Mental Disorders 5th edition(DSM-5).The samples were randomly di-vided into an experimental group(mindfulness-based childbirth therapy group)and a control group(conventional psychological intervention group),with 70 women in each group.The women of two groups received psychological intervention once a week for 45-60 minutes lasting 8 weeks.The participants'depression and anxiety symptoms,sleep quality,and labor pain levels in all the stages of labor were assessed by the doctors using the Hamilton Depres-sion Rating Scale(HAMD-17),the Hamilton Anxiety Rating Scale(HAMA),the Pittsburgh Sleep Quality Index(PSQI),and the Visual Analog Scale(VAS)before and after the intervention.Results:A total of 62 participants com-pleted the intervention in the experimental group,and 64 participants completed it in the control group.After the in-tervention,both HAMD-17 and HAMA scores were lower in the intervention group than the control group,differ-ence between the two groups had statistical significance(t=3.306,2.973;P＜0.05).Additionally,thetotal scores of sleep quality,sleep latency,sleep duration,sleep efficiency,daytime disturbances and PSQI in the intervention group were lower than the control group,the difference was statistical significance(P＜0.05).In terms of labor pain,the VAS scores for the first and second stages of labor were lower in the intervention group than that in the control group,with significant difference between the two groups(t=2.075,2.041;P＜0.05).Conclusion:Mindfulness-based childbirth therapy can relieve depression and anxiety symptoms for pregnant women with depression during pregnancy,as well as enhancing sleep quality,and alleviate labor pain.关键词
正念分娩/孕妇/抑郁/焦虑/睡眠/疼痛Key words
Mindfulness-based childbirth/Pregnant women/Depression/Anxiety/Sleep/Pain分类
医药卫生引用本文复制引用
霍耀芳,胡雪英,于丽燕,狄亚琴,王策,李媛媛,严保平..正念分娩疗法对孕期抑郁障碍情绪、睡眠及产时疼痛的影响[J].中国健康心理学杂志,2024,32(4):514-519,6.基金项目
河北省卫健委医学科学研究课题(编号:20240794) （编号:20240794）
