国际妇产科学杂志2025，Vol.52Issue(2)：137-142,6.DOI:10.12280/gjfckx.20241059
自助式正念减压疗法改善高龄孕妇负性情绪的随机对照研究
A Randomized Control Trial of Self-Help Mindfulness Based Stress Reduction to Improve Negative Emotion of Advanced Maternal Age
摘要
Abstract
Objective:To explore the effect of self-help mindfulness based stress reduction(Self-MBSR)on improving negative emotion of advanced maternal age.Methods:A total of 136 pregnant women(age ≥35 years)registered in the early pregnancy clinics of 15 community health service centers in Jing'an District,Shanghai from September 2023 to June 2024 were included in the study and randomly divided into a training group and a control group with 68 cases in each group.The training group was trained with Self-MBSR,and the control group was not trained.After 21 days of training(first stage)and 16 weeks of training(second stage),Patient Health Questionnaire-9 items(PHQ-9),Generalized Anxiety Disorder-7(GAD-7),Pregnancy Pressure Scale(PPS),and Five Facet Mindfulness Questionnaire(FFMQ)were used to count the scores before intervention(T0),after the first stage of intervention(T1),and after the second stage of consolidation(T2).Results:The completion rate in training group was 76.47％,and the completion rate in control group was 79.41％.Scores of PHQ-9,GAD-7 and PPS in the training group were significantly lower than those in the control group at T1 and T2(both P＜0.05).Scores at T1 and T2 in the training group were significantly lower than baseline(both P＜0.01).Scores of PHQ-9 at T2 were significantly lower than those at T1 in the training group(P＜0.05).There were no significant differences in GAD-7 and PPS scores at T1 and T2 in the training group(both P＞0.05).Scores of FFMQ in observing,describing,acting with awareness,nonreactivity and total scores in the training group were significantly higher than those in the control group at T1 and T2(all P＜0.05).Scores of FFMQ in observing,describing,acting with awareness,nonjudging and total scores at T1 and T2 in the training group were significantly higher than baseline(all P＜0.05).Conclusions:Self-MBSR therapy is conducive to improve negative emotion of advanced maternal age,reduce pregnancy stress and enhance their mindfulness.关键词
正念/孕妇/情绪调节/表现焦虑量表/随机对照试验/自助式正念减压疗法Key words
Mindfulness/Pregnant women/Emotional regulation/Manifest anxiety scale/Randomized controlled trial/Self-help mindfulness based stress reduction引用本文复制引用
张淼苗,王健,杨亮,陈珏,范霞,周健红..自助式正念减压疗法改善高龄孕妇负性情绪的随机对照研究[J].国际妇产科学杂志,2025,52(2):137-142,6.基金项目
上海市静安区医学科研课题(2023GW04) （2023GW04）
