团体心理治疗对接受体外受精-胚胎移植者情绪的作用  

Effects of group psychotherapy on mood in patients undergoing in vitro fertilization and embryo transfer

作　　者：朱浩彬[1] 胡佩诚[1,2] 乔杰[2] 

机构地区：[1]北京大学医学部公教部医学心理教研室,北京100191 [2]北京大学第三医院妇产科,北京100191

出　　处：《中国心理卫生杂志》2010年第12期912-916,共5页Chinese Mental Health Journal

摘　　要：目的:初步探讨团体心理治疗对接受体外受精-胚胎移植(In Vitro Fertilization and Embryo Transfer,IVF-ET)治疗者情绪的作用。方法:从接受IVF-ET治疗的门诊患者(均为女性)中选取自愿参与本研究者100名,随机分为对照组和干预组,每组各50人。对照组(脱落3例)仅接受常规IVF-ET治疗,干预组(脱落8例)除接受常规IVF-ET治疗外同时参加总计6次,每周2次的团体心理干预。用焦虑状态-特质问卷(State-Trait Anxiety Inventory,STAI)及抑郁自评量表(Self-rating Depression Scale,SDS)比较两组患者干预前后焦虑、抑郁水平的差异。结果:干预组SAI、SDS的前后测得分差异均无统计学意义(均P>0.05);对照组SAI、SDS的后测得分均高于前测[(39.6±7.9)vs.(42.7±8.7),(43.8±10.1)vs.(49.0±10.4);P<0.05或0.01]。干预组SAI前后测差值低于对照组[(0.6±7.8)vs.(3.2±9.9),P<0.05],而SDS前后测差值在两组间差异无统计学意义(P>0.05)]。干预组与对照组的临床妊娠率差异无统计学意义(35.7%vs.29.8%,P>0.05)。结论:团体心理干预可以缓解接受体外受精-胚胎移植治疗患者的焦虑情绪,有临床应用价值。Objective： To evaluate the effects of the group psychotherapy to the mood in women undergoing in vitro fertilization and embryo transfer （IVF-ET） . Methods： Totally 100 women undergoing their IVF-ET treatment agreed and were divided into the routine-care control group （ n = 50 ） and the intervention group randorrdy （ n = 50 ） . The intervention group （ withdrawal 8 ） received group therapy which was performed about twice a week for 3 consecutive weeks { 6 sessions ）, while the control group （ withdrawal 3 ） did not receive any intervention. Both groups were assessed with the State-Trait Anxiety Inventory （ SAI ） and Self-Rating Depression Scale （SDS） before and after treatment. Results： The intervention group had not significant change in SAI and SDS scores after intervention （Ps〉0.05） .TheSAI [ （39.6±7.9） vs. （42.7±8.7）, P〈0.05] andSDS [ （43.8 ± 10. 1 ） vs. （49.0 ±10. 4） , P 〈0. 01 ] scores of the control group were significantly increased. Furthermore, the difference scores of SAI and SDS between post-test and pre-test in the two groups were compared. The difference scores of SAI were significantly higher in control group than in intervention group [ （ 3.2 ± 9. 9 ） vs. （0. 6 ±7. 8 ）, P 〈 0. 05 ] . But for the difference scores of SDS, no statistically significant differences were found between the two groups （ P 〉 0. 05 ） . Compared with the control group, although there was a trend of a higher pregnancy rate in the intervention group, no significant group differences were found （ 35.7% vs. 29. 8% , P 〉 0.05 ） . Conclusion： The group psychological intervention is probably useful in alleviating anxiety level of women undergoing in vitro fertilization and embryo transfer treatment.

关 键 词：团体治疗 体外受精-胚胎移植 应激 焦虑 抑郁 随机对照研究 

分 类 号：R321-33[医药卫生—人体解剖和组织胚胎学]