正念训练对更年期妇女幸福感的随机对照研究  

Randomized controlled trial on effects of mindfulness training on the well-being of climacteric women

作　　者：钟赋真 郑睿敏 王淑霞 吴久玲 刘兴华[3] 

机构地区：[1]海淀妇幼保健院,北京100080 [2]中国疾控中心妇幼保健中心,北京100101 [3]首都师范大学心理研究所,北京100089

出　　处：《中国妇幼健康研究》2016年第2期188-190,216,共4页Chinese Journal of Woman and Child Health Research

基　　金：中国疾病预防控制中心青年科研基金资助项目(编号2013B106)

摘　　要：目的评价正念训练对于更年期妇女幸福感的影响效果，探索更年期妇女的心理保健模式。方法选取入组时间为2013年9月至2015年1月的76例将处于围绝经期的40～60岁妇女随机分为试验组（n=36）和对照组（n=37），试验组接受8周正念训练，对照组在此期间不接受该训练方法。采用总体幸福感量表（general well—being schedule,GWB），评价研究对象的更年期幸福感水平。结果两组研究对象的人口学特征、基线测评结果都均衡可比。干预后测评结果显示，实验组的总体幸福感量总分较基线测评值升高了5．7，前后差异有统计学意义（t=2．99，P=0．01），而对照组无统计学意义（P〉0．05）；在“抑郁严重指数≥0．50”者中，实验组的总体幸福感量总分较基线测评值升高了13．7，前后差异有统计学意义（t=3．85，P=0），对照组无统计学意义。结论正念训练能提高更年期妇女幸福感水平，对有更年期抑郁症状者效果更加显著。Objective To evaluate the effects of mindfulness training on the well-being of climacteric women and to explore psychological health care mode for climacteric women. Methods A total of 73 cases of perimenopansal women aged 40-60 years were randomly divided into experimental group （n = 36） and control group （n = 37）. The experimental group received eight-week mindfulness training, while the control group did not receive the training during this period. The general well-being schedule （GWB） was used to evaluate the climacteric well-being of research objects. Results The demographic characteristics and results of baseline assessment between two groups were equally comparable. After intervention, results showed that the general well-being scores of the experimental group increased by 5.7 compared with baseline assessment value, and the difference before and after the intervention was statistically significant （ t = 2. 99, P = 0.01 ）. However, the difference in the control group was not statistically significant （ P 〉 0.05 ）. Among climacteric women whose depression severity index ≥0.50, the general well-being scores of the experimental group increased by 13.7 compared with baseline assessment value. The difference was statistically significant （ t = 3.85, P = 0 ）. However, the difference in the control group was not statistically significant. Conclusion Mindfulness training can improve the well-being of climacteric women. The effect is more significant for patient with climacteric depression.

关 键 词：正念训练 更年期 总体幸福感 随机对照研究 

分 类 号：R173[医药卫生—妇幼卫生保健]