音乐治疗合并心理干预对高危孕妇孕期和产后焦虑抑郁情绪的影响  

Effect of music therapy combined with psychological intervention on the anxiety and depression mood in high-risk pregnant women during pregnancy and postpartum

作　　者：刘乐[1] 陈静[1] 蔡亦蕴[1,2] 钱洁艳 凌青 张玮 罗剑锋[4] 陈焱[3] 施慎逊[1,2] 

机构地区：[1]上海交通大学医学院附属精神卫生中心,200309 [2]复旦大学附属华山医院 [3]上海交大医学院附属国际和平妇幼保健院 [4]复旦大学公共卫生学院生物统计教研室

出　　处：《临床精神医学杂志》2017年第1期9-11,共3页Journal of Clinical Psychiatry

基　　金：上海市卫计委课题(2009107)

摘　　要：目的:探索音乐治疗合并心理干预对高危孕妇孕期和产后焦虑抑郁情绪的影响。方法:将195位孕16~20周的高危孕妇随机分为干预组(98例)和对照组(97例);孕24周时对干预组进行1次音乐治疗培训,之后在家中30 min/d的聆听音乐直到分娩;孕25~29周每周1次团体心理治疗。对照组按常规产科流程产前检查。入组时及孕6~9个月每月1次综合性医院焦虑/抑郁量表(HAD)评估;产后3~7 d、42 d及3个月时分别进行爱丁堡产后抑郁调查表(EPDS)评估。结果:孕7及8个月干预组HAD评分显著高于对照组(P均<0.05);分娩前干预组HAD评分较基线显著下降(P<0.05),但两组间差异无统计学意义。产后各时点EPDS评分干预组显著低于对照组(P<0.05或P<0.01)。结论:音乐治疗结合团体心理干预能减轻高危妊娠孕妇分娩前的焦虑、抑郁情绪及产后的抑郁症状。Objective： To investigate the effect of the music therapy combined with group psychological intervention on the anxiety and depression emotion in high-risk pregnant women during pregnancy and postpar- tum. Methed：One hundred and ninety-five high-risk women with 16-20 weeks pregnancy were randomly as- signed into the intervention group （98 cases） and control group （97 cases）. The intervention group were trea- ted with music therapy once when their pregnancy at 24 weeks; then asked them to listen to the music 30 min every day at home until delivery. While,they received group psychological intervention once a week when pregnancy at 25 to 29 weeks. The control group received the usual care. All of the high-risk pregnant women were as- sessed with the hospital anxiety and depression scale （HAD） every month during the last 3 months of pregnancy. And 3 to 7 days,42 days and 3 months after delivery they were assessed with Edinburgh postnatal depression scale （EPDS）. Results：At 7 to 8 months pregnacy, the scores of HAD in the intervention group were significantly higher than those in the control group （all P 〈 0.05） ; but before delivery the HAD score in the in- tervention group was significantly lower the the baseline and the two groups had no significant difference. Post- partum the EPDS score of each time point in the intervention group was significantly lower than those in the con- trol group （ P 〈 0.05 or P 〈 0.01 ）. Conclusion： Music therapy combined with group psychological interven- tion can not only reduce the anxiety and depression symptoms during pregnancy, but also reduce the postpartum depression symptoms.

关 键 词：高危孕妇 焦虑抑郁 音乐治疗 团体心理干预 

分 类 号：R749.4[医药卫生—神经病学与精神病学]