积极心理学视角的箱庭疗法联合药物治疗对产后抑郁患者睡眠质量的影响  

Impact of Sandplay Therapy Combined with Pharmacotherapy on Sleep Quality in Postpartum Depression Patients from a Positive Psychology Perspective

作　　者：张梦婷 陈淑仁 ZHANG Mengting;CHEN Shuren(Longyan People′s Hospital,Longyan 364000,China)

机构地区：[1]龙岩人民医院,龙岩364000

出　　处：《世界睡眠医学杂志》2024年第9期1992-1994,共3页World Journal of Sleep Medicine

摘　　要：目的:分析产后抑郁患者在药物治疗基础上开展积极心理学视角下的箱庭疗法对睡眠改善作用。方法:选取2022年8月至2023年8月龙岩人民医院收治的产后抑郁患者86例作为研究对象,按照入院顺序编号随机分为对照组和观察组,每组43例。对照组接受常规西药治疗,观察组服药的同时,接受积极心理学视角下的箱庭疗法。比较2组患者干预前后抑郁症状、睡眠质量、血清学指标。结果:干预后爱丁堡产后抑郁量表(EPDS)比较,观察组较对照组明显更低,差异有统计学意义(P<0.05)。干预后匹兹堡睡眠质量指数(PSQI)比较,观察组较对照组明显更低,差异有统计学意义(P<0.05)。干预后5-羟色胺(5-HT)、脑源性神经营养因子(BDNF)比较,观察组较对照组明显更高,差异有统计学意义(P<0.05)。结论:产后抑郁患者在药物治疗基础上开展积极心理学视角下的箱庭疗法,能够让抑郁症状得以改善,调节5-HT、BDNF水平,提高睡眠质量。Objective:To analyze the effect of sandplay therapy from a positive psychology perspective on sleep improvement in postpartum depression patients receiving pharmacotherapy.Methods:A total of 86 patients diagnosed with postpartum depression and treated at Longyan People′s Hospital from August 2022 to August 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 43 cases in each group,based on their admission order.The control group received conventional pharmacological treatment,while the observation group received pharmacotherapy alongside sandplay therapy from a positive psychology perspective.The two groups were compared in terms of depression symptoms,sleep quality,and serum indicators before and after the intervention.Results:After the intervention,the Edinburgh Postnatal Depression Scale(EPDS)scores in the observation group were significantly lower than those in the control group,with a statistically significant difference(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)scores in the observation group were also significantly lower than those in the control group(P<0.05).Additionally,the levels of serotonin(5-HT)and brain-derived neurotrophic factor(BDNF)in the observation group were significantly higher than those in the control group after the intervention(P<0.05).Conclusion:Implementing sandplay therapy from a positive psychology perspective in postpartum depression patients receiving pharmacotherapy can improve depression symptoms,regulate 5-HT and BDNF levels,and enhance sleep quality.

关 键 词：产后抑郁 积极心理学视角 箱庭疗法 药物治疗 睡眠质量 

分 类 号：R338.63[医药卫生—人体生理学]