Department of Psychology, School of Human Sciences, Sugiyama Jogakuen University, Nisshin, Aichi, Japan.
Psychol Res Behav Manag. 2013 Jul 19;6:37-43. doi: 10.2147/PRBM.S44327. Print 2013.
To examine the reduction of psychiatric symptoms using individual cognitive behavior therapy (CBT) for women who suffer from recurrent miscarriage (RM) and depression and/or anxiety.
Patients with RM and a score of five or higher for K6, a self-report screening scale for depression/anxiety, were interviewed to find information about stressful situations, thoughts, and consequent behaviors that are common and potential causes of psychological distress among RM patients. We then performed individual CBT on 14 patients with RM and depression/anxiety, referring to a list from the interviews, and examined the effects of CBT by a paired t-test.
Fourteen women received CBT. The mean number of intervention times was 8.9 sessions (standard deviation [SD], 4.6 sessions). The average Beck Depression Inventory-Second Edition and State-Trait Anxiety Inventory-state anxiety scores, self-report screening scales for depression/anxiety, decreased from 13.6 (SD, 8.2) and 49.0 (SD, 7.1) at baseline to 5.2 (SD, 4.4) and 38.0 (SD, 10.2) posttherapy, respectively. These changes were statistically significant.
The current preliminary open study confirmed that individual CBT was potentially useful for women with RM and depression and/or anxiety. This finding is the first step towards creating a comprehensive psychological support system for women with RM.
探讨针对复发性流产（RM）伴抑郁和/或焦虑女性患者，采用个体认知行为疗法（CBT）减少精神症状的效果。
对 RM 患者进行访谈，以了解常见和潜在的心理困扰的压力情况、想法和随之而来的行为，并对 K6 评分≥5 分（一种抑郁/焦虑自评筛查量表）的患者进行评分，以寻找 RM 患者的抑郁和/焦虑情况。对 14 例 RM 伴抑郁和/焦虑的患者进行个体 CBT，参考访谈中列出的清单，并通过配对 t 检验评估 CBT 的效果。
14 名女性接受了 CBT。干预次数的平均次数为 8.9 次（标准差 [SD]，4.6 次）。抑郁自评量表-第二版和状态特质焦虑量表状态焦虑评分、抑郁和焦虑自评筛查量表的平均得分，从基线时的 13.6（SD，8.2）和 49.0（SD，7.1）分别降至治疗后 5.2（SD，4.4）和 38.0（SD，10.2），差异具有统计学意义。
本初步开放研究证实，个体 CBT 可能对 RM 伴抑郁和/或焦虑的女性患者有用。这一发现是为 RM 女性建立全面心理支持系统的第一步。
