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催眠干预对缓解产后心理症状的有效性。

The Effectiveness of Hypnosis Intervention in Alleviating Postpartum Psychological Symptoms.

作者信息

Beevi Zuhrah, Low Wah Yun, Hassan Jamiyah

机构信息

a Heriot-Watt University , Putrajaya , Malaysia.

b University of Malaya , Kuala Lumpur , Malaysia.

出版信息

Am J Clin Hypn. 2019 Apr;61(4):409-425. doi: 10.1080/00029157.2018.1538870.

Abstract

Psychological symptoms, particularly postpartum depression, may impair women's well-being after childbirth. Mind-body treatments such as hypnosis are available to help prepare women to maintain or improve their well-being postpartum. The aims of the present study are to determine the effectiveness of a hypnosis intervention in alleviating psychological symptoms (stress, anxiety, and depression) and the symptoms of postpartum depression. A quasi-experimental design was utilized in this study. The experimental group participants (n = 28) received a hypnosis intervention at weeks 16, 20, 28, and 36 of their pregnancies. Participants in the control group (n = 28) received routine prenatal care. The final data collection, occurring at two months postpartum, included 16 women from the experimental group and 11 women from the control group. The Depression Anxiety Stress Scale-21 (DASS-21) was used to measure psychological symptoms, and postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). The results at two months postpartum showed that the experimental group had significantly lower postpartum anxiety than the control group (M = 2.88 versus M = 38.36, p = .023). Similarly, the experimental group had significantly lower postpartum depressive symptoms than the control group (M = 1.25 versus M = 6.73, p < .002). Group differences in postpartum stress symptoms were not significant (p = .363). Finally, the results indicated that the experimental group experienced reduced postpartum depression when compared to the control group (M = 5.69 versus M = 10.64, p < .001). Thus, hypnosis conducted during pregnancy may promote improvements in psychological well-being postpartum.

摘要

心理症状,尤其是产后抑郁,可能会损害女性产后的幸福感。诸如催眠之类的身心疗法可用于帮助女性为产后维持或改善自身幸福感做好准备。本研究的目的是确定催眠干预在减轻心理症状(压力、焦虑和抑郁)以及产后抑郁症状方面的有效性。本研究采用了准实验设计。实验组参与者(n = 28)在怀孕第16、20、28和36周接受了催眠干预。对照组参与者(n = 28)接受常规产前护理。产后两个月进行的最终数据收集包括16名实验组女性和11名对照组女性。使用抑郁焦虑压力量表-21(DASS-21)来测量心理症状,并使用爱丁堡产后抑郁量表(EPDS)评估产后抑郁。产后两个月的结果显示,实验组的产后焦虑显著低于对照组(M = 2.88对M = 38.36,p = 0.023)。同样,实验组的产后抑郁症状显著低于对照组(M = 1.25对M = 6.73,p < 0.002)。产后压力症状的组间差异不显著(p = 0.363)。最后,结果表明,与对照组相比,实验组的产后抑郁有所减轻(M = 5.69对M = 10.64,p < 0.001)。因此,孕期进行催眠可能会促进产后心理健康的改善。

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