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基于自我调节模型的心理教育干预对青少年经期不适的影响:一项随机对照试验方案。

The effect of psychoeducational intervention, based on a self-regulation model on menstrual distress in adolescents: a protocol of a randomized controlled trial.

机构信息

Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Shahid Bahonar Blvd, Qazvin, 3419759811, Iran.

出版信息

Trials. 2020 Aug 27;21(1):747. doi: 10.1186/s13063-020-04629-z.

DOI:10.1186/s13063-020-04629-z
PMID:32854752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7450926/
Abstract

INTRODUCTION

Menstrual distress caused by primary dysmenorrhea is associated with physical and psychological symptoms-before, after, and during menstruation. Leventhal's self-regulation educational model is based on the cognitive and emotional experiences of threat responses to symptoms and relates to coping responses. This study aims to investigate the effect of the implementation of a psychoeducational intervention, based on the self-regulation model of menstrual distress in adolescents.

METHODS/DESIGN: In this randomized controlled trial, 120 adolescent girls with moderate to severe menstrual pain (based on visual analog scale (VAS) ≥ 4) from twelve randomly selected high schools in Qazvin City will be enrolled in the study and will be randomly assigned to either a 3-session psychoeducational intervention (n = 60) or control (n = 60) groups. The sessions will be between 60 and 90 min apiece, and they will run for three consecutive weeks (one session per week). The data collection tools will include questionnaire eliciting menstrual information and demographics, the VAS, the Moos Menstrual Distress Questionnaire, and the illness perception questionnaire. One month prior to the intervention, both groups will participate in an initial assessment to assess the severity of their pain and level of menstrual distress. Finally, all questionnaires will be completed for three consecutive months after the intervention is completed.

DISCUSSION

It is anticipated that findings of this study will provide evidence for the effectiveness of the Leventhal self-regulation model. Implications for improved practice, understanding, and treatment for menstrual distress may also arise.

ETHICAL CONSIDERATIONS

The research protocol will be reviewed by the ethics committee, which is affiliated with the Qazvin University of Medical Sciences (Decree code: IR.QUMS.REC.1398.043).

TRIAL REGISTRATION

IRCT20190625044002N1 . Registration date: 2019-09-03.

摘要

介绍

原发性痛经引起的经期不适与生理和心理症状有关,包括经期前、经期中和经期后。莱文塔尔的自我调节教育模型基于对症状的威胁反应的认知和情绪体验,与应对反应有关。本研究旨在探讨基于月经困扰自我调节模型对青少年进行心理教育干预的效果。

方法/设计:在这项随机对照试验中,将从卡齐万市 12 所随机选定的高中招募 120 名中度至重度经期疼痛(基于视觉模拟量表(VAS)≥4)的青春期女孩,并将其随机分为 3 节心理教育干预组(n=60)或对照组(n=60)。每个课程时长为 60-90 分钟,连续进行 3 周(每周 1 节)。课程内容包括问卷调查月经信息和人口统计学信息、VAS、Moos 经期不适问卷和疾病感知问卷。在干预前一个月,两组都将参加初始评估,以评估疼痛严重程度和经期不适程度。最后,在干预完成后的三个月内,将完成所有问卷。

讨论

预计本研究的结果将为莱文塔尔自我调节模型的有效性提供证据。这可能为改善月经困扰的实践、理解和治疗提供启示。

伦理考虑

该研究方案将由与卡齐万医科大学相关的伦理委员会进行审查(决议编号:IR.QUMS.REC.1398.043)。

试验注册

IRCT20190625044002N1. 注册日期:2019 年 9 月 3 日。

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