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心理社会干预能否抑制多囊卵巢综合征女性的睾酮和甘油三酯水平?一项可行性试验。

Can Psychosocial Intervention Suppress Testosterone and Triglycerides Among Women With Polycystic Ovary Syndrome? A Feasibility Trial.

作者信息

Yin Margaret X C, Du L B, Zou X N, Fung Y L, Sun Y Y, Chan Celia H Y, Chan Cecilia L W

机构信息

Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.

Reproductive Medicine Center, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.

出版信息

Front Psychol. 2021 Jul 22;12:690539. doi: 10.3389/fpsyg.2021.690539. eCollection 2021.

Abstract

Women with polycystic ovary syndrome (PCOS) suffer significant psychological distress, which may activate the hypothalamus-pituitary-ovary axis and further affect their physiological state. They often experience elevated levels of testosterone and triglycerides. Considering reports of psychological distress among women with PCOS, this study aimed to develop a psychosocial intervention to improve their emotional and physical health, particularly in Chinese society. This pilot study employed the Integrative Body-Mind-Spirit (I-BMS) intervention model for women with PCOS in China. After a 2 h health information session, 18 participants were randomly assigned to the I-BMS group (9) or the control group (9). The intervention group received 6 weekly, 3 h I-BMS sessions. Pre- and post-blood tests and psychosocial questionnaires were collected from all participants. Retention to treatment was high with 79.6% treatment adherence gained and an overall average of five sessions completed. Compared with the control group, depression and anxiety symptoms reduced significantly for those in the intervention group ( = -1.24, < 0.05 and = -1.33, < 0.01), their health-related quality of life improved significantly ( = 1.02, < 0.01) both at post-intervention and 3 month follow-up, and their testosterone and triglycerides levels reduced significantly ( = -0.97, < 0.001 and = -0.41, < 0.05) after joining the intervention. The I-BMS model is feasible and appears promising in improving psychological health, and reducing testosterone and triglyceride levels, in women with PCOS in China. www.chictr.org.cn, identifier ChiCTR1900027606.

摘要

患有多囊卵巢综合征(PCOS)的女性会遭受严重的心理困扰,这可能会激活下丘脑 - 垂体 - 卵巢轴,并进一步影响她们的生理状态。她们经常出现睾酮和甘油三酯水平升高的情况。鉴于有关PCOS女性心理困扰的报道,本研究旨在开展一项社会心理干预措施,以改善她们的情绪和身体健康,尤其是在中国社会。这项试点研究在中国对患有PCOS的女性采用了身心灵整合(I - BMS)干预模式。在进行了一次2小时的健康信息讲座后,18名参与者被随机分配到I - BMS组(9人)或对照组(9人)。干预组每周接受6次,每次3小时的I - BMS课程。从所有参与者那里收集了干预前后的血液检测结果和社会心理问卷。治疗保留率很高,治疗依从性达到79.6%,总体平均完成了五次课程。与对照组相比,干预组的抑郁和焦虑症状显著减轻(t = -1.24,P < 0.05和t = -1.33,P < 0.01),在干预后和3个月随访时,她们的健康相关生活质量均显著改善(t = 1.02,P < 0.01),并且在参加干预后,她们的睾酮和甘油三酯水平显著降低(t = -0.97,P < 0.001和t = -0.41,P < 0.05)。I - BMS模式在中国PCOS女性中改善心理健康、降低睾酮和甘油三酯水平方面是可行的,且前景广阔。 中国临床试验注册中心,标识符ChiCTR1900027606。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4986/8339270/b87c0044a4a3/fpsyg-12-690539-g001.jpg

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