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多囊卵巢综合征患者同伴支持小组对健康相关生活质量、应对技能和抑郁症状的影响。

The impact of peer-led support groups on health-related quality of life, coping skills and depressive symptomatology for women with PCOS.

机构信息

Faculty of Graduate Studies, General Sri John Kotelawala Defence University, Ratmalana, Sri Lanka.

Department of Public Health, Faculty of Medicine, General Sri John Kotelawala Defence University, Ratmalana, Sri Lanka.

出版信息

Psychol Health Med. 2023 Mar;28(3):564-573. doi: 10.1080/13548506.2021.2019805. Epub 2021 Dec 21.

Abstract

Support groups can be a powerful medium in providing psychological support to women with Polycystic Ovary Syndrome (PCOS). The study evaluated the impact of peer support group on Health-Related Quality of Life (HRQoL), depressive symptomatology and coping strategies among women with PCOS. The pre- and post-test experimental design was used. Women with PCOS not receiving psychiatric medication and attending clinics of a teaching hospital in Colombo were recruited. They were randomly allocated based on clinic days to the experimental (n = 20) and control (n = 22) groups. The Intervention group participated in the specific peer support program for 10 weeks, while the control group received general health reading material for 10 weeks through the post. The Modified Polycystic Ovary Syndrome Questionnaire (M-PCOSQ), Centre for Epidemiologic Studies Depression Scale (CES-D) and Brief COPE inventory were administered to both groups before and 1 month after completing the intervention. Before the intervention, there was no significant difference between the two groups regarding the scores of HRQoL, depressive symptomatology and coping skills. One month after the intervention, the support group exhibited improvement in HRQoL, depressive symptomatology and coping skills (p < 0.01) compared to the control group. The peer support group is an effective intervention to uplift the psycho-social wellbeing of women with PCOS through receiving emotional support from those similarly afflicted.

摘要

支持小组可以成为向多囊卵巢综合征(PCOS)女性提供心理支持的有力媒介。本研究评估了同伴支持小组对 PCOS 女性健康相关生活质量(HRQoL)、抑郁症状和应对策略的影响。采用了预-后测试实验设计。招募了未接受精神药物治疗且正在科伦坡一所教学医院就诊的 PCOS 女性。根据就诊日,将她们随机分配到实验组(n=20)和对照组(n=22)。干预组参加了为期 10 周的特定同伴支持计划,而对照组则通过邮寄在 10 周内接受一般健康读物。在干预前和干预完成后 1 个月,对两组均进行改良多囊卵巢综合征问卷(M-PCOSQ)、流行病学研究中心抑郁量表(CES-D)和简要应对量表(Brief COPE Inventory)的评估。干预前,两组的 HRQoL、抑郁症状和应对技能评分均无显著差异。干预 1 个月后,与对照组相比,支持组在 HRQoL、抑郁症状和应对技能方面均有所改善(p<0.01)。同伴支持小组是一种有效的干预措施,通过从那些同样受到影响的人那里获得情感支持,来提升 PCOS 女性的心理社会幸福感。

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