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基于正念的干预对接受生育治疗女性情绪状态的有效性:一项荟萃分析。

The Effectiveness of Mindfulness-Based Intervention on Emotional States of Women Undergoing Fertility Treatment: A Meta-Analysis.

作者信息

Wang Xiaoran, Wang Yunxia

机构信息

Department of Nautical Psychology, Faculty of Psychology, Naval Medical University, Shanghai 200433, PR China.

出版信息

J Sex Marital Ther. 2023;49(3):249-258. doi: 10.1080/0092623X.2022.2109542. Epub 2022 Aug 15.

Abstract

For many infertile women, their inability to fulfill their aspirations and match society's expectations of motherhood may lead to mental illness. They frequently select in vitro fertilization (IVF) to achieve their wish to have children. In vitro fertilization is actually a multi-dimensional stressor. There are numerous psychological methods to assist patients decrease stress, among which mindfulness-based intervention is a prominent one. However, the effectiveness of mindfulness intervention in this group remains debatable. Therefore, our research seeks to evaluate the efficacy of mindfulness intervention in improving the emotional state of women undergoing in vitro fertilization by systematic review and meta-analysis, so as to provide a novel treatment plan for psychological therapy of this group. A meta-analysis was undertaken by scanning English databases PubMed, Embase, Cochrane library, Web of science, etc. Among them, the retrieval period is from the foundation of the database until July 5, 2022. Two investigators examined the literature according to the inclusion and exclusion criteria, and conducted meta-analysis using stata15.0 software. Six studies involving 964 infertile women were included. According to the meta-analysis, mindfulness was more effective than the control group in reducing anxiety, depression, and correlations in infertile women [standard mean difference, SMD = -0.31, 95% confidence interval (CI): -0.56 to -0.06], [SMD = -0.94, 95% CI: -1.84 to -0.03], [ = 0.38, 95% CI: 0.25-0.52]. In terms of mindfulness and self-compassion, there was no significant difference between the intervention and control groups [SMD = 0.73, 95% CI: -0.38 to -1.85], [SMD = 0.09, 95% CI: -0.19 to -0.37]. As an intervention strategy for infertile women with anxiety and despair, mindfulness intervention might be a treatment priority.

摘要

对于许多不孕女性来说,她们无法实现自己的愿望并达到社会对母亲身份的期望,这可能会导致精神疾病。她们经常选择体外受精(IVF)来实现生育愿望。体外受精实际上是一个多维度的压力源。有许多心理方法可以帮助患者减轻压力,其中基于正念的干预是一种突出的方法。然而,正念干预在该群体中的有效性仍存在争议。因此,我们的研究旨在通过系统评价和荟萃分析来评估正念干预对改善体外受精女性情绪状态的疗效,以便为该群体的心理治疗提供一种新的治疗方案。通过检索英文数据库PubMed、Embase、Cochrane图书馆、科学网等进行荟萃分析。其中,检索期从数据库建立至2022年7月5日。两名研究人员根据纳入和排除标准对文献进行审查,并使用stata15.0软件进行荟萃分析。纳入了6项涉及964名不孕女性的研究。根据荟萃分析,正念在降低不孕女性的焦虑、抑郁和相关性方面比对照组更有效[标准均值差,SMD = -0.31,95%置信区间(CI):-0.56至-0.06],[SMD = -0.94,95% CI:-1.84至-0.03],[= 0.38,95% CI:0.25 - 0.52]。在正念与自我同情方面,干预组和对照组之间没有显著差异[SMD = 0.73,95% CI:-0.38至-1.85],[SMD = 0.09,95% CI:-0.19至-0.37]。作为对焦虑和绝望的不孕女性的一种干预策略,正念干预可能是治疗的优先选择。

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