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基于正念的认知行为疗法对更年期女性生活质量的效果如何。

How Effective the Mindfulness-Based Cognitive Behavioral Therapy on Quality of Life in Women With Menopause.

作者信息

John Jennifer Britto, Chellaiyan D Vinoth Gnana, Gupta Sujata, Nithyanandham Ramgopal

机构信息

Department of Obstetrics and Gynaecology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India.

Department of Community Medicine, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India.

出版信息

J Midlife Health. 2022 Apr-Jun;13(2):169-174. doi: 10.4103/jmh.jmh_178_21. Epub 2022 Sep 16.

Abstract

INTRODUCTION

In woman's life menopause can cause psychological and somatic disturbances. Psychological and behavioural intervention is effective in reducing menopause-related symptoms.

AIMS

The present study was done to find effectiveness of mindfulness-based cognitive behavioural therapy (MBCT) on quality of life among menopausal women.

METHODS AND MATERIAL

The present study was double-blind randomized trial conducted among menopausal women at tertiary care hospital, Chennai, Tamil Nadu. The study was conducted among 50 women who had attained menopause. They were randomly divided into intervention ( = 25) and control ( = 25) groups. The MBCT was given once a week to intervention group over eight one-hour sessions and control group received no intervention. The data collection instruments included a demographic questionnaire, Kupperman's index, and menopause-related quality of life questionnaire, which were fulfilled by both groups before, immediately after, and 2 weeks after completion of intervention. Paired t-test was applied before intervention and at 10 weeks for both the groups.

RESULTS

The difference between the scores before and after intervention i.e after 10 weeks in all the domains and total domain was significant in intervention group compared to control group.

CONCLUSIONS

Mindfulness based approaches may improve severity of vasomotor and psychological symptoms of menopause, thus enhancing quality of life.

摘要

引言

在女性的一生中,更年期会引发心理和身体上的不适。心理和行为干预对于减轻更年期相关症状是有效的。

目的

本研究旨在探讨基于正念的认知行为疗法(MBCT)对更年期女性生活质量的有效性。

方法与材料

本研究为双盲随机试验,在泰米尔纳德邦金奈的一家三级护理医院对更年期女性进行。研究对象为50名已进入更年期的女性。她们被随机分为干预组(n = 25)和对照组(n = 25)。干预组每周接受一次MBCT,共进行八次一小时的课程,对照组不接受任何干预。数据收集工具包括一份人口统计学调查问卷、库珀曼指数和更年期相关生活质量调查问卷,两组在干预前、干预结束后立即以及干预结束后2周均需填写。两组在干预前和10周时均采用配对t检验。

结果

与对照组相比,干预组在所有领域和总领域干预前后(即10周后)的得分差异均具有统计学意义。

结论

基于正念的方法可能会改善更年期血管舒缩和心理症状的严重程度,从而提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af54/9583372/21671990f081/JMH-13-169-g001.jpg

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