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人际心理治疗对产后母亲焦虑和述情障碍的影响:一项随机对照试验

Effects of interpersonal psychotherapy on anxiety and alexithymia in mothers in the postpartum period: a randomized controlled trial.

作者信息

Adiguzel Vesile, Okanli Ayse

机构信息

Yalova University, Faculty of Health Sciences, School of Nursing, Department of Psychiatric Nursing - Yalova, Turkey.

İstanbul Medeniyet University, Faculty of Health Sciences, School of Nursing, Department of Psychiatric Nursing - İstanbul, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2024 Dec 16;70(12):e20241002. doi: 10.1590/1806-9282.20241002. eCollection 2024.

Abstract

OBJECTIVE

The aim of this study was to determine the effects of interpersonal psychotherapy on anxiety and alexithymia in mothers in the postpartum period.

METHODS

This randomized controlled experimental study with a pre-test and post-test design was conducted to determine the effects of interpersonal psychotherapy on anxiety and alexithymia in mothers during the postpartum period. Data were collected from postpartum mothers who presented to the pediatric outpatient clinic in a private hospital in Istanbul at the pre- and post-tests between August 2022 and January 2023. The study was conducted between June 10, 2022, and June 23, 2023. In the study, data were obtained with the "Personal Information Form," "Beck Anxiety Inventory," and "Toronto Alexithymia Scale." This randomized controlled experimental study with the pre- and post-test designs was conducted in a private hospital in Istanbul, a province located on both sides of the Bosporus Strait in northwest Turkey, with 14 postpartum mothers. Of them, seven were assigned to the experimental group and seven to the control group. The participants in the experimental group underwent interpersonal psychotherapy. The participants in the control group underwent no intervention. In the analysis of the data, while repeated measures analysis of variance was used to compare the scale scores, Fisher's least significant difference test was used for multiple comparisons of the group*time interaction.

RESULTS

The mean scores obtained from the "Beck Anxiety Inventory" and "Toronto Alexithymia Scale" by the participants in the experimental group before the interpersonal psychotherapy were 19.71±4.11 and 55.43±9.05, respectively, and 8.86±3.02 and 41.00±7.44, respectively, after the intervention, indicating that they decreased statistically significantly (p<0.05).

CONCLUSION

The results of the study indicated that interpersonal psychotherapy reduced anxiety and alexithymia levels in mothers in the postpartum period. Based on this result, it is recommended that interpersonal psychotherapy be utilized in clinical practice.

摘要

目的

本研究旨在确定人际心理治疗对产后母亲焦虑和述情障碍的影响。

方法

本研究采用随机对照实验研究,采用前测和后测设计,以确定人际心理治疗对产后母亲焦虑和述情障碍的影响。数据收集于2022年8月至2023年1月期间在伊斯坦布尔一家私立医院儿科门诊就诊的产后母亲,分别在治疗前后进行测量。研究于2022年6月10日至2023年6月23日进行。在研究中,通过“个人信息表”、“贝克焦虑量表”和“多伦多述情障碍量表”获取数据。这项采用前测和后测设计的随机对照实验研究在土耳其西北部博斯普鲁斯海峡两岸的伊斯坦布尔市的一家私立医院进行,共有14名产后母亲参与。其中,7名被分配到实验组,7名被分配到对照组。实验组的参与者接受人际心理治疗。对照组的参与者不接受任何干预。在数据分析中,采用重复测量方差分析来比较量表得分,使用Fisher最小显著差异检验对组*时间交互作用进行多重比较。

结果

实验组参与者在人际心理治疗前,“贝克焦虑量表”和“多伦多述情障碍量表”的平均得分分别为19.71±4.11和55.43±9.05,干预后分别为8.86±3.02和41.00±7.44,表明得分在统计学上显著降低(p<0.05)。

结论

研究结果表明,人际心理治疗降低了产后母亲的焦虑和述情障碍水平。基于这一结果,建议在临床实践中采用人际心理治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2078/11656539/563f8a1ee1cf/1806-9282-ramb-70-12-e20241002-gf01.jpg

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