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比较团体与个体正念认知行为疗法对绝经后女性幸福感的影响:伊朗的一项随机对照试验

Comparing the Effect of Group and Individual Mindfulness-Based Cognitive Behavior Therapy on Happiness of Postmenopausal Women: A Randomized Controlled Trial in Iran.

作者信息

Terikani Basad, Abedi Parvin, Jofreh Maryam Gholamzadeh, Dastoorpour Maryam, Afshari Poorandokht

机构信息

Midwifery Department, Menopause Andropause Research Center Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.

Department of Counseling, Ahv.C. Islamic Azad University Ahvaz Iran.

出版信息

Health Sci Rep. 2025 Apr 16;8(4):e70649. doi: 10.1002/hsr2.70649. eCollection 2025 Apr.

Abstract

BACKGROUND AND AIMS

Happiness is an important factor for decreased quality of life in some postmenopausal women. This study aimed to compare the effects of group and individual mindfulness-based cognitive behavioral therapy (MBCT) on the happiness of postmenopausal women.

METHODS

This was a randomized controlled trial of 48 postmenopausal women who received group or individual MBCT counseling. Literate postmenopausal women aged 50-64 years, 1-10 years after menopause, and with Happiness Scale scores less than 40-42 were recruited for this study. A demographic questionnaire and the Oxford Happiness Questionnaire were used to collect the data. Women in the group counseling group received 8 sessions of counseling according to MBCT, while women in the individual counseling group received counseling individually. Independent -tests, Chi-square tests and two-way Repeated Measures ANOVA were used to analyze the data.

RESULTS

The scores of all components of happiness including self-concept, life satisfaction, mental preparation, active well-being, aesthetic sense, self-efficacy, and hope, increased in both groups immediately after and 1 month after the completion of the intervention. The total happiness score in the group counseling group improved from 33.39 ± 5.57 before the intervention to 48.91 ± 6.77 and 48 ± 6.38 after the intervention and during the follow-up period, respectively ( value < 0.001). These scores in the individual counseling group improved from 32.13 ± 5.40 to 46.04 ± 7.80 and 45.13 ± 7.26 immediately after the intervention during the follow-up period, respectively ( value < 0.001). There was no significant difference between the two groups.

CONCLUSION

Our results showed that although the scores of all components of happiness were slightly greater in the counseling group than the individual group, there was no significant difference between the two groups. Using either method is recommended for increasing the happiness of postmenopausal women.

摘要

背景与目的

在一些绝经后女性中,幸福感是生活质量下降的一个重要因素。本研究旨在比较团体和个体正念认知行为疗法(MBCT)对绝经后女性幸福感的影响。

方法

这是一项针对48名接受团体或个体MBCT咨询的绝经后女性的随机对照试验。招募年龄在50 - 64岁、绝经1 - 10年且幸福感量表得分低于40 - 42分的识字绝经后女性参与本研究。使用人口统计学调查问卷和牛津幸福感问卷收集数据。团体咨询组的女性按照MBCT接受8次咨询,而个体咨询组的女性接受个体咨询。采用独立样本t检验、卡方检验和双向重复测量方差分析来分析数据。

结果

干预完成后即刻及干预后1个月,两组中包括自我概念、生活满意度、心理准备、积极幸福感、审美感、自我效能感和希望在内的所有幸福感成分得分均有所提高。团体咨询组的总幸福感得分从干预前的33.39±5.57分别提高到干预后及随访期间的48.91±6.77和48±6.38(P值<0.001)。个体咨询组的这些得分分别从32.13±5.40提高到干预后即刻及随访期间的46.04±7.80和45.13±7.26(P值<0.001)。两组之间无显著差异。

结论

我们的结果表明,虽然咨询组中所有幸福感成分的得分略高于个体组,但两组之间无显著差异。建议使用任何一种方法来提高绝经后女性的幸福感。

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