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基于正念的认知行为咨询对身体意象不满意孕妇的治疗效果研究:一项随机对照试验。

Investigation the therapeutic effect of mindfulness-based cognitive-behavioral counseling in pregnant women with body image dissatisfaction: A randomized controlled trial.

作者信息

Farahabadi Mehnoosh, Amanollahi Abbas, Cheraghian Bahman, Abbaspoor Zahra

机构信息

Student Research Committee, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Counselling, School of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

出版信息

Eur J Obstet Gynecol Reprod Biol X. 2025 Apr 11;26:100387. doi: 10.1016/j.eurox.2025.100387. eCollection 2025 Jun.

Abstract

BACKGROUND AND AIMS

Dissatisfaction with body image during pregnancy is a common issue in the general population and can pose risks for both the mother and the child. The aim of this study was to investigate the therapeutic effect of mindfulness-based cognitive-behavioral counseling in pregnant women with body image dissatisfaction: A randomized controlled trial.

METHODS

In this study, 50 pregnant women who were over 26 weeks pregnant were randomly assigned to intervention and control groups. In the intervention group, Mindfulness-based cognitive behavioral therapy was taught to pregnant women over 8 consecutive sessions, while the control group received no intervention. Body image concerns questionnaire was completed by both groups before and after the intervention, and data were analyzed using descriptive statistics and multivariate analysis of covariance.

RESULTS

The results showed that before the intervention, the mean and standard deviation of body image concern scores in the intervention group was 58.36 ± 3.13 and in the control group, was 58.08 ± 3.31, but after the end of the intervention, in the intervention group it decreased to 41.40 ± 2.85 (p < 0.001), while in the control group, it decreased (57.64 ± 3.42) slightly (P = 0.951). The total scores for body image concern in the intervention group were significantly lower compared to the control group (p < 0.001).

CONCLUSION

Mindfulness-based cognitive behavioral therapy can help reduce body image concerns in pregnant women. Therefore, it is recommended that mental health professionals utilize this approach to improve the psychological and physical well-being of pregnant women and assist them in modifying their attitudes towards body image.

摘要

背景与目的

孕期对身体形象不满意是普通人群中的常见问题,对母亲和孩子都可能构成风险。本研究的目的是调查基于正念的认知行为咨询对身体形象不满意的孕妇的治疗效果:一项随机对照试验。

方法

在本研究中,50名怀孕超过26周的孕妇被随机分为干预组和对照组。干预组的孕妇连续8节课程接受基于正念的认知行为疗法,而对照组不接受任何干预。两组在干预前后均完成身体形象关注问卷,并使用描述性统计和多变量协方差分析对数据进行分析。

结果

结果显示,干预前,干预组身体形象关注得分的平均值和标准差分别为58.36±3.13,对照组为58.08±3.31,但干预结束后,干预组降至41.40±2.85(p<0.001),而对照组略有下降(57.64±3.42)(P=0.951)。干预组身体形象关注的总分显著低于对照组(p<0.001)。

结论

基于正念的认知行为疗法有助于减轻孕妇对身体形象的关注。因此,建议心理健康专业人员采用这种方法来改善孕妇的心理和身体健康,并帮助她们改变对身体形象的态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0509/12020864/f0e37b049a2b/gr1.jpg

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