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目的评价正念训练改善更年期妇女情绪的干预效果,探索更年期妇女的心理保健模式。方法将处于围绝经期的40~60岁妇女随机分为试验组36例和对照组37例,试验组接受8周正念训练,对照组在此期间不接受该训练方法。采用抑郁自评量表(SDS)、简明心境量表(b POMS)分别于入组时、入组后第9周对研究对象的更年期情绪状况进行基线测评和干预后测评。结果两组研究对象的人口学特征、基线测评结果都均衡可比。干预后测评结果显示,人群中试验组的b POMS总分较基线测评值降低了8.8分,前后差异有统计学意义(t=-3.46,P<0.05),而对照组下降了5.4分,前后差异有统计学意义(t=-2.62,P<0.05);在“抑郁严重指数≥0.50”者中,试验组的b POMS总分较基线测评值降低了17分,前后差异有统计学意义(t=-2.99,P<0.05),对照组差异无统计学意义(t=1.47,P>0.05)。结论正念训练能改善更年期妇女情绪状态,对有更年期抑郁症状者效果更加显著。
Objective To evaluate the intervention effect of mindfulness training to improve the mood of menopausal women and to explore the mental health care model of menopausal women. Methods Peri-menopausal women aged 40-60 years were randomly divided into experimental group (36 cases) and control group (37 cases). The experimental group received mindfulness training for 8 weeks and the control group did not receive the training method during this period. The self-rating depression scale (SDS) and the concise mood scale (b POMS) were used to assess baseline and post-interventional menopausal sentiment during the first 9 weeks after enrollment. Results The demographic characteristics of the two groups of subjects, the baseline test results were balanced and comparable. The results of the intervention showed that the total score of b-POMS in the study group was 8.8 points lower than that of the baseline, with a significant difference between before and after (t = -3.46, P <0.05), while the control group decreased by 5.4 points The difference was statistically significant (t = -2.62, P <0.05). In the patients with severe depression index ≥0.50, the total score of b-POMS in the experimental group was 17 points lower than the baseline assessment value, the difference was statistically Significance (t = -2.99, P <0.05), but no significant difference in the control group (t = 1.47, P> 0.05). Conclusions Mindfulness training can improve the emotional state of menopausal women and have more significant effects on those with symptoms of menopausal depression.