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森田疗法对产后抑郁初产妇的自我效能及睡眠质量的影响 被引量:16

Effects of morita therapy on self-efficacy and sleep quality of primipara with postpartum depressed
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摘要 目的探讨森田疗法对产后抑郁初产妇的自我效能及睡眠质量的影响。方法选取我院2017年6月~2019年6月期间收治的产后抑郁的83例初产妇作为主要研究对象。采用随机数字表法将研究对象分为对照组和观察组,对照组患者(41例)采用常规心理干预,观察组患者(42例)采用森田疗法进行干预。观察对比两组患者干预前后的GSES、SCL-90、PSQI、HAMD评分。结果干预2、4、8周后,两组患者的GSES评分逐渐升高HAMD、SCL-90、PSQI评分逐渐降低(P<0.01);且观察组GSES评分明显高于对照组,HAMD、SCL-90、PSQI评分低于对照组(P<0.05)。结论森田疗法能够有效改善剖宫产初产妇产后抑郁患者的抑郁情绪及睡眠质量,提升自我效能,值得临床推广应用。 Objective To investigate the effect of morita therapy on self-efficacy and sleep quality of primipara with postpartum depressed.Methods A total of 83 primipara with postpartum depressed in our hospital from June 2017 to June 2019 were collected and randomly divided into two groups:observation group(42 cases)received Morita therapy,control group(41 cases)received conventional psychological intervention.Hamilton depression scale(HAMD),general self efficacy scale(GSES),Pittsburgh sleep quality index(PSQI),symptom check-list 90(scl-90)scores before and after intervention between the two groups were compared.Results After 2,4,and 8 weeks of intervention,the scores of GSES,HAMD,SCL-90,and PSQI in the two groups increased gradually(P<0.01).The GSES score in the observation group was significantly higher than that in the control group,while the HAMD,SCL-90 and PSQI scores were lower than those in the control group(P<0.05).Conclusion Morita therapy can effectively improve the depression and sleep quality and enhance self-efficacy of the primipara with postpartum depressed,which is worthy of clinical popularization and application.
作者 陆小丽 李瑞瑞 许莹莹 吴凤琳 马亚华 任高祥 LU Xiaoli;LI Ruirui;XU Yingying(Zhoukou Maternal and Child Health Care Hospital,Zhoukou 466000,China)
出处 《国际精神病学杂志》 2020年第3期609-612,共4页 Journal Of International Psychiatry
关键词 森田疗法 初产妇 产后抑郁 自我效能 睡眠质量 Morita therapy Primipara Postpartum depression Self-efficacy Sleep quality
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