本刊首页 > 期刊目次 > 接纳与承诺疗法联合帕罗西汀对轻度焦虑抑郁不孕症患者负性情绪及生活质量的影响

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接纳与承诺疗法联合帕罗西汀对轻度焦虑抑郁不孕症患者负性情绪及生活质量的影响

  • 王晓飞

* 通信作者: 王晓飞, 单位:郑州市第二人民医院

摘要

【摘要】
目的:探讨接纳与承诺疗法联合帕罗西汀对伴轻度焦虑抑郁不孕症患者负性情绪及生活质量的影响。

方法:按照门诊就诊顺序将我科2017年7月1日至2019年7月1日期间127例轻度焦虑抑郁不孕症患者作为研究对象,对照组63例给予帕罗西汀治疗,观察组64例增加接纳与承诺疗法,2周为一疗程,三个疗程后对比两组患者治疗效果,采用抑郁自评量表( SDS) 和焦虑自评量表( SAS) 评定患者干预前后患者的负性情绪,采用健康状况调查量表( SF-36)评价患者干预前后的生活质量,采用社会支持评定量表(SSRS)评价家庭与社会的支持程度。

结果:观察组治疗后有效率90.63%(57/64)高于对照组74.60%(48/63)(X2=5.6903,P<0.05); 两组治疗方案均可降低患者治疗后SAS评分和SDS评分,但观察组降低SAS评分和SDS评分幅度高于对照组(P<0.05);两组治疗方案均可提高患者治疗后的生活质量和家庭支持程度,但观察组提高生活质量和家庭支持程度高于对照组(P<0.05)。

结论:接纳与承诺疗法联合帕罗西汀能够显著改善轻度焦虑抑郁不孕症患者的心理状态,纠正负性情绪,提高生活质量和家庭支持程度,值得临床对干预

方法推广使用。

关键词:【关键词】接纳与承诺疗法;焦虑;抑郁;不孕症;负性情绪;生活质量

ABSTRACT

【Abstract】
Objective: To explore the effect of acceptance and commitment therapy combined with paroxetine on negative emotions and quality of life in infertile patients with mild anxiety and depression.

Methods: According to the order of outpatient visits, 127 patients with mild anxiety, depression and infertility from July 1st, 2017 to July 1st, 2019 were selected as the research subjects, 63 patients in the control group were treated with paroxetine, and 64 patients in the observation group Increase acceptance and commitment therapy, 2 weeks as a course of treatment, compare the treatment effect of the two groups of patients after three courses of treatment, use the Depression Self-rating Scale (SDS) and Anxiety Self-rating Scale (SAS) to assess the negative emotions of patients before and after intervention SF-36 was used to evaluate the quality of life of patients before and after intervention, and SSRS was used to evaluate the level of family and social support.

Results: The effective rate of the observation group after treatment was 90.63% (57/64) higher than that of the control group 74.60% (48/63) (X2=5.6903, P<0.05); both treatment regimens of the two groups could reduce the patients’ SAS score and SDS after treatment Score, but the observation group decreased the SAS score and the SDS score by a higher margin than the control group (P<0.05); both treatment regimens could improve the patient’s quality of life and family support after treatment, but the observation group improved the quality of life and family support Higher than the control group (P<0.05).

Conclusion  : Admission and commitment therapy combined with paroxetine can significantly improve the mental state of patients with mild anxiety, depression and infertility, correct negative emotions, improve quality of life and family support, and it is worthy of clinical use of intervention methods.

Key words: [Keywords] acceptance and commitment therapy; anxiety; depression; infertility; negative emotions; quality of life

引用本文 / How to Cite This Article

王晓飞.接纳与承诺疗法联合帕罗西汀对轻度焦虑抑郁不孕症患者负性情绪及生活质量的影响[J]. 国际精神病学杂志, 2021, 48(2): 309-312

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