[1]徐晓晓,唐婷,龙玲,等.自助式正念训练对接受体外受精-胚胎移植女性创伤后成长和自我效能感的影响[J].第三军医大学学报,2019,41(22):2253-2257.
 XU Xiaoxiao,TANG Ting,LONG Ling,et al.Effects of self-help mindfulness training on posttraumatic growth and self-efficacy in women undergoing in vitro fertilization and embryo transfer[J].J Third Mil Med Univ,2019,41(22):2253-2257.
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自助式正念训练对接受体外受精-胚胎移植女性创伤后成长和自我效能感的影响(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第22期
页码:
2253-2257
栏目:
医学心理学
出版日期:
2019-11-30

文章信息/Info

Title:
Effects of self-help mindfulness training on posttraumatic growth and self-efficacy in women undergoing in vitro fertilization and embryo transfer
作者:
徐晓晓 唐婷 龙玲 李敏 
陆军军医大学(第三军医大学):医学心理系基础心理学教研室,医学心理系军事心理学教研室,第一附属医院生殖医学中心
Author(s):
XU Xiaoxiao TANG Ting LONG Ling LI Min 

epartment of Basic Psychology, Department of Military Psychology, Faculty of Psychology, Reproductive Medical Center, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038, China

关键词:
正念体外受精-胚胎移植女性创伤后成长自我效能感
Keywords:
indfulness in vitro fertilization and embryo transfer posttraumatic growth self-efficacy
分类号:
395.1; R395.5; R711
文献标志码:
A
摘要:

目的 探讨自助式正念训练对接受体外受精-胚胎移植(in vitro fertilization and embryo transfer, IVF-ET)治疗的不孕症女性创伤后成长(包括人际关系、新可能性、个人力量、精神变化、欣赏生活)和一般自我效能感的影响。方法 2017年3月至2018年4月在陆军军医大学第一附属医院生殖医学中心招募90名IVF-ET女性,在正念音频的指导下接受连续6周、每次不少于45 min的正念训练。为监测正念训练过程,鼓励其每日分享练习记录,且每周开展1次针对IVF-ET治疗和正念训练的线上答疑。采用创伤后成长评定量表(posttraumatic growth inventory, PTGI)和一般自我效能感量表(general self-efficacy scale, GSES),分别在训练前后对其进行测评。结果 ①IVF-ET女性自助式正念训练后的PTGI总分、人际关系、个人力量、欣赏生活维度得分以及GSES总分显著高于训练前(P<0.05);②低年龄组IVF-ET女性正念训练后的PTGI总分、人际关系、新可能性和欣赏生活维度得分显著高于训练前(P<0.05),而高龄组训练前后的得分差异无统计学意义;③高中和大专、本科及以上文化程度的IVF-ET女性正念训练后的PTGI欣赏生活维度分显著高于训练前(P<0.05);④不孕时间在2年以内的IVF-ET女性训练后的PTGI总分、精神变化和欣赏生活维度得分以及GSES总分显著高于训练前(P<0.05),不孕时间为>2~5年的IVF-ET女性训练后的PTGI欣赏生活维度得分也高于训练前(P<0.05)。结论 自助式正念训练能够促进IVF-ET女性创伤后成长和自我效能感的提高,尤其是对低年龄、高文化程度和较短不孕时间的IVF-ET女性,提高更为明显。

Abstract:

Objective To investigate the effects of self-help mindfulness training on posttraumatic growth (including relationships with others, new possibilities, personal strength, spiritual change and appreciation of life) and self-efficacy in women with infertility after receiving in vitro fertilization and embryo transfer (IVF-ET). MethodsBetween March, 2017 and April, 2018, 90 women diagnosed with infertility undergoing IVF-ET at the Reproductive Medicine Center of First Affiliated  Hospital of Army Military Medical University were recruited for mindfulness training. All the women were provided with audio recordings of lectures on mindfulness and engaged in self-help training for 6 weeks (at least 45 min per day). To monitor the process of mindfulness training, we encouraged the women to share their daily records of the practice and conducted weekly on-line consultation about IVF-ET and mindfulness training. Posttraumatic Growth Inventory (PTGI) and General Self-Efficacy Scale (GSES) were used to evaluate the women before and after the intervention. ResultsThe total scores of PTGI and GSES and the dimension scores for relationships with others, personal strength, and appreciation of life were all significantly increased in these women after self-help mindfulness training (P<0.05). In women of a younger age, the training significantly increased the total score of PTGI and the dimension scores for relationships with others, new possibilities and appreciation of life (P<0.05), but these scores showed no significant changes after the training in older women. Mindfulness training significantly increased the scores for appreciation of life in women with high school or above education levels (P<0.05). The total scores of PTGI and GSES and the dimension scores for spirituality and appreciation of life all showed obvious improvements after the training in women with a duration of infertility less than 2 years (P<0.05); the score for appreciation of life increased significantly after the training in women with an infertility duration of >2 to 5 years (P<0.05). ConclusionSelf-help mindfulness training can promote posttraumatic growth and self-efficacy in women undergoing IVF-ET, especially in those at a younger age, with a higher education level and a shorter infertility duration. 

参考文献/References:

[1]ZEGERS-HOCHSCHILD F, ADAMSON G D, DE MOUZON J, et al. International committee for monitoring assisted reproductive technology (ICMART) and the world health organization (WHO) revised glossary of ART terminology, 2009[J]. Fertil Steril, 2009, 92(5): 1520-1524. DOI: 10.1016/j.fertnstert.2009.09.009. 
[2]RASCANU R, VLADICA S. Attitudinal and emotional structures specific for infertile women[J]. Procedia Soc Behav Sci, 2012, 33(3): 100-103. DOI: 10.1016/j.sbspro.2012.01.091.
[3]KAZANDI M, GUNDAY O, MERMER T K, et al. The status of depression and anxiety in infertile Turkish couples[J]. Iran J Reprod Med, 2011, 9(2): 99-104.
[4]LI J, LONG L, LIU Y, et al. Effects of a mindfulness-based intervention on fertility quality of life and pregnancy rates among women subjected to first in vitro fertilization treatment[J]. Behav Res Ther, 2016, 77: 96-104. DOI: 10.1016/j.brat.2015.12.010. 
[5]LI J, LUO H, LONG L. Mindfulness and fertility quality of life in Chinese women with infertility: assessing the mediating roles of acceptance, autonomy and self-regulation[J]. J Reprod Infant Psychol, 2019: 1-13. DOI: 10.1080/02646838.2019.1577958. 
[6]LI J, LUO H, LONG L. A qualitative investigation of the experience of participation in Mindfulness-based Intervention for IVF-ET (MBⅡ) with Chinese women undergoing first IVF-ET[J]. Nurs Open, 2019, 6(2): 493-503. DOI: 10.1002/nop2.232. 
[7]MUSA R, RAMLI R, YAZMIE A W, et al. A preliminary study of the psychological differences in infertile couples and their relation to the coping styles[J]. Compr Psychiatry, 2014, 55(Suppl 1): S65-S69. DOI: 10.1016/j.comppsych.2013.01.001. 
[8]PETERSON B D, NEWTON C R, ROSEN K H, et al. Gender differences in how men and women who are referred for IVF cope with infertility stress[J]. Hum Reprod, 2006, 21(9): 2443-2449. DOI: 10.1093/humrep/del145. 
[9]EL KISSI Y, AMAMOU B, HIDAR S, et al. Quality of life of infertile Tunisian couples and differences according to gender[J]. Int J Gynaecol Obstet, 2014, 125(2): 134-137. DOI: 10.1016/j.ijgo.2013.10.027.
[10]涂阳军, 郭永玉. 创伤后成长:概念、影响因素、与心理健康的关系[J]. 心理科学进展, 2010, 18(1): 114-122. 
TU Y J, GUO Y Y. Posttraumatic growth: Conception, influential factors and relationships with mental health[J]. Adv in Psycholo Sci, 2010, 18(1): 114-122. 
[11]SHIYKO M P, HALLINAN S, NAITO T. Effects of mindfulness training on posttraumatic growth: a systematic review and meta-analysis[J]. Mindfulness, 2017, 8(4): 848-858. DOI: 10.1007/s12671-017-0684-3.
[12]BEN-ZUR H, COHEN M, GOUZMAN J. Posttraumatic growth moderates the effects of posttraumatic stress symptoms on adjustment and positive affective reactions in digestive system cancer patients[J]. Psychol Health Med, 2015, 20(6): 685-696. DOI: 10.1080/13548506.2014.969747. 
[13]YUN Y H, SIM J A, JUNG J Y, et al. The association of self-leadership, health behaviors, and posttraumatic growth with health-related quality of life in patients with cancer[J]. Psychooncology, 2014, 23(12): 1423-1430. DOI: 10.1002/pon.3582. 
[14]BANDURA A. Health promotion by social cognitive means[J]. Health Educ Behav, 2004, 31(2): 143-164. DOI: 10.1177/1090198104263660. 
[15]PASHA H, FARAMARZI M, ESMAILZADEH S, et al. Comparison of pharmacological and nonpharmacological treatment strategies in promotion of infertility self-efficacy scale in infertile women: A randomized controlled trial[J]. Iran J Reprod Med, 2013, 11(6): 495-502.
[16]KABAT-ZINN J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness[M]. NEW York: Delacorte, 1990. 
[17]CUIJPERS P, DONKER T, VAN STRATEN A, et al. Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies[J]. Psychol Med, 2010, 40(12): 1943-1957. DOI: 10.1017/S0033291710000772. 
[18]CAVANAGH K, STRAUSS C, FORDER L, et al. Can mindfulness and acceptance be learnt by self-help?: a systematic review and meta-analysis of mindfulness and acceptance-based self-help interventions[J]. Clin Psychol Rev, 2014, 34(2): 118-129. DOI: 10.1016/j.cpr.2014.01.001. 
[19]KVILLEMO P, BRANDBERG Y, BRNSTRM R. Feasibility and outcomes of an Internet-based mindfulness training program: A pilot randomized controlled trial[J]. JMIR Ment Health, 2016, 3(3): e33. DOI: 10.2196/mental.5457. 
[20]汪际, 陈瑶, 王艳波, 等. 创伤后成长评定量表的修订及信效度分析[J]. 护理学杂志, 2011, 26(14): 26-28.
WANG J, CHEN Y, WANG Y B, et al. Revision of the posttraumatic growth inventory and testing its reliability and validity[J]. J Nurs Sci, 2011, 26(14): 26-28.
[21]ZHANG J X, SCHWARZER R. Measuring optimistic self-beliefs: A Chinese adaptation of the general self-efficacy scale[J]. Psychology, 1995, 38(3): 174-181. DOI: 10.1080/09515089508573160.
[22]DOWD H, HOGAN M J, MCGUIRE B E, et al. Comparison of an online mindfulness-based cognitive therapy intervention with online pain management psychoeducation: A randomized controlled study[J]. Clin J Pain, 2015, 31(6): 517-527. DOI: 10.1097/AJP.0000000000000201. 
[23]BROEKMANS F J, KNAUFF E A, TE VELDE E R, et al. Female reproductive ageing: current knowledge and future trends[J]. Trends Endocrinol Metab, 2007, 18(2): 58-65. DOI: 10.1016/j.tem.2007.01.004.
[24]ZHANG J Y, ZHOU Y Q, FENG Z W, et al. Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors[J]. Psychol Health Med, 2017, 22(1): 94-109. DOI: 10.1080/13548506.2016.1146405.
[25]CARLSON L E, TAMAGAWA R, STEPHEN J, et al. Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results [J]. Psychooncology, 2016, 25(7): 750-759. DOI: 10.1002/pon.4150.
[26]FARAMARZI M, PASHA H, ESMAILZADEH S, et al. A survey of correlation infertility self-efficacy with behavioral health scales in infertile women[J]. Health, 2014, 6(10): 943-949. DOI: 10.4236/health.2014.610119.
[27]GALHARDO A, CUNHA M, PINTO-GOUVEIA J. Mindfulness-based program for infertility: efficacy study[J]. Fertil Steril, 2013, 100(4): 1059-1067. DOI: 10.1016/j.fertnstert.2013.05.036.
[28]ALTIPARMAK S, AKSOY DERYA Y. The effects of fertility-supporting health training on healthy lifestyle behaviors and infertility self-efficacy in infertile women: A quasi-experimental study[J]. Eur J Integr Med, 2018, 20: 146-153. DOI: 10.1016/j.eujim.2018.05.005.[LinkOut]
[29]ROTHENBURGER M T. The relationships between personality characteristics, age, number of years trying to conceive and posttraumatic growth in infertile women[D]. Capella: Capella University, 2014. 
[30]WANG M L, LIU J N, WANG H Y, et al. Posttraumatic growth and associated socio-demographic and clinical factors in Chinese breast cancer survivors[J]. Eur J Oncol Nurs, 2014, 18(5): 478-483. DOI: 10.1016/j.ejon.2014.04.012.
[31]闵丽华, 张安琴, 晋云花, 等. 不孕症患者自我效能状况调查研究[J]. 当代护士(学术版), 2008(4): 2-3.
MIN L H, ZHANG A Q, JIN Y H, et al. Research on self-efficacy of patients with infertilitas feminis[J]. Today Nurse, 2008(4): 2-3. 
[32]DONKOR E S, SANDALL J. The impact of perceived stigma and mediating social factors on infertility-related stress among women seeking infertility treatment in Southern Ghana[J]. Soc Sci Med, 2007, 65(8): 1683-1694. DOI: 10.1016/j.socscimed.2007.06.003.
[33]于永菊, 彭李, 陈珑, 等. 不孕不育女性患者创伤后成长与社会支持应对方式的关系[J]. 中华行为医学与脑科学杂志, 2013(8): 707-709.
YU Y J, PENG L, CHEN L, et al. Relationships among posttraumatic growth, social support, and coping style in women with infertility[J]. Chin J Behav Med Sci, 2013(8): 707-709. 
[34]RAMEZANZADEH F, AGHSSA M M, ABEDINIA N, et al. A survey of relationship between anxiety, depression and duration of infertility[J]. BMC Womens Health, 2004, 4(1): 9. DOI: 10.1186/1472-6874-4-9.
[35]VON WOLFF M, SCHWARTZ A K, BITTERLICH N, et al. Only women’s age and the duration of infertility are the prognostic factors for the success rate of natural cycle IVF[J]. Arch Gynecol Obstet, 2019, 299(3): 883-889. DOI: 10.1007/s00404-018-5034-8.
 

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更新日期/Last Update: 2019-11-21