团体心理治疗对接受体外受精胚胎移植者情绪作用.docVIP

团体心理治疗对接受体外受精胚胎移植者情绪作用 　　【摘 要】 目的:初步探讨团体心理治疗对接受体外受精-胚胎移植（In Vitro Fertilization and Embryo Transfer，IVF-ET）治疗者情绪的作用。方法：从接受IVF-ET治疗的门诊患者（均为女性）中选取自愿参与本研究者100名，随机分为对照组和干预组，每组各50人。对照组（脱落3例）仅接受常规IVF-ET治疗，干预组（脱落8例）除接受常规IVF-ET治疗外同时参加总计6次，每周2次的团体心理干预。用焦虑状态-特质问卷（State-Trait Anxiety Inventory，STAI）及抑郁自评量表（Self-rating Depression Scale，SDS）比较两组患者干预前后焦虑、抑郁水平的差异。结果：干预组SAI、SDS的前后测得分差异均无统计学意义（均P0.05）；对照组SAI、 SDS的后测得分均高于前测［（39.6±7.9） vs.(42.7±8.7),（43.8±10.1） vs.(49.0±10.4)； P0.05）］。干预组与对照组的临床妊娠率差异无统计学意义（35.7% vs.29.8%，P0.05）。结论：团体心理干预可以缓解接受体外受精-胚胎移植治疗患者的焦虑情绪，有临床应用价值。 　　【关键词】 团体治疗；体外受精-胚胎移植；应激；焦虑；抑郁；随机对照研究 　　中图分类号： 文献标识码：A 文章编号：1000-6729(2010）012-0912-05 　　doi:10.3969/j.issn.1000-6729.2010.12.007 　　 　　Effects of group psychotherapy on mood in patients undergoing in vitro fertilization and embryo transfer 　　ZHU Hao-Bin?1,HU Pei-Cheng?1,QIAO Jie?2 　　?1Medical psychology TR Section,Peking University HSC,Beijing 100191,China 　　?2Department of Gynecology and Obstetrics，Peking University Third Hospital,Beijing 100191,China 　　Corresponding author，HU Pei-Cheng ，Email：pchu@hsc.pku.省略 　　 　　【Abstract】 Objective:To evaluate the effects of the group psychotherapy to the mood in women undergoing in vitro fertilization and embryo transfer(IVF-ET).Methods:Totally 100 women undergoing their IVF-ET treatment agreed and were divided into the routine-care control group(n=50)and the intervention group randomly(n=50).The intervention group(withdrawal 8)received group therapy which was performed about twice a week for 3 consecutive weeks(6 sessions),while the control group(withdrawal 3)did not receive any intervention.Both groups were assessed with the State-Trait Anxiety Inventory(SAI)and Self-Rating Depression Scale(SDS)before and after treatment.Results:The intervention group had not significant change in SAIand SDSscores after intervention（Ps0.05）.The SAI ［(39.6±7.9)vs.(42.7±8.7),P0.05）.Compared with the control group,although there was a trend of a higher pregnancy rate in the interventi