孕期改良正念疗法对产后抑郁预防效果研究

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【中图分类号】R714.6；R395.6 【文献标志码】A

Preventive effects of improved mindfulness-based therapy during pregnancyagainst postpartum depression

XuLinqun'，Pan Lihong²，Yao Lin³，Gu Chunhong4 （1.Department of Psychiatry，Nanhui Mental Health Center of Shanghai Pudong New Area; 2.Department of Sleep Medicine，Nanhui Mental Health Center of Shanghai Pudong New Area; 3.Department of Psychosomatic Medicine，Shanghai Pudong Hospital;4.Department of Psychiatry， NanhuiMental Health Center ofShanghaiPudongNew Area）

【AbstractObjective：Toexamine theefectsofanimprovedmindfuless-basedinterventionproram（IM）ondepresionniety， psychologicalresilience，and maritalqualityamong perinatal women.Methds：Weenroled20perinatal womenreceivingcareatthe obstetricsdepartmentsofPudongHospitalandNanhui MaternityandChildHealth HospitalfromDecember222 toAugust2O24.They wererandomlyassignedtoeitherroutinecaregrouporIMIPgroup.Theroutinecaregroupreceivedstandardprenatalcare，whilethe IMIPgroupreceived，inadditiontooutinecareanight-weekcourseofIIPintervention，dministeredonceaweek.Outcoemesures includedtheEdinburghPostatalDepressioncale（EPDS），HospitalAnietyandDepressonScale（HADS）ConorDavison ResilienceScale（CD-ISC），andECHMaritalSatisfactionScalessessdatsixtiepoints—beforeiterventionftee tion（at35 weeksofgestation），andat3days，42days，3months，and6months postpartum.Arepeated measures ANOVAwasconducted，with the score changes Δ values）at individual time points from baseline as the dependent variable.Results：The IMIP group showed significantly greater improvements than the routine care groupin EPDS，HADS-anxiety，CD-RISC，andENRICH scores， with the main effects of group and time and their interaction effect all being significant（all P<0.001 ）.For HADS-depression，the groupXtime interaction was not significant，but the main effect of groupwas significant（ P <0.001）.CD-RISC and ENRICH scores increasedwithtimeintheIMIPgroup.Conclusion：IMIPeffectively alleviates depressive and anxiety symptoms，enhances psychological resilience，and improves maritalquality for perinatal women，showing strong potentialforclinical application.

【Keywordsmindfuless;pregnantwomen;pospartumdepresion;mentalresilence;maritalquality;improedmindfulessbsedintervention program

产后抑郁（postpartumdepression，PPD）是一种常见的围产期心理障碍，起病于分娩后4周至3个月，病程可持续数月至数年-2]。（剩余13167字）