催眠干预对经前期综合征女大学生负性情绪和生活质量的改善效果评价

Evaluation of effect of hypnosis intervention on improvement of negative emotions and quality of life in female college students with premenstrual syndrome

目的探讨催眠干预对经前期综合征女大学生负性情绪和生活质量的影响。方法采用随机数字法将64例经前期综合征女大学生分成催眠组(32名)和对照组(32名),2组女大学生均接受常规心理健康教育,催眠组在此基础上接受8次有针对性的催眠干预。在干预前、干预后分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和WHO生活质量评定简表(WHOQOL-BREF)对参与者的焦虑、抑郁和生活质量进行测评,比较干预前后参与者的焦虑、抑郁和生活质量变化。结果干预前催眠组的SAS评分为(52.00±8.95)、SDS评分为(56.46±6.57)、WHOQOLBREF总分为(51.14±5.70),对照组SAS评分为(51.34±9.48)、SDS评分为(57.03±8.42)、WHOQOL-BREF总分为(51.66±6.63),两组相比差异均无统计学意义(P均>0.05);干预后重复测量方差分析结果显示,SAS评分时间主效应、时间和组别的交互作用显著(F值分别为493.03,61.37,P均<0.001);SDS评分时间主效应、时间和组别的交互作用、组间主效应显著(F值分别为225.01,48.47,8.21,P均<0.01);WHOQOL-BREF总分及生理健康、心理健康、社会关系、环境领域维度上均存在显著的时间主效应、组间主效应、时间和组别的交互作用(F值分别为278.01,193.47,29.68;117.62,70.36,15.10;147.51,106.54,18.71;121.22,84.83,28.95;193.34,144.62,12.99,P均<0.001)。结论采用催眠干预能有效改善经前期综合征女大学生的焦虑和抑郁情绪,显著提升生活质量。

Objective To investigate the effect of hypnotherapy on negative emotions and quality of life in female college students with premenstrual syndrome(PMS).Methods A total of 64 female college students with PMS were divided into a hypnosis group(32 students)and a control group(32 students)by the random number method.Both female college students received routine mental health education,and the hypnosis group received 8 targeted hypnotherapy interventions on this basis.The anxiety self-rating scale(SAS),the depression self-rating scale(SDS),and the WHO Quality of Life Assessment Brief(WHOQOL-BREF)were used before and after the intervention to measure participants'anxiety,depression,and quality of life,and the participants'anxiety,depression and quality of life changes before and after the intervention were compared.Results Before the intervention,in the hypnosis group,the average SAS score was(52.00±8.95),SDS score was(56.46±6.57),and WHOQOL-BREF score was(51.14±5.70),and in the control group,the average SAS score was(51.34±9.48),SDS score was(57.03±8.42),and WHOQOL-BREF score was(51.66±6.63),and there were no statistically significant differences between two groups(all P>0.05).Repeated measures of ANOVA after the intervention showed that the main effect of SAS score time,and the interaction between time and group were significant(F=493.03,61.37,both P<0.001).The main effect of the SDS score,the interaction between time and group,and the main effect between groups were significant(F=225.01,48.47,8.21,all P<0.01).There were significant temporal main effects,intergroup main effects,temporal and group interactions in the dimensions of WHOQOL-BREF total score and physiological health,mental health,social relations,and environmental domains(F=278.01,193.47,29.68;117.62,70.36,15.10;147.51,106.54,18.71;121.22,84.83,28.95;193.34,144.62,12.99,all P<0.001).Conclusion Hypnotherapy can effectively improve the anxiety and depression of female college students with PMS and significantly improve their quality of life.