Abstract:

Objective　To explore the effect of hypnotherapy combined with mindfulness therapy on depressive mood and sleep quality in patients with postpartum depression. Methods　This was a randomized controlled trial. A total of 80 patients with postpartum depression treated in First Affiliated Hospital of Gannan Medical University from August 2022 to August 2023 were prospectively selected as the study objects, and were divided into a control group and an observation group by the random number table method, with 40 cases in each group. The control group was (28.20±3.62) years old, and the observation group was (26.20±3.12) years old. All pregnant women were scored using Edinburgh Postpartum Depression Scale (EPDS), and those with a score of >9 points were included in the study. Before the study began, the Pittsburgh Sleep Quality Index (PSQI) was also used to score and record. The control group was treated with mindfulness therapy, and the experimental group was treated with hypnotherapy on the basis of mindfulness therapy. Both groups were scored and recorded with the EPDS and PSQI again after 6 weeks of treatment. The differences of depression score, sleep index, and patients' satisfaction were compared between the two groups before and after treatment. t test and χ² test were used. Results　Before treatment, there were no statistically significant differences in the score of EPDS or PSQI between the two groups (both P>0.05). After treatment, the EPDS score [(8.732±1.523) points] and PSQI score [(8.533±1.541) points] in the observation group were lower than those in the control group [(9.871±1.194) points and (11.532±1.913) points], with statistically significant differences (t=3.412 and 7.721, both P<0.05). The treatment satisfaction in the observation group [87.5% (35/40)] was higher than that in the control group [67.5% (27/40)], with a statistically significant difference (χ²=4.872, P=0.027). Conclusion　Hypnotherapy combined with mindfulness therapy can effectively improve the depressive mood and sleep disorder in postpartum depression patients, and the combined therapy can achieve better results than the single therapy and can improve the patients' satisfaction.

Key words:

Postpartum depression, Hypnotherapy, Mindfulness therapy, Depressive mood, Sleep disorder

摘要：

目的　探讨催眠联合正念疗法对产后抑郁患者抑郁情绪和睡眠质量的影响。方法　本文为前瞻性研究。选取2022年8月至2023年8月赣南医学院第一附属医院就诊的产后抑郁患者80例为研究对象，采用随机数字表法分为对照组与观察组，各40例。对照组年龄（28.20±3.62）岁，观察组年龄（26.20±3.12）岁。所有孕产妇均采用爱丁堡产后抑郁量表（EPDS）评分，>9分者纳入研究，研究开始前同时使用匹兹堡睡眠质量指数量表（PSQI）进行评分并记录。对照组采用正念疗法，观察组在正念疗法基础上联合催眠疗法，两组均在治疗6周后再次使用EPDS、PSQI进行评分并记录。对比两组患者治疗前后抑郁评分、睡眠指数及患者满意度差异。采用t检验、χ²检验。结果　治疗前，两组产后抑郁患者EPDS、PSQI评分比较，差异均无统计学意义（均P>0.05）。治疗后，观察组EPDS评分［（8.732±1.523）分］、PSQI评分［（8.533±1.541）分］均低于对照组［（9.871±1.194）分、（11.532±1.913）分］，差异均有统计学意义（t=3.412、7.721，均P<0.05）。观察组治疗满意度［87.5%（35/40）］高于对照组［67.5%（27/40）］， 差异有统计学意义（χ²=4.872，P=0.027）。结论　催眠联合正念疗法可有效改善产后抑郁患者的抑郁情绪及睡眠障碍，联合疗法相较单一正念治疗能够取得更好效果，且可提高患者满意度。

关键词:

产后抑郁, 催眠, 正念疗法, 抑郁情绪, 睡眠障碍