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

徐晓晓; 唐婷; 龙玲; 李敏

doi:10.16016/j.1000-5404.201906093

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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

医学心理学 | 更新时间：2026-01-09

- 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
- Effects of self-help mindfulness training on posttraumatic growth and self-efficacy in women undergoing in vitro fertilization and embryo transfer
- 第三军医大学学报 2019年41卷第22期页码：2253-2260
- 作者机构：
  
  1.400038 重庆，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
  3.400038 重庆，陆军军医大学(第三军医大学):医学心理系军事心理学教研室
  2.400038 重庆，陆军军医大学(第三军医大学):第一附属医院生殖医学中心
- 作者简介：
  
  [李敏，E-mail: limin52267@tmmu.edu.cn LI Min, E-mail:limin52267@tmmu.edu.cn
- 基金信息：
  
  国家自然科学基金青年科学基金(31700958);军事医学预研项目(2016XYY06);第三军医大学人文社科基金(2016XRW05)
- DOI：10.16016/j.1000-5404.201906093
  中图分类号： R395.1;R395.5;R711
- 收稿：2019-06-14，
  
  修回：2019-07-30，
  
  纸质出版：2019-11-30
- 稿件说明：
移动端阅览
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):2253-2260.

Xiaoxiao XU, Ting TANG, Ling LONG, et al. Effects of self-help mindfulness training on posttraumatic growth and self-efficacy in women undergoing in vitro fertilization and embryo transfer[J]. Journal of Third Military Medical University, 2019, 41(22): 2253-2260.
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):2253-2260. DOI： 10.16016/j.1000-5404.201906093.

Xiaoxiao XU, Ting TANG, Ling LONG, et al. Effects of self-help mindfulness training on posttraumatic growth and self-efficacy in women undergoing in vitro fertilization and embryo transfer[J]. Journal of Third Military Medical University, 2019, 41(22): 2253-2260. DOI： 10.16016/j.1000-5404.201906093.

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

① IVF-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(

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(

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(

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(

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(

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).

Methods

Between 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.

Results

The 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 (

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 (

0.05)

but these scores showed no significant changes after the training in older women. Mindfulness training signif

icantly increased the scores for appreciation of life in women with high school or above education levels (

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 (

0.05); the score for appreciation of life increased significantly after the training in women with an infertility duration of

2 to 5 years (

0.05).

Conclusion

Self-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.

关键词

Keywords

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