催眠改善原发性痛经女大学生疼痛自我效能及应对方式的效果

程族桁; 李功平; 王奕冉; 肖裕芳; 杨新国

doi:10.16835/j.cnki.1000-9817.2022.05.005

催眠改善原发性痛经女大学生疼痛自我效能及应对方式的效果

doi: 10.16835/j.cnki.1000-9817.2022.05.005

程族桁^{1, 2},
李功平²,
王奕冉²,
肖裕芳³,
杨新国^4, ,

1.
北部湾大学心理健康教育中心，广西钦州535011
2.
北部湾大学教育学院
3.
钦州市第一人民医院体检部
4.
广西大学心理健康研究所

基金项目:

国家社会科学基金一般项目 18BKS175

广西高校大学生思想政治教育理论与实践研究课题 2019LSZ040

详细信息

作者简介:
程族桁(1982-)，男，四川邛崃人，在读博士，副教授，主要研究方向为心理健康与咨询

通讯作者:
杨新国，E-mail: yxgxinliyanjiu@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.9 R179 G444
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- 被引次数: 0
出版历程
- 收稿日期: 2022-02-01
- 修回日期: 2022-03-10
- 网络出版日期: 2022-05-20
- 刊出日期: 2022-05-25

Effects of hypnotherapy on pain self-efficacy and coping styles in female college students with primary dysmenorrhea

1.
Center of Mental Health Education, School of Education, Beibu Gulf University, Qinzhou(535011), Guangxi Zhuang Autonomous Region, China

摘要

摘要: 目的探讨催眠对原发性痛经女大学生疼痛程度、疼痛灾难化、疼痛自我效能及应对方式的改善效果，为原发性痛经女大学生的心理干预提供理论支持。方法将56例原发性痛经女大学生随机分成实验组和对照组各28名，实验组按照催眠干预方案，每周一、五的19：30—21：00，每周2次，每次1.5 h，共10次干预，对照组不进行任何形式的干预。采用疼痛数字评分法(NRS)、疼痛灾难化量表(PCS)、疼痛自我效能量表(PSEQ)、简易应对方式量表(SCSQ)对两组进行前测、干预结束时和结束后的3个月测试评分。结果两组女大学生NRS、PCS、PSEQ评分的时间效应、组别效应和时间与组别的交互作用均有统计学意义(F值分别为12.83，21.77，13.65；22.96，28.98，24.84；25.35，18.26，27.02，P值均＜0.01)；实验组在干预结束时和干预后3个月，SCSQ积极应对评分(1.43±0.35，1.50±0.39)高于对照组(1.22±0.19，1.20±0.21)(P值均＜0.05)，SCSQ消极应对评分(1.59±0.38，1.52±0.49)低于对照组(1.80±0.17，1.80±0.20)(P值均＜0.05)，两组女大学生SCSQ积极应对和消极应对评分的时间效应、组别效应和时间与组别的交互作用均有统计学意义(F值分别为15.14，4.29，14.37；7.66，4.10，6.95，P值均＜0.05)。结论催眠干预有助于减轻原发性痛经女大学生的疼痛程度，改善疼痛灾难化及应对方式，提高疼痛自我效能水平，且干预具有持久的效果。
- 催眠术 /
- 精神卫生 /
- 痛经 /
- 适应，心理学 /
- 女(雌)性 /
- 学生
Abstract: Objective To investigate the effect of hypnotherapy on improving pain degree, pain catastrophizing, pain self-efficacy, coping styles of female college students with primary dysmenorrhea, and to provide the theoretical support for psychological intervention. Methods Fifty-six female college students with primary dysmenorrhea were randomly divided into experimental group(n=28) and control group(n=28).Samples in the experimental group received 10-session structured hypnotherapy, while the control group received no intervention (the control group could receive the intervention when the intervention was proved to be effective).The effects were evaluated with Numerical Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire(PSEQ), was proved to be effective.The effects were evaluated with Numerical Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire(PSEQ), Simplified Coping Style Questionnaire(SCSQ)in the pretest, protest and tracking test. Results The time effect, group effect and time-group interaction on the NRS, PCS, PSEQ scores of the two groups of female college students were all statistically significant (F=12.83, 21.77, 13.65; 22.96, 28.98, 24.84;25.35, 18.26, 27.02, P < 0.01).Immediately after the intervention and 3 months after the intervention, the scores of SCSQ positive coping dimension of the experimental group(1.43±0.35, 1.50±0.39)were significantly higher than those of the control group(1.22±0.19, 1.20±0.21), and the scores of SCSQ negative coping dimension of the experimental group(1.59±0.38, 1.52±0.49)were significantly lower than those of the control group(1.80±0.17, 1.80±0.20), the differences were all statistically significant (P < 0.05);There were statistical differences among time effect, group effect and time-group interaction on the positive coping and negative coping scores of SCSQ (F=15.14, 4.29, 14.37;7.66, 4.10, 6.95, P < 0.05). Conclusion Hypnotherapy intervention for female college students with primary dysmenorrhea can effectively alleviate pain degree, and improve the pain catastrophizing and coping styles, enhance their pain self-efficacy. The hypnotherapy also shows long-term effects.
- Hypnosis /
- Mental health /
- Dysmenorrhea /
- Adaptation, psychological /
- Female /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

表 1 痛经女大学生催眠干预方案

Table 1. Hypnotic intervention program for female college students with dysmenorrhea

干预单元	干预目标	干预技术	干预程序
1	修正有关催眠的认识偏差，转变态度，建立信任关系	认知解离、嵌入性暗示	建立关系
2~4	疼痛管理，建立积极预期	焦点镇痛、症状置换、手套麻痹技术	注意力的贯注
5	消解焦虑情绪，体验放松、聚焦安全感的善用	锚定、情感桥、代理人技术	催眠导入
6	淡化抑郁情绪，聚焦舒适感的善用	时间扭曲、载体技术、移空技术	深化恍惚状态
7	重组问题描述，增强认知灵活性	回溯技术、疼痛信使、隐喻重构	增加反应性
8	拓宽个人资源、发展积极的应对方式	感恩之旅、三件好事、锚定技术	催眠的利用
9	聚焦未来与资源，远离问题状态，提升生命质量	时间前瞻、器官对话、设定边界技术	催眠后暗示
10	强化自我效能，巩固积极应对方式，自我增益	自我催眠、隐喻故事法	唤醒

下载: 导出CSV

表 2 不同组别各时间点女大学生各量表评分比较(x±s)

Table 2. Comparison of NRS, PCS and PSEQ scores of female college students in different groups at different time points(x±s)

组别	调查时间	NRS	PCS	PSEQ
对照组 (n=28)	前测	7.50±0.84	44.57±4.91	19.91±4.79
	后测	7.43±0.86	45.13±5.13	20.17±4.92
	追踪	7.55±0.74	44.91±5.02	19.70±4.18
实验组 (n=28)	前测	7.56±1.12	44.26±7.64	20.00±5.52
	后测	5.89±2.28	34.57±10.60	26.74±9.67
	追踪	4.77±2.18	25.91±12.33	35.78±11.78
F_组别值		21.77	28.98	18.26
F_时间值		12.83	22.96	25.35
F_交互值		13.65	24.84	27.02
注：P值均 < 0.01。

下载: 导出CSV

表 3 不同组别各时间点女大学生SCSQ评分比较(x±s)

Table 3. Comparison of SCSQ scores of female college students in different groups at different time points(x±s)

组别	调查时间	积极应对	消极应对
对照组 (n=28)	前测	1.20±0.24	1.81±0.24
	后测	1.22±0.19	1.80±0.17
	追踪	1.20±0.21	1.80±0.20
实验组 (n=28)	前测	1.13±0.19	1.83±0.21
	后测	1.43±0.35	1.59±0.38
	追踪	1.50±0.39	1.52±0.49
F_组别值		4.29^*	4.10^*
F_时间值		15.14^**	7.66^**
F_交互值		14.37^**	6.95^**
注：P < 0.05，*P < 0.01。

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参考文献(30)

[1]	谢幸. 妇产科学[M]. 9版. 北京: 人民卫生出版社, 2018: 351-352. XIE X. Obstetrics and gynecology[M]. 9 ed. Beijing: People's Health Press, 2018: 351-352.
[2]	唐娟, 徐慧兰. 自我管理教育对邵阳市高校原发性痛经女生症状改善的效果[J]. 中南大学学报(医学版), 2016, 41(4): 434-439. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYD201604020.htm TANG J, XU H L. Analysis of self-management education on improving the symptoms of female college students with primary dysmenorrhea in Shaoyang[J]. J Central South Univ(Med Sci), 2016, 41(4): 434-439. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYD201604020.htm
[3]	WILDEMEERSCH D, JANDI S, PETT A, et al. Management of primary dysmenorrhea in young women with frameless LNG-IUS[J]. Open Access J Contracep, 2014, 5: 23-28. https://www.dovepress.com/management-of-primary-dysmenorrhea-in-young-women-with-frameless-lng-i-peer-reviewed-fulltext-article-OAJC
[4]	ZHAO H, LU T, LING C, et al. Prevalence and risk factors associated with primary dysmenorrhea among Chinese female university students: a cross-sectional study[J]. J Pediatr Adolesc Gynecol, 2020, 33(1): 15-22. doi: 10.1016/j.jpag.2019.09.004
[5]	IACOVIDES S, AVIDON I, BENTLEY A, et al. Reduced quality of life when experiencing menstrual pain in women with primary dysmenorrhea[J]. Acta Obstet Gynecol Scand, 2014, 93(2): 213-217. doi: 10.1111/aogs.12287
[6]	KOENIG A L, KUPPER A E, SKIDMORE J R, et al. Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients[J]. J Rehabilit Res Dev, 2014, 51(8): 1277-1286. doi: 10.1682/JRRD.2014.02.0047
[7]	MOLLIE A R, ADRIANA N J, JUDITH A H, et al. The impact of acute pain self-efficacy on pain intensity and the accurate recall of pain[J]. Health Psycholy Report, 2017, 6(2): 136-145.
[8]	JACKSON T, LEZZY T, GUNDERSON J, et al. Gender difference in pain perception: the mediating role of self-efficacy beliefs[J]. Sex Roles, 2002, 47: 561-568. doi: 10.1023/A:1022077922593
[9]	THOMPSON T, TERHUNE D B, ORAM C, et al. The effectiveness of hypnosis for pain relief: a systematic review and Meta-analysis of 85 controlled experimental trials[J]. Neurosci Biobehav Rev, 2019, 99: 298-310. doi: 10.1016/j.neubiorev.2019.02.013
[10]	TAGHIZADEH M E, ORAKI M, BADAKHSHAN M. The effect of cognitive-behavioral hypnotherapy on modifying the pain beliefs and pain self-efficacy in patients with Chronic Low Back Pain (CLBP)[J]. Inter J Pharmaceut Phytopharmac Logic Res, 2019, 9(3): 128-133.
[11]	CHIAROTTO A, VANTI C, OSTELO W R, et al. The pain self-efficacy questionnaire: cross-cultural adaptation into Italian and assessment of its measurement properties[J]. Pain Pract, 2015, 15(8): 738-747. doi: 10.1111/papr.12242
[12]	斯蒂芬·吉利根, 著. 艾瑞克森催眠治疗理论[M]. 北京: 世界图书出版公司, 2007: 55-86. GILLIGAN S G. Therapeutic trances: the cooperation principle in ericksonian hypnotherapy[M]. Beijing: World Publishing Corporation, 2007: 55-86.
[13]	MAJEDI H, SAFDARIAN M, HAJIAGHABABAEI M, et al. Characteristics of neuropathic pain in individuals with chronic spinal cord injury[J]. Neurosciences, 2018, 23(4): 292-300. doi: 10.17712/nsj.2018.4.20180223
[14]	SULLIVAN M J L, BISHOP S R, PIVIK J. The pain catastrophizingscale: development and validation[J]. Psychol Assess, 1995, 7(4): 524-532. doi: 10.1037/1040-3590.7.4.524
[15]	NICHOLAS M K. The pain self-efficacy questionnaire: taking pain into account[J]. Eur J Pain, 2007, 11(2): 153-l63. doi: 10.1016/j.ejpain.2005.12.008
[16]	解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998, 6(2): 114-115. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY802.017.htm XIE Y N. A preliminary study on the reliability and validity of the simple coping style scale[J]. Chin J Clin Psychol, 1998, 6(2) : 114-115. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY802.017.htm
[17]	林敏, 洪超. 接纳承诺疗法和音乐治疗结合团体辅导对贫困大学生自尊干预效果评价[J]. 中国学校卫生, 2020, 41(1): 73-77. doi: 10.16835/j.cnki.1000-9817.2020.01.020 LIN M, HONG C. Intervention effect of group counseling on the self-esteem of impoverished undergraduates: a therapy based on acceptanceand commitment therapy and music therapy[J]. Chin J Sch Health, 2020, 41(1): 73-77. doi: 10.16835/j.cnki.1000-9817.2020.01.020
[18]	SHAH M, MONGA A, PATEL S, et al. The effect of hypnosis on dysmenorrhea[J]. Inter J Clin Exper Hypnosis, 2014, 62(2): 164-178. doi: 10.1080/00207144.2014.869128
[19]	JENSEN M P, SHERLIN L H, ASKEW R L, et al. Effects of nonpharmacological pain treatments on brain states[J]. Clin Neurophysiol, 2013, 124(10): 2016-2024. doi: 10.1016/j.clinph.2013.04.009
[20]	DERBYSHIRE S W, WHALLEY M G, OAKLEY D A. Fibromyalgia pain and its modulation by hypnotic and non-hypnotic suggestion: an fMRI analysis[J]. Eur J Pain, 2009, 13(5): 542-550. doi: 10.1016/j.ejpain.2008.06.010
[21]	MOLINA-PERAL J A, RODRíGUEZ J S, CAPAFONS A, et al. Attitudes toward hypnosis based on source of information and experience with hypnosis[J]. Am J Clin Hypnosis, 2020, 62(3): 282-297. doi: 10.1080/00029157.2019.1584741
[22]	KEEFE F J, AFFLECK G, FRANCE C R, et al. Gender differences in pain, coping, and mood in individuals having osteoarthritic knee pain: a within-day analysis[J]. Pain, 2004, 110(3): 571-577. doi: 10.1016/j.pain.2004.03.028
[23]	FLAMMER E, ALLADIN A. The efficacy of hypnotherapy in the treatment of psychosomatic disorders: Meta-analytical evidence[J]. Inter J Clin Exper Hypnosis, 2007, 55(3): 251-274. doi: 10.1080/00207140701338696
[24]	KIHLSTROM J F. Neuro-hypnotism: prospects for hypnosis and neuroscience[J]. Cortex, 2013, 49(2): 365-374. doi: 10.1016/j.cortex.2012.05.016
[25]	DAITCH C. Cognitive behavioral therapy, mindfulness, and hypnosisas treatment methods for generalized anxiety disorder[J]. Am J Clin Hypnosis, 2018, 61(1): 57-69. doi: 10.1080/00029157.2018.1458594
[26]	ALLADIN A. Cognitive hypnotherapy for psychological management of depression in palliative care[J]. Ann Palliat Med, 2018, 7(1): 112-124. doi: 10.21037/apm.2017.08.15
[27]	GUSE T. Enhancing lives: a positive psychology agenda for hypnotherapy[J]. South Afr J Psychol, 2012, 42(2): 214-223. doi: 10.1177/008124631204200208
[28]	TOREM M S. Future-focused therapeutic strategies for integrative health[J]. Inter J Clin Exp Hypnosis, 2017, 65(3): 353-378. doi: 10.1080/00207144.2017.1314745
[29]	OAKLEY D A, HALLIGAN P W. Hypnotic suggestion and cognitive neuroscience[J]. Trends Cogn Sci, 2009, 13(6): 264-270. doi: 10.1016/j.tics.2009.03.004
[30]	YAPKO M D. The spirit of hypnosis: doing hypnosis versus being hypnotic[J]. Am J Clin Hypnosis, 2014, 56(3): 234-248. doi: 10.1080/00029157.2013.815605