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。

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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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