正念冥想训练对围绝经期妇女焦虑、抑郁及睡眠质量的影响

目的探讨正念冥想训练对改善围绝经期妇女焦虑、抑郁和睡眠障碍的应用效果。方法对广州市白云区121名伴焦虑、 抑郁或睡眠障碍的围绝经期妇女进行正念冥想训练干预，干预前后采用焦虑自评量表、抑郁自评量表与匹兹堡睡眠量表对围绝 经期妇女焦虑、抑郁与睡眠状况进行问卷调查。结果121名研究对象在正念冥想训练后焦虑自评量表得分为48.26±6.47、抑郁 自评量表得分为50.27±6.54、匹兹堡睡眠问卷得分为10.64±4.38，其焦虑、抑郁与睡眠障碍水平较干预前都显著降低（t=3.865、 4.541、5.596，P<0.01）。不同自主练习频次受试者症状缓解率显著不同（P<0.01），自主练习次数越多，受试者焦虑、抑郁与睡眠 障碍缓解率越高（P<0.01）。结论正念冥想训练可以有效改善围绝经期妇女焦虑抑郁状况，提高睡眠质量，练习频次越多，效果 越明显。可作为提高围绝经期妇女心理健康水平的干预方法在临床推广。

Effect of mindfulness meditation training on anxiety,depression and sleep quality in perimenopausal women

Objective To explore the effect of mindfulness meditation training for improving anxiety, depression and sleep disorders in perimenopausal women. Methods Intervention by menopause meditation training was delivered in 121 perimenopausal women with anxiety, depression or sleep disorders in Baiyun District, Guangzhou. Before and after the intervention, the Self-rating Anxiety Scale, Self-rating Depression Scale and Pittsburg Sleep Quality Index were used for assessment of changes in the conditions of the women. Results After menopausal meditation training, the perimenopausal women showed significant improvement in the mean scores of Self-rating Anxiety Scale (48.26 ± 6.47; t=3.865, P<0.01), Selfrating Depression Scale (50.27 ± 6.54; t=4.541, P<0.01) and Pittsburgh Sleep Questionnaire (10.64 ± 4.38; t=5.596, P<0.01). The symptom remission rates differed significantly among the women with different self-practice frequencies (P<0.01). The remission rates of anxiety, depression and sleep disorder increased significantly with the frequency of self-exercise (P<0.01). Conclusion Mindfulness meditation training can effectively alleviate the symptoms of anxiety and depression and improve the quality of sleep in perimenopausal women, and the frequency of the exercise is positively correlated with the improvements. Mindfulness meditation training can be an effective intervention for improving the mental health of perimenopausal women.