宗教与非宗教自我同情干预对伊朗不孕妇女焦虑和生活质量的影响:随机对照试验

Yasser Rezapour-Mirsaleh, Fatemeh Abolhasani, Raziyeh Amini, Mohammad Javad Rezai, Azadeh Choobforoushzadeh, Leila Shameli
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摘要

焦虑是不孕妇女常见的心理问题之一,会影响她们的生活质量。本研究旨在比较基于宗教和非宗教观点的自我同情干预对不孕妇女焦虑和生活质量的影响。研究采用随机临床试验设计,分为实验组和对照组。研究人员通过抽样调查的方式共选取了 78 名居住在伊朗亚兹德省的不孕妇女,她们被转诊到亚兹德生殖科学研究所,并被随机分配到两个实验组和一个对照组。第一实验组的参与者接受了八次基于宗教指导的以自我同情为重点的干预。第二实验组接受八次非宗教性的自我同情干预,而对照组则列入候选名单。在前测、后测和两个月的随访阶段,使用不孕夫妇生活质量问卷(QOLICQ)和贝克焦虑量表(BDI)收集数据,然后使用重复测量法和单因素方差分析进行分析。结果显示,与对照组相比,两组不孕妇女在后测和随访阶段的生活质量(p < 0.001)和焦虑(p < 0.001)分别有所提高和降低。实验组之间的比较显示,虽然两组在社会关系和性满意度分量表上的差异不显著,但第一实验组在生活质量和焦虑方面的增益得分明显高于第二实验组。这些结果表明,鉴于不孕妇女的宗教背景,宗教自我同情干预在改善不孕妇女的生活质量和焦虑方面比非宗教干预相对更有效。
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Effects of Religious Versus Non-religious Self-compassion Interventions on Anxiety and Quality of Life of Iranian Infertile Women: A Randomized Controlled Trial

Anxiety is one of the common psychological problems among infertile women, which affects their quality of life. The purpose of this study was to compare the effects of self-compassion intervention based on a religious and non-religious perspective regarding the anxiety and quality of life of infertile women. A randomized clinical trial design with experimental and control groups was used. A total of 78 infertile women who lived in Yazd province, Iran, were referred to Yazd reproductive sciences institute, were selected by available sampling and randomly assigned to two experimental and one control groups. The participants of the first experimental group received eight sessions of self-compassion-focused intervention based on religious instructions. The second experimental group received eight sessions of non-religious self-compassion intervention, while the control group was put on the waiting list. Data were collected using Quality of Life in Infertile Couples Questionnaire (QOLICQ) and Beck anxiety inventory (BDI) in the pretest, posttest and 2-month follow-up phases and then analyzed using repeated measures as well as one-way analysis of variance. The results showed as compared to control group at the posttest and follow-up phases, the quality of life (p < 0.001) and anxiety (p < 0.001) of infertile women increased and decreased, respectively, across both experimental groups. Comparison of experimental groups showed that although the difference between the two groups in the subscales of social relationships and sexual satisfaction was not significant, the gain scores of quality of life and anxiety were significantly greater in the first experimental group. These findings indicate that given the religious background of infertile women, religious self-compassion intervention can be relatively more effective in improving the quality of life and anxiety of infertile women than non-religious intervention.

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