Volume 21 Issue 11
Nov.  2023
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TAO Lei, ZHANG Fengying, ZHOU Lihua, CHEN Jiayun, KUANG Ling, YANG Wenling. Applied research of acceptance and commitment therapy in women with termination of pregnancy for fetal abnormality[J]. Chinese Journal of General Practice, 2023, 21(11): 1912-1915. doi: 10.16766/j.cnki.issn.1674-4152.003256
Citation: TAO Lei, ZHANG Fengying, ZHOU Lihua, CHEN Jiayun, KUANG Ling, YANG Wenling. Applied research of acceptance and commitment therapy in women with termination of pregnancy for fetal abnormality[J]. Chinese Journal of General Practice, 2023, 21(11): 1912-1915. doi: 10.16766/j.cnki.issn.1674-4152.003256

Applied research of acceptance and commitment therapy in women with termination of pregnancy for fetal abnormality

doi: 10.16766/j.cnki.issn.1674-4152.003256
Funds:

 院医[2021]8号

 KJ2021A0254

 2020jyxm0926

  • Received Date: 2023-04-17
    Available Online: 2024-01-13
  •   Objective  To investigate the effectiveness of acceptance and commitment therapy (ACT) in women who have had an abortion because of a fetal abnormality.  Methods  A total of 139 eligible participants were recruited from a tertiary A hospital in Anhui province, China, and were divided into two groups based on the temporal sequence of pregnancy termination: an experimental group (70 subjects) and a control group (69 subjects).The experimental group received 6 treatment sessions based on an acceptance and commitment therapy protocol, and the control group received routine psychological care.The generalized anxiety disorder (GAD-7), the Edinburgh postnatal depression scale (EPDS), and the family adaptability and cohesion evaluation scale (FACES-Ⅱ-CV) were used to assess the participants.Data were analyzed using SPSS.  Results  Before the intervention, there was no significant difference in the GAD-7 and FACES-Ⅱ-CV scores between the two groups (all P>0.05), and there was no significant difference in the incidence of postpartum depression between the two groups (P>0.05).In the experimental group, the mean score of GAD-7 after the intervention (6th week) was significantly lower than in the control group[2.00(1.00, 6.00) points vs.4.00(2.00, 7.00) points, P < 0.05], the average score of FACES-Ⅱ-CV was higher than the control group[(71.84±5.96) points, (61.87±5.31) points vs.(66.41±8.88) points, (56.83±5.12) points, all P < 0.05].  Conclusion  Acceptance and commitment therapy may be an appropriate psychological intervention to reduce the symptoms of women who terminate pregnancy for fetal abnormality and to help them improve psychological flexibility, family cohesion and adaptability.These findings may help guide effective interventions to improve the mental state of women who terminate pregnancy for fetal abnormality.

     

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