心理治疗在妇科领域的应用现状
Application Status of Psychotherapy in Gynecology Field
DOI: 10.12677/ACM.2023.1361243, PDF,   
作者: 牛梦珂:黑龙江中医药大学研究生院,黑龙江 哈尔滨;李慕白*:黑龙江中医药大学附属第一医院妇科,黑龙江 哈尔滨
关键词: 心理治疗妇科生殖内分泌不孕症Psychotherapy Gynecology Reproductive Endocrinology Infertility
摘要: 心理治疗是改善患者认知、情感或行为的一种治疗方法,心理因素加重或导致的妇科疾病常影响着女性健康。近年来,随着“生物–心理–社会”这一现代医学模式的发展,各种心理治疗方法越来越多应用于不同疾病的临床辅助治疗中,但其在妇科领域的应用尚在探索。本文通过对国内外心理治疗不同妇科疾病的研究进行总结,分析应用现状,探讨心理治疗的确切疗效,为心理治疗在妇科内分泌、妊娠相关及不孕症等妇科疾病和妇科手术的临床应用中提供更全面的依据。
Abstract: Psychotherapy is a treatment method to improve the cognitive, emotional or behavioral well-being of patients, and gynecological diseases caused or aggravated by psychological factors often affect women’s health. In recent years, with the development of the modern medical model of “biopsy-chosocial”, various psychotherapeutic approaches have been increasingly applied in the clinical ad-juvant treatment of different diseases, but their application in the field of gynecology is still being explored. In this paper, we summarize the research on psychological treatment of different gyneco-logical diseases at home and abroad, analyze the current situation of application, explore the exact efficacy of psychological treatment, and provide a more comprehensive basis for the clinical appli-cation of psychological treatment in gynecological diseases and gynecological surgery, such as gy-necological endocrine, pregnancy-related and infertility diseases.
文章引用:牛梦珂, 李慕白. 心理治疗在妇科领域的应用现状[J]. 临床医学进展, 2023, 13(6): 8890-8895. https://doi.org/10.12677/ACM.2023.1361243

参考文献

[1] 李美娟. 现代临床常见病护理学[M]. 昆明: 云南科学技术出版社, 2020: 854-855.
[2] 尹术康. 心理治疗对冠心病康复的影响分析[J]. 心理月刊, 2021, 16(11): 185-186.
[3] 王圣伊, 王鹏, 张生雷. 心理疗法辅助药物治疗寻常型银屑病的效果分析[J]. 心理月刊, 2022, 17(7): 154-156.
[4] 宿振洁, 许晓岚, 魏礼玲. 心理疗法联合逍遥散治疗肝郁型经前期综合征的疗效分析[J]. 内蒙古中医药, 2020, 39(2): 123-125.
[5] Hunter, M.S, Ussher, J.M., Browne, S.J., et al. (2002) A Randomized Comparison of Psychological (Cognitive Behavior Therapy), Medical (Fluox-etine) and Combined Treatment for Women with Premenstrual Dysphoric Disorder. Journal of Psychosomatic Obstetrics & Gynecology, 23, 193-199. [Google Scholar] [CrossRef] [PubMed]
[6] 陈伟萍, 郭茜倩, 安鸿, 吕玥明, 张台, 张军, 金鹏康. 大学女生原发性痛经的影响因素调查[J]. 职业与健康, 2016, 32(7): 932-935. [Google Scholar] [CrossRef
[7] 李乔. 中西医结合联合心理干预治疗原发性痛经的价值研究[J]. 心理月刊, 2022, 17(7): 81-83.
[8] Yilmaz, B. and Sahin, N. (2020) The Effects of a Dysmenorrhea Support Program on University Students Who Had Primary Dysmenorrhea: A Randomized Controlled Study. Journal of Pediat-ric and Adolescent Gynecology, 33, 285-290. [Google Scholar] [CrossRef] [PubMed]
[9] Payne, L.A., Seidman, L.C., Romero, T. and Sim, M.-S. (2020) An Open Trial of a Mind-Body Intervention for Young Women with Moderate to Severe Primary Dysmenorrhea. Pain Medicine, 21, 1385-1392. [Google Scholar] [CrossRef] [PubMed]
[10] Morrison, A.E., Fleming, S. and Levy, M.J. (2021) A Review of the Pathophysiology of Functional Hypothalamic Amenorrhoea in Women Subject to Psychological Stress, Disordered Eat-ing, Excessive Exercise or a Combination of These Factors. Clinical Endocrinology, 95, 229-238. [Google Scholar] [CrossRef] [PubMed]
[11] 陈惠林. 闭经患者心理治疗分析[J]. 中国临床康复, 2003, 7(21): 2998.
[12] Tranoulis, A., Georgiou, D., Soldatou, A., et al. (2019) Poor Sleep and High Anxiety Levels in Women with Functional Hypothalamic Amenorrhoea: A Wake-Up Call for Physicians? European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 3, Article ID: 100035. [Google Scholar] [CrossRef] [PubMed]
[13] 聂雅静, 李军, 付姝菲. 绝经综合征各类影响因素文献分析[J]. 中国老年学杂志, 2022, 42(5): 1113-1116.
[14] 程建荣. 激素配合心理干预治疗绝经综合征的临床疗效分析[J]. 中国妇幼卫生杂志, 2013, 4(2): 76.
[15] 王令冶. 心理护理配合参桂胶囊治疗绝经综合征研究[J]. 中医药临床杂志, 2017, 29(6): 930-932.
[16] Yang, H., Yang, J., Wen, Z., et al. (2012) Effect of Combining Therapy with Traditional Chinese Medicine-Based Psychotherapy and Herbal Medi-cines in Women with Menopausal Syndrome: A Randomized Controlled Clinical Trial. Evidence-Based Complementary and Alternative Medicine, 2012, Article ID: 354145. [Google Scholar] [CrossRef] [PubMed]
[17] Rodriguez-Paris, D., Remlinger-Molenda, A., Kurzawa, R., et al. (2019) Psychiatric Disorders in Women with Polycystic Ovary Syndrome. Psychiatria Polska, 53, 955-966. [Google Scholar] [CrossRef
[18] 郭华, 梁志桃, 黄星. 清肝解郁汤联合心理干预在治疗多囊卵巢综合征致不孕中的临床疗效评价[J]. 解放军预防医学杂志, 2019, 37(12): 27-28.
[19] 安小巧, 安新涛, 刘桂娟, 焦守凤. 心理治疗对多囊卵巢综合征排卵障碍的临床观察[J]. 实用预防医学, 2011, 18(8): 1469-1470.
[20] 张冰丽, 李境, 戴仕芬, 侯涛. 综合干预在青春期肥胖型多囊卵巢综合征患者中的应用[J]. 中国病案, 2018, 19(6): 78-80.
[21] 崔新枝. 心理健康宣教对备孕女性家庭亲密度依从性的影响[J]. 医学食疗与健康, 2022, 20(18): 183-186.
[22] Kee, M.Z.L., Ponmudi, S., Phua, D.Y., et al. (2021) Preconception Origins of Perinatal Maternal Mental Health. Archives of Women’s Mental Health, 24, 605-618. [Google Scholar] [CrossRef] [PubMed]
[23] Dalke, K.B., Wenzel, A. and Kim, D.R. (2016) Depression and Anxiety during Pregnancy: Evaluating the Literature in Support of Clinical Risk-Benefit Decision-Making. Current Psy-chiatry Reports, 18, Article No. 59. [Google Scholar] [CrossRef] [PubMed]
[24] Genovez, M., Vanderkruik, R., Lemon, E. and Dimidjian, S. (2018) Psychotherapeutic Treatments for Depression during Pregnancy. Clinical Obstetrics and Gynecology, 61, 562-572. [Google Scholar] [CrossRef
[25] Nillni, Y.I., Mehralizade, A., Mayer, L. and Mila-novic, S. (2018) Treatment of Depression, Anxiety, and Trauma-Related Disorders during the Perinatal Period: A Sys-tematic Review. Clinical Psychology Review, 66, 136-148. [Google Scholar] [CrossRef] [PubMed]
[26] 谢敏, 赵俊捷, 冯艳红, 等. 孕妇围产期抑郁的发生及心理治疗的相关影响[J]. 中国基层医药, 2008, 15(9): 1570-1571.
[27] Andrejek, N., Hossain, S., Schoueri-Mychasiw, N., et al. (2021) Barriers and Facilitators to Resuming in-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective. International Journal of Environmental Research and Public Health, 18, Ar-ticle No. 12234. [Google Scholar] [CrossRef] [PubMed]
[28] Huang, J.-W., Zhou, X.-Y., Lu, S.-J., et al. (2020) Dialectical Behavior Therapy-Based Psychological Intervention for Woman in Late Pregnancy and Early Postpartum Suffering from COVID-19: A Case Report. Journal of Zhejiang University-Science B: Biomedicine & Biotechnology, 21, 394-399.
[29] 蒋海霞, 左洁, 卫小玉, 高光玲. 产妇焦虑、抑郁情绪与分娩方式及不良分娩结局的关系[J]. 检验医学与临床, 2018, 15(5): 623-625+628.
[30] 王娜, 刘利霞, 师伟. 多学科协作指导联合正念心理干预对初产妇分娩方式及分娩结局的影响[J]. 哈尔滨医药, 2022, 42(5): 93-95.
[31] 元蔚伟, 琚丽霞, 陈冰杰. 激励式心理护理对产妇分娩方式和母婴结局的影响[J]. 保健医学研究与实践, 2022, 19(9): 132-135.
[32] Bushnik, T., Cook, J.L., Yuzpe, A.A., Tough, S. and Collins, J. (2012) Estimating the Prevalence of Infertility in Canada. Human Reproduc-tion, 27, 738-746. [Google Scholar] [CrossRef] [PubMed]
[33] Dube, L., Nkosi-Mafutha, N., Balsom, A.A. and Gordon, J.L. (2021) Infertility-Related Distress and Clinical Targets for Psychotherapy: A Qualitative Study. BMJ Open, 11, e050373. [Google Scholar] [CrossRef] [PubMed]
[34] Frederiksen, Y., Farver-Vestergaard, I., Skov-gård, N.G., Ingerslev, H.J. and Zachariae, R. (2015) Efficacy of Psychosocial Interventions for Psychological and Preg-nancy Outcomes in Infertile Women and Men: A Systematic Review and Meta-Analysis. BMJ Open, 5, e006592. [Google Scholar] [CrossRef] [PubMed]
[35] 张小玲, 张无瑕. 心理治疗用于不孕不育的临床价值探究[J]. 临床医药文献电子杂志, 2018, 5(62): 59+68.
[36] 张宏. 心理行为干预配合药物治疗排卵功能障碍性不孕的临床效果观察[J]. 海南医学, 2014, 25(8): 1133-1135.
[37] 程亚丹, 田君, 王继红. 妇科养荣胶囊联合心理治疗用于内分泌性不孕症的临床效果及安全性[J]. 临床医药文献电子杂志, 2016, 3(47): 9423.
[38] Ying, L., Wu, L.H. and Loke, A.Y. (2016) The Effects of Psychosocial Interventions on the Mental Health, Pregnancy Rates, and Marital Function of Infertile Couples Undergoing in Vitro Fertilization: A Systematic Review. Journal of Assisted Reproduction and Genetics, 33, 689-701. [Google Scholar] [CrossRef] [PubMed]
[39] Sourzac, J., Germain, C., Frison, E., Sztark, F., Conri, V. and Floccia, M. (2021) Effect of a Hypnosis Session before Hysterectomy on Pre- and Postopera-tive Anxiety. International Journal of Gynecology & Obstetrics, 155, 156-157. [Google Scholar] [CrossRef] [PubMed]
[40] Galaal, K., Deane, K., Sangal, S. and Lopes, A.D. (2007) Interventions for Reducing Anxiety in Women Undergoing Colposcopy. Cochrane Database of Systematic Reviews, No. 12, Article No. CD006013. [Google Scholar] [CrossRef
[41] 王洪艳, 李加庆. 腹腔镜手术及心理护理治疗妇科良性肿瘤的临床疗效研究[J]. 心理月刊, 2020, 15(18): 131-132.
[42] Riemma, G., Schiattarella, A., Colacurci, N., et al. (2020) Pharmacological and Non-Pharmacological Pain Relief for Office Hysteroscopy: An Up-to-Date Review. Cli-macteric, 23, 376-383. [Google Scholar] [CrossRef] [PubMed]
[43] 任菲菲. 生物反馈电刺激治疗联合心理干预对经阴道分娩产妇产后焦虑抑郁及盆底功能的影响研究[J]. 贵州医药, 2022, 46(2): 262-263.
[44] Thomas, H.N. and Thurston, R.C. (2016) A Biopsychosocial Approach to Women’s Sexual Function and Dysfunction at Midlife: A Narra-tive Review. Maturitas, 87, 49-60. [Google Scholar] [CrossRef] [PubMed]