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首页> 外文期刊>Journal of women’s health >Resolution of depression and grief during the first year after miscarriage: a randomized controlled clinical trial of couples-focused interventions.
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Resolution of depression and grief during the first year after miscarriage: a randomized controlled clinical trial of couples-focused interventions.

机译:流产后第一年抑郁和悲伤的解决:以夫妻为中心的干预措施的随机对照临床试验。

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AIMS: The purpose of this randomized controlled clinical trial was to examine the effects of three couples-focused interventions and a control condition on women and men's resolution of depression and grief during the first year after miscarriage. METHODS: Three hundred forty-one couples were randomly assigned to nurse caring (NC) (three counseling sessions), self-caring (SC) (three video and workbook modules), combined caring (CC) (one counseling session plus three SC modules), or control (no treatment). Interventions, based on Swanson's Caring Theory and Meaning of Miscarriage Model, were offered 1, 5, and 11 weeks after enrollment. Outcomes included depression (CES-D) and grief, pure grief (PG) and grief-related emotions (GRE). Differences in rates of recovery were estimated via multilevel modeling conducted in a Bayesian framework. RESULTS: Bayesian odds (BO) ranging from 3.0 to 7.9 favored NC over all other conditions for accelerating women's resolution of depression. BO of 3.2-6.6 favored NC and no treatment over SC and CC for resolving men's depression. BO of 3.1-7.0 favored all three interventions over no treatment for accelerating women's PG resolution, and BO of 18.7-22.6 favored NC and CC over SC or no treatment for resolving men's PG. BO ranging from 2.4 to 6.1 favored NC and SC over CC or no treatment for hastening women's resolution of GRE. BO from 3.5 to 17.9 favored NC, CC, and control over SC for resolving men's GRE. CONCLUSIONS: NC had the overall broadest positive impact on couples' resolution of grief and depression. In addition, grief resolution (PG and GRE) was accelerated by SC for women and CC for men.
机译:目的:这项随机对照临床试验的目的是检查流产后第一年中以夫妻为中心的三项干预措施和控制条件对男女抑郁和悲伤消退的影响。方法:314对夫妇被随机分配到护士护理(NC)(三个咨询课程),自我护理(SC)(三个视频和工作簿模块),综合护理(CC)(一个咨询课程和三个SC模块) )或对照(不进行任何处理)。在入学后第1、5和11周,根据斯旺森的关怀理论和流产模型的含义进行干预。结果包括抑郁(CES-D)和悲伤,纯悲伤(PG)和与悲伤相关的情绪(GRE)。通过在贝叶斯框架中进行的多级建模来估计恢复率的差异。结果:在所有其他条件下,贝叶斯赔率(BO)在3.0到7.9之间均有利于NC,以加速女性抑郁症的解决。 BO值在3.2-6.6之间,有利于解决男性抑郁症,NC优于SC和CC。 3.1-7.0的BO偏爱所有三种干预,而不是不采用加速女性PG的治疗; BO的18.7-22.6偏爱NC和CC优于SC或不采用解决男性PG的治疗。从2.4到6.1的BO值比NC值更倾向于NC和SC值,或者没有采用加速妇女解决GRE的方法。从3.5到17.9的BO倾向于使用NC,CC和对SC的控制来解决男子的GRE。结论:NC对夫妇的悲伤和沮丧情绪的解决总体上具有最广泛的积极影响。此外,SC促进了女性的悲痛解决(PG和GRE),男性促进了CC。

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