Objective To investigate the effect of hypnotherapy on improving pain degree, pain catastrophizing, pain self-efficacy, coping styles of female college students with primary dysmenorrhea, and to provide the theoretical support for psychological intervention.
Methods Fifty-six female college students with primary dysmenorrhea were randomly divided into experimental group ( n=28) and control group ( n=28). Samples in the experimental group received 10-session structured hypnotherapy, while the control group received no intervention (the control group could receive the intervention when the intervention was proved to be effective). The effects were evaluated with Numerical Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), was proved to be effective. The effects were evaluated with Numerical Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), Simplified Coping Style Questionnaire (SCSQ) in the pretest, protest and tracking test.
Results The time effect, group effect and time-group interaction on the NRS, PCS, PSEQ scores of the two groups of female college students were all statistically significant ( F=12.83, 21.77, 13.65; 22.96, 28.98, 24.84; 25.35, 18.26, 27.02, P<0.01). Immediately after the intervention and 3 months after the intervention, the scores of SCSQ positive coping dimension of the experimentalgroup (1.43±0.35, 1.50±0.39) were significantly higher than those of the control group (1.22±0.19, 1.20±0.21), and the scores of SCSQ negative coping dimension of the experimental group (1.59±0.38, 1.52±0.49) were significantly lower than those of the control group (1.80±0.17, 1.80±0.20), the differences were all statistically significant ( P<0.05); There were statistical differences among time effect, group effect and time-group interaction on the positive coping and negative coping scores of SCSQ ( F=15.14, 4.29, 14.37; 7.66, 4.10, 6.95, P<0.05).
Conclusion Hypnotherapy intervention for female college students with primary dysmenorrhea can effectively alleviate pain degree, and improve the pain catastrophizing and coping styles, enhance their pain self-efficacy. The hypnotherapy also shows long-term effects.
【摘要】 目的 探讨催眠对原发性痛经女大学生疼痛程度、疼痛灾难化、疼痛自我效能及应对方式的改善效果, 为原发性痛经女大学生的心理干预提供理论支持。 方法 将 56 例原发性痛经女大学生随机分成实验组和对照组各 28 名, 实验组按照催眠干预方案, 每周一、五的 19:30—21:00, 每周 2 次, 每次 1.5 h, 共 10 次干预, 对照组不进行任何形式的干预。采用疼痛数字评分法 (NRS)、疼痛灾难化量表 (PCS)、疼痛自我效能量表 (PSEQ)、简易应对方式量表 (SCSQ) 对两组进行前测、干预结束时和结束后的 3 个月测试评分。 结果 两组女大学生 NRS、PCS、PSEQ 评分的时间效应、组别效应和时间与组别的交互作用均有统计学意义 ( F 值分别为 12.83, 21.77, 13.65; 22.96, 28.98, 24.84; 25.35, 18.26, 27.02, P 值均 <0.01); 实验组在干预结束时和干预后 3 个月, SCSQ 积极应对评分 (1.43±0.35, 1.50±0.39) 髙于对照组 (1.22±0.19, 1.20±0.21) ( P 值均<0.05), SCSQ 消极应对评分 (1.59±0.38, 1.52±0.49) 低于对照组 (1.80±0.17, 1.80±0.20) ( P 值均<0.05), 两组女大学生 SCSQ 积极应对和消极应对评分的时间效应、组别效应和时间与组别的交互作用均有统计学意义 ( F 值分别为 15.14, 4.29, 14.37; 7.66, 4.10, 6.95, P 值均<0.05)。 结论 催眠干预有助于减轻原发性痛经女大学生的疼痛程度, 改善疼痛灾难化及应对方式, 提髙疼痛自我效能水平, 且干预具有持久的效果。