Psychological Effects of Spiritually Integrated Therapy for Infertile Women

精神整合疗法对不孕妇女的心理影响

• 批准号: 8259328
• 负责人: Shiquina L Andrews
• 金额: $ 1.98万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-05 至 2013-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8259328
• 关键词: Accounting; Address; Affect; American; Anxiety; Anxiety Disorders; Attention; Beck depression inventory; Belief; Biological; Client; Clinic; Cognitive Therapy; Coitus; Consultations; Couples; Data; Depressive disorder; Development; Diagnosis; Distress; Elements; Emotional; Equipment and supply inventories; Exhibits; Failure; Female; Fertility; Gender; Goals; Growth; Gynecology; Individual; Infertility; Intervention; Investigation; Life; Light; Measures; Medical; Mental Depression; Mental Health; Modality; Outcome; Participant; Patients; Phase; Population; Prevalence; Principal Investigator; Process; Psychotherapy; Randomized; Recruitment Activity; Religion; Religion and Spirituality; Religious Belief; Reporting; Role; Spirituality; Stress; Support Groups; Theology; Therapeutic Intervention; Treatment Efficacy; Treatment outcome; Universities; Woman; base; brief intervention; comparison group; coping; emotional crisis; emotional distress; experience; follow-up; group intervention; innovation; interest; male; post intervention; primary outcome; psychologic; psychological distress; secondary outcome; therapy design; trait

DESCRIPTION (provided by applicant): Like other medical conditions, infertility is often unforeseen and difficult to resolve. Though both genders are impacted, women exhibit the most psychological distress. Prevalence estimates range from 27%-37% for depressive disorders and 15%-29% for anxiety disorders in infertile women. Among other coping strategies, some women use their religious or spiritual beliefs to cope with the crisis of infertility. While projects investigating the role of spirituality in mental health are growing in momentum, none has combined psychological intervention with infertile women's religious or spiritual beliefs. Incorporating these beliefs in treatment can enrich treatment and bolster positive treatment outcomes. OBJECTIVES: To fill the gap in religiously- or spiritually-relevant therapy for infertile women, this project aims to assess the efficacy of a brief group intervention in reducing psychological distress. AIMS: (1) We will develop a spiritually-integrated therapy intervention for infertile women. (2) We will recruit 40 infertile women from a university-affiliated infertility an gynecology clinics to implement the intervention. (3) We will evaluate the efficacy of the intervention for psychologically and spiritually-based outcomes. METHODS: In Phase I, the intervention will be finalized after consultation from professionals in the fields of psychotherapy theology, and infertility, as well as women who have been diagnosed with infertility. In Phase II, 40 patients recruited from gynecology and infertility clinics will be randomly assigned to either the spiritual intervention group or CBT-only group. Participants in both groups will participate in 6-week, manualized interventions, facilitated by the Principal Investigator. Anxiety, depression, fertility- related stress, religious coping, and spiritual transformation will be assessed at baseline, immediately post-intervention, and at 3 months post-intervention to note between-group and within-group differences. SIGNIFICANCE: Psychological distress can affect global functioning and further complicate medical infertility treatment. Moreover, few infertile women seek therapy following an infertility diagnosis. Since women do report independently using religious or spiritual beliefs to cope with infertility, the development of a treatment modality tht acknowledges and incorporates those beliefs seems appropriate. This innovative study would be the first such investigation of an intervention designed to incorporate elements of client religion/spirituality in psychotherapeutic treatment for infertile women. If proven efficacious, ths brief intervention could be readily offered in medical settings, helping to alleviate psychological burden in infertile women. PUBLIC HEALTH RELEVANCE: Infertility can cause undue psychological burden on the 10-15% of couples diagnosed with this difficult-to-treat medical condition. Though support group and individual therapy options abound, there is less opportunity to participate in brief, group-based therapy that incorporates clients' religious or spiritual beliefs; thus, this project is an investigation of how a brief spiritual- integrated psychological intervention may alleviate emotional distress in this population.

描述（由申请人提供）：像其他医疗条件，不孕症往往是不可预见的，难以解决。虽然男女都受到影响，但妇女表现出最大的心理困扰。不孕妇女中抑郁症的患病率估计为27%-37%，焦虑症的患病率估计为15%-29%。在其他应对策略中，一些妇女利用其宗教或精神信仰来科普不孕症危机。虽然调查精神在心理健康中的作用的项目正在增长，但没有一个项目将心理干预与不孕妇女的宗教或精神信仰结合起来。在治疗中重申这些信念可以丰富治疗并支持积极的治疗结果。目的：填补不孕症的宗教或精神相关治疗的差距 该项目的目的是评估一个简短的团体干预在减少心理困扰方面的效果。目的：（1）我们将开发一种精神整合治疗干预， 不孕妇女(2)我们将从一所大学附属不孕症及妇科门诊招募40名不孕妇女实施干预。(3)我们将评估干预措施对心理和精神结果的有效性。方法：在第一阶段，干预措施将在咨询心理治疗神学和不孕症领域的专业人员以及被诊断患有不孕症的妇女后最终确定。在第二阶段，从妇科和不孕症诊所招募的40名患者将被随机分配到精神干预组或仅接受CBT治疗组。两个小组的参与者将参加 6周，手动干预，由主要研究者协助。将在基线、干预后即刻和干预后3个月评估焦虑、抑郁、生育相关压力、宗教应对和精神转化，以记录组间和组内差异。意义：心理困扰可以影响整体功能，并进一步复杂化不孕症的药物治疗。此外，很少有不孕妇女在不孕症诊断后寻求治疗。由于妇女确实独立地报告使用宗教或精神信仰来科普不孕症，因此开发一种承认并纳入这些信仰的治疗方式似乎是合适的。这项创新的研究将是第一个这样的干预调查，旨在将客户的宗教/精神因素纳入不孕妇女的心理治疗。如果被证明有效，这种简短的干预可以很容易地在医疗环境中提供，帮助减轻心理疾病。 不孕妇女的负担。 公共卫生关系：不孕症可能会对10-15%被诊断患有这种难以治疗的疾病的夫妇造成不必要的心理负担。虽然支持团体和个人治疗的选择比比皆是，有机会参加简短的，以团体为基础的治疗，结合客户的宗教或精神信仰，因此，这个项目是一个简短的精神整合的心理干预如何减轻情绪困扰的调查在这一人群中。