CLC number: R395.5; R511
On-line Access: 2020-05-19
Received: 2020-02-24
Revision Accepted: 2020-03-04
Crosschecked: 2020-04-01
Cited: 0
Clicked: 4294
Jin-Wen Huang, Xiao-Yi Zhou, Shao-Jia Lu, Yi Xu, Jian-Bo Hu, Man-Li Huang, Hua-Fen Wang, Chan-Chan Hu, Shu-Guang Li, Jing-Kai Chen, Zhong Wang, Shao-Hua Hu, Ning Wei. Dialectical behavior therapy-based psychological intervention for woman in late pregnancy and early postpartum suffering from COVID-19: a case report[J]. Journal of Zhejiang University Science B,in press.Frontiers of Information Technology & Electronic Engineering,in press.https://doi.org/10.1631/jzus.B2010012 @article{title="Dialectical behavior therapy-based psychological intervention for woman in late pregnancy and early postpartum suffering from COVID-19: a case report", %0 Journal Article TY - JOUR
对围产期新冠肺炎患者开展辩证行为治疗为基础的心理治疗:案例报告创新点:首例对确诊新冠肺炎的孕产妇进行产前及产后心理评估及干预的案例.也是首次报道在公共卫生危机事件的个体干预中使用了DBT相关技术. 方法:患者,女,30岁,孕35周+2天,干咳两天就诊,在当地医院进行新型冠状病毒核酸测验提示阳性后转入浙江大学医学院附属第一医院住院治疗.2020年2月8日行剖腹产,产后继续在隔离病房治疗.入院后精神科访谈及心理测量均提示存在抑郁和焦虑症状,于2月7日、10日、16日进行三次心理干预,主要使用DBT相关干预技术,包括放松训练、正念练习、情绪控制技巧训练、人际支持等.期间根据患者的需要及时调整干预策略.通过三次心理干预,患者的抑郁、焦虑症状得到改善,抑郁和焦虑量表评分与基线比显著下降. 结论:本报告显示了对确诊新冠肺炎的隔离病房患者及时进行心理干预的必要性.心理干预能有效改善患者的抑郁、焦虑症状,减少或避免了精神类药物的使用,为新冠肺炎的临床治疗提供了支持.此报告也为以DBT为基础的心理治疗在危机干预中的应用提供了临床证据. 关键词组: Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article
Reference[1]Abad C, Fearday A, Safdar N, 2010. Adverse effects of isolation in hospitalised patients: a systematic review. J Hosp Infect, 76(2):97-102. [2]Eisner L, Eddie D, Harley R, et al., 2017. Dialectical behavior therapy group skills training for bipolar disorder. Behav Ther, 48(4):557-566. [3]Fassbinder E, Schweiger U, Martius D, et al., 2016. Emotion regulation in schema therapy and dialectical behavior therapy. Front Psychol, 7:1373. [4]Forman EM, Herbert JD, Moitra E, et al., 2007. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behav Modif, 31(6):772-799. [5]Gambina I, Soldera G, Benevento B, et al., 2011. Postpartum psychosocial distress and late preterm delivery. J Reprod Infant Psychol, 29(5):472-479. [6]Gress-Smith JL, Luecken LJ, Lemery-Chalfant K, et al., 2012. Postpartum depression prevalence and impact on infant health, weight, and sleep in low-income and ethnic minority women and infants. Matern Child Health J, 16(4):887-893. [7]Harley R, Sprich S, Safren S, et al., 2008. Adaptation of dialectical behavior therapy skills training group for treatment-resistant depression. J Nerv Ment Dis, 196(2):136-143. [8]Holditch-Davis D, Santos H, Levy J, et al., 2015. Patterns of psychological distress in mothers of preterm infants. Infant Behav Dev, 41:154-163. [9]Jung SM, Akhmetzhanov AR, Hayashi K, et al., 2020. Real-time estimation of the risk of death from novel coronavirus (COVID-19) infection: inference using exported cases. J Clin Med, 9(2):523. [10]Kang LJ, Li Y, Hu SH, et al., 2020. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry, 7(3):e14. [11]Kingston D, Tough S, Whitfield H, 2012. Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry Hum Dev, 43(5):683-714. [12]Leentjens AFG, Dujardin K, Marsh L, et al., 2011. Anxiety rating scales in Parkinson’s disease: a validation study of the Hamilton anxiety rating scale, the Beck anxiety inventory, and the hospital anxiety and depression scale. Mov Disord, 26(3):407-415. [13]Leontjevas R, van Hooren S, Mulders A, 2009. The Montgomery-Asberg Depression Rating Scale and the Cornell Scale for Depression in Dementia: a validation study with patients exhibiting early-onset dementia. Am J Geriatr Psychiatry, 17(1):56-64. [14]Licht RW, Qvitzau S, Allerup P, et al., 2005. Validation of the Bech-Rafaelsen Melancholia Scale and the Hamilton Depression Scale in patients with major depression; is the total score a valid measure of illness severity? Acta Psychiatr Scand, 111(2):144-149. [15]Linehan MM, 1993. Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford, New York, USA. [16]Lothes JE, Mochrie KD, St John J, 2014. The effects of a DBT informed partial hospital program on: depression, anxiety, hopelessness, and degree of suffering. J Psychol Psychother, 4(3):144. [17]Song Y, Lindquist R, 2015. Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Educ Today, 35(1):86-90. [18]Steil R, Dyer A, Priebe K, et al., 2011. Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study of an intensive residential treatment program. J Trauma Stress, 24(1):102-106. [19]WHO, 2020. Coronavirus disease 2019 (COVID-19). Situation Report-67. World Health Organization. https://www.who. int/docs/default-source/coronaviruse/situation-reports/20200327-sitrep-67-covid-19.pdf?sfvrsn=b65f68eb [Accessed on Mar. 27, 2020]. [20]Xiang YT, Yang Y, Li W, et al., 2020. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry, 7(3):228-229. [21]Zar M, Wijma K, Wijma B, 2002. Relations between anxiety disorders and fear of childbirth during late pregnancy. Clin Psychol Psychother, 9(2):122-130. Journal of Zhejiang University-SCIENCE, 38 Zheda Road, Hangzhou
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