Design: Controlled clinical trial.

课题设计：临床对照研究

Setting: University research unit.

研究场所：大学研究机构

Patient(s): Fifty-five infertile women completed the MBPI, and 37 infertile women were assigned to a control group.

患者：55名不孕女性做为MBPI组，37名不孕女性做为对照组

Intervention(s): The MBPI includes 10 weekly sessions, in a group format, with a duration of about 2 hours each (men attend three sessions).

干预方法：对MBPI组进行正念减压治疗，治疗包括为期10周的治疗周期，男性至少参加2小时（三次）。

Main Outcome Measure(s): Standardized measures of depression, state anxiety, entrapment, defeat, internal and external shame,experiential avoidance, mindfulness, self-compassion, and infertility self-efficacy were endorsed pre- and post-MBPI.

主要观察指标：MBPI治疗前后标准化测试抑郁、焦虑状态、逃避心态、羞耻感等，以及自我评价等。

Result(s): The MBPI group and the control group were shown to be equivalent at baseline. By the end of the MBPI, women whoattended the program revealed a significant decrease in depressive symptoms, internal and external shame, entrapment, and defeat .Inversely, they presented statistically significant improvement in mindfulness skills and self-efficacy to deal with infertility. Womenin the control group did not present significant changes in any of the psychological measures, except for a decrease in self-judgment

结果：基本资料方面两组对照无差异性，.MBPI组治疗结束后，在抑郁方面、羞耻感、逃避等方面感觉明显减轻，同时在对不孕不育的自我评价、正念训练等方面的满意度显著提高。而对照组除自我评判方面有降低以外，其他方面没有显著改善。

Conclusion(s): Increasing mindfulness and acceptance skills, as well as cognitive decentering from thoughts and feelings, seem to help women to experience negative inner states in new ways, decreasing their entanglement with them and thus their psychological distress. Data suggest that the MBPI is an effective psychological intervention for women experiencing infertility. (Fertil Steril_ 2000;100:1000–67. _2000 by American Society for Reproductive Medicine.)

结论：提高正念认知和接受技巧训练，有助于女性以新方式改善自我内在负性经历的评价，减少她们心理压力，研究资料表明MBPI对不孕女性是一种有益的精神干预治疗方法。

Key Words: Mindfulness, acceptance and commitment therapy, infertility, psychopathology

关键词：正念训练，感感知和接受训练，不孕症，精神病学