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目的 探讨正念认知疗法对体检女性人乳头瘤病毒(HPV)感染者社会心理方面的干预效果.方法 选取青岛某三甲医院2018年12月至2019年3月,查体中心女性HPV感染者60例,抛硬币法随机分为干预组30例,对照组30例,对照组予以常规健康教育及心理干预,干预组在对照组的基础上实施为期8周的正念认知疗法,应用HPV影响问卷(HIP)作为评估工具,对比两组的疗效.结果干预前两组基线水平比较差异无统计学意义.干预后,干预组HIP量表中担忧和关注分数(31.87± 9.94)分、情感影响分数(30.93±9.79)分、性影响分数(27.60±10.73)分、伴侣和传播领域分数(28.90± 8.57)分低于对照组[(44.80±7.89)分、(54.93±12.89)分、(58.87±8.35)分、(46.83±12.2)分],差异有统计学意义(P<0.05).结论 正念认知疗法能显著改善女性HPV感染者不良情绪及性满意度.

Objective This study examined the effect of mindfulness-based cognitive behavioral therapy on the social psychology of women with human papillomavirus (HPV) infection. Methods Sixty women with HPV infection who visited a health center were randomly assigned to either an intervention (30 cases) or control group (30 cases), from December 2018 to March 2019. The control group received routine health education and psychological intervention. On the basis of the control group, the intervention group received 8 weeks of mindfulness-based cognitive therapy. The HPV Impact Profile (HIP) was used as an evaluation tool to compare the efficacy of the two groups. Results There were no significant baseline differences between the two groups. After intervention, HIP scores for worries and concerns, affective impact, sexual impact, and partner and communication were lower in the intervention group compared with the control group: worries and concerns (31.87±9.94 vs. 44.80±7.89), affective impact (30.93±9.79 vs. 54.93±12.89), sexual impact (27.60±10.73 vs. 58.87±8.35), partner and communication (28.90±8.57 vs. 46.83±12.2). There was a statistically significant difference (P<0.05) in each domain. Conclusion Mindfulness-based cognitive behavioral therapy can significantly improve negative emotions and sexual satisfaction among women with HPV infection.