Evaluating the Intervention Effect of Online Expressive Writing on Prenatal Depression in Pregnant Women from the Perspective of Positive Rumination

注册号:

Registration number:

ChiCTR2500109897 

最近更新日期:

Date of Last Refreshed on:

2026-05-14 16:25:09 

注册时间:

Date of Registration:

2025-09-26 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

研究者撤销 积极反刍思维视角下在线表达性写作对孕妇产前抑郁干预效果评价

Public title:

Evaluating the Intervention Effect of Online Expressive Writing on Prenatal Depression in Pregnant Women from the Perspective of Positive Rumination

注册题目简写:

English Acronym:

研究课题的正式科学名称:

积极反刍思维视角下在线表达性写作对孕妇产前抑郁干预效果评价

Scientific title:

Evaluating the Intervention Effect of Online Expressive Writing on Prenatal Depression in Pregnant Women from the Perspective of Positive Rumination

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

孔佑婧 

研究负责人:

陈瑜 

Applicant:

Youjing Kong 

Study leader:

Yu Chen 

申请注册联系人电话:

Applicant telephone:

+86 151 8745 0985

研究负责人电话:

Study leader's telephone:

+86 139 8898 8138

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

528717314@qq.com

研究负责人电子邮件:

Study leader's E-mail:

2445389019@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省广州市白云区广州大道北1838号

研究负责人通讯地址:

广东省广州市白云区广州大道北1838号

Applicant address:

No. 1838, North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province

Study leader's address:

No. 1838, North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province

申请注册联系人邮政编码:

Applicant postcode:

510000

研究负责人邮政编码:

Study leader's postcode:

510000

申请人所在单位:

南方医科大学护理学院

Applicant's institution:

School of Nursing, Southern Medical University

研究负责人所在单位:

南方医科大学护理学院

Affiliation of the Leader:

School of Nursing, Southern Medical University

是否获伦理委员会批准:

是/Yes

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

南医伦审[2025]第69号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

南方医科大学生物医学伦理委员会

Name of the ethic committee:

Southern Medical University Biomedical Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2025-09-09 00:00:00

伦理委员会联系人:

马俊

Contact Name of the ethic committee:

Jun Ma

伦理委员会联系地址:

广东省广州市白云区广州大道北1838号

Contact Address of the ethic committee:

No. 1838, North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 6164 7452

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

南方医科大学护理学院

Primary sponsor:

School of Nursing, Southern Medical University

研究实施负责(组长)单位地址:

广东省广州市白云区广州大道北1838号

Primary sponsor's address:

No. 1838, North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

广州市

Country:

China

Province:

GuangDong

City:

GuangZhou

单位(医院):

南方医科大学护理学院

具体地址:

广东省广州市白云区广州大道北1838号

Institution
hospital:

School of Nursing, Southern Medical University

Address:

No. 1838, North Guangzhou Avenue, Baiyun District, Guangzhou City, Guangdong Province

经费或物资来源:

国家自然科学基金面上项目(72274090)

Source(s) of funding:

National Natural Science Foundation of China (General Program) (Grant No. 72274090)

Target disease:

Prenatal depression

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

构建积极反刍思维视角下在线表达性写作对产前抑郁孕妇的干预方案,并通过实证分析,揭示在线表达性写作在积极反刍思维引导下的干预效果,为形成科学合理的产前抑郁干预模式提供理论依据。  

Objectives of Study:

Develop an intervention program for pregnant women with prenatal depression using online expressive writing from the perspective of positive rumination. Through empirical analysis, reveal the intervention effects of online expressive writing guided by positive rumination, and provide a theoretical basis for forming a scientific and rational intervention model for prenatal depression.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

1.年龄>=20岁; 2.思维清晰,表达正常; 3.爱丁堡产后抑郁量表评分>=9分; 4.同意参加本研究且签署知情同意书。

Inclusion criteria

1. Age >=20 years old; 2. Clear thinking and normal expression; 3. Edinburgh Postnatal Depression Scale score >=9 points; 4. Agree to participate in this study and sign the informed consent form.

排除标准:

1.既往有精神疾病史或现有精神障碍者,被精神科医生诊断为抑郁症者; 2.患严重躯体疾病者; 3.正在参与其他研究者。 4.正在进行心理治疗/心理咨询者。

Exclusion criteria:

1. Those with a history of mental illness or current mental disorders, and those diagnosed with depression by a psychiatrist; 2. Those suffering from serious physical diseases; 3. Currently participating with other researchers. 4. Those who are undergoing psychological therapy or counseling.

研究实施时间:

Study execute time:

From 2025-10-01 00:00:00 To 2026-03-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-10-01 00:00:00 To 2025-10-31 00:00:00  

干预措施:

Interventions:

组别:

干预组

样本量:

20

Group:

Intervention group

Sample size:

干预措施:

1.使用“雨课堂”微信平台,要求被试加入班级,在规定时间内进登录平台进行在线写作。 2.要求干预组被试本周内周一至周三(周三写作并提交电子档)、周四至周日(周日写作并提交电子档)发生的影响较大、印象较深的积极事件和消极事件为主题,进行积极反刍思维表达性写作,指导语如下: 在你的写作中,我希望你能真正放开自己,探索自己最深层的情感和想法。你的所有写作内容都将是完全保密的,无需担心拼写、语法或句子结构。唯一的规则是一旦你开始写作,除非特殊情况否则你要一直坚持到干预结束。 3.写作持续4周,每周2次(周三、日),根据个人情况每次10~30min,写作主题围绕积极反刍思维,如记录感激之情、未来的期望、当前的积极体验等。相关要求如下: 对积极事件进行积极反刍思维的表达性写作:回忆并写下你近三天中曾经经历过的最快乐的、最有成就感的事件,心无杂念、全身心的去回忆自己当时的感受、想法和情绪,并书写记录,可从以下角度进行写作: A.事件发生当时你的应对方式和结果; B.事件结束后、书写此刻你的感受和想法; C.事件结束后,你的收获、感悟,比如通过该事件你发现了自己以前所没发现的优点、确定下一步计划、更加了解自己等。

干预措施代码:

Intervention:

1. Use the "Yu Classroom" WeChat platform and ask participants to join the class. They are required to log in to the platform within the specified time to conduct online writing. 2. Participants in the intervention group are required to write about significant positive and negative events that have left a deep impression on them from Monday to Wednesday (write and submit the electronic version on Wednesday) and from Thursday to Sunday (write and submit the electronic version on Sunday) this week. The theme is the expression of positive ruminative thinking. The instructions are as follows: In your writing, I hope you can truly let yourself go and explore your deepest emotions and thoughts. All your writing content will be completely confidential. There is no need to worry about spelling, grammar, or sentence structure. The only rule is that once you start writing, you should persist until the end of the intervention unless there are special circumstances. 3. The writing lasts for 4 weeks, twice a week (Wednesday and Sunday). Each session lasts 10 to 30 minutes depending on individual circumstances. The writing theme focuses on positive ruminative thinking, such as recording feelings of gratitude, future expectations, and current positive experiences. The relevant requirements are as follows: Expressive writing of positive ruminative thinking about positive events: Recall and write about the happiest and most fulfilling events you have experienced in the past three days. Focus solely on recalling your feelings, thoughts, and emotions at that time and write them down. You can write from the following perspectives: A. Your response and the outcome at the time the event occurred; B. Your feelings and thoughts at the moment of writing after the event has ended; C. The lessons and insights you gained after the event, such as discovering strengths you didn’t know you had before, setting plans for the next step, and gaining a better understanding of yourself.

Intervention code:

组别:

对照组

样本量:

20

Group:

Control group

Sample size:

干预措施:

接受由经过培训的护理人员组织健康知识讲座,讲座内容由某三级甲等医院产科门诊提供,涉及孕期心理健康管理等方面。

干预措施代码:

Intervention:

Participants received health knowledge lectures organized by trained nursing staff. The content of the lectures was provided by the obstetrics outpatient department of a tertiary Class A hospital and covered aspects such as mental health management during pregnancy.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

广州市 

Country:

China 

Province:

Guangdong 

City:

Guangzhou 

单位(医院):

南方医科大学护理学院 

单位级别:

大学 

Institution
hospital:

School of Nursing, Southern Medical University

Level of the institution:

University

测量指标:

Outcomes:

指标中文名:

爱丁堡产后抑郁量表评分

指标类型:

主要指标

Outcome:

Edinburgh Postnatal Depression Scale score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

积极和消极反刍思维量表评分

指标类型:

次要指标

Outcome:

Positive and Negative rumination thinking scale scores

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

暂停或中断

Suspending

年龄范围:

Participant age:

最小 Min age 20 years
最大 Max age years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

由1名不参与本研究的人员使用SPSS 26.0版统计软件生成随机序列,并将写有随机数字和分组情况的纸条,放进按顺序编码且密封不透光的信封内保存。

Randomization Procedure (please state who generates the random number sequence and by what method):

A random sequence was generated using the SPSS version 26.0 statistical software by a person who was not involved in this study. The random numbers and group assignments were written on slips of paper and placed into sequentially numbered, opaque, and sealed envelopes for storage.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

对评估者实施盲法

Blinding:

Blind the evaluators

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form, CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-09-26 11:46:19