关键词: 复发性流产, 正念水平, 心理弹性, 焦虑, 抑郁

Abstract: Objective: To explore the status of anxiety, depression and mindfulness among patients with recurrent spontaneous abortion(RSA) and mediating effects of resilience on relationships between mindfulness and psychological distress. Methods: This survey included 262 patients with RSA, which were investigated by questionnaires including the Mindful Attention Awareness Scale( MAAS ), the 10-item Connor-Davidson Resilience Scale （ CD-RISC10 ） , and the Hospital Anxiety and Depression Scale (HADS). Results: The prevalence of anxiety and depression among patients with RSA were 24％, 52.3％ respectively．Correlation analysis showed that psychological distress was negatively associated with mindfulness and resilience(r=-0.654~-0.386 ， P<0.01), and resilience was positively associated with mindfulness(r=0.295 ， P<0.01). The relationship among mindfulness and anxiety, mindfulness and depression was mediated by resilience, and mediating effect accounted for 29.70%, 37.98% of the total effect respectively. Conclusion: Anxiety and depression in patients with recurrent abortion deserve concern. Improving the level of mindfulness and resilience is an effective way to reduce anxiety and depression for patients with RSA.

Key words: Recurrent spontaneous abortion ； Mindfulness ； Resilience, Anxiety ； Depression