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放松反应冥想对肠易激综合征症状的影响:一项对照治疗研究的结果

The effects of relaxation response meditation on the symptoms of irritable bowel syndrome: results of a controlled treatment study.

作者信息

Keefer L, Blanchard E B

机构信息

The University at Albany, State University of New York, Center for Stress and Anxiety Disorders, 12203, USA.

出版信息

Behav Res Ther. 2001 Jul;39(7):801-11. doi: 10.1016/s0005-7967(00)00078-4.

Abstract

In this study, Herbert Benson's (1975) Relaxation Response Meditation program was tested as a possible treatment for Irritable Bowel Syndrome (IBS). Participants were 16 adults who were matched into pairs based on presence of Axis I disorder, primary IBS symptoms and demographic features and randomized to either a six week meditation condition or a six week wait list symptom monitoring condition. Thirteen participants completed treatment and follow-up. All subjects assigned to the Wait List were subsequently treated. Patients in the treatment condition were taught the meditation technique and asked to practice it twice a day for 15 minutes. Composite Primary IBS Symptom Reduction (CPSR) scores were calculated for each patient from end of baseline to two weeks post-treatment (or to post wait list). One tailed independent sample t-tests revealed that Meditation was superior to the control (P=0.04). Significant within-subject improvements were noted for flatulence (P=0.03) and belching (P=0.02) by post-treatment. By three month follow-up, significant improvements in flatulence (P<0.01), belching (P=0.02), bloating (P=0.05), and diarrhea (P=0.03) were shown by symptom diary. Constipation approached significance (P=0.07). Benson's Relaxation Response Meditation appears to be a viable treatment for IBS.

摘要

在本研究中,对赫伯特·本森(1975年)的放松反应冥想计划作为肠易激综合征(IBS)的一种可能治疗方法进行了测试。参与者为16名成年人,他们根据轴I障碍的存在、原发性IBS症状和人口统计学特征配对,并随机分为六周冥想组或六周等待列表症状监测组。13名参与者完成了治疗和随访。所有被分配到等待列表的受试者随后都接受了治疗。治疗组的患者学习了冥想技巧,并被要求每天练习两次,每次15分钟。计算了每位患者从基线结束到治疗后两周(或到等待列表结束后)的综合原发性IBS症状减轻(CPSR)得分。单尾独立样本t检验显示,冥想优于对照组(P=0.04)。治疗后,腹胀(P=0.03)和嗳气(P=0.02)在受试者内部有显著改善。通过症状日记显示,到三个月随访时,腹胀(P<0.01)、嗳气(P=0.02)、腹部胀气(P=0.05)和腹泻(P=0.03)有显著改善。便秘接近显著水平(P=0.07)。本森的放松反应冥想似乎是IBS的一种可行治疗方法。

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