Rybarczyk B, DeMarco G, DeLaCruz M, Lapidos S, Fortner B
Department of Psychology and Physical Medicine and Rehabilitation, Rush University, Chicago, USA.
Behav Med. 2001 Spring;27(1):15-27. doi: 10.1080/08964280109595768.
The authors tested the efficacy of a mind/body wellness intervention for older adults with chronic illness. They randomly assigned 243 physician-referred patients from an urban HMO to a classroom intervention or a wait-list control group. The intervention provided instruction on mind/body relationships; relaxation training; cognitive restructuring; problem-solving; communication; and behavioral treatment for insomnia, nutrition, and exercise. At posttreatment, the intervention group had significant decreases in self-reported sleep difficulties, pain, anxiety, and depression symptoms compared with controls. The intervention also led to a significant decrease in "chance" and "powerful others" health locus of control beliefs. At 1-year follow-up, the intervention group maintained benefits in sleep and health locus of control and also reported a significant increase in health behaviors compared with controls. Pain, anxiety, and depression benefits were not maintained. This type of classroom intervention appears to have some lasting effects on health behaviors and beliefs.
作者测试了一种针对患有慢性病的老年人的身心康愈干预措施的效果。他们将来自城市健康维护组织（HMO）的243名经医生推荐的患者随机分为课堂干预组或等待名单对照组。该干预提供了关于身心关系的指导、放松训练、认知重构、问题解决、沟通以及针对失眠、营养和运动的行为治疗。在治疗后，与对照组相比，干预组在自我报告的睡眠困难、疼痛、焦虑和抑郁症状方面有显著下降。该干预还导致“机遇”和“有势力的他人”健康控制点信念显著降低。在1年的随访中，与对照组相比，干预组在睡眠和健康控制点方面保持了益处，并且报告健康行为有显著增加。疼痛、焦虑和抑郁方面的益处未得到维持。这种课堂干预似乎对健康行为和信念有一些持久影响。
