Goldbeck Lutz, Schmid Katharina
University Clinic of Child and Adolescent Psyciatry/Psycotherapy, Ulm, Germany.
J Am Acad Child Adolesc Psychiatry. 2003 Sep;42(9):1046-54. doi: 10.1097/01.CHI.0000070244.24125.F.
To investigate the effectiveness of autogenic relaxation training in a mildly disturbed outpatient population of children and adolescents with mostly internalizing symptoms, and/or some aggressive, impulsive, or attention deficit symptoms.
Fifty children and adolescents from southern Germany (mean age 10.2 years; range 6-15 years; mostly intact middle class family background) participated in a group intervention program. Fifteen patients were randomly assigned to a waiting-list control group. Behavior symptoms (Child Behavior Checklist), psychosomatic complaints (Giessen Complaint List), and level of stress were assessed before and after the intervention or after the waiting phase. Individual goal attainment was evaluated at the end of the intervention and in a 3-month follow-up.
The parent report on CBCL reflected reduced symptoms compared with control. The child report indicated reduced stress and psychosomatic complaints both in the intervention and control group, and no significant group x time interaction effects occurred on these scales. Effect sizes of 0.49 in the CBCL and 0.36 in the complaint list indicated clinically relevant effects of the intervention compared with the control group. At the end of the intervention, 56% of the children and 55% of the parents reported partial goal attainment, 38% of the children and 30% of the parents reported complete goal attainment; 71% of the parents confirmed partial goal attainment 3 months postintervention.
Autogenic relaxation training is an effective broadband method for children and adolescents.
研究自生放松训练对主要表现为内化症状以及/或者一些攻击、冲动或注意力缺陷症状的轻度困扰的儿童和青少年门诊患者的有效性。
来自德国南部的50名儿童和青少年(平均年龄10.2岁;年龄范围6 - 15岁;大多为完整的中产阶级家庭背景)参加了一个团体干预项目。15名患者被随机分配到等待名单对照组。在干预前后或等待期结束后评估行为症状(儿童行为检查表)、心身症状(吉森症状清单)和压力水平。在干预结束时和3个月的随访中评估个体目标达成情况。
与对照组相比,家长对儿童行为检查表的报告显示症状有所减轻。儿童报告表明干预组和对照组的压力和心身症状均有所减轻,在这些量表上未出现显著的组×时间交互效应。儿童行为检查表的效应量为0.49,症状清单的效应量为0.36,表明与对照组相比,干预具有临床相关效果。在干预结束时,56%的儿童和55%的家长报告部分目标达成,38%的儿童和30%的家长报告完全目标达成;71%的家长在干预后3个月确认部分目标达成。
自生放松训练对儿童和青少年是一种有效的综合方法。