Gutkin A J, Holborn S W, Walker J R, Anderson B A
University of Manitoba, Winnipeg, Canada.
J Behav Ther Exp Psychiatry. 1992 Sep;23(3):191-8. doi: 10.1016/0005-7916(92)90036-i.
Treatment integrity procedures, generally lacking in previous research, were employed for evaluation of relaxation training for tension headaches. Treatment integrity is the extent to which the therapist implements the relaxation procedure as described, and the degree to which the patients comply with the therapist's instructions. Objective compliance with the home practice of relaxation training was assessed using a microcomputer-based method which required the patient to squeeze a hand control when instructed to tense a muscle. A single-case replication design with three tension headache patients was used. The dependent variables were taken from patients' self-reported daily headache data. Results indicate that: (a) the therapist accurately adhered to the relaxation training protocol; (b) headache frequency decreased in all patients from baseline to 1-year follow-up (improvements ranged from 72.7% to 98.2%); and (c) improvement was greater with higher compliance.
治疗完整性程序在以往研究中普遍缺乏，本研究采用该程序对紧张性头痛的放松训练进行评估。治疗完整性是指治疗师按照所描述的方式实施放松程序的程度，以及患者遵守治疗师指示的程度。使用基于微型计算机的方法评估患者在家中进行放松训练的客观依从性，该方法要求患者在接到指示紧张肌肉时挤压手部控制器。采用单病例复制设计，纳入了三名紧张性头痛患者。因变量取自患者自我报告的每日头痛数据。结果表明：(a)治疗师准确遵循了放松训练方案；(b)所有患者从基线到1年随访时头痛频率均降低（改善幅度在72.7%至98.2%之间）；(c)依从性越高，改善越大。
