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自生训练对创伤后应激障碍高危消防员心脏自主神经活动的影响。

Effect of autogenic training on cardiac autonomic nervous activity in high-risk fire service workers for posttraumatic stress disorder.

作者信息

Mitani Satoko, Fujita Masatoshi, Sakamoto Satoko, Shirakawa Taro

机构信息

Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Public Health, Yoshida-Konoe cho, Sakyo-ku, Kyoto 606-8501, Japan.

出版信息

J Psychosom Res. 2006 May;60(5):439-44. doi: 10.1016/j.jpsychores.2005.09.005.

Abstract

OBJECTIVE

We investigated the effect of autogenic training (AT) on cardiac autonomic nervous activity in fire services workers with the use of the questionnaire of the Japanese-language version of Impact of Event Scale-Revised (IES-R-J) and indexes of heart rate variability.

METHODS

We studied 22 male fire services workers who were divided into posttraumatic stress disorder (PTSD)-related stress group (n=10) and control group (n=12). They underwent AT twice or three times a week for 2 months.

RESULTS

Posttraumatic stress disorder-related stress group showed a significantly higher cardiac sympathetic nervous activity and a significantly lower cardiac parasympathetic nervous activity than control group at baseline. Autogenic training significantly decreased cardiac sympathetic nervous activity and significantly increased cardiac parasympathetic nervous activity in both groups. These changes were accompanied by a significant decrease in the total points of IES-R-J.

CONCLUSION

Autogenic training is effective for ameliorating the disturbance of cardiac autonomic nervous activity and psychological issues secondary to PTSD.

摘要

目的

我们使用日语版修订版事件影响量表(IES-R-J)问卷和心率变异性指标,研究了自生训练(AT)对消防人员心脏自主神经活动的影响。

方法

我们研究了22名男性消防人员,他们被分为创伤后应激障碍(PTSD)相关应激组(n = 10)和对照组(n = 12)。他们每周接受两次或三次AT训练,持续2个月。

结果

在基线时,PTSD相关应激组的心脏交感神经活动显著高于对照组,而心脏副交感神经活动显著低于对照组。自生训练使两组的心脏交感神经活动显著降低,心脏副交感神经活动显著增加。这些变化伴随着IES-R-J总分的显著降低。

结论

自生训练对于改善PTSD继发的心脏自主神经活动紊乱和心理问题有效。

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