Heiden Marina, Lyskov Eugene, Nakata Minori, Sahlin Karin, Sahlin Tore, Barnekow-Bergkvist Margareta
Centre for Musculoskeletal Research, University of Gävle, Umeå, Sweden.
J Rehabil Med. 2007 May;39(5):366-73. doi: 10.2340/16501977-0053.
To evaluate the effects of a cognitive behavioural training programme and a physical activity programme for patients with stress-related illnesses.
In a randomized controlled study, patients were allocated randomly to 1 of 3 groups, where group 1 participated in a cognitive behavioural training programme, group 2 participated in a physical activity programme, and group 3, the control group, was offered usual care for the course of the study.
A total of 75 patients participated in the study. They had been on sick leave for at least 50% of the time for between 1 month and 2 years due to stress-related illnesses.
Measurements of autonomic activity, pressure-pain thresholds and subjective ratings of health and behaviour were made before and after a 10-week intervention period, and at 6 and 12 months after the intervention.
Minor differences in autonomic activity and pressure-pain thresholds were found between the groups immediately after the intervention. At the 6- and 12-month follow-up assessments, the differences were no longer present. Patients in the cognitive behavioural training group improved their ratings of general health compared with the physical activity group throughout the study.
The study showed little difference in the effect of cognitive behavioural training and physical activity, compared with usual care, for patients with stress-related illnesses.
评估认知行为训练计划和体育活动计划对与压力相关疾病患者的影响。
在一项随机对照研究中，患者被随机分配到3组中的1组，其中第1组参加认知行为训练计划，第2组参加体育活动计划，第3组为对照组，在研究过程中接受常规护理。
共有75名患者参与了该研究。他们因与压力相关的疾病，在1个月至2年的时间里至少有50%的时间处于病假状态。
在为期10周的干预期前后，以及干预后6个月和12个月时，对自主神经活动、压力疼痛阈值以及健康和行为的主观评分进行测量。
干预后立即发现各组之间在自主神经活动和压力疼痛阈值方面存在微小差异。在6个月和12个月的随访评估中，这些差异不再存在。在整个研究过程中，认知行为训练组的患者与体育活动组相比，对总体健康的评分有所提高。
该研究表明，与常规护理相比，认知行为训练和体育活动对与压力相关疾病患者的效果差异不大。
