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渐进性肌肉松弛和受限环境刺激疗法治疗慢性紧张性头痛:一项初步研究。

Progressive muscle relaxation and restricted environmental stimulation therapy for chronic tension headache: a pilot study.

作者信息

Wallbaum A B, Rzewnicki R, Steele H, Suedfeld P

机构信息

University of California, Irvine.

出版信息

Int J Psychosom. 1991;38(1-4):33-9.

PMID:1778683
Abstract

Thirty-one patients suffering from chronic tension headache participated in one of four procedures, each of which comprised two one-and-one-half hour sessions per week for 4 weeks. The conditions were: Chamber/Control (both weekly sessions lying on a bed in a dimly-lit room), and three active treatment procedures: Chamber/Tank, one session as above, the other floating in a dark, silent REST tank; Chamber/Relaxation, one as above, one doing progressive muscle relaxation exercises; and Tank/Relaxation, one session floating and one doing progressive muscle relaxation. By 6 months after the end of treatment, complete data had been obtained from 20 subjects. There was a significant overall decrease in headache reports; the active treatment groups collapsed improved significantly more than the control group. At the 6-month followup, the treatment groups showed continuing improvement (57% over end of treatment for the Tank-Relaxation group and a mean of 25% for the other two), whereas the control group had deteriorated by 34% since end of treatment. Clinical improvements were comparable to those of more time- and effort-consuming relaxation therapies, and confirm the usefulness of REST as a long-lasting and versatile treatment in behavioral health.

摘要

31名患有慢性紧张性头痛的患者参与了四种治疗程序中的一种,每种程序包括每周两次,每次一个半小时,共持续4周。治疗条件如下:病房/对照(两次治疗均躺在光线昏暗的病房的床上),以及三种积极治疗程序:病房/水槽,一次治疗如上所述,另一次在黑暗、安静的水槽中漂浮;病房/放松,一次治疗如上所述,另一次进行渐进性肌肉放松练习;水槽/放松,一次在水槽中漂浮,一次进行渐进性肌肉放松。到治疗结束后6个月时,已从20名受试者那里获得了完整的数据。头痛报告总体上有显著减少;积极治疗组的改善明显超过对照组。在6个月的随访中,治疗组持续改善(水槽-放松组比治疗结束时改善了57%,其他两组平均改善了25%),而对照组自治疗结束后恶化了34%。临床改善与那些更耗时费力的放松疗法相当,并证实了水槽漂浮作为行为健康中一种持久且通用的治疗方法的有效性。

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