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探索综合性身心干预对缓解医疗症状的效果。

Exploring the effectiveness of a comprehensive mind-body intervention for medical symptom relief.

机构信息

Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Boston, MA, USA.

出版信息

J Altern Complement Med. 2010 Feb;16(2):187-92. doi: 10.1089/acm.2009.0142.

DOI:10.1089/acm.2009.0142
PMID:20180692
Abstract

OBJECTIVE

The objective of this study was to describe possible changes in physical and psychologic symptoms among outpatients completing a 12-week mind-body medical symptom reduction program related to chronic medical conditions.

DESIGN

The cornerstone of the program is elicitation of the relaxation response, and the curriculum also incorporates trainings on mind-body interactions, cognitive restructuring, nutrition, and physical activity. The Medical Symptom Checklist (MSCL), Health Promoting Lifestyle Profile-II (HPLP-II) and Symptom Checklist-90R (SCL-90-R) were used to assess 331 patients' physical and psychologic symptoms before and after the intervention.

RESULTS

Significant post-treatment improvements in symptom frequency occurred for 12 individual symptoms on the MSCL, all 6 of the HPLP-II subscales, and 8 of the 9 SCL-90-R subscales from pre- to post-treatment.

CONCLUSIONS

The results from this uncontrolled study suggest that a comprehensive mind-body intervention program might be useful as a complementary or adjunct therapy for treatment of chronic medical symptoms.

摘要

目的

本研究旨在描述在完成为期 12 周的身心医学症状缓解计划的门诊患者中,与慢性疾病相关的身体和心理症状可能发生的变化。

设计

该计划的基石是引出放松反应,课程还包括身心互动、认知重构、营养和身体活动方面的培训。使用《医学症状清单》(MSCL)、《健康促进生活方式量表-II》(HPLP-II)和《症状清单-90R》(SCL-90-R)评估 331 名患者在干预前后的身体和心理症状。

结果

在 MSCL 的 12 个单项症状、HPLP-II 的 6 个分量表和 SCL-90-R 的 9 个分量表中,有 12 个单项症状、所有 6 个 HPLP-II 分量表和 8 个 SCL-90-R 分量表在治疗前后的症状频率均有显著改善。

结论

这项非对照研究的结果表明,综合身心干预计划可能是治疗慢性医学症状的一种有用的辅助或附加治疗方法。

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