日常家庭练习在紧张性头痛放松治疗中的作用。

The role of regular home practice in the relaxation treatment of tension headache.

作者信息

Blanchard E B, Nicholson N L, Taylor A E, Steffek B D, Radnitz C L, Appelbaum K A

机构信息

Center for Stress and Anxiety Disorders, University at Albany, State University of New York 12202.

出版信息

J Consult Clin Psychol. 1991 Jun;59(3):467-70. doi: 10.1037//0022-006x.59.3.467.

DOI:10.1037//0022-006x.59.3.467

PMID:2071733

Abstract

This study evaluated the contribution of regular home practice in the treatment of tension headache (HA) with progressive muscle relaxation (PMR) by giving 14 tension HA sufferers 10 sessions (over 8 weeks) of standard PMR with home practice and application instructions while 13 additional patients received the same PMR training (except for the omission of cue-controlled relaxation) with no home practice or application instruction. A third group of 6 patients merely monitored HA activity. Both treated groups showed significant reduction in HA activity, whereas the symptom monitoring group did not change. The 2 treated groups did not differ. On a measure of clinically significant reduction in HA activity (at least 50% reduction in HA activity), however, the group receiving home practice instruction (50%) showed a trend (p = .056) to improve more than did those receiving PMR without home practice (15%).

摘要

本研究评估了常规家庭练习在通过渐进性肌肉松弛（PMR）治疗紧张性头痛（HA）中的作用。研究为14名紧张性HA患者提供了10节（为期8周）标准PMR课程，并附带家庭练习和应用指导；同时，另外13名患者接受了相同的PMR训练（除了省略了线索控制放松），但没有家庭练习或应用指导。第三组6名患者仅监测HA活动。两个治疗组的HA活动均显著降低，而症状监测组则没有变化。两个治疗组之间没有差异。然而，在衡量HA活动临床显著降低（HA活动至少降低50%）时，接受家庭练习指导的组（50%）比未接受家庭练习的PMR组（15%）有改善更多的趋势（p = 0.056）。