Blanchard E B, Nicholson N L, Taylor A E, Steffek B D, Radnitz C L, Appelbaum K A
Center for Stress and Anxiety Disorders, University at Albany, State University of New York 12202.
J Consult Clin Psychol. 1991 Jun;59(3):467-70. doi: 10.1037//0022-006x.59.3.467.
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%).
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）。
