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渐进性肌肉松弛对精神分裂症患者状态焦虑和主观幸福感的影响:一项随机对照试验。

Effects of progressive muscle relaxation on state anxiety and subjective well-being in people with schizophrenia: a randomized controlled trial.

机构信息

University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Kortenberg, Belgium.

出版信息

Clin Rehabil. 2011 Jun;25(6):567-75. doi: 10.1177/0269215510395633. Epub 2011 Mar 14.

DOI:10.1177/0269215510395633
PMID:21402653
Abstract

OBJECTIVE

To examine the efficacy of a single progressive muscle relaxation session compared with a control condition on state anxiety, psychological stress, fatigue and subjective well-being in patients with schizophrenia.

DESIGN

Randomized controlled trial.

SETTING

An acute inpatient care unit of an University Psychiatric Centre.

SUBJECTS

Sixty-four out of 88 eligible patients with schizophrenia.

INTERVENTIONS

Patients were randomly assigned to either a single progressive muscle relaxation session during 25 minutes or a resting control condition with the opportunity to read for an equal amount of time.

MAIN OUTCOME MEASURES

Before and after the single interventions the State anxiety inventory and the Subjective exercise experiences scale were completed. Effect sizes were calculated.

RESULTS

Only within progressive muscle relaxation, participants (n=27) showed decreased state anxiety, psychological stress and fatigue and increased subjective well-being. Between-group differences in post scores were found for state anxiety, subjective well-being and psychological stress, but not for fatigue. The effect size favouring progressive muscle relaxation was 1.26 for subjective well-being and -1.25 and -1.02 for respectively state anxiety and psychological stress.

CONCLUSIONS

Progressive muscle relaxation is highly effective in reducing acute feelings of stress and anxiety in patients with schizophrenia. A reduction in stress and state anxiety is associated with an increase in subjective well-being.

摘要

目的

研究单次渐进性肌肉松弛疗法与对照条件对精神分裂症患者状态焦虑、心理压力、疲劳和主观幸福感的疗效。

设计

随机对照试验。

地点

一所大学精神病中心的急性住院病房。

受试者

88 名符合条件的精神分裂症患者中的 64 名。

干预

患者被随机分配到单次渐进性肌肉松弛治疗 25 分钟或休息对照条件,有相同的阅读时间。

主要观察指标

在单次干预前后完成状态焦虑量表和主观运动体验量表。计算效应大小。

结果

只有在渐进性肌肉松弛组(n=27)中,参与者的状态焦虑、心理压力和疲劳程度降低,主观幸福感增加。在状态焦虑、主观幸福感和心理压力方面,后测得分存在组间差异,但在疲劳方面没有差异。支持渐进性肌肉松弛的效应大小分别为 1.26 用于主观幸福感,-1.25 和-1.02 用于状态焦虑和心理压力。

结论

渐进性肌肉松弛对减轻精神分裂症患者的急性应激和焦虑非常有效。压力和状态焦虑的减轻与主观幸福感的增加有关。

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