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对纤维肌痛进行正念瑜伽的后续研究:3 个月时的结果及候补组的复制研究。

Follow-up of yoga of awareness for fibromyalgia: results at 3 months and replication in the wait-list group.

机构信息

Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR 97239-3011, USA.

出版信息

Clin J Pain. 2012 Nov-Dec;28(9):804-13. doi: 10.1097/AJP.0b013e31824549b5.

Abstract

OBJECTIVES

Published preliminary findings from a randomized-controlled trial suggest that an 8-week Yoga of Awareness intervention may be effective for improving symptoms, functional deficits, and coping abilities in fibromyalgia. The primary aims of this study were to evaluate the same intervention's posttreatment effects in a wait-list group and to test the intervention's effects at 3-month follow-up in the immediate treatment group.

METHODS

Unpaired t tests were used to compare data from a per protocol sample of 21 women in the immediate treatment group who had completed treatment and 18 women in the wait-list group who had completed treatment. Within-group paired t tests were performed to compare posttreatment data with 3-month follow-up data in the immediate treatment group. The primary outcome measure was the Fibromyalgia Impact Questionnaire Revised (FIQR). Multilevel random-effects models were also used to examine associations between yoga practice rates and outcomes.

RESULTS

Posttreatment results in the wait-list group largely mirrored results seen at posttreatment in the immediate treatment group, with the FIQR Total Score improving by 31.9% across the 2 groups. Follow-up results showed that patients sustained most of their posttreatment gains, with the FIQR Total Score remaining 21.9% improved at 3 months. Yoga practice rates were good, and more practice was associated with more benefit for a variety of outcomes.

DISCUSSION

These findings indicate that the benefits of Yoga of Awareness in fibromyalgia are replicable and can be maintained.

摘要

目的

已发表的随机对照试验初步研究结果表明,为期 8 周的正念瑜伽干预可能有助于改善纤维肌痛患者的症状、功能缺陷和应对能力。本研究的主要目的是评估同一干预措施在等待名单组中的治疗后效果,并在即时治疗组中测试干预措施在 3 个月随访时的效果。

方法

采用非配对 t 检验比较即时治疗组中完成治疗的 21 名女性和等待名单组中完成治疗的 18 名女性的方案样本数据。对即时治疗组进行组内配对 t 检验,比较治疗后和 3 个月随访时的数据。主要结局评估量表为纤维肌痛影响问卷修订版(FIQR)。还使用多级随机效应模型来检验瑜伽练习率与结果之间的关联。

结果

等待名单组的治疗后结果在很大程度上反映了即时治疗组治疗后的结果,两组的 FIQR 总分均提高了 31.9%。随访结果表明,患者维持了大部分治疗后的改善,FIQR 总分在 3 个月时仍提高了 21.9%。瑜伽练习率良好,更多的练习与各种结果的更多获益相关。

讨论

这些发现表明,正念瑜伽在纤维肌痛中的益处是可复制的,可以维持。

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