University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Kortenberg, Belgium.
Clin Rehabil. 2013 Apr;27(4):291-8. doi: 10.1177/0269215512455531. Epub 2012 Jul 27.
The aim of this systematic review was to assess the effectiveness of progressive muscle relaxation on psychological distress and anxiety symptoms and on response/remission for people with schizophrenia.
Randomized controlled trials were considered if they investigated progressive muscle relaxation in patients with schizophrenia. EMBASE, PsycINFO, PubMed, ISI Web of Science, CINAHL, PEDro and Cochrane Library were searched. The selection of studies, data extraction and quality assessment were performed independently by two reviewers.
Three randomized controlled trials involving 146 patients met the inclusion criteria. Progressive muscle relaxation can acutely reduce state anxiety and psychological distress and improve subjective well-being. No studies investigated the evidence for progressive muscle relaxation as an add-on treatment for general psychopathology and for positive or negative symptoms. Also, no studies assessed the value of progressive muscle relaxation in longer-term treatment and for relapse prevention. There were no data to draw any conclusions about progressive muscle relaxation in comparison with other treatment modalities. None of the studies encountered adverse events. Dose-response relationships could not be determined.
Progressive muscle relaxation might be a useful add-on treatment to reduce state anxiety and psychological distress and improve subjective well-being in persons with schizophrenia.
本系统评价旨在评估渐进性肌肉松弛对精神分裂症患者心理困扰和焦虑症状以及反应/缓解的有效性。
如果研究调查了精神分裂症患者的渐进性肌肉松弛，则将其视为随机对照试验。检索了 EMBASE、PsycINFO、PubMed、ISI Web of Science、CINAHL、PEDro 和 Cochrane Library。两名评审员独立进行了研究选择、数据提取和质量评估。
符合纳入标准的有三项涉及 146 名患者的随机对照试验。渐进性肌肉松弛可以急性减轻状态焦虑和心理困扰，改善主观幸福感。没有研究调查渐进性肌肉松弛作为一般精神病理学以及阳性或阴性症状的附加治疗的证据。此外，也没有研究评估渐进性肌肉松弛在长期治疗和预防复发方面的价值。没有数据可以得出关于渐进性肌肉松弛与其他治疗方式相比的任何结论。没有研究报告不良反应。无法确定剂量反应关系。
渐进性肌肉松弛可能是一种有用的附加治疗方法，可以减轻精神分裂症患者的状态焦虑和心理困扰，改善主观幸福感。
