Int J Psychiatry Med. 2013;46(4):325-37. doi: 10.2190/PM.46.4.a.
A modified form of the standard autogenic relaxation exercise was developed as part of a telepsychiatry project, which aims to deliver mental healthcare to remote areas through the net, and through the agency of non-specialists. This study describes the development and evaluation of a brief and simpler form of a relaxation technique, the Self-Guided Relaxation (SGR).
SGR is a systematic technique to focus on muscle groups and feel the heaviness and relaxation through suggestions to induce relaxation in the body. The SGR was taught to 37 patients with different psychiatric disorders over two sessions a week apart. Measures of change used were scores on the Hamilton Anxiety Rating Scale (HAM-A) and a visual analog scale. Its usefulness and feasibility was examined over a follow-up period of one month. Additionally a group of non-specialists was trained in SGR supplemented by audiovisual aids and printed instructions. These therapists rated the ease in learning and administering SGR in patients.
There was a consistent reduction in the HAM-A scores over the follow-up period among patients. Improvements were also noted in positive experiences, adherence, depth of relaxation achieved, perceived benefit, and patient satisfaction. Majority of the patients, relatives, and therapists reported that they could administer or practice SGR after having learned the technique in a single session lasting about 30 minutes. The use of audio-video aids and manual was helpful in making the process of learning easy.
Preliminary findings of usefulness, feasibility, and acceptance of the SGR were encouraging. These findings pave way for larger, randomized controlled study and for testing applicability of the SGR as a net-based psychological intervention.
作为远程精神病学项目的一部分，开发了一种标准自生放松练习的改良形式，旨在通过网络和非专业人员为偏远地区提供精神保健。本研究描述了一种简短而简单的放松技术——自我引导放松（SGR）的开发和评估。
SGR 是一种系统的技术，通过暗示专注于肌肉群并感受身体的沉重和放松，从而诱导身体放松。在两周的时间里，每周两次向 37 名患有不同精神障碍的患者教授 SGR。使用的变化措施是汉密尔顿焦虑量表（HAM-A）评分和视觉模拟评分。在一个月的随访期间，检查了其有用性和可行性。此外，一组非专业人员接受了 SGR 的培训，并辅以视听辅助和印刷说明。这些治疗师评估了在患者中学习和实施 SGR 的容易程度。
在随访期间，患者的 HAM-A 评分持续下降。积极体验、依从性、达到的放松深度、感知益处和患者满意度也有所改善。大多数患者、家属和治疗师报告说，他们可以在学习大约 30 分钟的单次课程后，管理或练习 SGR。视听辅助和手册的使用有助于简化学习过程。
SGR 的有用性、可行性和可接受性的初步发现令人鼓舞。这些发现为更大规模的随机对照研究铺平了道路，并为测试 SGR 作为基于网络的心理干预的适用性提供了依据。
