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压力管理与抽动秽语综合征

Stress management and Gilles de la Tourette's syndrome.

作者信息

Michultka D M, Blanchard E B, Rosenblum E L

机构信息

Center for Stress and Anxiety Disorders, State University of New York, Albany 12203.

出版信息

Biofeedback Self Regul. 1989 Jun;14(2):115-23. doi: 10.1007/BF00999049.

Abstract

Tourette's syndrome is a lifelong disorder characterized by multiple motor and verbal tics. The present study examined relaxation training and desensitization training as a method of reducing the frequency and intensity of tics and the distress they caused in a young adult diagnosed with Tourette's syndrome. After a period of symptom monitoring the subject underwent 3 weeks of intensive training in relaxation skills and 5 weeks of desensitization training with situational cues previously identified as eliciting Tourette's symptoms. According to self-report monitoring, the experience of symptoms was decreased across 3 global dimensions: distress (48%), frequency (48%), and intensity (50%), and an hourly symptom count (50%). Collateral parental symptom report agreed with an observed decreased across distress (40%), frequency (41%), and intensity (40%). Inspection of data suggests that both components of stress management added to total treatment efficacy.

摘要

妥瑞氏综合征是一种终身性疾病,其特征为多种运动性和发声性抽动。本研究考察了放松训练和脱敏训练,将其作为一种减少抽动频率和强度以及抽动所导致的痛苦的方法,受试对象为一名被诊断患有妥瑞氏综合征的年轻人。在经过一段时间的症状监测后,该受试者接受了为期3周的放松技能强化训练,以及为期5周的脱敏训练,脱敏训练采用先前确定的可引发妥瑞氏症状的情境线索。根据自我报告监测,症状体验在3个总体维度上有所减轻:痛苦(48%)、频率(48%)和强度(50%),以及每小时症状计数(50%)。父母提供的并行症状报告也显示,在痛苦(40%)、频率(41%)和强度(40%)方面观察到有所减轻。对数据的检查表明,压力管理的两个组成部分都提高了总体治疗效果。

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