Bahremand Mostafa, Moradi Gholamreza, Saeidi Mozhgan, Mohammadi Samira, Komasi Saeid
Interventional Cardiologist, Assistant Professor at Kermanshah University of Medical Sciences, Kermanshah, Iran.
Cardiac Anesthesiologist, Assistant Professor at Kermanshah University of Medical Sciences, Imam Ali Hospital, University of Medical Sciences, Kermanshah, Iran.
Korean J Pain. 2015 Apr;28(2):88-95. doi: 10.3344/kjp.2015.28.2.88. Epub 2015 Apr 1.
Patients suffering from non-cardiac chest pain (NCCP) can interpret their chest pain wrongly despite having received a correct diagnosis. The objective of this study was to compare the efficacy of the relaxation method with metaphor therapy for reducing irrational beliefs and pain severity in patients with NCCP.
Using a randomized controlled trial, 33 participants were randomly divided into a relaxation training group (n= 13), a metaphor therapy group (n = 10), and a control group (n = 10), and were studied for 4 weeks. The two tools used in this research were the Brief Pain Inventory (BPI) index for determining the degree of pain and the short version of the Jones Irrational Belief Test. Metaphor therapy and a relaxation technique based on Öst's treatment were used as the interventions. The collected data were analyzed with a multivariate analysis of covariance (MANCOVA), a Chi-square test, and the Bonferroni procedure of post-hoc analysis.
The relaxation training method was significantly more effective than both metaphor therapy and the lack of treatment in reducing the patients' beliefs of hopelessness in the face of changes and emotional irresponsibility, as well as the pain severity. Metaphor therapy was not effective on any of these factors. In fact, the results did not support the effectiveness of metaphor therapy.
Regarding the effectiveness of the relaxation method as compared with metaphor therapy and the lack of treatment in the control group, this study suggests that relaxation should be paid greater attention as a method for improving the status of patients. In addition, more studies are needed to determine the effectiveness of metaphor therapy in this area.
患有非心源性胸痛（NCCP）的患者尽管已得到正确诊断，但仍可能错误解读其胸痛症状。本研究的目的是比较放松疗法与隐喻疗法在降低NCCP患者不合理信念和疼痛严重程度方面的疗效。
采用随机对照试验，将33名参与者随机分为放松训练组（n = 13）、隐喻治疗组（n = 10）和对照组（n = 10），并进行为期4周的研究。本研究使用的两种工具是用于确定疼痛程度的简明疼痛评估量表（BPI）指数和琼斯不合理信念测试简版。采用隐喻疗法和基于奥斯特疗法的放松技术作为干预措施。收集的数据采用多变量协方差分析（MANCOVA）、卡方检验和事后分析的邦费罗尼程序进行分析。
在降低患者面对变化时的绝望信念、情绪不负责任以及疼痛严重程度方面，放松训练方法比隐喻疗法和不治疗都显著更有效。隐喻疗法对这些因素均无效果。事实上，结果不支持隐喻疗法的有效性。
鉴于放松疗法与隐喻疗法以及对照组不治疗相比的有效性，本研究表明，作为改善患者状况的一种方法，应更加重视放松疗法。此外，需要更多研究来确定隐喻疗法在该领域的有效性。
