Kiba Tadashi, Kanbara Kenji, Ban Ikumi, Kato Fumie, Kawashima Sadanobu, Saka Yukie, Yamamoto Kazumi, Nishiyama Junji, Mizuno Yasuyuki, Abe Tetsuya, Fukunaga Mikihiko
Department of Psychosomatic Medicine, Kansai Medical University, 2-5-1 Shinmachi, Hirakata-shi, Osaka, Japan.
Department of Psychosomatic Medicine, Nishi Kyoto Hospital, 24 Goryo Mizoura-cho, Nishikyo-ku, Kyoto, Japan.
Appl Psychophysiol Biofeedback. 2015 Dec;40(4):339-47. doi: 10.1007/s10484-015-9303-z.
The aim of this study was to discuss the effect of autogenic training (AT) on patients with functional somatic syndrome (FSS) using salivary amylase, the skin temperature of the finger, subjective severity of symptoms, and psychological characteristics as measures. We assessed 20 patients with FSS and 23 healthy controls before and after AT. Baseline levels of salivary amylase prior to an AT session were significantly higher in the FSS group than in the control group. However, this difference was not significant after AT. The skin temperature of the finger increased after AT in both the FSS and control groups. AT contributed to the improvement of somatic symptoms in patients with FSS. Our results regarding psychological characteristics suggest that mood disturbances are deeply involved in the pathology of FSS. Individuals with FSS exhibited elevated levels of sympathetic activity compared with healthy controls. Our data indicates that AT eased dysregulation of the autonomic nervous system in patients with FSS. Thus, salivary amylase may be a useful index of change induced by AT in patients with FSS.
本研究旨在以唾液淀粉酶、手指皮肤温度、症状主观严重程度及心理特征为指标，探讨自生训练（AT）对功能性躯体综合征（FSS）患者的影响。我们对20例FSS患者和23名健康对照者在进行AT前后进行了评估。FSS组在AT疗程前唾液淀粉酶的基线水平显著高于对照组。然而，AT后这种差异并不显著。FSS组和对照组在AT后手指皮肤温度均升高。AT有助于改善FSS患者的躯体症状。我们关于心理特征的研究结果表明，情绪障碍与FSS的病理密切相关。与健康对照者相比，FSS患者表现出更高水平的交感神经活动。我们的数据表明，AT缓解了FSS患者自主神经系统的失调。因此，唾液淀粉酶可能是AT诱导FSS患者发生变化的有用指标。
