Kiba Tadashi, Abe Tetsuya, Kanbara Kenji, Kato Fumie, Kawashima Sadanobu, Saka Yukie, Yamamoto Kazumi, Mizuno Yasuyuki, Nishiyama Junji, Fukunaga Mikihiko
Department of Psychosomatic Medicin, 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.
Biopsychosoc Med. 2017 Jun 28;11:17. doi: 10.1186/s13030-017-0103-y. eCollection 2017.
The aim of this study was to clarify the changes in biological measures during autogenic training (AT) sessions and the relationship between these biological measures and the changes in physical and psychological measures induced by continuation of AT in patients with functional somatic syndrome (FSS). We used the salivary amylase (SAMY) level, skin temperature of the finger (TEMP), subjective symptom scores, and psychological characteristics to assess these changes.
We assessed 24 patients with FSS and 23 healthy controls before and after AT. We then conducted the same tests after the participants had practiced AT at home 1 and 2 months later.
The baseline SAMY levels in the first session were significantly higher in the FSS group than in the control group. However, this difference was not significant in the second and third sessions. The pattern of changes in TEMP induced by AT was not different between the FSS and control groups. Tension-anxiety and somatic symptoms in patients with FSS were improved by AT. In the FSS group, the baseline SAMY levels in the first session showed a significant negative correlation with the changes in the subjective symptom score and tension-anxiety score at baseline.
The practice of AT, both during the first session and after 1 month of continuation, eased the dysregulation of the autonomic nervous system that is reflected in SAMY in patients with FSS. AT also contributed to decreases in the tension-anxiety and somatic symptoms in patients with FSS. We suggest that SAMY is related to both physical and psychological effects of AT in patients with FSS.
本研究旨在阐明功能性躯体综合征（FSS）患者在进行自生训练（AT）期间生物指标的变化，以及这些生物指标与持续进行AT所引起的身体和心理指标变化之间的关系。我们使用唾液淀粉酶（SAMY）水平、手指皮肤温度（TEMP）、主观症状评分和心理特征来评估这些变化。
我们对24例FSS患者和23名健康对照者在AT前后进行了评估。然后，在参与者于1个月和2个月后在家中进行AT练习后，我们进行了相同的测试。
FSS组在第一节中的基线SAMY水平显著高于对照组。然而，在第二节和第三节中，这种差异并不显著。FSS组和对照组之间由AT引起的TEMP变化模式没有差异。FSS患者的紧张焦虑和躯体症状通过AT得到改善。在FSS组中，第一节的基线SAMY水平与基线时的主观症状评分和紧张焦虑评分的变化呈显著负相关。
无论是在第一节还是在持续1个月后进行AT练习，都缓解了FSS患者中由SAMY反映出的自主神经系统失调。AT也有助于降低FSS患者的紧张焦虑和躯体症状。我们认为SAMY与FSS患者AT的身体和心理效应均相关。
