Payrau Bernard, Quere Nadine, Breton Elisabeth, Payrau Christine
Interdisciplinary Working Group for Nonpharmacological Stress Management (IWGNSM), Paris, France.
Ecole Bien-Etre du dos, Gentilly, France.
Int J Ther Massage Bodywork. 2017 Sep 13;10(3):4-13. doi: 10.3822/ijtmb.v10i3.368. eCollection 2017 Sep.
Patients suffering from stress symptoms due to every-day life who are looking for a non-pharmacological response to their relief expectation are many. Furthermore, early reckoning of the day-to-day stress which may lead to clinical diagnosis is the best way of preventing the stress-related diseases. Among the many alternative medicinal options, there is little evidence that fasciatherapy (Fs) and reflexology (Rf) are effective in this field.
assess incidence of fasciatherapy Danis Bois Method (DBM) and of reflexology on patients' stress level in everyday-life, and provide a more informed choice among the numerous mind and body techniques by comparing them with hypnosis (Hp) and music therapy (Mt).
Specialized Complementary and Alternative Medicine (CAM) centres for outpatients.
308 individuals (average age = 50.53 SD 14.37, 93 males, 215 females) going to the centres for health care, but free from serious diseases and not heavily medicated respecting the inclusion criteria and providing valid forms.
Four armed, non-randomized observational pragmatic trial with pretest-posttest repeated measures, on separate samples of natural groups.
According to the centre participants where they used to be treated, they were exposed to a single semi-standardized session of a technique of their choice: Fs, Rf, Hp, Mt. Volunteers had a controlled non-intervention resting (Rt) session.
Mean STAI-Y assessing anxiety as reflecting the stress level: MANCOVA and ANCOVA performed with Tukey's HSD.
MANCOVA indicates a significant reduction of anxiety ( < .01) in each condition, resting included. ANCOVA performance adjusting on stress level in T0 (41.73) and on the mean sumscore of the trait (44.89), Fs (-13.92), Rf (-15.92), and Hp (-15.88) were equally effective on the stress level decrease. Mt (-10.0) and Rt (-6.38) showed the same level of effectiveness.
The results suggest fasciatherapy DBM, hypnosis, and reflexology could be used as non-pharmacological and safe interventions in stress management. Though showing a lesser efficiency, music therapy could be useful in different circumstances.
因日常生活而出现压力症状且寻求非药物缓解方法的患者众多。此外，尽早识别可能导致临床诊断的日常压力是预防与压力相关疾病的最佳方法。在众多替代医学选项中，几乎没有证据表明筋膜疗法（Fs）和反射疗法（Rf）在该领域有效。
评估筋膜疗法达尼斯·布瓦方法（DBM）和反射疗法对患者日常生活中压力水平的影响，并通过与催眠疗法（Hp）和音乐疗法（Mt）进行比较，在众多身心疗法中提供更明智的选择。
门诊专科补充和替代医学（CAM）中心。
308名个体（平均年龄 = 50.53，标准差14.37；男性93名，女性215名）前往这些中心接受医疗保健，但无严重疾病且未大量用药，符合纳入标准并提供有效表格。
四臂、非随机观察性实用试验，采用前测 - 后测重复测量，针对自然组的不同样本。
根据参与者过去接受治疗的中心，他们接受一次所选疗法的半标准化治疗：Fs、Rf、Hp、Mt。志愿者有一次对照的无干预休息（Rt）治疗。
用平均状态 - 特质焦虑量表（STAI - Y）评估焦虑以反映压力水平：采用协方差分析（MANCOVA）和协方差分析（ANCOVA）以及图基 Honestly significant difference（HSD）检验。
MANCOVA表明，在每种情况下，包括休息状态，焦虑均有显著降低（P <.01）。在对T0时的压力水平（41.73）和特质平均总分（44.89）进行调整的ANCOVA分析中，Fs（-13.92）、Rf（-15.92）和Hp（-15.88）在降低压力水平方面同样有效。Mt（-10.0）和Rt（-6.38）显示出相同的有效性水平。
结果表明，筋膜疗法DBM、催眠疗法和反射疗法可作为压力管理中的非药物安全干预措施。虽然音乐疗法的效果稍差，但在不同情况下可能有用。
