Feinstein Justin S, Khalsa Sahib S, Yeh Hung-Wen, Wohlrab Colleen, Simmons W Kyle, Stein Murray B, Paulus Martin P
Laureate Institute for Brain Research, Tulsa, Oklahoma, United States of America.
Oxley College of Health Sciences, University of Tulsa, Tulsa, Oklahoma, United States of America.
PLoS One. 2018 Feb 2;13(2):e0190292. doi: 10.1371/journal.pone.0190292. eCollection 2018.
Floatation-REST (Reduced Environmental Stimulation Therapy) reduces sensory input to the nervous system through the act of floating supine in a pool of water saturated with Epsom salt. The float experience is calibrated so that sensory signals from visual, auditory, olfactory, gustatory, thermal, tactile, vestibular, gravitational and proprioceptive channels are minimized, as is most movement and speech. This open-label study aimed to examine whether Floatation-REST would attenuate symptoms of anxiety, stress, and depression in a clinical sample. Fifty participants were recruited across a spectrum of anxiety and stress-related disorders (posttraumatic stress, generalized anxiety, panic, agoraphobia, and social anxiety), most (n = 46) with comorbid unipolar depression. Measures of self-reported affect were collected immediately before and after a 1-hour float session, with the primary outcome measure being the pre- to post-float change score on the Spielberger State Anxiety Inventory. Irrespective of diagnosis, Floatation-REST substantially reduced state anxiety (estimated Cohen's d > 2). Moreover, participants reported significant reductions in stress, muscle tension, pain, depression and negative affect, accompanied by a significant improvement in mood characterized by increases in serenity, relaxation, happiness and overall well-being (p < .0001 for all variables). In reference to a group of 30 non-anxious participants, the effects were found to be more robust in the anxious sample and approaching non-anxious levels during the post-float period. Further analysis revealed that the most severely anxious participants reported the largest effects. Overall, the procedure was well-tolerated, with no major safety concerns stemming from this single session. The findings from this initial study need to be replicated in larger controlled trials, but suggest that Floatation-REST may be a promising technique for transiently reducing the suffering in those with anxiety and depression.
ClinicalTrials.gov NCT03051074.
漂浮式静息疗法(减少环境刺激疗法)通过仰卧漂浮在富含泻盐的水池中,减少神经系统的感觉输入。对漂浮体验进行了校准,以使来自视觉、听觉、嗅觉、味觉、热觉、触觉、前庭觉、重力觉和本体感觉通道的感觉信号以及大多数运动和言语都减至最少。这项开放性研究旨在检验漂浮式静息疗法是否能减轻临床样本中的焦虑、压力和抑郁症状。招募了50名患有一系列焦虑和压力相关障碍(创伤后应激障碍、广泛性焦虑症、惊恐障碍、广场恐惧症和社交焦虑症)的参与者,其中大多数(n = 46)伴有共病的单相抑郁症。在1小时的漂浮疗程前后立即收集自我报告情感的测量数据,主要结果测量指标是斯皮尔伯格状态焦虑量表上漂浮前后的变化得分。无论诊断如何,漂浮式静息疗法都能显著降低状态焦虑(估计科恩d值> 2)。此外,参与者报告压力、肌肉紧张、疼痛、抑郁和负面情绪显著减轻,同时情绪有显著改善,表现为平静、放松、快乐和总体幸福感增加(所有变量p <.0001)。与一组30名非焦虑参与者相比,焦虑样本中的效果更强,且在漂浮后阶段接近非焦虑水平。进一步分析表明,焦虑最严重的参与者报告的效果最大。总体而言,该程序耐受性良好,单次疗程未引发重大安全问题。这项初步研究的结果需要在更大规模的对照试验中进行重复验证,但表明漂浮式静息疗法可能是一种有前景的技术,可暂时减轻焦虑和抑郁患者的痛苦。
ClinicalTrials.gov NCT03051074