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引导式意象改善多发性硬化症患者的情绪、疲劳和生活质量:一项关于治愈之光引导式意象的探索性疗效试验

Guided Imagery Improves Mood, Fatigue, and Quality of Life in Individuals With Multiple Sclerosis: An Exploratory Efficacy Trial of Healing Light Guided Imagery.

作者信息

Case Laura K, Jackson Paula, Kinkel Revere, Mills Paul J

机构信息

1 University of California San Diego, La Jolla, CA, USA.

Current affiliation: National Center for Complementary and Integrative Health, Bethesda, MD, USA.

出版信息

J Evid Based Integr Med. 2018 Jan-Dec;23:2515690X17748744. doi: 10.1177/2515690X17748744.

Abstract

Multiple sclerosis is a disabling and progressive neurological disease that has significant negative effects on health-related quality of life. This exploratory efficacy study examined the effects of Healing Light Guided Imagery (HLGI), a novel variant of guided imagery, compared with a wait-list control in patients with relapsing-remitting multiple sclerosis. Changes in the Beck Depression Inventory, Fatigue Severity Scale, and Multiple Sclerosis Quality of Life instrument (physical and mental components) were compared between groups. Patients who completed HLGI (N = 9) showed significant reductions in depressed mood ( P < .05) and fatigue ( P < .01) and showed significant gains in physical ( P = .01) and mental ( P < .01) quality of life compared with journaling (N = 8). Our results suggest that HLGI can improve self-reported physical and mental well-being in patients with relapsing-remitting multiple sclerosis. Further research is needed to study the effectiveness of this therapy, as well as its mind-body mechanisms of action.

摘要

多发性硬化症是一种致残性的进行性神经疾病,对健康相关生活质量有显著负面影响。这项探索性疗效研究考察了引导式意象的一种新变体——治愈之光引导式意象(HLGI)对复发缓解型多发性硬化症患者的影响,并与等待名单对照组进行了比较。比较了两组在贝克抑郁量表、疲劳严重程度量表以及多发性硬化症生活质量量表(身体和心理维度)上的变化。完成HLGI治疗的患者(N = 9)与写日记的患者(N = 8)相比,抑郁情绪(P < .05)和疲劳感(P < .01)显著降低,身体(P = .01)和心理(P < .01)生活质量显著提高。我们的结果表明,HLGI可以改善复发缓解型多发性硬化症患者自我报告的身心健康状况。需要进一步研究来探讨这种疗法的有效性及其身心作用机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f2b/5871039/087620096f94/10.1177_2515690X17748744-fig1.jpg

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