Blanchard E B, Khramelashvili V V, McCoy G C, Aivazyan T A, McCaffrey R J, Salenko B B, Musso A, Wittrock D A, Berger M, Gerardi M A
Center for Stress and Anxiety Disorders, State University of New York, Albany 12203.
Health Psychol. 1988;7 Suppl:175-92.
We have conducted a cross-cultural (USA and USSR) comparison of thermal biofeedback (TBF) and autogenic training (AT) to a self-relaxation control condition in 59 unmedicated males with mild hypertension. Identical assessment and treatment protocols were carried out in both settings (Albany, New York, and Moscow). Treatments were delivered in small groups on an outpatient basis twice per week for 10 weeks. Results showed comparable, significant (p less than .05), short-term decreases (M = 8.5 mm Hg) in diastolic blood pressure (DBP) for both treatments at both sites. However, the Soviet patients, starting with significantly (p less than .01) higher systolic blood pressures (SBPs), showed significant decreases (M = 12.8 mm Hg) in SBP, whereas the American patients did not change appreciably (M = 4.6 mm Hg). During follow-up, the treated Soviet patients showed significantly (p less than .05) better maintenance of treatment effects, from 3 months to 1 year, than did the American patients. At 1 year, 75% of the treated Soviet patients had DBPs less than 90 mm Hg, whereas only 24% of the American patients had comparable DBPs.
我们对59名未接受药物治疗的轻度高血压男性进行了一项跨文化（美国和苏联）比较，将热生物反馈（TBF）和自生训练（AT）与自我放松控制条件进行对比。在两个地点（纽约州奥尔巴尼和莫斯科）均采用了相同的评估和治疗方案。治疗以小组形式在门诊进行，每周两次，共10周。结果显示，两个地点的两种治疗方法在舒张压（DBP）方面均出现了具有可比性的显著（p<0.05）短期下降（M = 8.5毫米汞柱）。然而，苏联患者的收缩压（SBP）一开始显著（p<0.01）更高，其SBP出现了显著下降（M = 12.8毫米汞柱），而美国患者的SBP变化不明显（M = 4.6毫米汞柱）。在随访期间，接受治疗的苏联患者在3个月至1年期间的治疗效果维持情况显著（p<0.05）优于美国患者。在1年时，75%接受治疗的苏联患者的DBP低于90毫米汞柱，而只有24%的美国患者的DBP达到了类似水平。
