Rahe R H, Ward H W, Hayes V
Psychosom Med. 1979 May;41(3):229-42. doi: 10.1097/00006842-197905000-00006.
A trial of brief group therapy as part of a rehabilitation program for postmyocardial infarction (MI) patients was carried out. Forty-four patients surviving their first MI were randomly allocated to either group therapy or control group status and were followed over 4 years. An additional group of 17 patients were referred for post-MI group therapy sessions after the termination of the controlled experiment and were followed for 3 years. Patients who received group therapy had significantly less follow-up coronary morbidity and mortality, and returned to work at significant higher percentages than control patients. Although neither group therapy nor control group patients meaningfully altered conventional coronary risk factors, group therapy patients (in the controlled trial) successfully altered selected coronary-prone behaviors. Educational information regarding the physiological and psychological aspects of coronary heart disease, presented in the group therapy sessions, was forgotten over follow-up. It is concluded that the supportive aspects of the group therapy experience played the most important role in determining the rehabilitation advantages seen for treatment patients.
开展了一项针对心肌梗死（MI）后患者康复计划一部分的简短团体治疗试验。44名首次心肌梗死后存活的患者被随机分配到团体治疗组或对照组，并随访4年。在对照实验结束后，另外17名患者被转介参加心肌梗死后团体治疗课程，并随访3年。接受团体治疗的患者随访时的冠状动脉发病率和死亡率显著降低，重返工作岗位的比例也明显高于对照组患者。尽管团体治疗组和对照组患者均未显著改变传统的冠状动脉危险因素，但团体治疗组患者（在对照试验中）成功改变了某些易患冠状动脉疾病的行为。团体治疗课程中提供的有关冠心病生理和心理方面的教育信息在随访过程中被遗忘。得出的结论是，团体治疗体验的支持性方面在决定治疗患者所观察到的康复优势方面发挥了最重要的作用。
