Hock R A, Rodgers C H, Reddi C, Kennard D W
Psychosom Med. 1978 May;40(3):210-5. doi: 10.1097/00006842-197805000-00003.
The purpose of this study was systematically to evaluate the effectiveness of several modes of psychological intervention used with male asthmatic children being treated in the Allergy Outpatient Clinic. Therapeutic effectiveness was measured by large airway changes in respiratory function, and the number of recurrent asthmatic attacks. The psychotherapeutic modes used were Relaxation Training, Assertive Training, and combined Relaxation plus Assertive Training. All patients were administered medication by the responsible physician. The group psychotherapy experiences were controlled by using patients who received medication alone and by patients who received medication and met in a leaderless group. The effectiveness of the therapeutic interventions was determined by comparisons between pretreatment measures and measurements taken during and after the eight-week treatment program. Both Relaxation Training by itself and combined Relaxation plus Assertive Training increased respiratory functioning and reduced the number of attacks. Assertive Training alone failed to improve respiratory function and had a tendency to increase the frequency of asthmatic attacks. It was concluded that the most effective management in male asthmatic children was achieved by the combination of medical and psychological treatments.
本研究的目的是系统评估在过敏门诊接受治疗的男性哮喘患儿中，几种心理干预模式的有效性。治疗效果通过呼吸功能的大气道变化以及哮喘复发发作次数来衡量。所使用的心理治疗模式为放松训练、自信训练以及放松加自信训练相结合。所有患者均由负责的医生给药。通过仅接受药物治疗的患者以及接受药物治疗并在无领导小组中会面的患者来控制团体心理治疗体验。治疗干预的有效性通过治疗前测量与为期八周的治疗计划期间及之后所进行测量之间的比较来确定。单独的放松训练以及放松加自信训练相结合均提高了呼吸功能并减少了发作次数。单独的自信训练未能改善呼吸功能，且有增加哮喘发作频率的趋势。得出的结论是，对男性哮喘患儿最有效的管理是通过药物治疗和心理治疗相结合来实现的。
