Lichstein K L, Eakin T L
J Behav Med. 1985 Jun;8(2):149-62. doi: 10.1007/BF00845518.
Motivated by previous reports of relaxation successes with hemophiliacs, we sought to isolate the value of relaxation strategies. The effects of progressive and self-control relaxation on spontaneous bleeding and collateral symptoms were tested with seven hemophiliacs in a combined multiple-baseline partial-crossover design. Following 6 or 12 weeks of training in either or both relaxation methods, there was no strong evidence that the treatment affected bleeding or perceived pain in these subjects. These disappointing results were obtained despite within-session physiological evidence of relaxation induction and self- and spouse reports of faithful relaxation practice. The present results failed to replicate previous findings, cast doubt on the stress theory of spontaneous bleeding, and recommend further research to clarify the role of psychological interventions for hemophiliacs.
受先前关于血友病患者放松疗法取得成功的报道的启发，我们试图分离出放松策略的价值。采用联合多基线部分交叉设计，对7名血友病患者测试了渐进性放松和自我控制放松对自发性出血及伴随症状的影响。在接受6周或12周的一种或两种放松方法训练后，没有有力证据表明该治疗对这些受试者的出血情况或感觉到的疼痛有影响。尽管在训练过程中有生理证据表明诱导了放松，且患者本人及配偶报告称坚持进行了放松练习，但仍得到了这些令人失望的结果。目前的结果未能重复先前的发现，对自发性出血的应激理论提出了质疑，并建议进行进一步研究以阐明心理干预对血友病患者的作用。
