Jacob R G, Kraemer H C, Agras W S
Arch Gen Psychiatry. 1977 Dec;34(12):1417-27. doi: 10.1001/archpsyc.1977.01770240043003.
The literature on the use of relaxation or relaxation-like procedures (relaxation therapy) in the treatment of hypertension was critically reviewed. Relaxation therapy resulted in greater reduction of blood pressure than placebo or other control procedures. A positive relationship was found between the average blood pressure decrease and the average pretreatment pressure. Relaxation-like therapies shared the features of muscular relaxation, regular practice, mental focusing, and task awareness. Research on the relative contributions of these components indicated that task awareness adds to the treatment effect in the laboratory setting, and that regular practice is necessary for optimal results in the clinical setting. The role of muscular relaxation and mental focusing is unclear. We concluded that relaxation therapy may become a useful adjunct to medication in the clinical management of hypertension, especially for individuals whose blood pressures remain high despite pharmacological treatment.
对使用放松或类似放松程序(放松疗法)治疗高血压的文献进行了批判性综述。与安慰剂或其他对照程序相比,放松疗法能使血压有更大幅度的降低。平均血压下降与平均治疗前血压之间存在正相关关系。类似放松的疗法具有肌肉放松、定期练习、精神专注和任务意识等特点。对这些组成部分相对作用的研究表明,在实验室环境中,任务意识会增加治疗效果,而在临床环境中,定期练习对于获得最佳效果是必要的。肌肉放松和精神专注的作用尚不清楚。我们得出结论,放松疗法可能成为高血压临床管理中药物治疗的有用辅助手段,尤其是对于那些尽管进行了药物治疗但血压仍居高不下的个体。