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自生训练:临床结果的叙述性和定量综述

Autogenic training: a narrative and quantitative review of clinical outcome.

作者信息

Linden W

机构信息

Department of Psychology, University of British Columbia, Vancouver, Canada.

出版信息

Biofeedback Self Regul. 1994 Sep;19(3):227-64. doi: 10.1007/BF01721069.

Abstract

This review of controlled outcome research on Autogenic Training complements the literature by pooling narrative and quantitative approaches, by including only studies with experimental controls, by integrating the English and German literature, and by adding research findings published since the last review. Whereas previous reviews have already reported positive effects of Autogenic Training for migraine, insomnia, and test anxiety, additional supportive findings for angina pectoris, asthma, childbirth, eczema, hypertension, infertility, Raynaud's disease, and recovery from myocardial infarction are discussed here. The impact of protocol variations on outcome is described, and the specificity of Autogenic Training relative to other stress management techniques is highlighted. Quantitative findings suggested that Autogenic Training was associated with medium-sized pre- to posttreatment effects ranging from d = .43 for biological indices of change to d = .58 for psychological and behavioral indices thus matching effect sizes for other biobehavioral treatment techniques like biofeedback and muscular relaxation. Length of treatment did not affect clinical outcome. The discussion emphasizes how narrative and quantitative strategies complement one another.

摘要

本项关于自生训练的对照结果研究综述,通过整合叙述性和定量研究方法、仅纳入有实验对照的研究、整合英文和德文文献以及补充自上次综述以来发表的研究结果,对相关文献进行了补充。尽管此前的综述已经报道了自生训练对偏头痛、失眠和考试焦虑有积极效果,但本文还讨论了其对心绞痛、哮喘、分娩、湿疹、高血压、不孕症、雷诺氏病以及心肌梗死后恢复的额外支持性研究结果。文中描述了方案差异对结果的影响,并强调了自生训练相对于其他压力管理技术的特异性。定量研究结果表明,自生训练与治疗前到治疗后的中等效应量相关,生物变化指标的效应量为d = 0.43,心理和行为指标的效应量为d = 0.58,与生物反馈和肌肉放松等其他生物行为治疗技术的效应量相当。治疗时长并未影响临床结果。讨论强调了叙述性和定量策略如何相互补充。

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