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[对焦虑症患者进行自生训练和催眠的门诊短期治疗。治疗结果及3个月随访]

[Ambulatory short-term therapy of anxiety patients with autogenic training and hypnosis. Results of treatment and 3 months follow-up].

作者信息

Stetter F, Walter G, Zimmermann A, Zähres S, Straube E R

机构信息

Psychiatrische Universitätsklinik Tübingen.

出版信息

Psychother Psychosom Med Psychol. 1994 Jul;44(7):226-34.

PMID:7938368
Abstract

The aim of the study was to examine the effects of a short-term outpatient treatment (6 sessions à 90 minutes) with autogenic training (Schultz 1932) or hypnosis (Erickson and Rossi 1979), concerning patients with anxiety- and panic disorders (according to DSM-III-R and ICD-10-criteria). 27 Outpatients were recruited by newspaper articles. Most of them had not been treated before. Both short-term treatments consisted of 6 weekly group sessions (4-6 patients). Psychological examinations were carried out before and after treatment and at a follow-up after 3 months. Trait anxiety (STAI-X2) and psychosomatic complaints (BfS/BL') decreased in both groups significantly after treatment. This therapeutic effect was stable during the following 3 months. The frequency of panic attacks decreased as well under treatment, and this effect was even more marked during the 3 month following treatment. The therapeutic success was influenced by the frequency of autosuggestive exercises carried out by the patients at home. This form of short-term treatment is not sufficient for all patients with anxiety disorders but the results of that study encourage to use short-term interventions with autogenic training and hypnosis as initial therapeutic approaches for such patients and to combine them with other therapeutic interventions.

摘要

本研究旨在探讨针对焦虑症和恐慌症患者(根据《精神疾病诊断与统计手册》第三版修订本及国际疾病分类第十版标准),采用自生训练法(舒尔茨,1932年)或催眠疗法(埃里克森和罗西,1979年)进行短期门诊治疗(6次,每次90分钟)的效果。通过报纸文章招募了27名门诊患者。他们中的大多数此前未接受过治疗。两种短期治疗均包括每周一次的6次小组治疗(每组4 - 6名患者)。在治疗前、治疗后以及3个月后的随访时进行了心理检查。治疗后,两组患者的特质焦虑(状态 - 特质焦虑量表X2)和身心症状(德国症状自评量表/BfS/BL')均显著下降。这种治疗效果在接下来的3个月中保持稳定。治疗期间恐慌发作的频率也有所下降,且在治疗后的3个月内这种效果更为明显。治疗的成功受到患者在家中进行自我暗示练习频率的影响。这种短期治疗形式并不适用于所有焦虑症患者,但该研究结果鼓励将自生训练和催眠的短期干预作为此类患者的初始治疗方法,并与其他治疗干预措施相结合。

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