Lehrer P M, Hochron S M, Mayne T, Isenberg S, Carlson V, Lasoski A M, Gilchrist J, Morales D, Rausch L
Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, Piscataway 08854-5635.
J Behav Med. 1994 Feb;17(1):1-24. doi: 10.1007/BF01856879.
One hundred six asthmatic subjects were medically prestabilized, then assigned to eight sessions of progressive relaxation, music, or a waiting-list. Seventy-two subjects completed treatment, of which 37 were evaluated in the laboratory with measures of forced expiratory flow. Relaxation-group subjects reported feeling the most deeply relaxed and produced the greatest improvement in forced expiratory flow during the last presession assessment period. All groups evidenced decreases in asthma symptoms. All groups showed decreases in pulmonary function immediately after relaxation sessions. None of the changes in pulmonary function reached levels that are accepted in drug trials to be of clinical significance, and the therapeutic changes occurred only in the situation where training was rendered. Listening to music produced greater decreases in peaks of tension than progressive relaxation, and it produced greater compliance with relaxation practice, but it did not produce any specific therapeutic effects on asthma.
106名哮喘患者经医学手段初步稳定病情后，被分为三组，分别接受八次渐进性放松训练、听音乐或进入候补名单。72名患者完成了治疗，其中37名在实验室接受了用力呼气流量测量评估。放松训练组的患者报告称感觉最为深度放松，且在最后一次训练前评估期内用力呼气流量改善最大。所有组的哮喘症状均有所减轻。所有组在放松训练后即刻肺功能均有所下降。肺功能的所有变化均未达到药物试验中认可的具有临床意义的水平，且治疗性变化仅在进行训练的情况下出现。听音乐比渐进性放松训练能更大程度地降低紧张峰值，且在放松练习方面依从性更高，但对哮喘未产生任何特定的治疗效果。
