Kaplan K H, Goldenberg D L, Galvin-Nadeau M
Arthritis-Fibromyalgia Center, Newton Wellesley Hospital, Massachusetts.
Gen Hosp Psychiatry. 1993 Sep;15(5):284-9. doi: 10.1016/0163-8343(93)90020-o.
Fibromyalgia is a chronic illness characterized by widespread pain, fatigue, sleep disturbance, and resistance to treatment. The purpose of this study was to evaluate the effectiveness of a meditation-based stress reduction program on fibromyalgia. Seventy-seven patients meeting the 1990 criteria of the American College of Rheumatology for fibromyalgia took part in a 10-week group outpatient program. Therapists followed a carefully defined treatment approach and met weekly to further promote uniformity. Patients were evaluated before and after the program. Initial evaluation included a psychiatric structured clinical interview (SCID). Outcome measures included visual analog scales to measure global well-being, pain, sleep, fatigue, and feeling refreshed in the morning. Patients also completed a medical symptom checklist, SCL-90-R, Coping Strategies Questionnaire, Fibromyalgia Impact Questionnaire, and the Fibromyalgia Attitude Index. Although the mean scores of all the patients completing the program showed improvement, 51% showed moderate to marked improvement and only they were counted as "responders." These preliminary findings suggest that a meditation-based stress reduction program is effective for patients with fibromyalgia.
纤维肌痛是一种慢性疾病，其特征为广泛疼痛、疲劳、睡眠障碍以及对治疗有抵抗性。本研究的目的是评估基于冥想的减压方案对纤维肌痛的有效性。77名符合美国风湿病学会1990年纤维肌痛标准的患者参加了一个为期10周的门诊小组项目。治疗师遵循精心定义的治疗方法，每周会面以进一步促进一致性。在项目前后对患者进行评估。初始评估包括一次精神科结构化临床访谈（SCID）。结果测量包括视觉模拟量表，用于测量总体幸福感、疼痛、睡眠、疲劳以及早晨的精神恢复情况。患者还完成了一份医学症状清单、SCL-90-R、应对策略问卷、纤维肌痛影响问卷以及纤维肌痛态度指数。尽管完成该项目的所有患者的平均得分均显示有所改善，但51%的患者显示出中度至显著改善，只有这些患者被视为“有反应者”。这些初步发现表明，基于冥想的减压方案对纤维肌痛患者有效。
