Hosaka T, Yamamoto K, Ikeda K, Taniyama F, Yanagisawa J
Department of Psychiatry and Behavioral Science, Tokai University School of Medicine, Ischara, Japan.
Psychiatry Clin Neurosci. 1995 Dec;49(5-6):259-62. doi: 10.1111/j.1440-1819.1995.tb01898.x.
The present article demonstrates the clinical application and the efficacy of relaxation techniques in general hospital psychiatry in Japan. During April to December 1993, 20 patients were treated with progressive muscle relaxation and "modified' autogenic training therapies. The targeted symptoms were anxiety attacks (or panic attacks), neurotic insomnia, hyperventilation syndrome, agoraphobia, chronic pain, and distress. Most patients (18/20) improved rapidly with the use of these techniques and their excellence encourages increased use in general hospital psychiatry for the following reasons. First, physically ill patients are likely to show unexpected reactions to psychotropic medications. Second, some patients prefer these treatment methods rather than medications because they feel that they are participating voluntarily in their own treatment and also because they are fearful of being addicted to tranquilizers. Third, these treatments have produced rapid improvement especially for patients with panic attacks and/or hyperventilation. This study strongly suggests that progressive muscle relaxation and "modified' autogenic training are simple and useful methods which can be easily employed in the clinical practice of general hospital psychiatry.
本文展示了放松技巧在日本综合医院精神病学中的临床应用及疗效。1993年4月至12月期间，20名患者接受了渐进性肌肉放松和“改良”自生训练疗法。目标症状包括焦虑发作（或惊恐发作）、神经症性失眠、换气过度综合征、广场恐惧症、慢性疼痛和精神痛苦。大多数患者（18/20）通过使用这些技巧迅速好转，其卓越效果促使在综合医院精神病学中更多地使用，原因如下。首先，身体患病的患者可能对精神药物表现出意外反应。其次，一些患者更喜欢这些治疗方法而非药物，因为他们觉得自己在自愿参与自身治疗，还因为他们害怕对镇静剂上瘾。第三，这些治疗尤其对惊恐发作和/或换气过度的患者产生了快速改善。本研究强烈表明，渐进性肌肉放松和“改良”自生训练是简单且有用的方法，可轻松应用于综合医院精神病学的临床实践。
