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Efficacy of combined relaxation procedures in the treatment of chronic low back pain.

机译：联合放松程序在治疗慢性下腰痛中的功效。

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摘要

Chronic low back pain (CLBP) is a widespread problem, affecting 25 to 45 percent of people at some point during their lifetime (Gatchel & Turk, 1996; Gervirtz, Hubbard, & Harpin; Linton, 1994). The etiology of CLBP is often unclear, and physiological causes are determined in only 10 to 15 percent of cases. Psychopathology, external stressors, and coping skills may interact with CLBP. Relaxation techniques have been established as efficacious treatments in people with cancer pain, chronic headaches, and hypertension, but have not been well researched in the CLBP population, and the efficacy of relaxation as a treatment for CLBP has not been well established. Research has suggested that no single relaxation technique is consistently superior in treatment, and there is the possibility that combining different techniques may optimize treatment efficacy (Cott et al., 1992; Spence, Sharpe, Newton-John, & Champion, 1995; Rasid & Parish, 1998; Woolfolk & Lehrer, 1984). The present study examined the efficacy of a relaxation procedure that uses a combination of progressive muscle relaxation autogenic training, and breathing exercises in comparison to a treatment-as-usual control for 32 individuals with CLBP. Results showed that the relaxation treatment group showed improvements in weekly pain ratings, life interference, and sleep duration from pre-test to post-test and maintained gains at the two week follow-up, but no changes were noted in the treatment-as-usual control group. In the relaxation group, short-term gains were noted for perceived life control, though medication, tension, and affective distress levels decreased across time for both groups, and activity did not change for either group. Relaxation treatment appears to be a beneficial treatment for some psychosocial and physical aspects of CLBP, and most gains were maintained over time.
机译：慢性腰背痛（CLBP）是一个普遍存在的问题，在其一生中的某个时候影响了25％至45％的人（Gatchel和Turk，1996； Gervirtz，Hubbard和Harpin； Linton，1994）。 CLBP的病因通常不清楚，仅在10％至15％的病例中可以确定生理原因。心理病理，外部压力源和应对技巧可能与CLBP相互作用。放松技术已被确立为对癌症疼痛，慢性头痛和高血压患者有效的治疗方法，但尚未在CLBP人群中进行充分的研究，放松疗法作为CLBP的疗效尚未得到很好的确立。研究表明，没有一种放松技术能够始终如一地在治疗上取得优势，并且有可能结合使用不同的技术来优化治疗效果（Cott等，1992； Spence，Sharpe，Newton-John和Champion，1995； Rasid和教区，1998年； Woolfolk和Lehrer，1984年）。本研究检查了放松疗法的有效性，该疗法结合了进行性肌肉放松自体训练和呼吸运动相结合，与32例CLBP患者的常规治疗相比。结果显示，放松治疗组从测试前到测试后的每周疼痛等级，生活干扰和睡眠持续时间均有改善，并且在两周的随访中保持了增长，但治疗后未见变化普通对照组。在放松组中，尽管两组患者的用药，紧张程度和情感困扰水平随时间降低，但在注意的生活控制方面仍能取得短期收益，但两组的活动均未改变。放松疗法似乎对于CLBP的某些社会心理和生理方面是一种有益的疗法，并且随着时间的流逝，大部分收益得以维持。

著录项

  • 作者

    Embry, Barbara Tippins.;

  • 作者单位

    The University of Southern Mississippi.;

  • 授予单位 The University of Southern Mississippi.;
  • 学科 Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2001
  • 页码 83 p.
  • 总页数 83
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医学心理学、病理心理学;
  • 关键词

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