对临床试验和与自然疗法的关系的本能训练。

Q Medicine
Stetter, Kupper
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引用次数: 15

摘要

自体训练——对照临床研究的定性荟萃分析和与自然疗法的关系自体训练是一种放松技术,基于自我暗示和练习,以越来越平静的基本态度感知身体的“自然”放松过程。周期性运动后发生的心理生理变化可以用一个合理的模型来解释,这个模型在许多方面都得到了经验的证明。关于方法学方面,本研究涉及1952年至1997年64项对照临床研究的定性荟萃分析。自体训练对主要症状的临床效果作为单独的或至少是中心的心理治疗干预(部分与躯体基础治疗相结合)进行了评估。事实证明,自体训练对身心疾病(高血压、哮喘、肠道疾病、"植物性肌张力障碍"、青光眼、特应性湿疹)、分娩准备、睡眠障碍和焦虑症有积极影响。对头痛和雷诺氏病也有积极的效果,然而,在这些情况下,其他放松技术似乎更优越。此外,对情绪(如抑郁症状)和一般主观状况(如抑郁)的积极影响。“生活质量”)已被许多研究证明。因此,可以根据循证医学的基本规则得出适应症。然而,也有禁忌症,例如外源性急性精神分裂症或情感性精神病。除此之外,如果通过“低水平”的自体训练扩大治疗范围,许多患者对治疗的准备可以得到改善。自体训练是预防、康复或治疗干预的有效和有用的组成部分,可以持续但并非最不重要的是包括自然疗法在内的治疗干预的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Autogenes Training - Qualitative Meta-Analyse kontrollierter klinischer Studien und Beziehungen zur Naturheilkunde.

Autogenic Training - Qualitative Meta-Analysis of Controlled Clinical Studies and Relation to NaturopathyAutogenic training is a relaxation technique based on autosuggestions and practice in the perception of 'natural' relaxating processes of the body with an increasing calm basic attitude. The psycho-physiological changes that occur after periodical exercises can be explained by a plausible model which has been empirically proved in many of its aspects. With regard to methodological aspects the present study deals with the qualitative meta-analysis of 64 controlled clinical studies from 1952 to 1997. The clinical effect of autogenic training on the main symptoms as exclusive or at least central psychotherapeutic intervention (partly in combination with a somatic basic therapy) was evaluated. It was proved that autogenic training has positive effects on psychosomatic disorders (hypertension, asthma, intestinal diseases, 'vegetative dystonia', glaucoma, atopic eczema), on preparation for childbirth, sleep disorders and anxiety disorders. A positive effect can also be expected in case of headaches and Raynaud's disease, however, other relaxation techniques seem to be superior in these cases. Moreover, positive effects on the mood (e. g. depressive symptoms) and the general subjective condition (e. g. 'quality of life') have been proved by many studies. Hence indications can be derived according to the basic rules of evidence-based medicine. Nevertheless there are contraindications, for instance regarding exogenous, acute schizophrenic or affective psychosis. Beyond that the preparedness to therapy of many patients can be improved if the therapeutic offers are enlarged by autogenic training as a 'low level' offer. Autogenic training is an effective and useful component of preventive, rehabilitative or therapeutic interventions and can last but not least be part of therapeutic interventions which include naturopathy.

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