Abdominal and pelvic pain of psychogenic origin is a widespread, disabling, difficult to identify, and often inadequately treated medical condition. This condition is often associated with poor quality of life due to ...Abdominal and pelvic pain of psychogenic origin is a widespread, disabling, difficult to identify, and often inadequately treated medical condition. This condition is often associated with poor quality of life due to high pain interference with daily activities. Cognitive behavioral psychological therapy and neuromodulation with biofeedback are validated therapies for the treatment of this condition. Aim of the present research work is the validation of a therapeutic protocol that involves the use of both techniques in combination. 20 patients diagnosed with psychogenic abdominal pain, of both sexes, aged between 18 and 60 years who had not benefited from pharmacological therapies were enrolled. 10 patients were randomly assigned to the control group (psychological treatment only), another 10 patients were assigned to the study group (neuromodulation with biofeedback-Galvanic skin response-extinction in combination with psychological therapy). For both groups, the pain score, interference of pain with daily living activities, pain relief, and the share of anxiety associated with the pain condition were evaluated (pre- and post-treatment). The patients who underwent the combined treatment achieved statistically significant better scores than patients in the control group, respectively −4.9 ± 0.9 vs −1.0 ± 0.4 for Pain;−5.1 ± 1.1 vs −0.9 ± 0.3 for Interference with life;−7.2 ± 3.7 vs −2.2 ± 2.1 for HAMA;4.6 ± 1.2 vs 1.1 ± 0.6 for Relief.展开更多
目的:探讨两种不同的心理训练方法对飞行员缓解急性应激的效果,并对两种方法的有效性进行比较,为我军心理健康促进工作提供参考。方法:本研究选取116名飞行员参加本项研究,先通过"四任务测验"诱发应激,然后将飞行员随机分成...目的:探讨两种不同的心理训练方法对飞行员缓解急性应激的效果,并对两种方法的有效性进行比较,为我军心理健康促进工作提供参考。方法:本研究选取116名飞行员参加本项研究,先通过"四任务测验"诱发应激,然后将飞行员随机分成漂浮舱训练组和腹式呼吸训练组,训练时间均为10分钟,分析两种心理训练方法对飞行员缓解应激情绪的影响。采用情绪的生理指标皮肤电作为心理训练效果的评价指标。结果:应用SPSS 16.0中一般线性模型(General linear model,GLM)的Repeated measures和multivariate过程对心理训练重复测量数据进行重复测量方差分析和多元方差分析,并进行不同时间点和不同组的两两比较。漂浮舱训练时,飞行员的皮肤电在静息、应激和漂浮舱训练3种状态均有显著差异(F=184.479,P<0.05);腹式呼吸训练时,应激状态与静息和腹式呼吸训练间有显著差异,而静息和腹式呼吸训练两个状态间未见显著差异。结论:漂浮舱训练能有效缓解飞行员的急性应激,而腹式呼吸训练后的放松效果不明显。展开更多
文摘Abdominal and pelvic pain of psychogenic origin is a widespread, disabling, difficult to identify, and often inadequately treated medical condition. This condition is often associated with poor quality of life due to high pain interference with daily activities. Cognitive behavioral psychological therapy and neuromodulation with biofeedback are validated therapies for the treatment of this condition. Aim of the present research work is the validation of a therapeutic protocol that involves the use of both techniques in combination. 20 patients diagnosed with psychogenic abdominal pain, of both sexes, aged between 18 and 60 years who had not benefited from pharmacological therapies were enrolled. 10 patients were randomly assigned to the control group (psychological treatment only), another 10 patients were assigned to the study group (neuromodulation with biofeedback-Galvanic skin response-extinction in combination with psychological therapy). For both groups, the pain score, interference of pain with daily living activities, pain relief, and the share of anxiety associated with the pain condition were evaluated (pre- and post-treatment). The patients who underwent the combined treatment achieved statistically significant better scores than patients in the control group, respectively −4.9 ± 0.9 vs −1.0 ± 0.4 for Pain;−5.1 ± 1.1 vs −0.9 ± 0.3 for Interference with life;−7.2 ± 3.7 vs −2.2 ± 2.1 for HAMA;4.6 ± 1.2 vs 1.1 ± 0.6 for Relief.
文摘目的:探讨两种不同的心理训练方法对飞行员缓解急性应激的效果,并对两种方法的有效性进行比较,为我军心理健康促进工作提供参考。方法:本研究选取116名飞行员参加本项研究,先通过"四任务测验"诱发应激,然后将飞行员随机分成漂浮舱训练组和腹式呼吸训练组,训练时间均为10分钟,分析两种心理训练方法对飞行员缓解应激情绪的影响。采用情绪的生理指标皮肤电作为心理训练效果的评价指标。结果:应用SPSS 16.0中一般线性模型(General linear model,GLM)的Repeated measures和multivariate过程对心理训练重复测量数据进行重复测量方差分析和多元方差分析,并进行不同时间点和不同组的两两比较。漂浮舱训练时,飞行员的皮肤电在静息、应激和漂浮舱训练3种状态均有显著差异(F=184.479,P<0.05);腹式呼吸训练时,应激状态与静息和腹式呼吸训练间有显著差异,而静息和腹式呼吸训练两个状态间未见显著差异。结论:漂浮舱训练能有效缓解飞行员的急性应激,而腹式呼吸训练后的放松效果不明显。
