写下压力经历对喘或类风湿性关节炎患者减轻症状的影响:一项随机试验
J M Smyth1, A A Stone, A Hurewitz
1Department of Psychiatry, State University of New York at Stony Brook School of Medicine, USA. smyth@prairie.nodak.edu
JAMA
|April 20, 1999
概括
写关于压力生活事件的文章改善了喘和类风湿关节炎患者的健康状况. 这种低成本的非药物干预措施在四个月内显示出显著的临床改善.
科学领域:
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
- 健康心理学健康心理学
背景情况:
- 非药物治疗是慢性疾病药物治疗的宝贵补充.
- 关于创伤的表达性写作有利于健康个体的福祉和医疗保健利用.
研究的目的:
- 调查关于写作压力生活经历对喘和类风湿关节炎患者疾病状况的影响.
- 用标准化的定量结果措施来评估疾病状况的变化.
主要方法:
- 一项随机对照试验与112名患者 (61名喘患者,51名类风湿关节炎患者) 进行.
- 参与者被要求写下他们生活中最紧张的事件或中立的话题.
- 疾病状况在基线和4个月后使用喘螺旋测量和类风湿性关节炎临床检查来评估.
主要成果:
- 写作组中的喘患者表现出显著的肺功能改善 (FEV1增加;P<.001).
- 写作组中的类风湿性关节炎患者表现出疾病活动减少 (28%的改善;P=.001).
- 总体而言,47.1%的实验患者表现出临床相关的改善,而对照组的24.3% (P=.001).
结论:
- 关于压力经历的写作导致了轻度至中度喘和类风湿性关节炎患者临床相关的健康状况改善.
- 这些好处超过了仅仅从标准医疗保健中获得的好处.
- 需要进一步的研究来确定这些改善的长期持久性和对其他疾病的疗效.
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