Somatization and symptom reduction through a behavioral medicine intervention in a mind/body medicine clinic
Somatization and symptom reduction through a behavioral medicine intervention in a mind/body medicine clinic
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DOI：
10.1080/08964280109595764
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发表时间：
2001-12-01
影响因子：
2.3
通讯作者：
Benson, H
中科院分区：
文献类型：
--
作者：
Nakao, M;Myers, P;Benson, H
作者评估了一项为期10周的医学症状减轻项目中1148名门诊患者的数据，以确定行为医学干预对躯体化患者的有效性。该计划包括放松反应、认知重组、营养和锻炼方面的指导。干预前、干预后分别用症状自评量表（SCL-90R）、医学症状自评量表和压力感知量表对患者进行评估。以预处理SCL-90R躯体化量表分为高躯体化组和低躯体化组。在项目结束时，两组在医学症状检查表和SCL-90R上的生理和心理症状都显著减少，高度躯体化组的减少更大。两组患者在压力感知方面的改善大致相同，但由于缺乏未经治疗的对照组，因此无法估计有多少改善来自行为医学干预，又有多少来自自然愈合。
The authors assessed data from 1,148 outpatients in a 10-week medical symptom reduction program to determine the effectiveness of a behavioral medicine intervention among somatizing patients. The program included instruction in the relaxation response, cognitive restructuring, nutrition, and exercise. Before and after the intervention, the patients were evaluated on the Symptom Checklist-90 Revised (SCL-90R), the Medical Symptom Checklist, and the Stress perception Scale. They were divided into high- and low-somatizing groups on the basis of the pretreatment SCL-90R somatization scale. At the end of the program, physical and psychological symptoms on the Medical Symptom Checklist and the SCL-90R were significantly reduced in both groups, with the reductions greater in the high-somatizing group. Improvements in stress perception were about the same in both groups, bur the absence of an untreated control group precluded estimates of how much the improvements resulted from the behavioral medicine intervention and how much from natural healing over time.