渐进性肌肉放松在临床治疗应用中的研究与进展

学术背景：渐进性肌肉放松是一种放松疗法，国外己将这一技术应用于多种心身疾病的临床治疗中，有效地帮助患者减轻负性情绪，适应治疗，改善生理功能。国内对这一技术也日益重视，但相关研究尚不多。 目的：对渐进性肌肉放松的概念、原理、历史发展予以介绍，侧重回顾关于渐进性肌肉放松在心身疾病临床治疗中的应用。 检索策略：由心理学及心身疾病研究人员应用计算机检索PubMed数据库（http：／／www．ncbi．nlm．nih．gov／sites／entrez）1985-01／2007-10有关渐进性肌肉放松训练临床治疗应用方面的文献，检索词“Progressing Relaxation，Progressive Muscle Relaxation Training，Intervention，Treatment，relaxation and relaxation effect”等，限定语言种类为English。同时检索中国科技期刊全文数据库（http：//www．edu．cnki．net）1990-01／2007-10有关渐进性肌肉放松训练临床治疗应用方面的文献，检索词“渐进性肌肉放松，渐进性放松，干预”，限定语言种类为中文。初步检索的文献量为外文636篇，中文15篇。对资料进行初审，纳入标准：渐进性肌肉放松训练的概念、原理、发展及其在心身疾病临床治疗方面的应用。排除标准：重复性研究。 文献评价：根据标准筛选共检索到文献32篇，其中外文23篇，中文文献9篇；3篇为综述，其余均为临床与实验研究。 资料综合：内容包括以下几方面：①渐进性肌肉放松训练对患者情绪状态的影响。②渐进性肌肉放松对患者生理生化指标的影响。③渐进性肌肉放松对患者生活质量的影响。④渐进性肌肉放松与其他心理干预方法的联合使用。 结论：渐进性肌肉放松训练简单易行、无副作用、不需专门的仪器，可以随时随地进行。既往研究表明，此技术能快速有效地降低多种心身疾病患者的应激水平，改善情绪状态，减?

Application of progressive muscle relaxation in the clinical treatment for mental diseases

BACKGROUND： Progressive muscle relaxation is one of relaxation therapies, which has been used in clinical treatment at abroad for various mental disorders. It can help one relax the negative emotion to adapt to the treatment and improve the physiologic function. Although this therapy has been paid more attention in China, there are few studies on it.
OBJECTIVE： To introduce the concepts, principles, and historical development of progressive muscle relaxation, and particularly review its application in clinical treatment for mental diseases.
RETRIEVAL STRATEGY： A computer-based online search of PubMed （http：//www.ncbi.nlm.nih.gov/sites/entrez） was undertaken to identify articles about the clinical application of progressive muscle relaxation published in English from January 1985 to October 2007 with the keywords of ＂progressing relaxation, progressive relaxation muscle training, intervention, treatment, relaxation and relaxation effect＂. Meanwhile, we searched China Periodicals Full-text Database for the related Chinese articles dated from January 1990 to October 2007 with the same keywords in Chinese. 636 articles English articles and 15 Chinese articles were firstly collected. After the first trial, only articles about the concepts, principles and historical development of progressive muscle relaxation training and its application in clinical treatment for mental diseases were selected. Repetitive studies were excluded.
LITERATURE EVALUATION： Thirty-two articles were accorded with the inclusive criteria including 23 English ones and 9 Chinese. Three were review articles and the others were clinical and experimental studies.
DATA SYNTHESIS： The paper introduces several problems： ①Effect of progressive muscle relaxation on the emotion of patients; ②Effect of progressive muscle relaxation on the biologic indexes; ③Influence of progressive muscle relaxation on the on the quality of life of patients; finally the combination of progressive muscle relaxation with other psychological