Efficacy of Functional Relaxation and Patient Education in the Treatment of Somatoform Heart Disorders: A Randomized, Controlled Clinical Investigation
Background Recurrent heart problems and, especially, chest pain in the absence of somatic heart disease is a common finding, although challenging to treat. Objective The authors assessed a body-oriented approach to the somatic fixation frequently seen in these patients. Method They conducted a contr...
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| Veröffentlicht in: | Psychosomatics (Washington, D.C.) D.C.), 2008-09, Vol.49 (5), p.378-385 |
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| creator | Lahmann, Claas, M.D Loew, Thomas H., M.D Tritt, Karin, Ph.D Nickel, Marius, M.D |
| description | Background Recurrent heart problems and, especially, chest pain in the absence of somatic heart disease is a common finding, although challenging to treat. Objective The authors assessed a body-oriented approach to the somatic fixation frequently seen in these patients. Method They conducted a controlled study to assess the effect of functional relaxation in 22 patients with non-specific chest pain. The primary outcome measures were self-reported changes on the subscales Somatization and Anxiety of the Symptom Checklist of Derogatis, as well as the subscale Cardiovascular Complaints of the Giessen Inventory of Complaints. Results Significant improvements of the primary outcome measures were observed in patients treated with functional relaxation, whereas no significant improvements could be seen in the control group. Conclusion Functional relaxation appears to be a safe and effective, non-pharmacological approach in the treatment of non-specific chest pain. |
| doi_str_mv | 10.1176/appi.psy.49.5.378 |
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Objective The authors assessed a body-oriented approach to the somatic fixation frequently seen in these patients. Method They conducted a controlled study to assess the effect of functional relaxation in 22 patients with non-specific chest pain. The primary outcome measures were self-reported changes on the subscales Somatization and Anxiety of the Symptom Checklist of Derogatis, as well as the subscale Cardiovascular Complaints of the Giessen Inventory of Complaints. Results Significant improvements of the primary outcome measures were observed in patients treated with functional relaxation, whereas no significant improvements could be seen in the control group. Conclusion Functional relaxation appears to be a safe and effective, non-pharmacological approach in the treatment of non-specific chest pain.</description><identifier>ISSN: 0033-3182</identifier><identifier>EISSN: 1545-7206</identifier><identifier>DOI: 10.1176/appi.psy.49.5.378</identifier><identifier>PMID: 18794505</identifier><language>eng</language><publisher>Washington, DC: Elsevier Inc</publisher><subject>Adult ; Aged ; Anxiety Disorders - diagnosis ; Anxiety Disorders - psychology ; Biological and medical sciences ; Chest Pain - physiopathology ; Chest Pain - therapy ; Female ; Heart - physiopathology ; Humans ; Internal Medicine ; Male ; Medical sciences ; Middle Aged ; Patient Education as Topic ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Relaxation ; Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation ; Somatoform Disorders - physiopathology ; Somatoform Disorders - therapy ; Treatments ; Young Adult</subject><ispartof>Psychosomatics (Washington, D.C.), 2008-09, Vol.49 (5), p.378-385</ispartof><rights>The Academy of Psychosomatic Medicine</rights><rights>2011 The Academy of Psychosomatic Medicine</rights><rights>2008 INIST-CNRS</rights><rights>Copyright American Psychiatric Publishing, Inc. Sep/Oct 2008</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-f4b3939e7d60535976348f95fee49fa624b782b970c9e87c4050b5c723bc905b3</citedby><cites>FETCH-LOGICAL-c506t-f4b3939e7d60535976348f95fee49fa624b782b970c9e87c4050b5c723bc905b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/220327718?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20641036$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18794505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lahmann, Claas, M.D</creatorcontrib><creatorcontrib>Loew, Thomas H., M.D</creatorcontrib><creatorcontrib>Tritt, Karin, Ph.D</creatorcontrib><creatorcontrib>Nickel, Marius, M.D</creatorcontrib><title>Efficacy of Functional Relaxation and Patient Education in the Treatment of Somatoform Heart Disorders: A Randomized, Controlled Clinical Investigation</title><title>Psychosomatics (Washington, D.C.)</title><addtitle>Psychosomatics</addtitle><description>Background Recurrent heart problems and, especially, chest pain in the absence of somatic heart disease is a common finding, although challenging to treat. Objective The authors assessed a body-oriented approach to the somatic fixation frequently seen in these patients. Method They conducted a controlled study to assess the effect of functional relaxation in 22 patients with non-specific chest pain. The primary outcome measures were self-reported changes on the subscales Somatization and Anxiety of the Symptom Checklist of Derogatis, as well as the subscale Cardiovascular Complaints of the Giessen Inventory of Complaints. Results Significant improvements of the primary outcome measures were observed in patients treated with functional relaxation, whereas no significant improvements could be seen in the control group. Conclusion Functional relaxation appears to be a safe and effective, non-pharmacological approach in the treatment of non-specific chest pain.</description><subject>Adult</subject><subject>Aged</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - psychology</subject><subject>Biological and medical sciences</subject><subject>Chest Pain - physiopathology</subject><subject>Chest Pain - therapy</subject><subject>Female</subject><subject>Heart - physiopathology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Education as Topic</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Relaxation</subject><subject>Relaxation. Biofeedback. Hypnosis. Selfregulation. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Relaxation</topic><topic>Relaxation. Biofeedback. Hypnosis. Selfregulation. 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Objective The authors assessed a body-oriented approach to the somatic fixation frequently seen in these patients. Method They conducted a controlled study to assess the effect of functional relaxation in 22 patients with non-specific chest pain. The primary outcome measures were self-reported changes on the subscales Somatization and Anxiety of the Symptom Checklist of Derogatis, as well as the subscale Cardiovascular Complaints of the Giessen Inventory of Complaints. Results Significant improvements of the primary outcome measures were observed in patients treated with functional relaxation, whereas no significant improvements could be seen in the control group. Conclusion Functional relaxation appears to be a safe and effective, non-pharmacological approach in the treatment of non-specific chest pain.</abstract><cop>Washington, DC</cop><pub>Elsevier Inc</pub><pmid>18794505</pmid><doi>10.1176/appi.psy.49.5.378</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Anxiety Disorders - diagnosis Anxiety Disorders - psychology Biological and medical sciences Chest Pain - physiopathology Chest Pain - therapy Female Heart - physiopathology Humans Internal Medicine Male Medical sciences Middle Aged Patient Education as Topic Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Relaxation Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation Somatoform Disorders - physiopathology Somatoform Disorders - therapy Treatments Young Adult |
| title | Efficacy of Functional Relaxation and Patient Education in the Treatment of Somatoform Heart Disorders: A Randomized, Controlled Clinical Investigation |
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