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Book Review: Reiki: A Comprehensive Guide 书评:《灵气:综合指南》
Pub Date : 2006-01-01 DOI: 10.1177/1533210106289254
S. Siegel
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引用次数: 0
Transformative Professional Development: Outcomes of the Inner Life Renewal Program 变革性专业发展:内心生活更新计划的结果
Pub Date : 2006-01-01 DOI: 10.1177/1533210106289097
M. Kreitzer, Lixin Zhang, M. J. Trotter
Health professionals have jobs that are inherently stressful and most have had little opportunity or encouragement to focus on self-care. Over the past 10 years, professional development programs such as the “Courage to Teach” have been developed for teachers in primary and secondary schools. Reported outcomes include personal and professional growth, increased satisfaction and well-being, and renewed passion and commitment for teaching. Based on this model of transformational professional development, a program was developed for health professionals, the Inner Life Renewal Program. Four cohorts of health professionals have completed the program. This brief report provides descriptive information regarding the structure, format, and process of the program and evaluative data based on program evaluations and participant interviews. Outcomes reported by participants include an increase in self-awareness, improved listening skills and relationships with colleagues, and an increased ability to manage or cope with stress.
卫生专业人员的工作本身就很有压力,大多数人很少有机会或鼓励他们关注自我保健。在过去的十年里,为中小学教师开发了“勇于教学”等专业发展项目。报告的结果包括个人和专业成长,满意度和幸福感的提高,以及对教学的热情和承诺的更新。基于这种转型的专业发展模式,为卫生专业人员制定了一项计划,即“内心生活更新计划”。四组卫生专业人员已经完成了这个项目。这份简短的报告提供了关于项目结构、格式和过程的描述性信息,以及基于项目评估和参与者访谈的评估数据。参与者报告的结果包括自我意识的提高,倾听技巧和与同事关系的改善,以及管理或应对压力的能力的提高。
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引用次数: 2
A Preliminary Study of the Effects of a Modified Mindfulness Intervention on Binge Eating 改良正念干预对暴食影响的初步研究
Pub Date : 2006-01-01 DOI: 10.1177/1533210106297217
Bruce W. Smith, Brian M. Shelley, Lisa Leahigh, B. Vanleit
The purpose of this study was to explore the feasibility of a modified mindfulness intervention for reducing binge eating. Participants (n = 25) were recruited from the general public for a Mindfulness-Based Stress Reduction (MBSR) course. The standard MBSR format was modified to include brief eating exercises. There was no control group. Participants completed the Binge Eating Scale and other self-report measures before and after the course. There was a decline in binge eating as well as state anxiety and depressive symptoms. Reduced binge eating was related to increased self-acceptance and reduced state anxiety. The results are discussed with regard to laying the foundation for future research on the effects of mindfulness on eating.
本研究的目的是探讨一种改良的正念干预减少暴食的可行性。参与者(n = 25)是从公众中招募的,参加一个基于正念的减压(MBSR)课程。标准的正念减压形式被修改为包括简短的饮食练习。没有对照组。参与者在课程前后完成了暴食量表和其他自我报告测量。暴食、焦虑和抑郁症状都有所减少。减少暴食与增加自我接纳和减少状态焦虑有关。研究结果为未来正念对饮食影响的研究奠定了基础。
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引用次数: 102
Introduction to this Issue 本主题简介
Pub Date : 2006-01-01 DOI: 10.1177/1533210106298620
S. Gaylord
This issue contains a special section devoted to research on mindfulness meditation. Mindfulness is a unique self-regulatory technique in which practitioners learn to attend to present-moment experience and to release fixation on thoughts of past and future (KabatZinn, 1990). Mindfulness practice within the context of an 8-week group-training program has been shown to reduce symptoms of stress and pain in a population of patients with chronic symptoms, and has been shown to be a powerful technique for ameliorating the symptoms of other complex functional disorders with significant psychosocial components, such as, fibromyalgia and depression (although research quality is uneven) (Astin, 1997; Brown & Ryan, 2003; Carson, Gil, & Burnett, 1999; Goldenberg et al., 1994; Grossman, Niemann, Schmidt, & Walach, 2004; Kabat-Zinn, 1982, 1990; Kabat-Zinn, Lipworth, & Burney, 1985; Kaplan, Goldenberg, & Galvin-Nadeau, 1993; Miller, Fletcher, & Kabat-Zinn, 1995; Shapiro, Schwartz, & Bonner, 1998; Speca, Carolson, Goodey, & Angen, 2000; Teasdale et al., 2000). Smith and colleagues, in this issue, add to the growing list of conditions for which mindfulness may be found useful, with an exploratory pilot study on the effects of a modified mindfulness intervention on binge eating. Two other articles in this issue explore the use of mindfulness for specific groups of health professionals. Schenström and colleagues have developed a mindfulness-based cognitive attitude-training program for health care personnel in an outpatient clinic, for the purpose of reducing the negative effects of stress. Berceli and Napoli have developed a unique mind-body program, which includes the practice of mindfulness, for ameliorating the effects of trauma, including vicarious trauma, on social workers and others who deal with traumatic situations. Another article in this issue adds to the growing body of research on the power of the mind in dealing successfully with lifestyle modifications: Tindle and colleagues describe a program on the use of guided imagery for smoking cessation. The article by Curtis and colleagues completes the issue with an excellent review of the use of acupuncture for birth preparation and delivery. We are especially delighted to be able to offer a personal and professional tribute to Rena Gordon, founding editor of Complementary Health Practice Review, written by her husband, Leonard Gordon. It is due to her foresight, energy, and passion for complementary, alternative, and integrative approaches to care that this journal exists today.
这期杂志有一个专门的章节专门讨论正念冥想的研究。正念是一种独特的自我调节技巧,在这种技巧中,从业者学会关注当下的经验,并释放对过去和未来的想法的执着(KabatZinn, 1990)。在为期8周的小组训练项目中,正念练习已被证明可以减轻慢性症状患者的压力和疼痛症状,并且已被证明是一种强有力的技术,可以改善其他具有重要社会心理成分的复杂功能障碍的症状,如纤维肌痛和抑郁症(尽管研究质量参差)(Astin, 1997;Brown & Ryan, 2003;Carson, Gil, & Burnett, 1999;Goldenberg et al., 1994;格罗斯曼,尼曼,施密特,瓦拉赫,2004;Kabat-Zinn, 1982,1990;Kabat-Zinn, Lipworth & Burney, 1985;Kaplan, Goldenberg, & Galvin-Nadeau, 1993;Miller, Fletcher, & Kabat-Zinn, 1995;夏皮罗,施瓦茨,&邦纳,1998;Speca, Carolson, Goodey, & Angen, 2000;Teasdale et al., 2000)。史密斯和他的同事们,在本期中,通过一项关于改良的正念干预对暴饮暴食的影响的探索性试点研究,为正念可能被发现有用的不断增长的条件列表添加了新的内容。本期杂志的另外两篇文章探讨了正念在特定健康专业人员群体中的应用。Schenström和同事们为门诊的卫生保健人员开发了一个基于正念的认知态度训练项目,目的是减少压力的负面影响。Berceli和Napoli开发了一个独特的身心项目,其中包括正念练习,以改善创伤的影响,包括替代创伤,对社会工作者和其他处理创伤情况的人。这期杂志上的另一篇文章为越来越多的关于思维在成功改变生活方式方面的作用的研究增添了新的内容:廷德尔和他的同事描述了一个使用引导意象来戒烟的项目。Curtis和他的同事们的文章对针灸在分娩准备和分娩中的应用进行了极好的回顾,从而完成了这个问题。我们特别高兴能够向Rena Gordon致以个人和专业的敬意,她是《补充卫生实践评论》的创始编辑,由她的丈夫Leonard Gordon撰写。正是由于她的远见、精力和对补充、替代和综合治疗方法的热情,这本杂志才得以存在。
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引用次数: 0
Guided Imagery for Smoking Cessation in Adults: A Randomized Pilot Trial 成人戒烟引导图像:一项随机试验
Pub Date : 2006-01-01 DOI: 10.1177/1533210106296773
H. Tindle, E. Barbeau, Roger B. Davis, D. Eisenberg, E. Park, R. Phillips, N. Rigotti
This pilot study describes a randomized controlled trial of an audio CD—based interactive guided imagery program for smoking cessation for adults versus a wait-listed control. Feasibility, process measures, and biochemically validated abstinence were assessed at end of treatment (6 weeks) and 12 weeks, as well as at 52 weeks for intervention participants. Fifty-nine percent of intervention participants attended four of six guided imagery sessions, and 94% found the technique helpful for smoking cessation. Intervention participants had greater readiness to quit (Readiness to Quit Ladder, 8.3 vs. 7.2, p < .05) and lower state anxiety (Spielberger Index, 32 vs. 38, p < .05) at end of treatment than the control group. Abstinence rates in the intervention versus control groups were 36% versus 18% (p = .43) at 6 weeks and 30% versus 12% (p = .40) at 12 weeks, respectively. At 1 year, 24% of intervention participants remained abstinent. A guided imagery program for smoking cessation was feasible, perceived to be helpful, improved intermediate measures, and resulted in a trend toward smoking cessation.
本初步研究描述了一项基于音频cd的交互式引导图像程序的随机对照试验,用于成人戒烟与等待列表对照。在治疗结束(6周)和12周以及干预参与者的52周时评估可行性,过程措施和生化验证的戒断。59%的干预参与者参加了六次引导图像会议中的四次,94%的人发现该技术有助于戒烟。干预组在治疗结束时比对照组有更高的戒烟准备(戒烟准备阶梯,8.3比7.2,p < 0.05)和更低的状态焦虑(Spielberger指数,32比38,p < 0.05)。干预组与对照组的戒断率在6周时分别为36%对18% (p = 0.43),在12周时分别为30%对12% (p = 0.40)。1年后,24%的干预参与者保持戒断。一个引导戒烟的图像方案是可行的,被认为是有帮助的,改进了中间措施,并导致了戒烟的趋势。
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引用次数: 10
Index to Complementary Health Practice Review Volume 10 补充卫生实践审查第10卷索引
Pub Date : 2005-10-01 DOI: 10.1177/153321010501000307
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引用次数: 0
Development of a Comprehensive Questionnaire of Complementary and Alternative Medicine Use Among Cancer Patients and Survivors 在癌症患者和幸存者中补充和替代医学使用的综合问卷的开发
Pub Date : 2005-10-01 DOI: 10.1177/1533210105283386
N. Humpel, Sandra C. Jones
The purpose of this study was to develop and pilot test a comprehensive measurement tool to quantify all aspects of complementary and alternative medicine (CAM) use among cancer survivors. Data are from 81 cancer patients and survivors with a mean age of 62 years and 77.2% women. CAMwas used by 63% of the sample. The most common CAM was regular exercise (50%), meditation (48.5%), and fresh fruit and vegetable juices (38.8%). The main motivations for using CAM were to boost the immune system and enhance quality of life. More than 65% had told a doctor they were using CAM. Reported benefits included feeling better, having more energy, and providing a distraction. The main sources of information were support groups (61.5%), books (50%), and friends (45.3%). Few participants used CAM to cure the cancer, and they had realistic expectations about benefits they may receive from using CAM. Further studies are needed with larger sample sizes to confirm whether findings can be generalized to the broader population of cancer patients and survivors.
本研究的目的是开发和试点测试一种综合测量工具,以量化癌症幸存者中补充和替代医学(CAM)使用的各个方面。数据来自81名癌症患者和幸存者,平均年龄为62岁,77.2%为女性。63%的样本使用cams。最常见的CAM是定期锻炼(50%)、冥想(48.5%)和新鲜水果和蔬菜汁(38.8%)。使用CAM的主要动机是增强免疫系统和提高生活质量。超过65%的人告诉医生他们正在使用CAM。报告的好处包括感觉更好、精力更充沛、分散注意力。主要的信息来源是支持小组(61.5%)、书籍(50%)和朋友(45.3%)。很少有参与者使用CAM来治疗癌症,他们对使用CAM可能获得的好处有现实的期望。进一步的研究需要更大的样本量来证实这些发现是否可以推广到更广泛的癌症患者和幸存者群体。
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引用次数: 6
Effects of Feldenkrais Awareness Through Movement on Balance in Adults With Chronic Neurological Deficits Following Stroke: A Preliminary Study Feldenkrais意识通过运动对脑卒中后慢性神经功能障碍患者平衡的影响:一项初步研究
Pub Date : 2005-10-01 DOI: 10.1177/1533210105285516
G. Batson, J. Deutsch
The Feldenkrais Method is a complementary approach to motor learning that purports to induce change in chronic motor behaviors. This preliminary study describes the effects of a Feldenkrais program on balance and quality of life in individuals with chronic neurological deficits following stroke. Two male (48 and 53 years old) and 2 female participants (61 and 62 years old), 1 to 2.5 years poststroke, participated as a group in a 6-week Feldenkrais program. Pretest and posttest evaluations of the Berg Balance Scale (BBS), the Dynamic Gait Index (DGI), and the Stroke Impact Scale (SIS) were administered. Data were analyzed using aWilcoxon signed-rank test. DGI and BBS scores improved an average of 55.2% (p=.033) and 11% (p=.034), respectively. SIS percentage recovery improved 35%. Findings suggest that gains in functional mobility are possible for individuals with chronic stroke using Feldenkrais movement therapy in a group setting.
费登奎斯方法是运动学习的一种补充方法,旨在诱导慢性运动行为的改变。这项初步研究描述了Feldenkrais项目对中风后慢性神经功能障碍患者的平衡和生活质量的影响。两名男性(48岁和53岁)和两名女性(61岁和62岁),中风后1至2.5年,作为一组参加了为期6周的Feldenkrais项目。对Berg平衡量表(BBS)、动态步态指数(DGI)和脑卒中影响量表(SIS)进行前测和后测评估。数据分析采用wilcoxon符号秩检验。DGI和BBS评分分别平均提高55.2% (p= 0.033)和11% (p= 0.034)。SIS回收率提高35%。研究结果表明,慢性中风患者在群体环境中使用Feldenkrais运动疗法,其功能活动能力的提高是可能的。
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引用次数: 20
Book Review: Complementary Medicine in Clinical Practice 书评:临床实践中的补充医学
Pub Date : 2005-10-01 DOI: 10.1177/1533210105285969
S. Gaylord
This eminently practical resource targets mainstream health professionals at a time when complementary and alternative therapies and services are increasingly being utilized in the United States and other Western countries, often in addition to, rather than instead of, conventional health care. The book is designed to introduce conventional practitioners, particularly physicians, to an integrative approach to healing and to familiarize them with the range of therapeutic options available for integration. The book is well organized into 10 major sections: expanding the continuum of care, clinical nutrition, exercise and fitness, mind-body medicine, self-care, therapeutic massage, acupuncture, chiropractic, herbal therapy, and models of integrative medicine. Within these sections, 70 chapters written by 63 contributors who are experts in various aspects of complementary and integrative care present a range of perspectives and topics useful to the practicing health professional. The first section, “Expanding the Continuum of Care,” presents both a rationale for integrating complementary and alternative approaches into conventional practice, as well as a philosophical perspective on a holistic, integrative approach to care. Such an approach emphasizes prevention as well as low-cost, low-tech therapeutic strategies. This section also contains a “how-to” on phasing in integrative practice, steps to a viable therapeutic business, and creating a virtual group integrative practice. The sections that follow describe elements of integrative practice, with emphasis on their utilization within a framework that promotes preventive care, self-care, and the empowered, motivated patient. Emphasis is on those therapies for which there is research evidence of efficacy and effectiveness. For many sections, resources are provided for further information. Many of the topics are focused on preventive strategies that are now relatively well accepted in mainstream medicine, although often underutilized in current practice. For example, there are excellent chapters on nutritional assessment, medically supervised exercise, and group support. Other topics are likely to be new to most conventionally trained practitioners. For example, the nutrition section introduces the concept and practices of functional medicine as well as novel and unconventional testing procedures for nutritional and digestive status. The section on mind-body medicine includes chapters on the role and application of group therapy, biofeedback, Heartmath, health coaching, imagery, hypnosis, and spiritual counseling. Surprisingly, mindfulness meditation is not included in this section, although it is discussed in the following section on self-care, along with relaxation and breathing exercises. These therapies are perhaps grouped together because they are particularly well suited to be implemented as part of a self-care regimen.
当美国和其他西方国家越来越多地使用补充和替代疗法和服务时,这种非常实用的资源针对主流卫生专业人员,通常是在传统卫生保健之外,而不是代替传统卫生保健。这本书的目的是介绍传统的从业人员,特别是医生,以一种综合的方法来治疗,并使他们熟悉的治疗方案,可用于整合的范围。这本书被很好地组织成10个主要部分:扩展连续护理,临床营养,运动和健身,身心医学,自我保健,治疗按摩,针灸,脊椎按摩,草药治疗和综合医学模型。在这些章节中,由63位专家撰写的70章,他们是补充和综合护理的各个方面的专家,为实践卫生专业人员提供了一系列有用的观点和主题。第一部分,“扩大护理的连续性”,提出了将补充和替代方法整合到传统实践中的基本原理,以及对整体综合护理方法的哲学观点。这种方法强调预防以及低成本、低技术含量的治疗策略。本节还包括“如何”逐步整合实践,步骤可行的治疗业务,并创建一个虚拟的团体整合实践。接下来的部分描述了综合实践的要素,重点是在促进预防保健、自我保健和授权、激励患者的框架内利用这些要素。重点是那些有研究证据证明疗效和有效性的治疗方法。对于许多部分,提供了进一步信息的资源。许多主题的重点是预防策略,这些策略目前已被主流医学相对接受,尽管在当前实践中往往未得到充分利用。例如,有关于营养评估,医学监督运动和团体支持的优秀章节。其他主题对于大多数传统训练的从业者来说可能是新的。例如,营养部分介绍了功能医学的概念和实践,以及营养和消化状态的新颖和非传统的测试程序。关于身心医学的章节包括团体治疗、生物反馈、心脏数学、健康指导、意象、催眠和精神咨询的作用和应用。令人惊讶的是,正念冥想不包括在这一节中,尽管它将在接下来的自我保健部分以及放松和呼吸练习中讨论。这些疗法可能被组合在一起,因为它们特别适合作为自我保健方案的一部分实施。
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引用次数: 0
Influence of an Experiential Education Session on Nursing Students’ Confidence Levels in Performing Selected Complementary Therapy Skills 体验式教育对护生执行辅助治疗技能信心水平的影响
Pub Date : 2005-10-01 DOI: 10.1177/1533210105284044
L. Chlan, Linda L. Halcón, M. Kreitzer, B. Leonard
Efforts are under way in many nursing education programs across the United States to incorporate content into curricula on complementary/alternative therapies (CAT). Many of these efforts focus on didactic presentation of content. There is an absence of nursing programs that provide students with opportunities to actually experience and practice CAT skills; little is known about how these hands-on learning experiences affect confidence in applying selected CAT skills in beginning nursing practice. This article highlights efforts at the University of Minnesota School of Nursing to integrate practice and experience in selected CAT skills (music, hand massage, imagery, breathing/ mindfulness, reflexology) into an existing senior undergraduate clinical skills laboratory course. Students (n= 86) who participated in the class reported significant increases in their confidence levels after the experiential sessions for all of the CAT skills practiced. Directions for future curriculum integration efforts are discussed as well as opportunities for expansion of CAT skills experiences.
美国许多护理教育项目正在努力将补充/替代疗法(CAT)的内容纳入课程。许多这些努力都集中在教学内容的呈现上。缺乏为学生提供实际体验和实践CAT技能的护理课程;很少有人知道这些实践学习经验如何影响信心在开始护理实践中应用选定的CAT技能。这篇文章强调了明尼苏达大学护理学院将CAT技能(音乐、手部按摩、意象、呼吸/正念、反射疗法)的实践和经验整合到现有的高级本科临床技能实验室课程中的努力。参加课程的学生(n= 86)报告说,在所有CAT技能练习的体验课程之后,他们的信心水平显著提高。讨论了未来课程整合工作的方向,以及拓展计算机辅助教学技能经验的机会。
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引用次数: 9
期刊
Complementary Health Practice Review
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