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Biomedical subjects

H D Basler

Publications and source records attributed to H D Basler.

52 records · Page 3Linked to original sources
PubMed1985

Psychological group treatment of obese essential hypertensives by lay therapists in rural general practice settings.

Two hundred and sixty-one obese essential hypertension patients from 15 rural general practices were assigned to either an experimental group (n = 155) or to waiting control group (n = 106). The experimental group underwent psychological group treatment aimed at weight reduction, improvement of stress coping, and reduction of salt-intake. Sixteen therapy sessions were conducted in each of the general practices by specifically trained lay therapists who applied a standardized, highly structured therapy programme. During the time of the study, both experimental group and waiting control group received intensified medical attention. After the 6-months therapy, health knowledge and health behaviour of the patients had improved. Mean weight reduction was 5.2 kg. Blood pressure had decreased by a mean of 14.4 mm Hg (systolic)/7.4 mm Hg (diastolic). After a follow-up period of four months, the beneficial effects of the group treatment were confirmed: Patients needed less anti-hypertensive medication and consistent reduction of body weight prevailed.

Adaptation, Psychological↗
PubMed1982

Psychological group treatment of essential hypertension in general practice.

One hundred and seven obese patients with essential hypertension from eight general practices received one of the following psychological group therapy procedures: (1) modification of nutritional patterns; (2) modification of nutritional patterns plus self-monitoring of blood pressure and training in social competence; (3) modification of nutritional patterns plus Jacobson's relaxation training; (4) information about the causes and consequences of high blood pressure. An approximately equal number of patients served as a waiting-control group. All patients had received pharmacological treatment for at least a year. Each procedure was administered by a psychologist with groups of up to 15 patients in 12 weekly sessions. The blood pressure values measured before and after intervention showed a clear reduction; this fall is greatest when the initial values were high. Even when the magnitude of the initial values was statistically controlled there was a distinctly greater reduction in blood pressure in the treatment groups than in the waiting-control group. No differential effect between the various therapy procedures could be demonstrated, however. The changes in general health behaviour of the treatment groups was statistically confirmed. In addition, there was a distinct reduction in body weight. Medication compliance also improved in the treatment groups. Since group procedures were accepted both by the doctors and the patients involved, they should be included to a great extent in the basic care of hypertensive patients in the future.

Antihypertensive Agents↗
PubMed1981

[Psychological group treatments of patients with essential hypertension in a general practice--results of a pilot study (author's transl)].

Sixty patients with essential hypertension received psychological group treatment in a general practice in 4 groups of 15 persons. The following methods were applied: adiposis training, self-measurement, relaxation training, information. Another 15 hypertensives were untreated controls. A short-term hypotensive effect is most distinctly demonstrable in the information group, suggesting the recommendation to intensify the group information of hypertensives.

Adult↗
PubMedDate not supplied

[Cognitive behavior therapy in patients with ankylosing spondylitis].

As an adjunctive treatment, a cognitive-behavioral program for pain management was administered to 25 patients with spondylitis ankylosans organized in self-help groups of the German Rheumatism-League. Another 20 patients with the same disorder served as a waiting-for-treatment control-group. The program consisted of training in progressive muscle relaxation, of cognitive and hypnotic procedures for the control of pain, as well as of information and group discussions, and it was conducted in a group setting with 12 sessions of about 90 min each. A pain diary and questionnaires on trait anxiety, depression, and psychophysiological complaints were used to evaluate the outcome. In a six-month follow-up, significant reductions in pain intensity, in impairments due to pain, in anxiety, and in sleep disorders could be confirmed by analyses of variance. Besides in improvement in pain control, our results indicate a long-term effect on wellbeing as a consequence of our program.

Behavior Therapy↗