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[Optimizing the learning process in short-term autogenic training by practice protocols].

The results of two studies are presented, in which the question was investigated, whether the learning process of autogenic training (AT) in short group programs can be improved by the use of a self-control technique (records for the AT-exercises realized without the group at home). Study I refers to 24 university students, who learned AT within their psychology education; Study II refers to 28 adults, who learned AT within a psychosocial community service for adults. Within control-group designs evaluative and follow-up data were gathered before, during, at the end, and 4 months after the AT-treatment. The data refer to psychosomatic complaints (SSP, ATSYM), depression (BDI), relaxation capacity and wellbeing (VFE) as well as subjective valuations of AT and the frequency of AT-exercising. The results of both studies show that the basal AT-exercises can be learned in short group programs (6 meetings within 6 weeks). The self-control technique promotes the learning process at short as well as at longer sight. Implications of the results for the realization of introductions to AT in out- and in-patient group treatment are discussed.

Adult↗

[Ulcerative rectocolitis: autogenous training. On serveral serious cases (author's transl)].

Three patients, suffering from severe ulcerative rectocolitis which could require surgery, were significantly improved by standard exercises of autogenous training with a combination of drug treatment. Somatic morbid signs (clinical as well as rectoscopical) were disappearing through the establishment of a better adaptation to reality. The importance of the therapeutic frame is underlined.

Adolescent↗

The USA-USSR collaborative cross-cultural comparison of autogenic training and thermal biofeedback in the treatment of mild hypertension.

We have conducted a cross-cultural (USA and USSR) comparison of thermal biofeedback (TBF) and autogenic training (AT) to a self-relaxation control condition in 59 unmedicated males with mild hypertension. Identical assessment and treatment protocols were carried out in both settings (Albany, New York, and Moscow). Treatments were delivered in small groups on an outpatient basis twice per week for 10 weeks. Results showed comparable, significant (p less than .05), short-term decreases (M = 8.5 mm Hg) in diastolic blood pressure (DBP) for both treatments at both sites. However, the Soviet patients, starting with significantly (p less than .01) higher systolic blood pressures (SBPs), showed significant decreases (M = 12.8 mm Hg) in SBP, whereas the American patients did not change appreciably (M = 4.6 mm Hg). During follow-up, the treated Soviet patients showed significantly (p less than .05) better maintenance of treatment effects, from 3 months to 1 year, than did the American patients. At 1 year, 75% of the treated Soviet patients had DBPs less than 90 mm Hg, whereas only 24% of the American patients had comparable DBPs.

Adult↗

Autogenic training and future oriented hypnotic imagery in the treatment of tension headache: outcome and process.

The aim of the present study was (a) to investigate the relative efficacy of autogenic training and future oriented hypnotic imagery in the treatment of tension headache and (b) to explore the extent to which therapy factors such as relaxation, imagery skills, and hypnotizability mediate therapy outcome. Patients were randomly assigned to the 2 therapy conditions and therapists. 55 patients (28 in the autogenic therapy condition and 27 in the future oriented hypnotic imagery condition) completed the 4 therapy sessions and 2 assessment sessions. No significant main effect or interaction effects for treatment condition or therapist was revealed. A significant effect for time in analyzing scores for headache pain, pain medication usage, depression, and state anxiety was found. In the self-hypnosis condition, pain reduction proved to be associated with depth of relaxation during home practice (as assessed with diaries) and capacity to involve in imagery (as assessed with the Dutch version [van der Velden & Spinhoven, 1984] of the Creative Imagination Scale [Barber & Wilson, 1978/79; Wilson & Barber, 1978]). After statistically controlling for relaxation and imagery, hypnotizability scores (as assessed with the Dutch version [Oyen & Spinhoven, 1983] of the Stanford Hypnotic Clinical Scale [Morgan & J.R. Hilgard, 1975, 1978/79]) were significantly correlated with ratings of pain reduction. Results are discussed in the context of the neo-dissociation and social-cognitive model of hypnoanalgesia. The clinical relevance and the methodological shortcomings of the present study are also critically assessed.

Adolescent↗

Psychosomatic aspects in idiopathic infertility: effects of treatment with autogenic training.

It has long been recognised that there is a relationship between emotional stress and some forms of infertility. We have endeavoured to estimate "stress' levels before and after Autogenic Training in 15 couples with infertility of at least two years' duration. Potential stress markers were: plasma prolactin, total urinary free cortisol and catecholamines, and four psychological tests: Spielberger State-Trait anxiety scale, Taylor Manifest Anxiety Scale, the Cattell 16 personality factor questionnaire, and the Eysenck Personality Questionnaire. A control group of ten normal couples was included for comparison. The biochemical finding of higher mean prolactin levels in the female patients vs their controls was of particular interest. The significant reduction of the prolactin level, in parallel with decreased anxiety scores following treatment, supports the hypothesis that the elevated prolactin levels in these patients are indeed linked with emotional stress.

Adult↗

Autogenic training and cognitive self-hypnosis for the treatment of recurrent headaches in three different subject groups.

The aims of this study were to (a) investigate the efficacy of autogenic training (AT) and cognitive self-hypnosis training (CSH) for the treatment of chronic headaches in comparison with a waiting-list control (WLC) condition, (b) investigate the influence of subject recruitment on treatment outcome and (c) explore whether the level of hypnotizability is related to therapy outcome. Three different subjects groups (group 1, patients (n = 58) who were referred by a neurological outpatient clinic; group 2, members (n = 48) of the community who responded to an advertisement in a newspaper; and group 3, students (n = 40) who responded to an advertisement in a university newspaper) were allocated at random to a therapy or WLC condition. During treatment, there was a significant reduction in the Headache Index scores of the subjects in contrast with the controls. At post-treatment and follow-up almost no significant differences were observed between the 2 treatment conditions or the 3 referral sources regarding the Headache Index, psychological distress (SCL-90) scores and medication use. Follow-up measurements indicated that therapeutic improvement was maintained. In both treatment conditions, the high-hypnotizable subjects achieved a greater reduction in headache pain at post-treatment and follow-up than did the low-hypnotizable subjects. It is concluded that a relatively simple and highly structured relaxation technique for the treatment of chronic headache subjects may be preferable to more complex cognitive hypnotherapeutic procedures, irrespective of the source of recruitment. The level of hypnotic susceptibility seems to be a subject characteristic which is associated with a more favourable outcome in subjects treated with AT or CSH.

Adult↗

[Rehabilitation after myocardial infarct. Autogenic training in the ambulatory coronary-sports group].

19 patients after myocardial infarction were examined in an out-patient coronary sport group setting. One group did sport and AT (Autogenic Training), one group only sport. 7 patients, all belonging to the sport group without AT left the coronary sport group early: a clear indication of the motivating function of AT. Furthermore, the results showed that the "coronary-A-behaviour" (infarction prone behaviour) was less pronounced after therapy, and in particular in the AT plus sport patients more distinctly than in the purely sport patients. Therefore a protective effect of the AT against myocardial infarction was observed. It seems to help the patients to a better insight into behaviour and it also seems to favour their motivation for active prophylactic measures.

Aged↗

The effect of autogenic training and biofeedback on motion sickness tolerance.

BACKGROUND: Motion sickness is characterized by symptoms of vomiting, drowsiness, fatigue and idiosyncratic changes in autonomic nervous system (ANS) responses such as heart rate (HR) and skin temperature (ST). Previous studies found that symptoms of motion sickness are controllable through self-regulation of ANS responses and the best method to teach such control is autogenic-feedback (biofeedback) training. Recent experiments indicated that biofeedback training is ineffective in reducing symptoms of motion sickness or in increasing tolerance to motion. HYPOTHESIS: If biofeedback facilitates learning of ANS self-regulation then autogenic training with true feedback (TFB) should lead to better control over ANS responses and better motion tolerance than autogenic training with false feedback (FFB). If there is a relationship between ANS self-regulation and coping with motion stress, a significant correlation should be found between amounts of control over ANS responses and measures of motion tolerance and/or symptoms of motion sickness. METHOD: There were 3 groups of 6 subjects exposed for 6 weeks to weekly sessions of Coriolis stimulation to induce motion sickness. Between the first and second Coriolis sessions, subjects in the experimental groups received five episodes of autogenic training with either true (group TFB) or false (group FFB) feedback on their HR and ST. The control group (CTL) received no treatment. RESULTS: Subjects learned to control their HR and ST independent of whether they received true or false feedback. Learned control of ST and HR was not related to severity of motion sickness or subject's ability to withstand Coriolis stimulation following treatment. CONCLUSIONS: A lack of significant correlation between these variables suggested that subjects were not able to apply their skills of ANS self-regulation in the motion environment, and/ or such skills had little value in reducing symptoms of motion sickness or enhancing their ability to withstand rotations.

Adolescent↗

Effects of autogenic training and antihypertensive agents on circadian and circaseptan variation of blood pressure.

Even when the daily blood pressure mean is acceptable, too large a circadian amplitude of blood pressure largely increases cardiovascular disease risk. Autogenic training (N = 11), a non-pharmacologic intervention capable of lowering an excessive blood pressure variability, may be well-suited for MESOR-normotensive patients diagnosed with circadian-hyper-amplitude-tension (CHAT). Not all anti-hypertensive drugs affect blood pressure variability. Accordingly, long-acting carteolol (N = 11) and/or atenolol (N = 8) may be preferred to captopril retard (N = 13), nilvadipine (N = 8), or amlodipine (N = 7) for midline-estimating statistic of rhythm (MESOR)-hypertensive patients with CHAT. Prospective outcome studies are needed to assess whether the relative merits of these treatments are in keeping with their effects on blood pressure and blood pressure variability.

Antihypertensive Agents↗

[Essential hypertension and stress. When do yoga, psychotherapy and autogenic training help?].

Psychosocial factors play an important role in the development and course of essential hypertension, although "stress" can account for only 10% of blood pressure variance. A variety of psychotherapeutic interventions, such as relaxation techniques (autogenic training or progressive muscular relaxation), behavioral therapy or biofeedback techniques, can lower elevated blood pressure by an average of 10 mmHg (systolic) and 5 mmHg (diastolic). As a "secondary effect", such measures may also prompt the hypertensive to adopt a more health-conscious lifestyle.

Adaptation, Psychological↗

[Schultz autogenic training and galvanic skin response in the systematic desensitization of a compulsive phobia].

A patient suffering suicidal phobia and resistant to antidepressants as well as electroconvulsive therapy was submitted to Wolpe's systematic desensitization associated with Schult's autogenic training. Ten sessions were sufficient to cure the patient. A follow-up period now extends to one year, without relapse. The concomitent measure of skin galvanic response by an electrodermograph appears a privileged psychophysiological control of such a therapy, i.a. allowing for detection of the avoidance of the anxiogenic evocation by the patient.

Adjustment Disorders↗

[Physician-patient relations in autogenic training and hypnotherapy].

The paper is divided into two parts. The first deals with aspects of the doctor-patient relationship. It begins with a brief examination of the importance of training as a means of establishing an appropriate relationship and goes on to analyse certain aspects of that relationship. The most significant differences between analytical treatment and short-term therapy are then outlined. In particular, the influence that the imposition of a rigorous limit on the duration of treatment has on both the relationship and the course of the patient's condition is examined. The second part presents cases of treatment by autogenous training and hypnotherapy. Details are given of the use of the autogenous principle in therapy with recourse to a variety of autogenous techniques and the way the therapist can direct the treatment through hypnotherapy. The value of involving the patient's family in the treatment is also pointed out.

Adult↗

[Respiratory autogenic training (RAT) in the psychosomatic training of physicians].

The Author, after having described the nature of the relationship between the physician and the patient and the various possibilities that are available for their communication and the obstacles that hinder it, specifically analyzes the different phases that are necessary for the physician's psychological formation and the possibilities that the "respiratory autogenic training", practiced in a group, can offer to the expierence of the Baliant groups.

Autogenic Training↗

Supportive psychotherapy combined with autogenous training in acute leukemic patients under isolation therapy.

The authors reports on psychotherapeutic observations and experience with 18 leukemic patients who had been treated temporally in a germ-free environment ('life island'). 14 patients were under psychotherapeutic treatment during which a supporting psychotherapy with additional learning of autogenous training was carried out. The results are discussed and the problems of the therapeutic team of a hematologic intensive-care unit are pointed out.

Acute Disease↗

[Autogenic training in children and adolescents with type 1 diabetes mellitus].

This paper discusses psychosocial influences of diabetes mellitus type 1 on children and young patients. A group of 21 patients, age 9 to 14 years with Diabetes mellitus type 1 attended a course in "Autogenic Training" for a period of 11 weeks. From the multidimensional questionnaire for children (PFK 9-14, SETZ U. RAUSCHE 1976) 15 dimensions of personality and 5 second rank factors were extracted at the beginning and at the end of training and 5 months later. Additionally HbA1-scores were assessed at the beginning and at the end at a 2 month and a 5 month-follow-up. At the beginning of the course only on one of the 15 scales a significant difference could be observed between experimental group and age related normal population. After training 5 scales and one second rank factor showed significant changes. Significant reduction was observed in: "need for aggressive forms of dominance behaviour" "feeling of submission with respects to other:", "emotional lability" and "tendency for dependence on adults". A significantly increased score was observed in the scale measuring "self confidence regarding one's own meaning, decisions and planning ability". The second rank faktor "neuroticism" was significantly reduced. Against expectations there was no reduction in HbA1 scores. At the end of training HbA1 scores even had increased significantly. But this might have been related to the high frequency of infections during this course. In subjective ratings of training evaluation most of the course members and their parents described fewer problems with attention, less test-anxiety and less aggression and nervousness. The results of this prospective pilot-study are discussed in terms of the psychodynamic influence on diabetes.

Adaptation, Psychological↗

Fine body movement during autogenic training. Longitudinal and short-term changes.

A sensitive electronic device (static sensograph) was used to record fine body movement in two similar groups of normal high school girls at intervals over a few months. One group received weekly instructions in the technique of autogenic training (AT) and was urged to practice it daily, whereas the other (control group) received no such instrutions. In the AT group mean body movement (eyes closed, sitting position) decreased with every session. At 3 and 4.5 months after training was begun (session 3 and 4, respectively) mean body movement of this group was significantly lower than in the first session, before training was begun. In the fourth (but not earlier) sessions the AT group also showed a significant decrease in mean body movement during AT compared with the periods immediately preceding and following it. In contrast, the control gorup showed no significant differences in means between any sessions or periods within a session. The results suggest that fine body movement as measured by a static sensograph is a useful parameter for studying AT and probably other relaxation procedures.

Adolescent↗

[The results of autogenic training in patients with ischemic heart disease after an aortocoronary bypass operation].

Were studied psychovegetative and somatic correlations in 115 patients with ischemic heart disease, having aortocoronary shunting operation and being at the sanatorium stage of the medical rehabilitation. To 70 patients was been carried out treatment with application of autogenous training (AT), to 45--without use of AT. The research has confirmed the presence in the patients psychological disadaptation, expressed essentially in asthenoneurotic and hypochondriac reactions. Is established, that estimation of expressiveness of emotional tension, investigated with the aid of Spilberger's psychometric scale, can be confirmed by parameters of peroxide oxidation of lipids and mathematical analysis of heart rythm. The use of variant of training modified by the authors has revealed improvement of clinical parameters, reflecting health state of the patients, which correlate with the data of the psychological test and the results of bicycle ergometry [correction of veloergometry].

Adaptation, Psychological↗

The effects of thermal biofeedback and autogenic training of cardiovascular reactivity: the joint USSR-USA Behavioral Hypertension Treatment Project.

Cardiovascular reactivity (heart rate, systolic, and diastolic BP) to mental arithmetic and cold pressor were measured before and after treatment as part of the cross-cultural (USSR and USA) evaluation of thermal biofeedback and autogenic training (in comparison with self-relaxation) as treatments for mild hypertension in unmedicated males. There were no statistically reliable decreases in cardiovascular reactivity from before to after treatment. However, downward shifts in basal levels of systolic and diastolic BP at post-treatment led treated patients to have lower stress-induced levels of BP.

Adult↗