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Heart rate variability and the influence of craniosacral therapy on autonomous nervous system regulation in persons with subjective discomforts:a pilot study

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Journal of Integrative Medicine 2014年第3期12卷 156-161页

作者： Wanda Girsberger ulricke bnziger Gerhard Lingg Harald Lothaller Peter-Christian Endler Interuniversity College for Health and Development Castle of Seggau8042 GrazAustria Practice for Craniosacral Therapy Kronenstrasse 488006 ZurichSwitzerland

bACKGROUND： Subjective discomforts in a preclinical range are often due to imbalanced autonomic nervous system activity, which is a focus of craniosacral therapy. ObJECTIVE： The aim of this work was to determine any changes in heart rate variability （HRV） in a study on craniosacral therapy. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： This is a quasi-experimental （controlled） study with cross-over design. In a private practice, measurements were performed on 31 patients with subjective discomforts before and after a control and an intervention period. HRV was determined using a device that requires a measuring time of 140 s and electrode contact only with the fingertips. Main PRIMARY OUTCOME MEASURES： HRV change under the influence of a defined onetime intervention （test intervention） with craniosacral therapy versus control （defined rest period）. RESULTS： Standard deviation of all RR-intervals （ms） and total power of RR-interval variability in the frequency range （ms2） were together interpreted as an indicator of test subjects＇ autonomic nervous activity and as a measure of their ability to cope with demands on their health. Neither of these parameters increased during the control period （P〉0.05）, whereas during the test intervention period there was an increase in both （P〈0.05, P〈0.01）. Nevertheless, interactions between treatment and the increase were statistically not significant （P〉0.05）. No changes were observed in the low frequency/high frequency ratio （sympathetic-vagal balance） in the course of the control or the test intervention period （P〉0.05）. CONCLUSION： Craniosacral treatment had a favourable effect on autonomic nervous activity. This in itself is an interesting result, but further research will be needed to distinguish specific effects of craniosacral therapy technique from less specific therapist-client interaction effects.

关键词： massage autonomic nervous system electrocardiography adult complementarytherapies pilot projects

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Reliability and validity of the Strengths and Difficulties Questionnaire in Greek adolescents and their parents

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Health 2013年第11期5卷 1774-1783页

作者： George Giannakopoulos Christine Dimitrakaki Kalliroi Papadopoulou Chara Tzavara Gerasimos Kolaitis ulricke Ravens-Sieberer Yannis Tountas Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Department of Child Psychiatry Athens University Medical School Aghia Sophia Children’s Hospital Athens Greece Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Department of Child Psychiatry Athens University Medical School Aghia Sophia Children’s Hospital Athens Greece Faculty of Early Childhood Education Athens University School of Education Athens Greece Robert Koch Institute Child and Adolescent Health Berlin Germany

The Strengths and Difficulties Questionnaire (SDQ) is a brief screening measure of emotional and behavioural difficulties in children and adolescents. The aim of this study was to assess reliability and validity of the Greek version of the SDQ. A representative Greek sample of 1194 adolescents (aged 11 to 17 years) and their parents completed the SDQ along with other measures. Internal consistency reliability was determined by calculation of the Cronbach α coefficient. Varimax Orthogonal Transformation was conducted to test the factor structure of the questionnaire. Validity was further examined by investigating the correlation of the SDQ with the KIDSCREEN questionnaire and its association with demographic factors. The inter-rater agreement between parent and self-reports was analyzed with Pearson’s correlation coefficient. Intra-class correlation coefficients (ICCs) were computed to determine test-retest stability. For both parent and the self-report SDQ versions, most items loaded onto their predicted factors in consistency with the originally proposed five-factor structure. Internal consistency reliability was acceptable with a Cronbach α above 0.70 for all SDQ scales except for conduct and peer problems. Inter-rater correlations ranged from 0.33 to 0.45. Test-retest stability was good (ICCs > 0.60). Correlation coefficients between the SDQ and KIDSCREEN questionnaire were significant. Small effect sizes (d > 0.5) of the socioeconomic status were found for all of the SDQ scale mean scores. In conclusion, the SDQ was found to have satisfying psychometric properties and could be suitable for assessing emotional and behavioural problems in Greek adolescents.

关键词： Adolescents Emotional and behavioural Problems Strengths and Difficulties Questionnaire Reliability Validity

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