بررسي تاثير آرام سازي بنسون بر ميزان شاخص هاي فعاليت بيماري ، در بيماران روماتوييدي مراجعه كننده به درمانگاه مركز تحقيقات روماتولوژي بيمارستان امام خميني (ره ) تهران

Effect of benson relaxation on the rate of disease process in rheumatoid patients referring to rheumatology research center of Imam khomeini hospital in Tehran in 2000-2001

Background and purpose: Among rheumatic inflammatory diseases, rheumatoid arthritis has the highest rate of prevalence (1% in majority of the societies and as well as in Iran). This is a chronic disease, followed by multiple- system involvement of unknown etiology. Major sing is inflammation of sinovial joints. In addition to pain, inflammation, restriction and joints deformity; the patients experience mental disorder, stress, anxiety and depression resulting from disease condition is associated with disease which provid defective cycle between mental and physical signs, as a result, the disease is activated by stress and nervous stimulants. Therefore control of the disease is difficult sometimes, hence, in this study, medication was followed along with benson relaxation in order to control the disease activity. Materials and methods: This clinical trial study was performed in rheumatology research clinic of lmam khomeini hospital in Tehran during 2000-2001. Fifty patients were selected as non probable samples from the society under investigation, and on the basis of age and sex, randomly were divided in two case (26 patients) and Control (26patients) groups. Patients of the case group individually were trained for benson relaxation with tape. This interferance was followed for 8 weeks. In order to evalute benson relaxation effects, clinical symptoms, laboratory findings, anxiety, depression and feeling of well being before and after interferance were measured. Results : Statistical tests showed no significant difference in variable of pre and post intervention in two groups. Mean variables of anxiety, depression and feeling of well being in two groups in post intervention were as follow: P=0.0001, P= 0.0001 and P=0.001 respectively; which indicated significant difference. Most variable of clinical symptoms and laboratory findings showed decline in disease progress. But no significant statistical difference was observed. Conclusion: Hypothesis of this study emphasizing that, benson relaxation declines disease progress, was confirmed for anxiety, depression and feeling of well being. Referring to the other variables related to clinical symptoms and laboratory findings, and in order to obtain more accurate statistical results, study with more sample size and performing of interferance in more than 8 weeks period is necessary.