the relaxation exercise and social support trial (resst) a community-based randomized controlled trial to alleviate medically unexplained vaginal discharge symptoms放松练习和社会支持试验(resst)以社区为基础的随机对照试验,以缓解医学无法解释的阴道分泌物的症状.pdfVIP

Kobeissi et al. BMC Psychiatry 2012, 12:195 /1471-244X/12/195 RESEARCH ARTICLE Open Access The Relaxation Exercise and Social Support Trial (RESST): a community-based randomized controlled trial to alleviate medically unexplained vaginal discharge symptoms 1,2 3 4* 5 6 6 Loulou Kobeissi , Ziyad Mahfoud , Brigitte Khoury , Fayssal El Kak , Zeina Ghantous , Marwan Khawaja , 7 8 6 9 10 Rima Nakkash , Sami Ramia , Huda Zurayk , Ricardo Araya and Tim J Peters Abstract Background: Symptoms such as medically unexplained vaginal discharge (MUVD) are common and bothersome, leading to potentially unnecessary use of resources. Methods: A community-based individually randomized controlled trial to assess the effectiveness of a relatively simple, culturally appropriate multi-component intervention on reducing reported MUVD, among women suffering from low-moderate levels of common mental distress. The setting was a socio-economically deprived, informal settlement in the southern suburbs of Beirut, Lebanon. The intervention comprised up to 12 group sessions implemented over a six-week period, each divided into a psychosocial and a relaxation exercise component. The primary outcome was self-reported MUVD, which was defined as a complaint of vaginal discharge upon ruling out reproductive tract infections (RTIs), through lab analysis. Anxiety and/or depression symptoms were the secondary outcomes for this trial. These were assessed using an Arabic validated version of the Hopkins Symptoms Checklist-25 (HSCL-25). Assessments were done at baseline and six months using face-to face interviews, pelvic examinat