目的:探究8周桩功结合有氧运动对焦虑障碍患者的治疗效果,重点分析其对前额叶alpha波不对称性(frontal alpha asymmetry,FAA)的调节作用,并从行为、大脑及自主神经维度揭示其潜在机制。方法:将57例焦虑障碍患者随机分为有氧运动组、桩...目的:探究8周桩功结合有氧运动对焦虑障碍患者的治疗效果,重点分析其对前额叶alpha波不对称性(frontal alpha asymmetry,FAA)的调节作用,并从行为、大脑及自主神经维度揭示其潜在机制。方法:将57例焦虑障碍患者随机分为有氧运动组、桩功结合有氧运动组和对照组,分别在基线、干预4周和8周后对所有受试者进行情绪Stroop任务、静息态脑电和心率变异性测量,并同步评估其焦虑水平。结果:1)干预后有氧运动组和桩功结合有氧运动组的焦虑自评量表(self-rating anxiety scale,SAS)评分和广泛性焦虑障碍量表(generalized anxiety disorder,GAD-7)评分均显著低于对照组,且8周效果优于4周。2)相比于对照组,干预8周后有氧运动组和桩功结合有氧运动组的标准差指数(standard deviation of normal-to-normal intervals,SDNN)、均方根差值(root mean square of successive differences,RMSSD)和高频归一化单位(high frequency component in normalized units,HFnu)均显著更高,低频归一化单位(low frequency component in normalized units,LFnu)显著更低;同时,有氧运动组和桩功结合有氧运动组的情绪Stroop任务反应时均显著短于对照组,正确率更高,且8周的效果优于4周。脑电图数据显示,基线时各组左侧前额叶alpha波(F3-alpha)均显著高于右侧前额叶alpha波(F4-alpha),即焦虑障碍患者前额叶情绪偏侧化功能失调;干预8周后,两干预组F3-alpha和F4-alpha的左右侧前额叶的alpha波趋于平衡,同时两干预组在前额叶的alpha波功率显著高于对照组,delta波、theta波和beta波功率均显著低于对照组。3)相关性分析结果显示,桩功结合有氧运动组干预8周后的前额叶区alpha波与SDNN、RMSSD、HFnu和情绪Stroop正确率均呈显著正相关,与SAS呈显著负相关,上述关联在有氧运动组中较弱,且在对照组中不显著。结论:持续8周的有氧运动和桩功结合有氧运动干预均能改善焦虑障碍患者的焦虑症状,并有效调节前额叶情绪偏侧化功能(纠正FAA失衡)、注意偏向和自主神经功能,且桩功结合有氧运动的组合方案表现出更优的康复效益。展开更多
Background:Depression is prevalent among female college students,with eating behavior potentially related to this issue.This study examines the relationship between eating behavior and depression,focusing on the role ...Background:Depression is prevalent among female college students,with eating behavior potentially related to this issue.This study examines the relationship between eating behavior and depression,focusing on the role of social appearance anxiety and physical activity.Methods:We recruited 2161 female college students from nine universities in China via convenience sampling.Data was collected via an online questionnaire.Eating behavior was assessed via the Eating Behavior Scale short form(EBS-SF),depression was measured via the Center for Epidemiological Studies Depression Scale(CES-D),social appearance anxiety was evaluated via the Social Appearance Anxiety Scale,and physical activity was assessed via a single-item question.Descriptive statistics were analyzed via SPSS 26.0,and moderated mediation analysis was conducted via PROCESS version 3.5.Results:Unhealthy eating behavior was significantly associated with higher levels of depression(β=0.285,p<0.001).Social appearance anxiety mediated this relationship,accounting for 46%of the total effect(β=0.132,95%CI=[0.108,0.158]).The interaction effect between eating behavior and physical activity was significantly and negatively correlated with depression(β=−0.052,p<0.01).The association between eating behavior and depression was stronger under conditions of low physical activity(β=0.210,p<0.001)than under conditions of high physical activity(β=0.105,p<0.001).Conclusions:Integrating nutritional guidance,body image acceptance training,and exercise promotion into campus mental health programs is crucial for addressing depression in female college students.Future research should use longitudinal designs and broader participant ranges to increase the general applicability of the findings.展开更多
Background:Depression is a growing public health concern among Chinese children and adolescents,with substantial healthcare costs.Physical activity(PA)and organized sport are modifiable behaviours protective against d...Background:Depression is a growing public health concern among Chinese children and adolescents,with substantial healthcare costs.Physical activity(PA)and organized sport are modifiable behaviours protective against depression.This study,therefore,estimated the healthcare costs of depression attributable to insufficient PA and organized sport participation.Methods:A cost-of-illness approach with population attributable fraction(PAF)was applied.Relative risks were derived from longitudinal evidence,prevalence estimates from national Chinese surveys,and depression case numbers from the Global Burden of Disease 2021.Direct healthcare costs were extrapolated from European Union estimates,adjusted to 2024 US dollars(USD),and Chinese expenditure.Sex-stratified analyses were conducted.Results:Estimated depression-related healthcare costs attributable to insufficient PA were approximately 81 million USD,compared with around 84 million USD attributable to insufficient organized sport participation.At the population level,the economic burden attributable to insufficient PA and organized sport was of a similar order of magnitude.Among boys,costs attributable to insufficient organized sport participation(approximately 57 million USD)exceeded those attributable to insufficient PA(around 39 million USD),whereas among girls,costs attributable to insufficient PA(approximately 42 million USD)were higher than those related to organized sport(around 27 million USD).These sex-specific patterns were consistent across sensitivity analyses examining uncertainty in key model parameters.Conclusions:Both insufficient PA and organized sport contribute substantially to depression-related healthcare costs,with sex-specific differences.Policies should prioritise promoting overall PA in girls and organized sport in boys to reduce depression burden and associated expenditures.The magnitude of these attributable costs indicates an economically meaningful burden that is potentially modifiable through behavioural interventions.展开更多
近年来,大学生抑郁问题日益突出,传统心理治疗方法虽有效,但存在依从性低、表达受限等问题。舞动治疗(Dance Movement Therapy,DMT)作为一种非言语、体验式的心理干预手段,通过身体动作促进情绪表达与调节,在改善抑郁症状方面展现出独...近年来,大学生抑郁问题日益突出,传统心理治疗方法虽有效,但存在依从性低、表达受限等问题。舞动治疗(Dance Movement Therapy,DMT)作为一种非言语、体验式的心理干预手段,通过身体动作促进情绪表达与调节,在改善抑郁症状方面展现出独特优势。本研究选取20名存在不同程度心理困扰的大学生作为研究对象,将其随机分为实验组和对照组,每组各10名。实验组接受为期6周、每周2次、每次90分钟的舞动治疗干预,对照组不进行任何干预。展开更多
文摘目的:探究8周桩功结合有氧运动对焦虑障碍患者的治疗效果,重点分析其对前额叶alpha波不对称性(frontal alpha asymmetry,FAA)的调节作用,并从行为、大脑及自主神经维度揭示其潜在机制。方法:将57例焦虑障碍患者随机分为有氧运动组、桩功结合有氧运动组和对照组,分别在基线、干预4周和8周后对所有受试者进行情绪Stroop任务、静息态脑电和心率变异性测量,并同步评估其焦虑水平。结果:1)干预后有氧运动组和桩功结合有氧运动组的焦虑自评量表(self-rating anxiety scale,SAS)评分和广泛性焦虑障碍量表(generalized anxiety disorder,GAD-7)评分均显著低于对照组,且8周效果优于4周。2)相比于对照组,干预8周后有氧运动组和桩功结合有氧运动组的标准差指数(standard deviation of normal-to-normal intervals,SDNN)、均方根差值(root mean square of successive differences,RMSSD)和高频归一化单位(high frequency component in normalized units,HFnu)均显著更高,低频归一化单位(low frequency component in normalized units,LFnu)显著更低;同时,有氧运动组和桩功结合有氧运动组的情绪Stroop任务反应时均显著短于对照组,正确率更高,且8周的效果优于4周。脑电图数据显示,基线时各组左侧前额叶alpha波(F3-alpha)均显著高于右侧前额叶alpha波(F4-alpha),即焦虑障碍患者前额叶情绪偏侧化功能失调;干预8周后,两干预组F3-alpha和F4-alpha的左右侧前额叶的alpha波趋于平衡,同时两干预组在前额叶的alpha波功率显著高于对照组,delta波、theta波和beta波功率均显著低于对照组。3)相关性分析结果显示,桩功结合有氧运动组干预8周后的前额叶区alpha波与SDNN、RMSSD、HFnu和情绪Stroop正确率均呈显著正相关,与SAS呈显著负相关,上述关联在有氧运动组中较弱,且在对照组中不显著。结论:持续8周的有氧运动和桩功结合有氧运动干预均能改善焦虑障碍患者的焦虑症状,并有效调节前额叶情绪偏侧化功能(纠正FAA失衡)、注意偏向和自主神经功能,且桩功结合有氧运动的组合方案表现出更优的康复效益。
文摘Background:Depression is prevalent among female college students,with eating behavior potentially related to this issue.This study examines the relationship between eating behavior and depression,focusing on the role of social appearance anxiety and physical activity.Methods:We recruited 2161 female college students from nine universities in China via convenience sampling.Data was collected via an online questionnaire.Eating behavior was assessed via the Eating Behavior Scale short form(EBS-SF),depression was measured via the Center for Epidemiological Studies Depression Scale(CES-D),social appearance anxiety was evaluated via the Social Appearance Anxiety Scale,and physical activity was assessed via a single-item question.Descriptive statistics were analyzed via SPSS 26.0,and moderated mediation analysis was conducted via PROCESS version 3.5.Results:Unhealthy eating behavior was significantly associated with higher levels of depression(β=0.285,p<0.001).Social appearance anxiety mediated this relationship,accounting for 46%of the total effect(β=0.132,95%CI=[0.108,0.158]).The interaction effect between eating behavior and physical activity was significantly and negatively correlated with depression(β=−0.052,p<0.01).The association between eating behavior and depression was stronger under conditions of low physical activity(β=0.210,p<0.001)than under conditions of high physical activity(β=0.105,p<0.001).Conclusions:Integrating nutritional guidance,body image acceptance training,and exercise promotion into campus mental health programs is crucial for addressing depression in female college students.Future research should use longitudinal designs and broader participant ranges to increase the general applicability of the findings.
文摘Background:Depression is a growing public health concern among Chinese children and adolescents,with substantial healthcare costs.Physical activity(PA)and organized sport are modifiable behaviours protective against depression.This study,therefore,estimated the healthcare costs of depression attributable to insufficient PA and organized sport participation.Methods:A cost-of-illness approach with population attributable fraction(PAF)was applied.Relative risks were derived from longitudinal evidence,prevalence estimates from national Chinese surveys,and depression case numbers from the Global Burden of Disease 2021.Direct healthcare costs were extrapolated from European Union estimates,adjusted to 2024 US dollars(USD),and Chinese expenditure.Sex-stratified analyses were conducted.Results:Estimated depression-related healthcare costs attributable to insufficient PA were approximately 81 million USD,compared with around 84 million USD attributable to insufficient organized sport participation.At the population level,the economic burden attributable to insufficient PA and organized sport was of a similar order of magnitude.Among boys,costs attributable to insufficient organized sport participation(approximately 57 million USD)exceeded those attributable to insufficient PA(around 39 million USD),whereas among girls,costs attributable to insufficient PA(approximately 42 million USD)were higher than those related to organized sport(around 27 million USD).These sex-specific patterns were consistent across sensitivity analyses examining uncertainty in key model parameters.Conclusions:Both insufficient PA and organized sport contribute substantially to depression-related healthcare costs,with sex-specific differences.Policies should prioritise promoting overall PA in girls and organized sport in boys to reduce depression burden and associated expenditures.The magnitude of these attributable costs indicates an economically meaningful burden that is potentially modifiable through behavioural interventions.
文摘近年来,大学生抑郁问题日益突出,传统心理治疗方法虽有效,但存在依从性低、表达受限等问题。舞动治疗(Dance Movement Therapy,DMT)作为一种非言语、体验式的心理干预手段,通过身体动作促进情绪表达与调节,在改善抑郁症状方面展现出独特优势。本研究选取20名存在不同程度心理困扰的大学生作为研究对象,将其随机分为实验组和对照组,每组各10名。实验组接受为期6周、每周2次、每次90分钟的舞动治疗干预,对照组不进行任何干预。
