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Functional Behavior Assessment-Based Intervention for Repetitive Motor Behaviors of a Child with Autism in an Inclusive Classroom:A Single-Case Study
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作者 Dengfeng Han 《Journal of Contemporary Educational Research》 2025年第10期132-140,共9页
One of the core challenges faced by children with autism is repetitive motor behavior,which not only undermines their learning efficiency in the classroom but also makes it difficult for them to integrate smoothly int... One of the core challenges faced by children with autism is repetitive motor behavior,which not only undermines their learning efficiency in the classroom but also makes it difficult for them to integrate smoothly into inclusive educational settings,thereby hindering their social adaptation and overall development.This study adopted a single-case design focusing on a first-grade student with autism enrolled in a mainstream class at Xiangxue Primary School,Huangpu District,Guangzhou.Functional behavior assessment was conducted to systematically observe and analyze the student’s repetitive motor behaviors in class,on the basis of which an intervention plan was developed and implemented.The intervention incorporated antecedent control,replacement behavior training,and consequence management,supplemented by collaboration between school and family.The findings indicated that the frequency of repetitive motor behaviors decreased significantly after the intervention,while the student demonstrated improved classroom participation and peer interaction;these positive effects were maintained during the follow-up phase.The study suggests that in inclusive education settings,interventions guided by functional behavior assessment can effectively reduce problem behaviors in children with autism and enhance their classroom engagement and learning adaptability. 展开更多
关键词 Inclusive classroom Children with autism repetitive motor behavior Functional behavior assessment behavioral intervention
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Intervention Effect of Repetitive TMS on Behavioral Adjustment After Error Commission in Long-Term Methamphetamine Addicts: Evidence From a Two-Choice Oddball Task 被引量:4
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作者 Qiongdan Liang Jia Lin +4 位作者 Jiemin Yang Xiang Li Yijiang Chen Xianxin Meng Jiajin Yuan 《Neuroscience Bulletin》 SCIE CAS CSCD 2018年第3期449-456,共8页
Behavioral adjustment plays an important role in the treatment and relapse of drug addiction. Nonetheless,few studies have examined behavioral adjustment and its plasticity following error commission in methamphetamin... Behavioral adjustment plays an important role in the treatment and relapse of drug addiction. Nonetheless,few studies have examined behavioral adjustment and its plasticity following error commission in methamphetamine(METH) dependence, which is detrimental to human health. Thus, we investigated the behavioral adjustment performance following error commission in long-term METH addicts and how it varied with the application of repetitive transcranial magnetic stimulation(r TMS) of the left dorsolateral prefrontal cortex(DLPFC). Twenty-nine male long-term METH addicts(for [ 3 years) were randomly assigned to high-frequency(10 Hz, n = 15) or sham(n = 14) r TMS of the left DLPFC during a two-choice oddball task. Twenty-six age-matched, healthy male adults participated in the two-choice oddball task pretest to establish normal performance for comparison. The results showed that 10 Hz r TMS over the left DLPFC significantly decreased the post-error slowing effect in response times of METH addicts. In addition, the 10 Hz r TMS intervention remarkably reduced the reaction times during post-error trials but not post-correct trials. While the 10 Hz r TMS group showed a more pronounced post-error slowing effect than the healthy participants during the pretest, the posterror slowing effect in the posttest of this sample was similar to that in the healthy participants. These results suggest that high-frequency r TMS over the left DLPFC is a useful protocol for the improvement of behavioral adjustment after error commission in long-term METH addicts. 展开更多
关键词 METH addiction repetitive TMS Two choice oddball task Post-error slowing behavioral adjustment
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Hydromechanical behavior of unsaturated expansive clay under repetitive loading 被引量:2
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作者 Ahmed M.Al-Mahbashi Mosleh A.Al-Shamrani Mohammad F.Abbas 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2021年第5期1136-1146,共11页
Compacted layers of expansive soils are used in different engineering projects,such as subgrades,engineered clay barriers,and buffers for radioactive waste disposal.These layers are exposed to a variety of stresses an... Compacted layers of expansive soils are used in different engineering projects,such as subgrades,engineered clay barriers,and buffers for radioactive waste disposal.These layers are exposed to a variety of stresses and wetting conditions during field serviceability.Coupling between hydraulic and mechanical repeated loading provides insight understanding to the induced progressive deformation of expansive clay.This study was conducted to investigate the hydromechanical behavior of unsaturated compacted expansive clay under repeated loadingeunloading(RLU)conditions.Two series of onedimensional(1D)oedometer tests were conducted under controlled matric suction up to 1500 kPa using the axis translation technique(Fredlund soil-water characteristic curve device,SWC-150).The first test series was carried out at different levels of controlled matric suction for non-repeated loading eunloading(NRLU)cycles.RLU cycles were applied in the second test series at different repetitivestress levels and under different levels of matric suction.The results indicated increasing axial wetting strainε_(a)(s),axial swell pressure ss(s),compression index C_(c)(s),and swell index C_(s)(s)with suction reduction.The estimated loadecollapse(LC)curves obtained from NRLU series(LCN)and RLU series(LCR)indicated increasing yield stress sy(s)with increasing suction.This is attributed to the developed apparent cohesion between soil particles,which in turn rigidifies the material response.Applying repetitive loading induced a notable reduction of compression index C_(c)(s)at the same level of suction,whereas swell index C_(s)(s)seems to be independent of repetitive loading.Finally,repetitive loading exceeding initial yield stresses results in plastic hardening and,hence,enlargement of yield stress locus(i.e.LCR curve). 展开更多
关键词 Expansive clay repetitive loading SUCTION Hydromechanical behavior Loadecollapse curve
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A Clinical Study:Therapeutic Effects of Repetitive Transcranial Magnetic Stimulation and Cognitive Behavioral Therapy on Cognitive Impairment in Alcohol-Dependent Patients
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作者 Xiao-He FAN Wei-Bian YANG +6 位作者 Cheng-Ji WU Dan SUN Chang-Hao YIN Hong-Xuan WANG Ying PENG Yan-Zhong GUAN Xiao-Feng ZHU 《牡丹江医学院学报》 2022年第4期1-5,28,共6页
Objective To observe the effects of repetitive transcranial magnetic stimulation(rTMS)and cognitive behavioral therapy(CBT)on cognitive function in alcohol-dependent patients.Methods Data from 285 alcohol-dependent pa... Objective To observe the effects of repetitive transcranial magnetic stimulation(rTMS)and cognitive behavioral therapy(CBT)on cognitive function in alcohol-dependent patients.Methods Data from 285 alcohol-dependent patients were collected from Mudanjiang Medical University and Sun Yat-sen Memorial Hospital at Sun Yat-sen University between 2019 and 2021.The patients were divided into groups depending on alcohol abstinence and non-abstinence.There were 43 patients in the alcohol consumption(AC)group.The patients in the abstinence group were randomly assigned to treatment regimens with different combinations of rTMS and CBT using the Elton system.There were 49 patients in the TB+C0 group,36 in the TB+C1 group,44 in the TL+C0 group,36 in the TL+C1 group,37 in the TR+C0 group,and 40 in the TR+C1 group.Cognitive function was assessed by using the Montreal Cognitive Assessment Scale(MoCA).Results The proportion of patients with cognitive impairment in the AC group at 24 weeks was higher than that at baseline(P<0.05),whereas the proportion of cognitive impairment in the other groups did not differ significantly over time.The percentage of patients with cognitive impairment at 24 weeks was 52.3%in the TL+C0 group and 47.2%in the TL+C1 group,which was significantly lower than that in the AC group(P<0.05).MoCA scores at different time points in the AC group were significantly higher than those in the TB+C0,TL+C0,TL+C1,TR+C0,and TR+C1 groups,respectively.MoCA scores were significantly higher at 12 weeks compared with the baseline in the TB+C0,TL+C0,TL+C1,TR+C0,and TR+C1 groups(P<0.05),and similar changes were observed at 24 weeks.The MoCA scores in the TL+C1 and TL+C0 groups were higher than those in the TR+C0 group at 12 weeks after the intervention(P<0.05).Furthermore,MoCA scores in each of the TB+C1,TL+C1,TL+C0,TR+C1,and TR+C0 groups were higher than those in the AC group at 24 weeks(P<0.05).Conclusion Alcohol consumption impairs cognitive function,as evidenced by a significantly higher proportion of cognitive impairment after 24 weeks of non-abstinence.Most of the tested treatment regimens improved cognitive function.High frequency rTMS of the left dorsolateral prefrontal cortex(DLPFC)was associated with a greater improvement in cognitive function than that of the right DLPFC in alcohol-dependent patients at 12 weeks of abstinence.There does not appear to be a therapeutic advantage of CBT for cognitive impairment in alcohol-dependent patients.Screening for impaired cognitive function should be seriously considered for patients who engage in heavy drinking,and measures should be taken to reduce the risk of dementia induced by alcohol dependence. 展开更多
关键词 Alcohol dependence cognitive function repetitive transcranial magnetic stimulation cognitive behavioral therapy
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白介素-33对孤独症重复刻板行为与社交障碍的改善作用及其机制研究
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作者 胡利敏 杨嘉涵 +2 位作者 段练 高原 李丽丽 《疑难病杂志》 2026年第1期84-91,共8页
目的 研究白介素-33(IL-33)对孤独症模型小鼠BTBR T+Itpr3tf/J(BTBR)社交缺陷和重复刻板行为的作用。方法 2025年1—6月于苏州大学附属儿童医院进行实验。选取6周龄雄性BTBR小鼠10只,依据随机数字表法分为BTBR+Vehicle组(n=5)、BTBR+IL... 目的 研究白介素-33(IL-33)对孤独症模型小鼠BTBR T+Itpr3tf/J(BTBR)社交缺陷和重复刻板行为的作用。方法 2025年1—6月于苏州大学附属儿童医院进行实验。选取6周龄雄性BTBR小鼠10只,依据随机数字表法分为BTBR+Vehicle组(n=5)、BTBR+IL-33组(n=5),选取5只C57BL/6(B6)6周龄雄性小鼠为B6+Vehicle组。BTBR+IL-33组小鼠予以IL-33(300 ng/只)腹腔注射,B6+Vehicle组和BTBR+Vehicle组小鼠给予等体积的生理盐水,均1次/d,共7 d;给药完成后进行行为实验(包括理毛、社交互动、三箱社交、新物体识别等),而后处死小鼠取脑组织样本,以高尔基染色检测树突、透视电镜观察大脑组织病理形态学、Western blot实验检测蛋白表达情况。结果 B6+Vehicle组、BTBR+IL-33组小鼠互动时间长于BTBR+Vehicle组(t/P=10.523/<0.001、7.201/<0.001),自我理毛时间短于BTBR+Vehicle组(t/P=4.750/<0.001、14.114/<0.001)。B6+Vehicle组、BTBR+IL-33组小鼠TS1均大于TOb(t/P=14.992/<0.001、14.521/<0.001);B6+Vehicle组、BTBR+IL-33组小鼠社交偏好指数均大于BTBR+Vehicle组小鼠(t/P=10.570/<0.001、10.487/<0.001),社交新颖性偏好指数均大于BTBR+Vehicle组小鼠(t/P=16.768/<0.001、14.162/<0.001)。B6+Vehicle组小鼠与BTBR+Vehicle组小鼠、BTBR+Vehicle组与BTBR+IL-33组小鼠新异物识别指数间差异均无统计学意义(t/P=0.485/0.640、0.527/0.612)。BTBR+Vehicle组小鼠的树棘突密度、树突复杂度均高于B6+Vehicle组、BTBR+IL-33组小鼠(t/P=2.944/0.021、2.734/0.032)。B6+Vehicle组、BTBR+IL-33组小鼠脑中ULK1表达量高于BTBR+Vehicle组小鼠(t/P=3.324/0.011、3.687/0.007)。B6+Vehicle组、BTBR+IL-33组小鼠的ATG12的表达量高于BTBR+Vehicle组小鼠(t/P=3.792/0.005、3.174/0.013)。BTBR+Vehicle组、BTBR+IL-33组小鼠Beclin1、ATG5、ATG16L1的表达量差异无统计学意义(t/P=1.083/0.312、0.300/0.771、1.857/0.101)。结论 IL-33通过上调BTBR小鼠脑中ULK1、ATG12的表达,可改善神经元的结构和功能,并改善BTBR小鼠重复刻板行为和社交障碍。 展开更多
关键词 孤独症谱系障碍 自噬 白介素-33 重复刻板行为 社交障碍 作用机制 小鼠
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针刺联合重复经颅磁刺激对首发抑郁症患者睡眠质量的影响
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作者 杨盛洲 李华 彭波 《河南中医》 2026年第2期307-311,共5页
目的:观察针刺联合重复经颅磁刺激治疗首发抑郁症的临床疗效。方法:按照双色球法将九江市第五人民医院2023年9月至2024年9月收治的68例首发抑郁症患者分为观察组和对照组,每组各34例。对照组给予重复经颅磁刺激治疗,观察组在对照组治疗... 目的:观察针刺联合重复经颅磁刺激治疗首发抑郁症的临床疗效。方法:按照双色球法将九江市第五人民医院2023年9月至2024年9月收治的68例首发抑郁症患者分为观察组和对照组,每组各34例。对照组给予重复经颅磁刺激治疗,观察组在对照组治疗的基础上联用针刺疗法治疗。观察两组治疗前后汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、冲动量表(barratt impulsiveness scale version-11,BIS-11)评分、匹兹堡睡眠质量评定量表(Pittsburgh sleep quality index,PSQI)评分、阿斯森失眠量表(Assen insomnia scale,AIS)评分、5-羟色胺、多巴胺变化情况及临床疗效、冲动非自杀性自伤行为发生率。结果:观察组有效率为94.12%,对照组有效率为73.53%,观察组有效率高于对照组,差异有统计学意义(P<0.05)。观察组治疗后中医证候积分低于对照组,差异有统计学意义(P<0.05)。观察组冲动非自杀性自伤行为发生率和BIS-11评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗后HAMD评分、HAMA评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗后PSQI评分、AIS评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗后5-羟色胺和多巴胺水平高于对照组,差异有统计学意义(P<0.05)。结论:针刺联合重复经颅磁刺激治疗首发抑郁症能够减轻患者焦虑、抑郁情绪,减少冲动非自杀性自伤行为,改善患者睡眠质量。 展开更多
关键词 首发抑郁症 针刺疗法 重复经颅磁刺激 冲动非自杀性自伤行为 焦虑 抑郁 睡眠质量
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Neural substrates for regulating self-grooming behavior in rodents
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作者 Guanqing LI Chanyi LU +12 位作者 Miaomiao YIN Peng WANG Pengbo ZHANG Jialiang WU Wenqiang WANG Ding WANG Mengyue WANG Jiahan LIU Xinghan LIN Jian-Xu ZHANG Zhenshan WANG Yiqun YU Yun-Feng ZHANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2024年第10期841-856,共16页
Grooming,as an evolutionarily conserved repetitive behavior,is common in various animals,including humans,and serves essential functions including,but not limited to,hygiene maintenance,thermoregulation,de-arousal,str... Grooming,as an evolutionarily conserved repetitive behavior,is common in various animals,including humans,and serves essential functions including,but not limited to,hygiene maintenance,thermoregulation,de-arousal,stress reduction,and social behaviors.In rodents,grooming involves a patterned and sequenced structure,known as the syntactic chain with four phases that comprise repeated stereotyped movements happening in a cephalocaudal progression style,beginning from the nose to the face,to the head,and finally ending with body licking.The context-dependent occurrence of grooming behavior indicates its adaptive significance.This review briefly summarizes the neural substrates responsible for rodent grooming behavior and explores its relevance in rodent models of neuropsychiatric disorders and neurodegenerative diseases with aberrant grooming phenotypes.We further emphasize the utility of rodent grooming as a reliable measure of repetitive behavior in neuropsychiatric models,holding promise for translational psychiatry.Herein,we mainly focus on rodent self-grooming.Allogrooming(grooming being applied on one animal by its conspecifics via licking or carefully nibbling)and heterogrooming(a form of grooming behavior directing towards another animal,which occurs in other contexts,such as maternal,sexual,aggressive,or social behaviors)are not covered due to space constraints. 展开更多
关键词 GROOMING repetitive behavior Syntactic chain Cephalocaudal progression Neuropsychiatric disorders
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HF-rTMS联合心理行为干预治疗慢性失眠共病焦虑/抑郁患者的临床研究 被引量:1
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作者 林丽娟 陈贵海 +2 位作者 孙会芹 李成 张业敏 《中华全科医学》 2025年第7期1090-1093,1166,共5页
目的探讨高频重复经颅磁刺激(HF-rTMS)联合心理行为干预对慢性失眠共病焦虑/抑郁患者主客观睡眠和脑功能状态(BFS)的影响。方法选取安徽医科大学附属巢湖医院2023年1月-2024年9月慢性失眠共病焦虑/抑郁患者60例为研究对象,采用随机数表... 目的探讨高频重复经颅磁刺激(HF-rTMS)联合心理行为干预对慢性失眠共病焦虑/抑郁患者主客观睡眠和脑功能状态(BFS)的影响。方法选取安徽医科大学附属巢湖医院2023年1月-2024年9月慢性失眠共病焦虑/抑郁患者60例为研究对象,采用随机数表法分为对照组和实验组,各30例。对照组患者接受心理行为干预,实验组患者接受心理行为干预联合HF-rTMS(10 Hz,20 min/次,2次/d,共10 d)。评估治疗前后2组主客观睡眠、BFS、汉密尔顿焦虑(HAMA-14)、抑郁量表(HAMD-17)变化。结果(1)治疗后实验组的HAMD-17[6.50(5.00,8.00)分]、HAMA-14[7.00(6.00,9.75)分]、阿森斯[5.00(4.00,7.00)分]评分均低于对照组[10.50(8.25,12.00)分、14.00(9.25,15.00)分、10.00(9.00,12.75)分,P<0.05]。(2)实验组治疗后脑混沌、内专注、困倦、脑惰性、脑疲劳评分显著低于对照组,脑抑制评分显著高于对照组(P<0.05)。(3)实验组治疗后多导睡眠图指标睡眠总时间、睡眠效率、非快速眼动睡眠相三期占比(NREM3%)均显著高于对照组(P<0.05),入睡潜伏期、快速眼动相期入睡潜伏期、入睡后觉醒时间、NREM1%、快速眼动睡眠相占比均显著低于对照组(P<0.05)。结论心理行为干预对慢性失眠共病焦虑/抑郁患者睡眠质量、焦虑、抑郁均有改善作用,HF-rTMS联合治疗效果更显著。 展开更多
关键词 高频重复经颅磁刺激 心理行为干预 慢性失眠 焦虑 抑郁
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重复经颅磁刺激联合认知行为疗法对焦虑症伴睡眠障碍患者的疗效分析
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作者 张爽 《科技与健康》 2025年第22期109-112,共4页
探究采用重复经颅磁刺激联合认知行为疗法治疗焦虑症合并睡眠障碍患者的干预效果。前瞻性选取2024年1月—2025年6月在北京市大兴区人民医院就诊的焦虑症伴睡眠障碍患者(n=60)为研究对象,基于随机数字表法将其分为对照组和观察组,每组各3... 探究采用重复经颅磁刺激联合认知行为疗法治疗焦虑症合并睡眠障碍患者的干预效果。前瞻性选取2024年1月—2025年6月在北京市大兴区人民医院就诊的焦虑症伴睡眠障碍患者(n=60)为研究对象,基于随机数字表法将其分为对照组和观察组,每组各30例。对照组给予认知行为疗法,观察组在对照组的基础上联用低频重复经颅磁刺激。比较两组患者干预前后的睡眠质量、焦虑状态、抑郁状态及睡眠参数变化。结果表明,干预后,两组患者的各项指标均呈现改善趋势,睡眠质量提高,焦虑和抑郁情绪评分下降,入睡时间缩短,夜间觉醒次数减少,睡眠总时间延长。观察组的睡眠质量评分、焦虑评分、抑郁评分、睡眠潜伏期、觉醒次数等指标的改善幅度较对照组更显著,其睡眠总时间也明显优于对照组(P<0.05)。研究发现,运用重复经颅磁刺激联合认知行为疗法,能够使焦虑症合并睡眠障碍患者的睡眠质量得到优化。 展开更多
关键词 重复经颅磁刺激 认知行为疗法 焦虑症 睡眠障碍 抑郁
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重复经颅磁刺激联合语言小组课治疗儿童孤独症的疗效观察 被引量:3
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作者 赖燕媚 李威 +4 位作者 田艳萍 姜雪 李庆红 钟增泉 吕智海 《中国康复》 2025年第4期235-239,共5页
目的:探讨重复经颅磁刺激(rTMS)联合语言小组课治疗儿童孤独症的疗效。方法:选取90名孤独症谱系障碍(ASD)儿童,随机分为rTMS组、语言组、联合组3组,每组各30例。3组均接受常规康复治疗,并分别实施rTMS治疗、语言小组课治疗以及rTMS联合... 目的:探讨重复经颅磁刺激(rTMS)联合语言小组课治疗儿童孤独症的疗效。方法:选取90名孤独症谱系障碍(ASD)儿童,随机分为rTMS组、语言组、联合组3组,每组各30例。3组均接受常规康复治疗,并分别实施rTMS治疗、语言小组课治疗以及rTMS联合语言小组课治疗,共12周。在干预前后,分别采用孤独症行为检查量表(ABC)、重复刻板行为检查表(RBS-R)以及0~6岁儿童神经心理发育量表(儿-心量表)对3组儿童进行评估,并比较3组的临床效果。结果:干预前,3组患儿ABC各能区评分、RBS-R评分、儿-心量表智龄差异比较无统计学意义。干预12周后,联合组ABC总分及其中的交往、语言能区评分均低于rTMS组和语言组(均P<0.05);联合组RBS-R评分低于rTMS组和语言组(均P<0.05);联合组儿-心量表智龄高于rTMS组和语言组(均P<0.05)。结论:rTMS联合语言小组课治疗能显著改善ASD儿童核心症状,对ASD儿童的早期治疗有一定的临床应用价值。 展开更多
关键词 孤独症 语言小组课 重复经颅磁刺激 孤独症儿童行为量表
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高频重复经颅磁刺激对青少年抑郁症患者执行功能及非自杀性自伤行为的影响 被引量:2
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作者 赵净净 席朝垒 +2 位作者 杭程 吴淑艳 刘书伟 《妇儿健康导刊》 2025年第13期187-193,共7页
目的探讨高频重复经颅磁刺激(rTMS)对青少年抑郁症患者执行功能及非自杀性自伤行为的影响。方法选取2022年8月至2024年8月在淮安市第三人民医院住院治疗的80例青少年抑郁症伴非自杀性自伤行为患者,采用随机数字表法将其分为研究组(40例... 目的探讨高频重复经颅磁刺激(rTMS)对青少年抑郁症患者执行功能及非自杀性自伤行为的影响。方法选取2022年8月至2024年8月在淮安市第三人民医院住院治疗的80例青少年抑郁症伴非自杀性自伤行为患者,采用随机数字表法将其分为研究组(40例)和对照组(40例)。两组均口服舍曲林治疗,研究组联合高频rTMS(10 Hz)治疗,对照组在同一刺激部位接受假刺激治疗。治疗时间为4周,比较两组临床疗效,记录治疗前、治疗后两组汉密尔顿抑郁量表-24(HAMD-24)、执行功能、Beck自杀意念量表中文版(BSICV)评分。结果研究组总有效率为97.50%,高于对照组的85.00%(P<0.05)。与治疗前相比,两组HAMD-24评分在治疗4周后降低,且研究组评分较对照组更低,差异有统计学意义(P<0.05)。两组治疗后近1周自杀意念、最严重时期自杀意念、近1周自杀倾向、最严重自杀倾向评分均低于治疗前,执行功能评分高于治疗前,研究组治疗后BSI-CV评分低于对照组,执行功能评分高于对照组,差异有统计学意义(P<0.05)。结论高频rTMS用于青少年抑郁症伴非自杀性自伤行为患者,能够有效减轻病情,改善执行功能和非自杀性自伤行为。 展开更多
关键词 舍曲林 高频重复经颅磁刺激 青少年抑郁症 非自杀性自伤行为 执行功能
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纹状体异常时空发育参与孤独症重复刻板行为研究进展
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作者 周章盈 董安琴 +9 位作者 徐红艳 崔鑫鑫 贺婷丽 胡文静 张哲 韩雅男 程单梦 李立国 汤有才 董献文 《中国比较医学杂志》 北大核心 2025年第6期167-176,共10页
孤独症发病率逐年上升,其核心症状之重复刻板行为,难于根治,原因在于发病机理不清。纹状体是控制运动行为的一个重要脑区,具有独特的mosaic镶嵌结构。其神经起源复杂且发育进程受到精细调控,极易受到遗传与环境影响。临床及基础研究均... 孤独症发病率逐年上升,其核心症状之重复刻板行为,难于根治,原因在于发病机理不清。纹状体是控制运动行为的一个重要脑区,具有独特的mosaic镶嵌结构。其神经起源复杂且发育进程受到精细调控,极易受到遗传与环境影响。临床及基础研究均显示纹状体核团发育异常可能参与孤独症重复刻板行为发病过程。既往临床影像资料只能显示核团大体轮廓等显著的变异,而无法确定核团内部细胞和亚细胞结构的改变。通过梳理纹状体异常时空发育参与孤独症重复刻板行为研究进展,可为进一步的动物实验与临床研究指明方向。 展开更多
关键词 重复刻板行为 孤独症 纹状体
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孤独症谱系障碍重复刻板行为的运动改善机制及应用研究进展
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作者 吴晓蕾 尹丽琴 +3 位作者 唐靖东 王敬怡 彭懿冰 李航艳 《体育科学》 北大核心 2025年第11期62-75,共14页
通过梳理运动与孤独症谱系障碍(autism spectrum disorder,ASD)重复刻板行为(restricted and repetitive behaviors,RRBs)的相关研究,分析讨论了运动改善RRBs的神经生物学机制,阐述了运动干预中不同变量对RRBs的影响。研究发现,运动干... 通过梳理运动与孤独症谱系障碍(autism spectrum disorder,ASD)重复刻板行为(restricted and repetitive behaviors,RRBs)的相关研究,分析讨论了运动改善RRBs的神经生物学机制,阐述了运动干预中不同变量对RRBs的影响。研究发现,运动干预可促进纹状体突触可塑性,激活BDNF/TrkB信号通路以增强神经环路平衡;抑制小胶质细胞促炎表型、促进抗炎因子释放,减轻神经炎症;调节谷氨酸-γ-氨基丁酸兴奋/抑制平衡,优化多巴胺与5-羟色胺代谢;增强前额叶-顶叶网络、海马相关网络功能连接,提升执行功能以间接抑制RRBs。综上,运动干预是一个综合性变量,具有运动方式的特异性、运动干预剂量的歧交性、运动环境的多样性等特征。未来研究应有机整合神经生理与行为指标,实现机制突破与方案优化,为ASD患者RRBs管理提供更有力的理论依据与实践支撑。 展开更多
关键词 孤独症谱系障碍 重复刻板行为 运动干预 神经生物学机制 调节变量
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Repetitive Transcranial Magnetic Stimulation(rTMS)Improves Cognitive Impairment and Intestinal Microecological Dysfunction Induced by High-Fat Diet in Rats
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作者 Kangyu Jin Bing Chen +4 位作者 Shengyi Han Jingyi Dong Shangping Cheng Bin Qin Jing Lu 《Research》 2025年第1期356-370,共15页
Consuming a high-fat diet(HFD)is widely recognized to cause obesity and result in chronic brain inflammation that impairs cognitive function.Repetitive transcranial magnetic stimulation(rTMS)has shown effectiveness in... Consuming a high-fat diet(HFD)is widely recognized to cause obesity and result in chronic brain inflammation that impairs cognitive function.Repetitive transcranial magnetic stimulation(rTMS)has shown effectiveness in both weight loss and cognitive improvement,although the exact mechanism is still unknown.Our study examined the effects of rTMS on the brain and intestinal microecological dysfunction.rTMS successfully reduced cognitive decline caused by an HFD in behavioral assessments involving the Y maze and novel object recognition.This was accompanied by an increase in the number of new neurons and the transcription level of genes related to synaptic plasticity(spindlin 1,synaptophysin,and postsynaptic protein-95)in the hippocampus.It was reached that rTMS decreased the release of high mobility group box 1,activation of microglia,and inflammation in the brains of HFD rats.rTMS also reduced hypothalamic hypocretin levels and improved peripheral blood lipid metabolism.In addition,rTMS recovered the HFD-induced gut microbiome imbalances,metabolic disorders,and,in particular,reduced levels of the microvirus.Our research emphasized that rTMS enhanced cognitive abilities,resulting in positive impacts on brain inflammation,neurodegeneration,and the microbiota in the gut,indicating the potential connection between the brain and gut,proposing that rTMS could be a new approach to addressing cognitive deficits linked to obesity. 展开更多
关键词 behavioral assessments repetitive transcranial magnetic stimulation transcranial magnetic stimulation rtms cognitive decline cognitive impairment chronic brain inflammation
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Treatment of Repetitive Strain Injury with Acupuncture Combined with Behavior Medicine Therapy
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作者 ZOU Yi-chao ZHU Han-ting(Translator) 《Journal of Acupuncture and Tuina Science》 2004年第4期44-47,共4页
To observe therapcutic results of acupuncture combining with behavior medicine therapy in treating repetitive strain injury(RS1).150 patients were randomly divided into two groups with 90 cases in the treatment group ... To observe therapcutic results of acupuncture combining with behavior medicine therapy in treating repetitive strain injury(RS1).150 patients were randomly divided into two groups with 90 cases in the treatment group and 60 cases in the control group.Statistic analysis and comprehensive therapeutic evaluation were given on pain severity.functional condition,course of treatment and recurrent rate before and after treatment.The differences were significant in course of treatment and the recurrent rate in the two groups(P<0.01).Acupuncture combining with behavior medicine therapy was effective in treating RSI and adjusting bad behavior habits. 展开更多
关键词 repetitive Strain Injury Acupuncture Therapy behavior Medicine
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酒依赖的戒断行为与自律行为的关系:基于经颅磁刺激结合脑电图技术治疗依从性的调节作用
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作者 姜鹏举 王枭亚 李旭晗 《临床精神医学杂志》 2025年第4期282-285,共4页
目的:研究酒依赖的戒断行为与自律行为的关系,基于重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合脑电图(electroencephalogram,EEG)技术治疗依从性的调节作用,以期为酒依赖治疗探索新的治疗思路。方法:回顾... 目的:研究酒依赖的戒断行为与自律行为的关系,基于重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合脑电图(electroencephalogram,EEG)技术治疗依从性的调节作用,以期为酒依赖治疗探索新的治疗思路。方法:回顾性选取2022年1月至2023年3月医院治疗的108例酒依赖患者作为研究对象,通过量表调查、病历资料等收集年龄、性别、婚姻状态、职业等基础信息,同时应用临床酒精戒断状态评定量表(clinical institute withdrawal assessment for alcohol-alcohol withdrawal scale,CIWA-Ar)、自我控制量表(self-control scale,SCS)、自知力与治疗态度问卷相关成熟量表(insight and treatment attitudes questionnaires,ITAQ)收集戒断行为、自律行为、TMS-EEG技术治疗依从性的相关评分。结果:干预后,ITAQ评分上升,SCS评分、CIWA-Ar评分下降,差异均有统计学意义(P均<0.05)。CIWA-Ar评分与SCS评分为正相关关系,与ITAQ评分为负相关关系,而SCS与ITAQ评分为负相关关系,差异均具有统计学意义(P均<0.05)。基于TMS-EEG技术治疗依从性可在自律行为对戒断行为的影响关系中起到调节作用。结论:基于TMS-EEG技术治疗依从性可调节酒依赖者自律行为与戒断行为的关系,值得临床应用和推广。 展开更多
关键词 酒依赖 戒断行为 自律行为 经颅磁刺激结合脑电图技术治疗 调节作用
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重复经颅磁刺激联合认知行为疗法治疗青少年双相情感障碍的效果
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作者 武胜 闫升林 徐玉平 《四川解剖学杂志》 2025年第4期130-133,共4页
目的:探讨重复经颅磁刺激(rTMS)联合认知行为疗法治疗青少年双相情感障碍(BD)的临床效果。方法:选取2020年8月至2022年12月本院收治的68例青少年BD患者作为研究对象。以随机数字表法,将其分为观察组(n=34,给予rTMS联合认知行为疗法治疗... 目的:探讨重复经颅磁刺激(rTMS)联合认知行为疗法治疗青少年双相情感障碍(BD)的临床效果。方法:选取2020年8月至2022年12月本院收治的68例青少年BD患者作为研究对象。以随机数字表法,将其分为观察组(n=34,给予rTMS联合认知行为疗法治疗)和对照组(n=34,给予伪rTMS刺激治疗)。比较两组患者临床疗效,精神状况[采用贝克-拉范森躁狂量表(BRMS)评估],抑郁程度[采用汉密尔抑郁量表(HAMD)评估],认知功能[采用持续操作测验(CPT)、言语记忆测验(HVLT-R)、威斯康星卡片分类测验(WCST)评估],血清炎症因子[肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1、IL-10]水平,以及不良反应发生情况。结果:观察组患者总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,观察组患者BRMS、HAMD评分、TNF-α、IL-1及IL-10水平均低于对照组,CPT、HVLT-R、WCST评分均高于对照组,差异均有统计学意义(P<0.05);两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:针对青少年BD患者,rTMS与认知行为疗法的联合干预具有显著临床价值,不仅能有效调节患者情绪状态,还可促进认知功能提升,同时有助于调控机体炎症水平,并具有安全性。 展开更多
关键词 青少年双相情感障碍 认知行为疗法 重复经颅磁刺激
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重复经颅磁刺激联合认知行为疗法对老年认知障碍并抑郁症患者康复效果
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作者 李如华 赵贵芬 +2 位作者 柏政 马超群 刘天艳 《中国医药指南》 2025年第33期71-73,共3页
目的评估重复经颅磁刺激(rTMS)联合认知行为疗法对老年认知障碍并抑郁症患者康复效果的影响。方法2023年8月至2024年8月盐城市第四人民医院老年精神科纳入80例老年认知障碍并抑郁症患者,采用随机数字表法分为对照组(n=40)接受假刺激+常... 目的评估重复经颅磁刺激(rTMS)联合认知行为疗法对老年认知障碍并抑郁症患者康复效果的影响。方法2023年8月至2024年8月盐城市第四人民医院老年精神科纳入80例老年认知障碍并抑郁症患者,采用随机数字表法分为对照组(n=40)接受假刺激+常规治疗,观察组(n=40)接受10 Hz rTMS+结构化认知行为疗法。比较有效率、蒙特利尔认知评估量表(MoCA)、改良Barthel指数、临床疗效总评量表-疾病严重程度分量表(CGI-SI)、药物依从性评定量表(MARS)评分、抑郁情绪评分、WHOQOL-BREF评分差异。结果观察组病情改善有效率更高(P<0.05)。观察组MoCA、改良Barthel指数、CGI-SI、MARS评分均优于对照组(P<0.05)。观察组HAMD-17评分低于对照组(P<0.05)。观察组生活质量各项评分均高于对照组(P<0.05)。结论rTMS联合认知行为疗法联合干预可改善老年认知障碍并抑郁症患者认知功能并缓解抑郁症状,得益于神经营养因子的有效调控,病情改善进一步优化。 展开更多
关键词 老年认知障碍 抑郁症 重复经颅磁刺激 认知行为疗法 康复效果
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孤独症谱系障碍儿童屏幕使用研究进展
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作者 龙唐丹 《中华养生保健》 2025年第22期101-105,共5页
孤独症谱系障碍(ASD)是以社会沟通缺陷、重复刻板行为及感觉处理异常为核心特征的神经发育障碍性疾病,其患病率呈持续上升趋势,给个体、家庭及社会带来显著的终身经济负担。随着电子设备的普及,ASD儿童屏幕使用现象日益凸显,其屏幕媒介... 孤独症谱系障碍(ASD)是以社会沟通缺陷、重复刻板行为及感觉处理异常为核心特征的神经发育障碍性疾病,其患病率呈持续上升趋势,给个体、家庭及社会带来显著的终身经济负担。随着电子设备的普及,ASD儿童屏幕使用现象日益凸显,其屏幕媒介使用问题受到广泛关注。本综述系统梳理了ASD儿童屏幕使用现状及影响因素,探讨了屏幕使用对ASD儿童核心症状的影响,以及建议的干预策略。 展开更多
关键词 孤独症谱系障碍 屏幕使用 社会沟通 重复刻板行为 感觉敏感性 干预策略
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