Effects of tai chi chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study.

Effects of tai chi chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study.
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太极拳对年轻人焦虑和睡眠质量的影响:随机对照可行性研究的教训。

DOI:
10.2147/nss.s117392
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发表时间:
2016
影响因子:
3.4
通讯作者:
Pieper CF
Pieper CF
中科院分区:
医学3区
文献类型:
--
作者:
Caldwell KL;Bergman SM;Collier SR;Triplett NT;Quin R;Bergquist J;Pieper CF

文献摘要

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确定10周太极拳(TCC)干预对年轻人焦虑和睡眠质量的可行性和影响。75名成年人(18-40岁)来自一所以本科为主的中型大学。这是一项评估者盲法随机可行性试验,参与者被随机分为三组:每周2次为期10周的TCC会议,为期10周的TCC课程DVD,对照组接受焦虑管理讲义。对焦虑和睡眠质量进行了4次评估:基线、4周、10周(干预后立即)和干预后2个月。保留被定义为参加基线评估和至少一次其他评估的参与者。坚持干预被设定为在80%的TCC类出席先验。85%的参与者在干预期间被保留,70%的参与者完成了2个月的随访评估。为了增加统计功效,在焦虑和睡眠质量指标的分析中将两个TCC组合并。在对照组中没有发现焦虑的显着变化,而两个TCC组的焦虑水平随着时间的推移显着下降。所有三组的睡眠质量评分都随着时间的推移而改善,但坚持TCC的参与者报告的改善程度高于对照组。TCC可能是改善年轻人焦虑和睡眠质量差的有效非药物手段。
To determine feasibility and estimate the effect of a 10-week tai chi chuan (TCC) intervention on anxiety and sleep quality in young adults. Seventy-five adults (18–40 years) from a predominately undergraduate midsized university. This was an assessor blinded, randomized feasibility trial, and participants were randomized into one of three groups: 10 weeks of TCC meeting 2 times per week, 10 weeks of TCC with a DVD of the curriculum, and control group receiving a handout on anxiety management. Anxiety and sleep quality were assessed 4 times: baseline, 4 weeks, 10 weeks (immediate post-intervention), and 2 months post-intervention. Retention was defined as a participant attending the baseline assessment and at least one other assessment. Adherence to the intervention was set a priori as attendance at 80% of the TCC classes. Eighty-five percent of participants were retained during the intervention and 70% completed the 2 month follow-up assessments. To increase statistical power, the two TCC groups were combined in the analyses of anxiety and sleep quality measures. No significant changes in anxiety were found in the control group, while levels of anxiety decreased significantly over time in the two TCC groups. Sleep quality scores improved across time for all three groups, but adherent TCC participants reported greater improvement than control participants. TCC may be an effective nonpharmaceutical means of improving anxiety and poor sleep quality in young adults.