Effects of tai chi chuan on psychobiological indicators of anxiety and sleep qual
太极拳对焦虑和睡眠质量心理生物学指标的影响
基本信息
- 批准号:8366141
- 负责人:
- 金额:$ 39.31万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-09-01 至 2016-08-31
- 项目状态:已结题
- 来源:
- 关键词:AdolescenceAdverse effectsAffectAffectiveAnxietyAnxiety DisordersArousalBehavioralBiological MarkersCardiacChronicClinical TrialsCognitionCognitiveDevelopmentDiagnosisEducationExerciseFeasibility StudiesHealthHydrocortisoneInterventionMeasurementMeasuresMental disordersMeta-AnalysisMethodsMind-Body InterventionModalityMoodsOutcomePathway interactionsPhysiologicalPilot ProjectsPopulationProcessProtocols documentationPsychological FactorsRandomizedRandomized Controlled TrialsRecommendationResearchSalivaryScreening procedureSleepStigmataStressSymptomsTai JiTestingThinkingTimealpha-amylasealternative treatmentbasecollegecosteconomic costimprovedpost interventionpsychobiologicpsychologicpsychological stressorresponsesocialsocial stigmastandard carestress managementstressortheoriestrial comparingyoung adult
项目摘要
DESCRIPTION (provided by applicant): The long-term objective of this research is to investigate the effects of tai chi chuan on symptoms of anxiety and sleep quality in young adults. Anxiety disorders are estimated to affect 25% of the population over the lifetime and are associated with significant personal, social and economic costs. People with poor sleep quality are 1.97 to 6.3 times more likely to develop anxiety disorders and 4.0 times more likely to develop psychiatric disorders in general (Taylor, Lichstein, & Durrence, 2003). Adolescence and young adulthood are key times for development of early signs of anxiety disorders. Cognitive-behavioral and pharmacological interventions are available for treatment of anxiety, but the diagnosis of a mental illness carries a stigma that keeps many young people away from these standard treatments. Exercise is a promising low-cost intervention with minimal negative side effects that is an alternative treatment for anxiety and poor sleep quality. A recent meta-analysis
found moderate effect sizes for physical exercise interventions on symptoms of anxiety, but the means by which exercise has these effects remains largely unknown (Wipfli, Rethorst, & Landers, 2008). [Specifically for tai chi chuan, another recent meta-analysis found moderate effect sizes on symptoms of anxiety (Wang et al., 2010).] Brosschot, Gerin, and Thayer (2006) hypothesized that perseverative cognition moderates the health consequences of stressors because it can prolong stress-related affective and physiological activation. They define perseverative cognition as repetitive thoughts containing a representation of one or more psychological stressors. Based on their theory, we propose two processes through which the mindful exercise practice of tai chi chuan may ameliorate the effects of stress and symptoms of anxiety: (1) cognitively by reducing perseverative cognition and improving psychological functioning, and (2) physiologically by reducing chronic physiological arousal. [We propose a randomized controlled trial comparing tai chi chuan with a stress management education group on changes in anxiety and sleep quality. The primary aim of this study is to determine the feasibility of a protocol to compare the effects of these two groups including our recruitment, screening, randomization, retention, and measurement methods. The secondary aim of this study is to elucidate psychobiological processes associated with reductions in symptoms of anxiety and improvements in sleep quality. Targeted biomarkers are salivary cortisol, salivary alpha-amylase, and cardiac autonomic modulation. Information about the response of anxiety and sleep quality to tai chi chuan will be valuable in formulating treatment recommendations for young adults.
PUBLIC HEALTH RELEVANCE: Adolescence and young adulthood are key times for development of early signs of anxiety disorders. Cognitive-behavioral and pharmacological interventions are available for treatment of anxiety, but the diagnosis of a mental illness carries
a stigma that keeps many young people away from these standard treatments, and pharmacological interventions can have negative side effects. Information about who responds to tai chi chuan will be valuable in formulating treatment recommendations for young adults with symptoms of anxiety and attendant poor sleep quality.
描述(由申请人提供):本研究的长期目标是探讨太极拳对年轻人焦虑症状和睡眠质量的影响。据估计,一生中焦虑症影响25%的人口,并与重大的个人、社会和经济成本相关。睡眠质量差的人患焦虑症的可能性是常人的1.97 - 6.3倍,患精神疾病的可能性是常人的4.0倍(Taylor, Lichstein, & Durrence, 2003)。青春期和青年期是出现焦虑症早期症状的关键时期。认知行为和药物干预可以用于治疗焦虑症,但精神疾病的诊断带有一种耻辱,使许多年轻人远离这些标准治疗。运动是一种有希望的低成本干预措施,负面副作用最小,是治疗焦虑和睡眠质量差的另一种治疗方法。最近的荟萃分析
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Effects of tai chi chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study.
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
- 发表时间:2016
- 期刊:
- 影响因子:3.4
- 作者:Caldwell KL;Bergman SM;Collier SR;Triplett NT;Quin R;Bergquist J;Pieper CF
- 通讯作者:Pieper CF
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Karen Leigh Caldwell其他文献
Karen Leigh Caldwell的其他文献
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