运动作为精神分裂症患者的附加治疗:来自大型多中心随机对照试验的结果
Isabel Maurus1, Lukas Roell2, Moritz Lembeck1
1Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Psychiatry research
|September 16, 2023
概括
有氧耐力训练 (AET) 在改善精神分裂症患者的结果方面没有超过灵活性训练. 然而,这两种运动类型都在症状,认知和功能方面都有好处,支持在精神分裂症治疗中炼整合.
科学领域:
- 精神病学是一个精神病学.
- 运动科学 运动科学
- 临床心理学 临床心理学
背景情况:
- 目前的精神分裂症治疗往往无法完全恢复,导致持续的负面症状和认知缺陷.
- 有氧耐力训练 (AET) 是作为精神分裂症患者身心健康的补充疗法.
- 精神分裂症的治疗需要新的方法来解决残留症状并改善患者的功能.
研究的目的:
- 评估有氧耐力训练 (AET) 作为稳定精神分裂症患者的补充治疗的有效性.
- 将AET与灵活性,强化和平衡训练 (FSBT) 对临床结果,认知和功能进行比较.
- 评估运动干预对精神病理学,认知缺陷和精神分裂症心血管风险的影响.
主要方法:
- 进行了一项大规模的,多中心的,评估者盲目的,并行组随机对照试验.
- 180名患有稳定精神分裂症的参与者被随机分配到六个月的AET计划或FSBT对照组.
- 在干预后的另外六个月内进行了后续评估.
主要成果:
- 有氧耐力训练 (AET) 没有优于灵活性,强化和平衡训练 (FSBT) 在任何原因停止或大多数次要结果方面.
- 两组AET和FSBT都在积极,一般和总体精神症状,功能和认知表现方面显著改善.
- 更高的训练频率与增强的记忆功能相关,具有更好的基线认知能力的个体对干预措施的反应更大.
结论:
- 运动干预措施,包括AET和FSBT,在改善精神分裂症患者的症状,认知和功能方面表现有前途.
- 虽然AET没有显示出优于FSBT的优势,但研究结果支持将运动纳入精神分裂症治疗方案.
- 未来的研究应该专注于个性化的运动建议,以最大限度地提高精神分裂症患者的益处.
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