在慢性中风后期轻微缺陷的成年人中,正念和运动对认知和情绪的影响:随机对照试验
Adrià Bermudo-Gallaguet1, Mar Ariza2, Daniela Agudelo3
1Departament de Psicologia Clínica i Psicobiologia, Facultat de Psicologia, Universitat de Barcelona (UB), 08035 Barcelona, Spain; Institut de Neurociències, Universitat de Barcelona, 08035 Barcelona, Spain; Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Annals of physical and rehabilitation medicine
|August 22, 2025
概括
在认知训练中增加正念或运动并没有改善中风恢复结果. 然而, 身体炼增强了腿部力量, 而正念改善了情感健康, 表明对中风后康复有有针对性的益处.
科学领域:
- 神经康复
- 认知科学
- 行为医学
背景情况:
- 经历中风的患者往往会经历认知和情绪障碍.
- 基于正念的压力减轻 (MBSR),体力炼 (PE) 和计算机认知训练 (CCT) 在中风康复方面具有潜力.
研究的目的:
- 评估与单独使用CCT相比,MBSR或PE与CCT的结合是否提高认知和心理健康结果.
- 调查注意力或身体状况的改善是否会产生任何观察到的好处.
主要方法:
- 一个为期12周的单盲,三臂随机对照试验 (MindFit项目) 涉及慢性中风患者.
- 参与者被分配到MBSR+CCT,PE+CCT,或仅提供CCT,并通过网络进行干预.
- 主要结果包括认知和心理健康措施;次要结果评估了正念和身体健康.
主要成果:
- 两组之间没有观察到主要认知或心理健康结果的显著差异 (P > 0. 05).
- 在PE+CCT组,腿部强度显著改善 (调整后P=0.009).
- 在MBSR+CCT组中,正念改善调解了情绪结果 (B = -1.08).
结论:
- 在轻微的慢性中风缺陷中,添加MBSR或PE到CCT并没有比单独使用CCT产生更好的认知或情绪效益.
- PE+CCT增强了身体健康,而MBSR+CCT则提供了正念中介的情感收益.
- 需要对更大,更多样化的中风群体进行进一步的研究.
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