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“这是一把双刃剑”:一项对双相情感障碍患者运动体验的定性分析。

'It's a double edged sword': a qualitative analysis of the experiences of exercise amongst people with Bipolar Disorder.

机构信息

University of Exeter School of Psychology, Washington Singer Laboratories, Exeter, United Kingdom.

出版信息

J Affect Disord. 2012 Feb;136(3):634-42. doi: 10.1016/j.jad.2011.10.017. Epub 2011 Nov 17.

DOI:10.1016/j.jad.2011.10.017
PMID:22100131
Abstract

BACKGROUND

Little is known about the therapeutic or iatrogenic effects of exercise in individuals with Bipolar Disorder, despite its potential to benefit physical and mental health. Consequently the aim of the current study was to gather data on experiences of the relationship between exercise and Bipolar Disorder from people with personal experience of the condition. In particular we sought to determine the aspects of this relationship that are pertinent to Bipolar Disorder.

METHODS

Twenty five individuals with a diagnosis of Bipolar Disorder participated in a semi-structured interview concerning their views on the relationship between exercise and Bipolar Disorder. The data were subjected to qualitative analysis using an Interpretative Phenomenological Analysis approach.

RESULTS

Both a descriptive content analysis and a population-specific thematic analysis were conducted. The latter revealed three themes, all present in the majority of participants, which reflected key aspects of the relationship between Bipolar Disorder and exercise: regulating exercise for mood regulation, exercise as a double-edged sword, and bringing structure to chaos.

LIMITATIONS

Information on past and current treatment regimes was not collected, and additional lifestyle factors, such as diet and alcohol use, were not investigated. Interviews were conducted by telephone.

CONCLUSIONS

The data reveal a number of aspects of the relationship between exercise and Bipolar Disorder that require further investigation and that should be taken into account by clinicians or researchers designing exercise-based interventions for individuals with Bipolar Disorder.

摘要

背景

尽管运动有益于身心健康,但人们对双相情感障碍患者的治疗或医源性运动效果知之甚少。因此,目前的研究旨在从有双相情感障碍个人经验的人群中收集关于运动与双相情感障碍之间关系的经验数据。特别是,我们试图确定与双相情感障碍相关的这种关系的各个方面。

方法

25 名被诊断患有双相情感障碍的个体参加了关于他们对运动与双相情感障碍之间关系的看法的半结构化访谈。使用解释现象学分析方法对数据进行定性分析。

结果

进行了描述性内容分析和特定人群的主题分析。后者揭示了三个主题,这些主题都存在于大多数参与者中,反映了双相情感障碍和运动之间关系的关键方面:调节运动以调节情绪、运动是一把双刃剑、以及为混乱带来秩序。

局限性

未收集过去和当前治疗方案的信息,也未调查饮食和饮酒等其他生活方式因素。访谈是通过电话进行的。

结论

数据揭示了运动与双相情感障碍之间关系的一些方面,这些方面需要进一步研究,并应引起临床医生或研究人员的重视,他们正在为双相情感障碍患者设计基于运动的干预措施。

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