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癌症幸存者进行身心干预后唾液α-淀粉酶水平降低:一项探索性研究。

Reduction in salivary α-amylase levels following a mind-body intervention in cancer survivors--an exploratory study.

机构信息

Utah Center for Exploring Mind-Body Interactions (UCEMBI), Pain Research Center, Department of Anesthesiology, University of Utah School of Medicine, United States; Pain Research Center, Department of Anesthesiology, University of Utah School of Medicine, United States.

出版信息

Psychoneuroendocrinology. 2013 Sep;38(9):1521-31. doi: 10.1016/j.psyneuen.2012.12.021. Epub 2013 Feb 1.

Abstract

OBJECTIVE

The main aim of this exploratory study was to assess whether salivary α-amylase (sAA) and salivary cortisol levels would be positively modulated by sleep-focused mind-body interventions in female and male cancer survivors.

METHODS

We conducted a randomized controlled trial in which 57 cancer survivors with self-reported sleep disturbance received either a Sleep Hygiene Education (SHE; n=18) control, or one of two experimental mind-body interventions, namely, Mind-Body Bridging (MBB; n=19) or Mindfulness Meditation (MM; n=20). Interventions were three sessions each conducted once per week for three consecutive weeks. Saliva cortisol and sAA were measured at baseline and 1 week after the last session. Participants also completed a sleep scale at the same time points when saliva was collected for biomarker measurement.

RESULTS

Our study revealed that at post-intervention assessment, mean sAA levels upon awakening ("Waking" sample) declined in MBB compared with that of SHE. Mean Waking cortisol levels did not differ among treatment groups but declined slightly in SHE. Self-reported sleep improved across the three interventions at Post-assessment, with largest improvements in the MBB intervention.

CONCLUSION

In this exploratory study, sleep focused mind-body intervention (MBB) attenuated Waking sAA levels, suggesting positive influences of a mind-body intervention on sympathetic activity in cancer survivors with sleep disturbance.

摘要

目的

本探索性研究的主要目的是评估唾液α-淀粉酶(sAA)和唾液皮质醇水平是否会通过针对睡眠的身心干预在女性和男性癌症幸存者中得到积极调节。

方法

我们进行了一项随机对照试验,其中 57 名自我报告有睡眠障碍的癌症幸存者接受了睡眠卫生教育(SHE;n=18)对照,或两种实验性身心干预之一,即身心桥接(MBB;n=19)或正念冥想(MM;n=20)。干预措施为每周一次连续进行三次,每次一次。在最后一次会议结束后一周测量唾液皮质醇和 sAA。参与者还在收集生物标志物测量唾液的同时点完成了睡眠量表。

结果

我们的研究表明,在干预后评估时,MBB 组在觉醒时的平均 sAA 水平(“觉醒”样本)较 SHE 组下降。各组的平均觉醒皮质醇水平没有差异,但 SHE 组略有下降。三种干预措施均在后期评估中改善了自我报告的睡眠,其中 MBB 干预的改善最大。

结论

在这项探索性研究中,针对睡眠的身心干预(MBB)减弱了觉醒时的 sAA 水平,表明针对睡眠障碍的癌症幸存者的身心干预对交感神经活动有积极影响。

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