Innes Kim E, Selfe Terry Kit
Department of Epidemiology, West Virginia University , Morgantown, WV , USA ; Center for the Study of Complementary and Alternative Therapies, University of Virginia Health System , Charlottesville, VA , USA.
Front Psychiatry. 2014 Apr 23;5:40. doi: 10.3389/fpsyt.2014.00040. eCollection 2014.
Alzheimer's disease (AD) is a chronic, progressive, brain disorder that affects at least 5.3 million Americans at an estimated cost of $148 billion, figures that are expected to rise steeply in coming years. Despite decades of research, there is still no cure for AD, and effective therapies for preventing or slowing progression of cognitive decline in at-risk populations remain elusive. Although the etiology of AD remains uncertain, chronic stress, sleep deficits, and mood disturbance, conditions common in those with cognitive impairment, have been prospectively linked to the development and progression of both chronic illness and memory loss and are significant predictors of AD. Therapies such as meditation that specifically target these risk factors may thus hold promise for slowing and possibly preventing cognitive decline in those at risk. In this study, we briefly review the existing evidence regarding the potential utility of meditation as a therapeutic intervention for those with and at risk for AD, discuss possible mechanisms underlying the observed benefits of meditation, and outline directions for future research.
阿尔茨海默病(AD)是一种慢性、进行性脑部疾病,影响着至少530万美国人,估计花费达1480亿美元,预计未来几年这些数字将急剧上升。尽管经过数十年研究,AD仍无法治愈,针对高危人群预防或减缓认知衰退的有效疗法仍难以找到。虽然AD的病因尚不确定,但慢性应激、睡眠不足和情绪障碍,这些认知障碍患者常见的情况,已被前瞻性地与慢性病和记忆力丧失的发生及发展联系起来,并且是AD的重要预测因素。因此,诸如冥想等专门针对这些风险因素的疗法,可能有望减缓并可能预防高危人群的认知衰退。在本研究中,我们简要回顾了关于冥想作为AD患者及高危人群治疗干预措施潜在效用的现有证据,讨论了冥想所观察到的益处背后可能的机制,并概述了未来研究的方向。