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太极拳干预对苯丙胺类兴奋剂依赖女性个体睡眠和心理健康的长期影响。

Long-Term Effects of Tai Chi Intervention on Sleep and Mental Health of Female Individuals With Dependence on Amphetamine-Type Stimulants.

作者信息

Zhu Dong, Dai Guobin, Xu Ding, Xu Xin, Geng Jingjing, Zhu Weimo, Jiang Xi, Theeboom Marc

机构信息

School of International Education and College of Wushu, Shanghai University of Sport, Shanghai, China.

College of Wushu, Shanghai University of Sport, Shanghai, China.

出版信息

Front Psychol. 2018 Aug 20;9:1476. doi: 10.3389/fpsyg.2018.01476. eCollection 2018.

Abstract

UNLABELLED

Previous studies provide evidence that Tai Chi (TC) can reduce the symptoms of sleep problems and be of benefit for the rehabilitation of substance abusers. In this study, we investigated if TC practice can improve sleep quality and mood of females who are dependent on amphetamine-type stimulant (ATS). Eighty subjects were randomly assigned to TC intervention and standard care (SC) for 6 months. We applied analysis of variance on repeated-measure with the year of drug dependence as the covariate to test the changes of the self-rated Pittsburg Sleep Quality Index (PSQI), Self-Rating Depression Scale (SDS), as well as fitness after 3 and 6 months. Relapse investigation was conducted by checking the database of China's National Surveillance System on Drug Abuse and that of the Shanghai Drug Control Committee's illicit drug dependents. Our investigation focused on the relapse of participants who had undergone and completed treatment in the Shanghai Mandatory Detoxification and Rehabilitation Center in 2015. The result showed that the PSQI scores of sleep duration [ = 9.86], need for sleep medications [ = 36.44] and daytime dysfunction [ = 5.15] were found to have a significant difference by time × group interaction after 6 months. SDS showed no significant difference between the two groups; however, the score of SDS in TC decreased after 6-month intervention, and no changes were observed in SC. Pulse rate had significantly decreased in the TC group compared with the SC group after 6 months. 9.5% (4) ATS dependents in TC and 26.3% (10) ATS dependents in SC were found to have relapsed. Our result suggested that TC had positive effects on sleep quality, depression and fitness. Long-term study demonstrated that TC may be a cheap and potential supplementary treatment for ATS-dependent individuals. TC may also be considered as an alternative exercise to escalate abstinence for ATS-dependent females.

CLINICAL TRIAL REGISTRATION

ChiCTR-IPR-14005343 chictr. org.cn.

摘要

未标注

先前的研究表明,太极拳(TC)可以减轻睡眠问题的症状,并有利于药物滥用者的康复。在本研究中,我们调查了练习太极拳是否能改善苯丙胺类兴奋剂(ATS)依赖女性的睡眠质量和情绪。80名受试者被随机分为太极拳干预组和标准护理组(SC),为期6个月。我们以药物依赖年限作为协变量,采用重复测量方差分析来测试3个月和6个月后自我评定的匹兹堡睡眠质量指数(PSQI)、自评抑郁量表(SDS)以及健康状况的变化。通过查阅中国国家药物滥用监测系统数据库和上海市禁毒委员会的非法药物依赖者数据库进行复发调查。我们的调查重点是2015年在上海市强制戒毒康复中心接受并完成治疗的参与者的复发情况。结果显示,6个月后,睡眠时长[=9.86]、睡眠药物需求[=36.44]和日间功能障碍[=5.15]的PSQI评分在时间×组间交互作用上存在显著差异。两组间SDS无显著差异;然而,太极拳干预组6个月后的SDS评分下降,标准护理组未观察到变化。6个月后,太极拳组的脉搏率与标准护理组相比显著下降。太极拳组中有9.5%(4名)ATS依赖者复发,标准护理组中有26.3%(10名)ATS依赖者复发。我们的结果表明,太极拳对睡眠质量、抑郁和健康状况有积极影响。长期研究表明,太极拳可能是一种廉价且有潜力的针对ATS依赖个体的辅助治疗方法。太极拳也可被视为一种替代运动,以提高ATS依赖女性的戒断率。

临床试验注册

ChiCTR-IPR-14005343 chictr.org.cn

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