太极拳治疗抑郁症:现状与未来展望
Treating Depression With Tai Chi: State of the Art and Future Perspectives.
作者信息
Kong Jian, Wilson Georgia, Park Joel, Pereira Kaycie, Walpole Courtney, Yeung Albert
机构信息
Psychiatry Department, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Depression Clinical and Research Program, Massachusetts General Hospital, Boston, MA, United States.
出版信息
Front Psychiatry. 2019 Apr 12;10:237. doi: 10.3389/fpsyt.2019.00237. eCollection 2019.
Major depressive disorder (MDD) is one of the most prevalent mental illnesses in America. Current treatments for MDD are unsatisfactory given high non-response rates, high relapse rates, and undesirable side effects. Accumulating evidence suggests that Tai Chi, a popular mind-body intervention that originated as a martial art, can significantly regulate emotion and relieve the symptoms of mood disorders. In addition, the availability of instructional videos and the development of more simplified and less structured Tai Chi has made it a promising low-intensity mind-body exercise. In this article, we first examine a number of clinical trials that implemented Tai Chi as a treatment for depression. Then, we explore several mechanisms by which Tai Chi may alleviate depressive symptoms, hypothesizing that the intervention may modulate the activity and connectivity of key brain regions involved in mood regulation, reduce neuro-inflammatory sensitization, modulate the autonomic nervous system, and regulate hippocampal neurogenesis. Finally, we discuss common challenges of the intervention and possible ways to address them. Specifically, we pose developing a simplified and tailored Tai Chi protocol for patients with depression, comparatively investigating Tai Chi with other mind-body interventions such as yoga and Baduanjin, and developing new mind-body interventions that merge the advantages of multiple mind-body exercises.
重度抑郁症(MDD)是美国最常见的精神疾病之一。鉴于高无反应率、高复发率和不良副作用,目前针对MDD的治疗并不令人满意。越来越多的证据表明,太极拳作为一种起源于武术的流行身心干预方法,能够显著调节情绪并缓解情绪障碍症状。此外,教学视频的可得性以及更简化、结构化程度更低的太极拳的发展,使其成为一种有前景的低强度身心运动。在本文中,我们首先考察一些将太极拳作为抑郁症治疗方法的临床试验。然后,我们探讨太极拳可能减轻抑郁症状的几种机制,推测该干预可能调节参与情绪调节的关键脑区的活动和连接性,降低神经炎症敏感性,调节自主神经系统,并调节海马体神经发生。最后,我们讨论该干预的常见挑战以及应对这些挑战的可能方法。具体而言,我们提出为抑郁症患者制定简化且量身定制的太极拳方案,将太极拳与瑜伽和八段锦等其他身心干预方法进行比较研究,以及开发融合多种身心运动优势的新型身心干预方法。
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