Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020 Innsbruck, Austria.
Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020 Innsbruck, Austria.
Psychiatry Res. 2020 Sep;291:113245. doi: 10.1016/j.psychres.2020.113245. Epub 2020 Jun 22.
The aim of the present study was to compare acute effects of a climbing intervention (CI) on affective responses with a different exercise intervention (swimming, SI) and an occupational therapy intervention (OTI) in children and adolescents during in-patient treatment for mental health disorders. The following study was designed as a cross-over study. Participants completed three single 60 min interventions of CI, SI and OTI. Affective responses were assessed pre and post intervention and at 20 and 40 min during intervention. The sample consisted of 33 children and adolescents in mental-health inpatient care (ᴓage: 13.3 ± 2.2 years, ♀=39.4%). A significant time effect was seen in all interventions in increasing positive and reducing negative affect, p<.028, eta²>0.144. Repeated measures ANOVAs revealed a significant time by intervention effect for affective valence (p=.011, eta²=0.09), but not for perceived activation, favouring CI over SI and OCT between pre-test and the first 20 or 40 min, respectively. All interventions showed similar effects on affective responses pre to post interventions. CI seems to increase affective valence more strongly during intervention compared to SI and OTI. The present results may have implications for therapy adherence and acute emotion regulation in children and adolescent in-patients with mental health disorders.
本研究旨在比较攀爬干预（CI）与游泳干预（SI）和职业治疗干预（OTI）对精神障碍住院治疗儿童和青少年的急性影响。研究设计为交叉研究。参与者完成了三个 60 分钟的 CI、SI 和 OTI 单一干预。在干预前、干预后以及干预 20 分钟和 40 分钟时评估情感反应。该样本由 33 名在精神健康住院治疗的儿童和青少年组成（年龄：13.3 ± 2.2 岁，女性=39.4%）。所有干预均显示出时间对增加积极情绪和减少消极情绪的显著影响（p<.028，eta²>0.144）。重复测量方差分析显示，情感效价的时间与干预效果之间存在显著差异（p=.011，eta²=0.09），但感知激活则不然，CI 对 SI 和 OTI 的影响分别在测试前和前 20 分钟或 40 分钟时更为显著。所有干预对干预前后的情感反应均显示出相似的影响。与 SI 和 OTI 相比，CI 在干预期间更能强烈地增加情感效价。本研究结果可能对患有精神障碍的住院儿童和青少年的治疗依从性和急性情绪调节产生影响。
