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运动作为治疗酒精使用障碍的方法:一项定性研究。

Exercise as treatment for alcohol use disorder: A qualitative study.

机构信息

Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Centre for Psychiatry Research Sweden, Stockholm Health Services, Stockholm, Sweden.

出版信息

Drug Alcohol Rev. 2022 Nov;41(7):1642-1652. doi: 10.1111/dar.13527. Epub 2022 Sep 8.

DOI:10.1111/dar.13527
PMID:36073088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9826429/
Abstract

INTRODUCTION

Exercise is a promising treatment option for individuals with alcohol use disorder, but qualitative studies are lacking. Our aim was to explore experiences of yoga and aerobic exercise among non-treatment-seeking adults with alcohol use disorder.

METHODS

Semi-structured qualitative interviews (face-to-face or telephone) with 12 participants from a randomised controlled trial. Qualitative content analysis was used to analyse data.

RESULTS

One main category was identified, motivating and maintaining a lifestyle change, including four generic categories: (i) Initiating factors for lifestyle change, which describes how the concept of a lifestyle change initiated participants change; (ii) Influencing lifestyle change, explains how mood-enhancing effects from exercise influence exercise behaviours; (iii) Influencing physical and mental health, which describes how improvements in physical and mental health influence self-confidence and self-esteem; and (iv) Influencing alcohol consumption, which describes how exercise reduced alcohol cravings and that success in changing exercise behaviours made participants take healthier decisions regarding their alcohol intake.

DISCUSSION AND CONCLUSIONS

Exercise may help reduce alcohol intake, especially when presented in the context of a lifestyle change. Being able to self-select the type of exercise may increase compliance and optimise these benefits. Intentional planning and positive results from exercise may strengthen the individual's self-efficacy and increase the motivation to change behaviours associated with alcohol consumption.

摘要

引言

运动是治疗酒精使用障碍患者的一种很有前途的治疗方法,但缺乏定性研究。我们的目的是探索非治疗寻求的酒精使用障碍成年人对瑜伽和有氧运动的体验。

方法

对来自一项随机对照试验的 12 名参与者进行了半结构化的定性访谈(面对面或电话)。使用定性内容分析法分析数据。

结果

确定了一个主要类别,即促进和维持生活方式的改变,包括四个一般类别:(i)生活方式改变的起始因素,描述了生活方式改变的概念如何引发参与者的改变;(ii)影响生活方式的改变,解释了运动的情绪增强效果如何影响运动行为;(iii)影响身心健康,描述了身心健康的改善如何影响自信和自尊;以及(iv)影响酒精摄入,描述了运动如何减少对酒精的渴望,以及改变运动行为的成功使参与者对饮酒做出更健康的决定。

讨论与结论

运动可能有助于减少酒精摄入,特别是当将其作为生活方式改变的一部分时。能够自我选择运动类型可能会提高依从性并优化这些益处。运动的计划性和积极结果可能会增强个体的自我效能感,并增加改变与酒精摄入相关行为的动机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481b/9826429/c2312e38606f/DAR-41-1642-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481b/9826429/c2312e38606f/DAR-41-1642-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481b/9826429/c2312e38606f/DAR-41-1642-g001.jpg

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