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舞蹈/运动疗法作为一种整体方法,可减少精神分裂症患者的健康差异,促进其整体健康:文献综述。

Dance/movement therapy as a holistic approach to diminish health discrepancies and promote wellness for people with schizophrenia: a review of the literature.

机构信息

Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA, 19107, USA.

出版信息

F1000Res. 2023 Aug 1;12:33. doi: 10.12688/f1000research.127377.2. eCollection 2023.

Abstract

Individuals with a diagnosis of schizophrenia face a myriad of obstacles to wellness, beginning with diagnostic discrepancies including over- and misdiagnoses on the schizophrenia spectrum. People with schizophrenia experience profound amounts of stigmatization from the general population, their healthcare providers, and even themselves. Such stigmatization creates a barrier for wellness, poorer prognoses, and often limits adherence to physical and mental healthcare. Moreover, it can exacerbate the already stifling symptomatology of their diagnoses, including specific bodily-related symptomatology. Oftentimes, a diagnosis of schizophrenia disrupts one's relationship with their body including a diminished mind-body connection, decreased interoceptive awareness, and thus unsuccessful intra- and interpersonal relationships. Some recent research suggests the use of mind-body therapies, however, if these practices are internalizing, they may not be appropriate for people with schizophrenia experiencing more acute symptomatology excluding them from treatment. Dance/movement therapy (DMT) is an embodied psychotherapeutic treatment option that can support participants in improving mind-body connection, social relationships, and self-regulatory skill development. Research on DMT has shown promising results for people with schizophrenia, however such research is limited and would benefit from increased studies that particularly measure the effects of DMT on mind-body connection and increased interoception for people with schizophrenia. Moreover, integrative and collaborative treatment models that couple DMT and biofeedback may further our understanding of the physiological and neurological effects of DMT interventions for people with schizophrenia and beyond. This review will examine the recent literature on health inequities for people with schizophrenia, their specific body-based disruptions and needs, and DMT as a promising treatment model, particularly when coupled with biofeedback.

摘要

个体被诊断患有精神分裂症,他们在实现健康的过程中面临着无数的障碍,首先是诊断方面的差异,包括在精神分裂症谱系上的过度诊断和误诊。精神分裂症患者会受到来自普通大众、医疗保健提供者甚至他们自己的严重污名化。这种污名化会对健康产生障碍,导致预后更差,并且常常限制他们对身心健康的护理的坚持。此外,它会加剧他们诊断中已经存在的症状,包括特定的身体相关症状。通常情况下,精神分裂症的诊断会破坏一个人与自己身体的关系,包括思维与身体的联系减弱、内在感知意识降低,从而导致人际关系和人际互动的失败。一些最近的研究表明可以使用身心疗法,但是,如果这些实践是内化的,那么对于患有更严重症状的精神分裂症患者来说可能并不合适,因为这些实践会使他们无法接受治疗。舞蹈/运动疗法 (DMT) 是一种体现心理治疗的治疗选择,可以帮助参与者改善思维与身体的联系、社会关系和自我调节技能的发展。对 DMT 的研究表明,其对精神分裂症患者有很好的效果,但是这种研究是有限的,需要更多的研究来特别衡量 DMT 对精神分裂症患者的身心联系和内在感知的影响。此外,将 DMT 与生物反馈相结合的综合和协作治疗模式可能会进一步了解 DMT 干预对精神分裂症患者及其他人群的生理和神经影响。本综述将探讨最近关于精神分裂症患者健康不平等、他们特定的身体障碍和需求以及 DMT 作为一种有前途的治疗模式的文献,特别是当与生物反馈结合使用时。

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本文引用的文献

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Understanding stigma toward schizophrenia.了解对精神分裂症的污名化。
Psychiatry Res. 2022 Dec;318:114970. doi: 10.1016/j.psychres.2022.114970. Epub 2022 Nov 19.

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