Grasser Lana Ruvolo, Marusak Hilary
Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit MI.
Mental Health Sci. 2023 Jun;1(2):58-66. doi: 10.1002/mhs2.16. Epub 2023 Mar 22.
As the prevalence of childhood and adolescent anxiety, depression, and other mental health concerns continues to rise, there has been an unprecedented increase in support of mind-body practices like yoga, dance, meditation, mindfulness, aerobic exercise, and more-in part driven by the mental health burden imposed by the COVID-19 pandemic. While a growing body of evidence supports the safety and effectiveness of mind-body approaches, gaps in funding for and empirical research on mechanistic underpinnings, methodology development to assess multi-component therapeutic practices, dissemination and implementation, and diversity in researchers, practitioners, and recipients remain. As a consequence, the neurobiological impacts of mind-body techniques are not well understood nor broadly accepted as standard forms of care by clinicians and insurers-often being considered as 'alternative' rather than 'complementary' or 'integrative'. In this commentary, we summarize work from our labs and others highlighting the promise of mind-body approaches for improving mental health in youth, in line with the National Institute of Mental Health's strategic plan to address health disparities. We offer a potential framework for implementation and research-the Expressive Therapies Continuum. We also propose solutions to key research and policy gaps, that by could have positive public health impacts for those who are struggling and to prevent emergence of psychiatric illness, especially in developing youth.
随着儿童和青少年焦虑、抑郁及其他心理健康问题的患病率持续上升,对瑜伽、舞蹈、冥想、正念、有氧运动等身心锻炼法的支持出现了前所未有的增长,部分原因是新冠疫情带来的心理健康负担。虽然越来越多的证据支持身心锻炼法的安全性和有效性,但在其作用机制的资金投入和实证研究、评估多成分治疗方法的方法学发展、传播与实施,以及研究人员、从业者和接受者的多样性方面仍存在差距。因此,身心锻炼法对神经生物学的影响尚未得到充分理解,临床医生和保险公司也未将其广泛接受为标准的治疗形式,往往将其视为“替代疗法”而非“补充疗法”或“综合疗法”。在这篇评论中,我们总结了我们实验室及其他机构的研究成果,强调了身心锻炼法在改善青少年心理健康方面的前景,这与美国国立精神卫生研究所解决健康差距的战略计划相一致。我们提供了一个实施和研究的潜在框架——表达性疗法连续体。我们还针对关键的研究和政策差距提出了解决方案,这些方案可能会对那些正在挣扎的人产生积极的公共卫生影响,并预防精神疾病的出现,尤其是在青少年成长过程中。