Singh Jasprit, Jawhari Karl, Jaffé Mariela, Imfeld Lukas, Rabenschlag Franziska, Moeller Julian, Nienaber André, Lang Undine E, Huber Christian G
Universitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, Switzerland.
Faculty of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland.
Front Psychiatry. 2024 Feb 2;15:1338484. doi: 10.3389/fpsyt.2024.1338484. eCollection 2024.
Physical exercise has been shown to have numerous health benefits on co-morbid somatic conditions in psychiatry and can also enhance mental health. Thus, it is not difficult to recommend physical training programs as part of an integrated and holistic treatment approach for mental health disorders. However, getting patients to participate and keeping them engaged is a major challenge. Programs based on martial arts training could be interventions improving physical and mental health with higher attachment rates. The structured discipline, holistic approach integrating physical and mental elements, and empowering activities, may explain higher participant attachment rates.
Thus, the main objective of this feasibility study is to describe a newly established group therapy program incorporating interventions from martial arts training with its physical and philosophical parts including mindfulness and breath work.
During the 14-month study period from April 2021 to May 2022, a Budo group therapy was used by 215 individual persons with a total of 725 group therapy participations. Retention in the program was good across all settings and very good for persons who participated as outpatients. The mean age of the participants was 33.5 years with a range from 14 to 69 years of age, and about 41% of the participants were female. The therapy program was able to address patients over the whole spectrum of psychiatric diagnoses. Satisfaction and motivation were uniformly self-reported as very good. Patients self-reported improved mental and physical health after participating in a Budo session compared to pre-session.
Budo group therapy thus can be seen as a feasible, well-accepted and promising new transdiagnostic treatment approach, combining physical activation with resilience enhancement. With minimal contraindications, a broad spectrum of individuals seeking mental health support can engage in this group therapy.
体育锻炼已被证明对精神科共病的躯体状况有诸多健康益处，还能促进心理健康。因此，推荐体育锻炼项目作为心理健康障碍综合整体治疗方法的一部分并不困难。然而，让患者参与并保持其积极性是一项重大挑战。基于武术训练的项目可能是提高身心健康且参与率更高的干预措施。结构化的训练、融合身心元素的整体方法以及赋能活动，可能解释了较高的参与者参与率。
因此，本可行性研究的主要目的是描述一个新设立的团体治疗项目，该项目融合了武术训练的干预措施及其身体和哲学部分，包括正念和呼吸练习。
在2021年4月至2022年5月的14个月研究期间，215人使用了武道团体治疗，团体治疗参与总数为725次。在所有环境中该项目的留存率都很好，门诊参与者的留存率非常好。参与者的平均年龄为33.5岁，年龄范围为14至69岁，约41%的参与者为女性。该治疗项目能够针对各种精神科诊断的患者。满意度和积极性均自我报告为非常好。与治疗前相比，患者自我报告参加一次武道治疗后身心健康有所改善。
因此，武道团体治疗可被视为一种可行、广受接受且有前景的新的跨诊断治疗方法，将身体活动与增强复原力相结合。由于禁忌症极少，广泛寻求心理健康支持的人群都可以参与这种团体治疗。
