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内感受敏感性在大学生体育活动与抑郁症状关系中的中介作用

The Mediating Role of Interoceptive Sensitivity in the Relationship between Physical Activity and Depression Symptoms in College Students.

作者信息

Sun Qian, Shen Xiaona, Qi Meiling, Suliman Muhammad, Tian Siyu

机构信息

School of Physical Education, Shandong University, Jinan 266237, China.

School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China.

出版信息

Behav Sci (Basel). 2024 Jul 18;14(7):608. doi: 10.3390/bs14070608.

DOI:10.3390/bs14070608
PMID:39062431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11273503/
Abstract

A substantial body of evidence indicates that neurological, psychological, and behavioral health issues are profoundly linked to interoceptive sensitivity. The present study aimed to identify the effects of interoceptive sensitivity on the relationship between physical activity and symptoms of depression in Chinese college students. This study employed a cross-sectional design using convenience sampling. An online self-reported survey was distributed to college students in China. The participants' interoceptive sensitivity, physical activity levels, and depressive symptoms were measured using the MAIA-2, IPAQ-SF, and PHQ-9, respectively. The mediating effect was tested via regression analysis and a parallel mediation model, with bootstrap confidence intervals for indirect effects. The results showed a significant negative correlation between physical activity and depression. A significant positive correlation was observed between physical activity and seven dimensions of interoceptive sensitivity. Conversely, interoceptive sensitivity exhibited a negative correlation with depression. The bootstrap mediation analysis showed that the "not distracting" and "trusting" dimensions of interoceptive sensitivity had significant indirect effects on the relationship between physical activity and depression, suggesting that physical activity might reduce depressive symptoms via these two interoceptive sensitivity dimensions. The findings suggest that interoceptive sensitivity should be integrated into therapeutic interventions, such as physical activity interventions, in the treatment of mental illnesses, particularly depression. Increasing physical activity levels, with a specific focus on enhancing interoceptive modulation, appears to be a promising approach for addressing depression in college students.

摘要

大量证据表明,神经、心理和行为健康问题与内感受性敏感性密切相关。本研究旨在确定内感受性敏感性对中国大学生身体活动与抑郁症状之间关系的影响。本研究采用便利抽样的横断面设计。向中国大学生发放了一份在线自我报告调查问卷。分别使用MAIA - 2、IPAQ - SF和PHQ - 9测量参与者的内感受性敏感性、身体活动水平和抑郁症状。通过回归分析和平行中介模型检验中介效应,并给出间接效应的Bootstrap置信区间。结果显示,身体活动与抑郁之间存在显著负相关。身体活动与内感受性敏感性的七个维度之间存在显著正相关。相反,内感受性敏感性与抑郁呈负相关。Bootstrap中介分析表明,内感受性敏感性的“不分心”和“信任”维度对身体活动与抑郁之间的关系有显著间接效应,这表明身体活动可能通过这两个内感受性敏感性维度减轻抑郁症状。研究结果表明,在内感受性敏感性在精神疾病尤其是抑郁症的治疗中,应将其纳入治疗干预措施,如身体活动干预。提高身体活动水平,特别是专注于增强内感受性调节,似乎是解决大学生抑郁症的一种有前景的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e688/11273503/13303ece285b/behavsci-14-00608-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e688/11273503/13303ece285b/behavsci-14-00608-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e688/11273503/13303ece285b/behavsci-14-00608-g001.jpg

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Front Psychol. 2024 Mar 11;15:1349880. doi: 10.3389/fpsyg.2024.1349880. eCollection 2024.
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Long-term outcomes of physical activity counseling in in-patients with major depressive disorder: results from the PACINPAT randomized controlled trial.躯体活动咨询对住院抑郁症患者的长期结局影响:PACINPAT 随机对照试验结果。
Transl Psychiatry. 2024 Mar 23;14(1):160. doi: 10.1038/s41398-024-02885-0.
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BMC Sports Sci Med Rehabil. 2024 Mar 19;16(1):68. doi: 10.1186/s13102-024-00863-z.
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Validation of the shortened 24-item multidimensional assessment of interoceptive awareness, version 2 (Brief MAIA-2).验证缩短版 24 项多维内感受性意识评估量表 2 版(Brief MAIA-2)。
Sci Rep. 2023 Dec 2;13(1):21270. doi: 10.1038/s41598-023-48536-0.
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Severity of depressive symptoms moderates the sympathoinhibitory effect of local skin warming following exposure to a social stressor.抑郁症状的严重程度调节了暴露于社会应激源后局部皮肤变暖对交感神经抑制的影响。
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