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使用功能性近红外光谱法阐明马术辅助服务的神经生理作用机制:概念验证研究。

Using Functional Near-Infrared Spectroscopy to Elucidate Neurophysiological Mechanism of Action of Equine-Assisted Services: Proof-of-Concept Study.

作者信息

Lanning Beth A, Smith Cory M, Ugale Cierra, Nazarenko Elena, Marchand William R

机构信息

Department of Public Health, Baylor University, Waco, TX 76655, USA.

Department of Health, Human Performance and Recreation, Baylor University, Waco, TX 76655, USA.

出版信息

Int J Environ Res Public Health. 2025 Aug 19;22(8):1294. doi: 10.3390/ijerph22081294.

DOI:10.3390/ijerph22081294
PMID:40869879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12386777/
Abstract

Equine-assisted services (EAS) are used for civilian and military trauma survivors to reduce depression and posttraumatic stress symptoms. While early scientific evidence supports the benefits of EAS, the neurophysiological mechanisms underlying these benefits are unknown. The specific aims of this exploratory study were to determine (1) whether functional near-infrared spectroscopy (fNIRS) neuroimaging can be used to explore neural responses of EAS veteran participants and (2) the correlation between neural responses and psychological outcomes of the participants interacting with equines. Fifteen veterans participated in a 2-day EAS program consisting of four randomized activities. An fNIRS sensor cap was used to measure the oxygenated (OHb), deoxygenated (hHb), and total hemoglobin (tHb) of the participants during each activity. The results indicated no significant differences for OHb and tHb across the visits or activities, however, a significant difference in hHb was observed. There was an increase in hHb during the activities that included an equine, which indicated a greater cognitive load and attention. Further, data from pre-/post-psychometric assessments showed a significant improvement in participants' trait anxiety, psychological flexibility, and positive and negative affect after interacting with the horse. Preliminary data revealed a potential association between the cognitive attention and psychological health of participants during an EAS session.

摘要

马术辅助服务(EAS)被用于 civilian 和军事创伤幸存者,以减轻抑郁和创伤后应激症状。虽然早期科学证据支持 EAS 的益处,但其潜在的神经生理机制尚不清楚。这项探索性研究的具体目的是确定:(1)功能近红外光谱(fNIRS)神经成像是否可用于探索参与 EAS 的退伍军人的神经反应;(2)参与者与马匹互动时神经反应与心理结果之间的相关性。15 名退伍军人参加了一个为期 2 天的 EAS 项目,该项目包括四项随机活动。在每项活动期间,使用 fNIRS 传感器帽测量参与者的氧合血红蛋白(OHb)、脱氧血红蛋白(hHb)和总血红蛋白(tHb)。结果表明,OHb 和 tHb 在各次访视或活动之间无显著差异,然而,观察到 hHb 有显著差异。在与马相关的活动中,hHb 有所增加,这表明认知负荷和注意力增强。此外,心理测量评估前后的数据显示,参与者在与马互动后,特质焦虑、心理灵活性以及积极和消极情绪有显著改善。初步数据揭示了 EAS 课程期间参与者的认知注意力与心理健康之间的潜在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/6f7a692e7815/ijerph-22-01294-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/3030a496347e/ijerph-22-01294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/3b2257a5e590/ijerph-22-01294-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/6f7a692e7815/ijerph-22-01294-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/3030a496347e/ijerph-22-01294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/3b2257a5e590/ijerph-22-01294-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb5/12386777/6f7a692e7815/ijerph-22-01294-g003.jpg

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本文引用的文献

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Are equine-assisted services beneficial for military veterans with post-traumatic stress disorder? A systematic review and meta-analysis.马术辅助服务对患有创伤后应激障碍的退伍军人有益吗?一项系统评价和荟萃分析。
BMC Psychiatry. 2024 Aug 1;24(1):544. doi: 10.1186/s12888-024-05984-w.
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Structural Neuroimaging of Hippocampus and Amygdala Subregions in Posttraumatic Stress Disorder: A Scoping Review.创伤后应激障碍中海马体和杏仁核亚区域的结构神经影像学:一项范围综述
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Potential Mechanisms of Action and Outcomes of Equine-Assisted Services for Veterans with a History of Trauma: A Narrative Review of the Literature.创伤后退役军人接受马术辅助服务的潜在作用机制和效果:文献回顾的叙事性综述。
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Brain Topogr. 2023 Jul;36(4):500-516. doi: 10.1007/s10548-023-00963-y. Epub 2023 Apr 29.
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Evaluation of a mindfulness and self-compassion-based psychotherapy incorporating horses for Veterans who have experienced trauma.创伤后老兵接受基于正念和自我关怀的心理治疗中纳入马匹的效果评估。
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