Effect of interactive exergame training on physical fitness and executive function among men with substance use disorder in rehabilitation center

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-03-01 DOI:10.1016/j.mhpa.2024.100598

Jiawei Guo, Longhai Zhang, Ling Zhang, Yanbing Li, Shutong Yang, Yixuan Sun, Ruoqi Zhang, Wenfei Zhu

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引用次数: 0

Abstract

Background

Substance use disorder (SUD) is a chronic disease characterized by drug seeking and use that is compulsive or difficult to control despite harmful consequences. Researchers have found treatments to help people recover from SUD and lead productive lives. Exercise therapies have been approved to be effective on executive function, physical fitness, and cravings in men with SUD. Exergaming, which involves physical activity through interactive video games, has attracted considerable interest due to its ability to provide a fun and engaging aerobic workout while stimulating cognitive functions. However, despite its popularity in recreational settings and its potential to promote physical fitness and cognitive well-being, the use of exergaming as a therapeutic modality for SUD remains relatively underexplored. This study aimed to investigate the effects of exergame on physical fitness and executive function in men with SUD.

Methods

The 44 compulsory men in a rehabilitation center (mean age = 39.7 ± 9.2 years) were divided to either an exergame training (ET) or a control group. The ET group underwent a moderate-intensity (65%–75% of maximum heart rate) exergame training intervention (Fitness Boxing 2 & Super Mario Party) for 50 min thrice weekly during a 12-week period. The control group maintained their original lifestyle in the rehabilitation center. Before and after the intervention, participants were evaluated for drug craving, executive function (working memory and attention bias), and physical fitness (blood biochemical, choice reaction time, and BMI et al.).

Results

The exergame training group showed a significantly positive effect in drug craving and attention bias score, relative to the control group (drug craving: F = 4.374, p = 0.043, d = − 0.51; attention bias score: F = 4.832, p = 0.034, d = − 0.357). No significant effect has been found in other variables (p > 0.05).

Conclusion

The 12-week interactive exergame training can effectively reduce drug craving and improve executive function in men with SUD in drug rehabilitation centers. This training may offer a new and alternative exercise treatment against SUD. Exercise treatment approaches tailored to men with SUD may lead to continued recovery in health and lower the risk of returning to substance use.

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互动式电子游戏训练对康复中心药物使用障碍男性患者体能和执行功能的影响

背景物质使用障碍（Substance use disorder，SUD）是一种慢性疾病，其特征是强迫性或难以控制地寻求和使用毒品，尽管这样做会带来有害的后果。研究人员发现了一些治疗方法，可以帮助人们从药物滥用症中恢复过来，过上富有成效的生活。运动疗法已被批准对患有药物依赖性失调症的男性患者的执行功能、体能和渴求感有效。运动游戏（Exergaming）是指通过互动视频游戏进行体育锻炼，由于其能够在刺激认知功能的同时提供有趣且引人入胜的有氧锻炼，因此引起了人们的极大兴趣。然而，尽管外格游戏在娱乐环境中很受欢迎，而且具有促进体能和认知健康的潜力，但将外格游戏作为一种治疗 SUD 的方式仍相对缺乏探索。本研究旨在探讨外显子游戏对男性 SUD 患者的体能和执行功能的影响。ET组接受中等强度（最大心率的65%-75%）的外显子游戏训练干预（健身拳击2 & 超级马里奥派对），为期12周，每周三次，每次50分钟。对照组则在康复中心保持原有的生活方式。干预前后，对参与者的药物渴求、执行功能（工作记忆和注意力偏差）和体能（血液生化指标、选择反应时间和体重指数等）进行了评估。结果相对于对照组，外部游戏训练组在药物渴求和注意力偏差得分方面表现出显著的正效应（药物渴求：F = 4.374，P = 0.05）：F = 4.374，p = 0.043，d = - 0.51；注意力偏差得分：F = 4.832，p = 0.034，d = - 0.357）。结论为期 12 周的互动外显游戏训练能有效减少戒毒康复中心男性 SUD 患者对毒品的渴望，并改善其执行功能。该训练可为治疗药物依赖性失调症提供一种新的替代运动疗法。为患有药物依赖性失调症的男性患者量身定制的运动治疗方法可帮助他们持续恢复健康，并降低再次使用药物的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;