Embodied cognition driven Qigong: a cross-sectional study and a pilot randomized controlled trial on managing depression and preventing relapse in substance dependence.

IF 3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in Public Health Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1388887
Chao Sun, Siyao Yang, Xiaojun Wang, Yongcong Shao, Xuetong Huang, Huanhuan Qi, Zhuolin Zhang, Guobai Su
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引用次数: 0

Abstract

Objective: Substance use disorders (SUDs) pose a significant challenge to public health systems worldwide, with persistent high relapse rates underscoring the urgency for innovative intervention strategies. This study embarked on a systematic exploration of the factors influencing relapse among individuals with SUDs, alongside the implementation of targeted Health Qigong intervention to mitigate these effects based on the embodied cognition.

Methods: In the cross-sectional survey, a total of 398 male substance users were recruited to complete the questionnaires assessing depression, self-esteem, resilience, and relapse inclination. Subsequently, 60 participants diagnosed with depression were selected for a Pilot RCT, randomly divided into an intervention group, which underwent a 12-week Health Qigong program designed to combat depression through embodied cognition principles, and a control group, which maintained their daily routines.

Results: Structural equation modeling demonstrated that depression not only had a direct effect on substance users' relapse, but also exerted an indirect effect through three paths: firstly, via the mediating role of self-esteem; secondly, via the mediating role of resilience; and thirdly, via the chain-mediated role of self-esteem and resilience. Two-factor mixed-design ANOVA showed that the 12-week targeted Health Qigong training not only mitigated depression in individuals with SUDs, but also enhanced self-esteem and mental resilience, and reducing the propensity for relapse.

Conclusion: This research identifies critical factors influencing relapse in individuals with SUDs and introduces a novel, non-pharmacological intervention that significantly diminishes relapse rates and enhances recovery outcomes. It highlights the importance of physical activity in promoting mental health improvement and integrates traditional Chinese exercises with contemporary psychological insights, offering a comprehensive approach to drug rehabilitation and the integration of cultural practices in holistic health interventions.

体现认知驱动的气功:一项横断面研究和一项关于控制抑郁和预防药物依赖复发的试点随机对照试验。
目的:药物使用失调症(SUDs)给全球公共卫生系统带来了巨大挑战,其持续的高复发率凸显了创新干预策略的紧迫性。本研究对影响药物滥用失调症患者复发的因素进行了系统性探讨,并基于体现认知实施有针对性的健康气功干预,以减轻这些影响:在横断面调查中,共招募了 398 名男性药物使用者,让他们填写评估抑郁、自尊、复原力和复发倾向的问卷。随后,研究人员选取了60名被诊断为抑郁症的参与者进行试验性RCT研究,并将他们随机分为干预组和对照组,干预组接受为期12周的健康气功课程,旨在通过体现认知原理来对抗抑郁症:结构方程建模表明,抑郁不仅对药物使用者的复吸有直接影响,还通过三条路径产生间接影响:第一,通过自尊的中介作用;第二,通过复原力的中介作用;第三,通过自尊和复原力的连锁中介作用。双因素混合设计方差分析显示,为期 12 周的有针对性的健康气功训练不仅缓解了 SUD 患者的抑郁情绪,还增强了自尊和心理复原力,降低了复发倾向:这项研究确定了影响药物滥用症患者复发的关键因素,并引入了一种新型的非药物干预措施,可显著降低复发率并提高康复效果。它强调了体育锻炼在促进心理健康改善方面的重要性,并将中国传统运动与当代心理学见解相结合,为戒毒康复提供了一种综合方法,并将文化习俗融入到整体健康干预中。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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