为期一天的养羊体验对慢性精神障碍患者的动机、焦虑和大脑额叶活动的影响:交叉试验研究

Nobuko Shimizu, Shingo Ohe, Keigo Asano, Motohiko Ishida
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引用次数: 0

摘要

本研究的目的是调查为期一天的养羊经历对慢性精神病患者的动机和焦虑水平的影响。研究评估了催产素和皮质醇水平的变化以及前额叶皮层的大脑活动,众所周知,前额叶皮层与情绪和动机有关。研究采用了非随机对照试验设计,以交叉方式让参与者同时接受干预日(饲养绵羊)和对照日(通常的精神科日间护理)。所有参与者均已获得书面知情同意。干预日包括亲自动手饲养绵羊的活动,而对照日则包括精神病日间护理中心提供的一般活动。结果表明,养羊体验对动机和催产素平均水平的提高具有同等效果。此外,与典型的精神病日托活动相比,在大脑背外侧前额叶皮层(DLPFC)区域观察到的活动明显增多(p < 0.032,p < 0.043)。参与者在饲养绵羊后往往会增加催产素水平,而 DLPFC 的激活以前从未在动物干预研究中观察到。这些都是精神病职业疗法的新发现,可能会对慢性精神病患者的社会认知和人际关系产生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of a One-Day Experiential Sheep-Rearing Experience on Motivation, Anxiety, and Frontal Lobe Brain Activity in Patients with Chronic Psychiatric Disorders: A Crossover Pilot Study
The purpose of this study was to investigate the effects of a one-day sheep-rearing experience on motivation and anxiety levels in patients with chronic mental illness. The study assessed changes in oxytocin and cortisol levels and brain activity in the prefrontal cortex, which is known to be associated with emotion and motivation. The study employed a non-randomized controlled trial design, with participants receiving both an intervention day (sheep rearing) and a control day (usual psychiatric day care) in a crossover fashion. Written informed consent was obtained from all participants. The intervention day consisted of hands-on sheep rearing activities, while the control day consisted of general activities available at the psychiatric day care center. Results showed that the sheep-raising experience had an equal effect on motivation and increased mean oxytocin levels. In addition, significantly more activity was observed in the dorsolateral prefrontal cortex (DLPFC) region of the brain compared to typical psychiatric daycare activities (p < 0.032, p < 0.043). Participants tended to have increased oxytocin levels after sheep rearing, and the activation of the DLPFC has not previously been observed in animal intervention studies. These are new findings in psychiatric occupational therapy that may have effects on social cognition and interpersonal relationships in patients with chronic mental illness.
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