Move2Love and Vibrancy: Community Dance/Fitness

The Move2Love program demonstrates the feasibility of establishing community-based programs involving dance and exercise to support physical and social well-being in older women. The social fitness program has been running continuously for 23 years. It currently involves 125 to 175 women between the ages of 54 and 94 in weekly rhythmic training sessions. In addition to meeting the initial goals of addiction avoidance in an at-risk population, this program has contributed to the well-being of participants, both by lowering disease burden, and by increasing physical, social, and psychological fitness. This article describes the program and explores the reasons that it has continued to work for over two decades. It also demonstrates the value experienced by participants in their own words. The Move2Love program could serve as a feasibility pilot for other communities wishing to create sustainable, salutary activity programming to enhance the well-being of senior women.     

运动抗抑郁作用的神经营养假说

身体锻炼具有促进心理健康的作用, 特别是通过体育锻炼能够有效缓解抑郁样症状及临床抑郁。有关抑郁的神经营养假说认为, 抑制成年海马神经发生以及神经营养因子的表达是导致抑郁的关键因素; 增加成年海马神经发生以及神经营养因子的表达能够产生抗抑郁的作用。本文通过综述认为, 运动能够诱导成年海马神经发生以及神经营养因子表达的增加可能是运动抗抑郁作用的主要机制, 且类似于药物的抗抑郁治疗作用。     

急性疼痛与慢性疼痛对奖赏加工的影响及神经机制

疼痛和奖赏能够为个体提供不同的行为动机和主观价值体验,寻求奖赏和避免疼痛对于生存都很重要。疼痛可划分为急性疼痛和慢性疼痛,奖赏可区分为预期阶段的动机成分和体验阶段的享乐成分。奖赏对疼痛的抑制作用已经被广泛证实,但关于疼痛对奖赏的影响,目前的研究结果并不一致。因此需要进一步区分并探究急性疼痛与慢性疼痛对奖赏加工不同阶段的影响,分析两种疼痛对奖赏加工产生不一致影响的现象。这种现象出现的原因可能与急性疼痛向慢性疼痛转变过程中出现的奖赏加工能力缺陷有关。未来可以考虑从改善奖赏加工能力缺陷的角度进行检测和治疗,提前预防急性疼痛向慢性疼痛转变。     

急性呼吸窘迫综合征肺泡塌陷与肺复张的意义

大量肺泡塌陷是急性呼吸窘迫综合征(ARDS)病理生理改变的基础,可导致顽固性低氧血症、肺泡表面活性物质丢失、呼气气流受限、去复张性肺损伤、肺部感染和生物性肺损伤。积极的实施肺开放策略,实现塌陷肺泡的复张具有重要的临床意义。肺复张导致肺泡过度膨胀、循环干扰,以及肺泡难以复张因素的存在,使肺泡完全复张可能并不必要。在避免肺泡塌陷危害与肺复张的局限性之间寻求平衡,才能使肺复张确立其在ARDS治疗中的恰当地位。     

急性心肌梗死中医治疗的两点策略——附临床资料回顾性分析

急性心肌梗死(AMI)是临床常见的急重症,现代医学已在循证医学基础上建立了诊疗指南,为临床诊治决策提供依据。相比而言,以辨证论治为特色的中医药缺乏循证依据。对AMI诊治过程中如何发挥中医药治疗的价值,认为不能停留在传统的概念上,应选择正确治疗策略,提高疗效。     

Regaining a sense of agency and shared self-reliance: the experience of advanced disease cancer patients participating in a multidimensional exercise intervention while undergoing chemotherapy--analysis of patient diaries

Evidence is emerging that exercise can reduce psychological distress in cancer patients undergoing treatment. The present study aimed to (qualitatively) explore the experiences of advanced disease cancer patients participating in a 6-week, 9-hours weekly, structured, group-based multidimensional exercise intervention while undergoing chemotherapy. Unstructured diaries from a purposive sample of three females and two males (28-52 years old) who participated in the program served as the database. Data were analyzed using a phenomenological, narrative method. The analysis yielded three themes: shifting position, self-surveillance, and negotiated strength. The intervention highlighted situations making it possible for the participants to negate psychological and physical constraints. The concept of structured exercise contains viable psychotherapeutic potentials by allowing the development of alternative bodily and mental realities complying with cancer patients' demands and abilities to regain autonomy and commitment to discover and adopt a sense of agency and shared self-reliance.     

课间缓解学习疲劳的一项探索性研究

学习疲劳是影响学生心理健康和学习效率的重要因素。学生课间心理保健操是根据我国大、中、小学生的生理、心理特点,参考Jacobson的渐进放松技术编制而成的,一般在学生学习最疲劳的课间组织实施。经过8所大、中、小学921名被试的实验研究,结果显示:学生课间心理保健操对大、中、小学生都有作用,能够有效地缓解学生的学习疲劳,恢复认知水平,特别是注意水平;对男生和女生普遍适用。适合大面积推广。     

Similar improvements in inhibitory control following low-volume high-intensity interval exercise and moderate-intensity continuous exercise

ObjectivesWe previously demonstrated that a traditional high-volume (HV) high-intensity interval exercise (HIIE) was more effective in improving post-exercise inhibitory control (IC) than moderate-intensity continuous exercise (MCE). Nevertheless, because HV-HIIE is performed with a higher volume and longer duration, it may result in decreased adherence to this exercise for some individuals. In this study, we compared the effect of a practical low-volume (LV) HIIE to that of MCE on post-exercise IC improvements.DesignTwenty healthy males performed both LV-HIIE and MCE on a cycle ergometer in a crossover design.MethodLV-HIIE was consisted of ten 1-min bouts at 90% of the peak oxygen consumption (VO_{2 peak}) with 1-min active recovery at 30% of VO_{2 peak}, which had a total duration of 20 min. MCE was performed for 40 min at 60% of VO_{2 peak}. To evaluate IC, the Stroop test was administered before exercise, immediately after exercise, and every 10 min during the 30-min post-exercise recovery period.ResultsIC significantly improved immediately after LV-HIIE and MCE compared with that before each exercise (both Ps < 0.05). The improved IC remained significant until the 20-min post-exercise recovery period for both protocols (all Ps < 0.05). The degrees of post-exercise IC improvements throughout the 30-min post-exercise recovery period did not differ significantly between protocols.ConclusionsThese findings demonstrated that despite lower exercise volume and shorter exercise duration, LV-HIIE could improve post-exercise IC similar to MCE.     

急性应激影响工作记忆的生理心理机制

急性应激是机体面对外界环境变化所产生的一系列生理和心理反应, 对认知加工, 尤其是核心的工作记忆能力产生深远影响, 然而以往的研究存在大量不一致的结果。从应激诱发方式、工作记忆加工子成分、个体差异等三个方面系统阐释应激影响工作记忆的生理心理机制, 并结合认知神经机制的框架, 可以更好地理解以往的结果。未来研究应综合考虑应激诱发、认知任务和响应个体等方面的差异对应激带来的影响, 并关注急性应激负面影响的干预与调控。     

Perceived Fitness Predicts Daily Coping Better Than Physical Activity or Aerobic Fitness

This study sought to evaluate the association between perceived physical fitness, actual fitness measured by VO₂max, daily physical activity measured by an ambulatory activity monitor, and coping with daily stress. One hundred and thirty participants completed a series of questionnaires measuring perceived fitness as well as daily stress and coping levels each day for one week. Participants were also provided with a digital physical activity monitor (Yamax Digi-Walker SW 200) and instructed to wear it throughout the seven day assessment period. Upon completion of the week evaluation, participants then were evaluated for actual physical fitness by treadmill testing. Multiple regression and effect size analysis revealed that perceived fitness predicted daily coping better than actual fitness and daily physical activity. Coping was unrelated to age, gender,VO₂max, and physical activity. Results suggest that perceived fitness may be a better predictor of coping with daily stress than actual physical fitness or physical activity.