五禽戏对阈下抑郁女大学生心理状态及前额叶氧合血红蛋白的影响

李科; 杨昆鹏; 张姗姗

doi:10.16835/j.cnki.1000-9817.2023.11.024

五禽戏对阈下抑郁女大学生心理状态及前额叶氧合血红蛋白的影响

doi: 10.16835/j.cnki.1000-9817.2023.11.024

1.
重庆第二师范学院体育与健康管理学院, 重庆 400060
2.
重庆市中医骨科医院中医骨伤科
3.
重庆医科大学附属第一医院康复医学科

基金项目:

国家社会科学基金教育学一般课题 BLA200217

重庆市体育科研项目 D202209

重庆市教改重点课题 232144

详细信息

作者简介:
李科(1978-), 男, 四川乐山人, 硕士, 副教授, 主要研究方向为中国传统功法

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中图分类号: G806 G444 R331.1⁺⁴¹
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出版历程
- 收稿日期: 2023-06-14
- 修回日期: 2023-08-27
- 网络出版日期: 2023-11-27
- 刊出日期: 2023-11-25

Effect of Wuqinxi on the psychological state and prefrontal oxygenated hemoglobin of female college students with subliminal depression

1.
College of Sports and Health Management, Chongqing Second Normal University, Chongqing (400060), China

摘要

摘要: 目的观察动静结合式五禽戏对阈下抑郁(SD)女大学生心理状态及前额叶氧合血红蛋白的影响, 以期为SD大学生干预方案的优化提供证据。方法整群随机选择重庆第二师范学院2021-2022学年2个学期大三年级SD女大学生72人, 采用随机数字表法分为对照组、观察1组、观察2组, 对照组进行常规心理干预, 1次/周, 30 min/次; 观察1组在对照组基础上进行五禽戏锻炼, 2次/d, 约30 min; 观察2组在对照组和观察1组基础上进行动静结合式五禽戏锻炼, 即五禽戏动态锻炼配合五禽戏的运动性引导想象训练, 20 min/d; 3组均干预12周。观察干预前后女大学生的中文版汉密尔顿抑郁量表(HAMD-24)、阈下抑郁量表(STDS)、症状自评量表(SCL-90)得分, 采集血清γ-氨基丁酸(GABA)和血浆促肾上腺皮质激素(ACTH), 并通过近红外脑功能成像(fNIRS)检测前额叶氧合血红蛋白(Oxy-Hb)浓度。结果干预后, 观察2组HAMD-24、STDS评分(11.33±1.29, 53.08±2.31)均低于对照组和观察1组(18.27±2.02, 73.60±4.05;15.19±1.92, 64.58±2.69), 差异均有统计学意义(F值分别为8.64, 11.85, P值均 < 0.05)。观察2组SCL-90量表中躯体化、人际关系敏感、抑郁、焦虑、敌对、精神病性6个维度得分均低于其余两组, 差异均有统计学意义(F值分别为3.68, 9.83, 10.37, 5.85, 3.05, 7.46, P值均 < 0.05)。观察2组血浆ACTH均低于其余两组, Oxy-Hb峰值浓度均高于其余两组(F值分别为3.27, 6.08, P值均 < 0.05);观察2组血清GABA水平高于对照组(P < 0.05), 但与观察1组差异无统计学意义(P>0.05)。结论动静结合式五禽戏训练可以改善阈下抑郁女大学生心理状态, 缓解抑郁症状, 其机制可能与动静结合式五禽戏提高阈下抑郁女大学生前额叶氧合血红蛋白有关联。
- 抑郁 /
- 精神卫生 /
- 血红蛋白A /
- 干预性研究 /
- 学生 /
- 女(雌)性
Abstract: Objective To observe the effect of dynamic and static combination of Wuqinxi on the psychological state and prefrontal oxygenated hemoglobin of female college students with subliminal depression (SD), so as to provide a high-quality reference for optimizing their interventional measures. Methods A total of 72 female college students with SD in their third year of two semesters in the 2021-2022 academic year of Chongqing Second Normal University were randomly divided into a control group, an observation group 1, and an observation group 2.The control group received routine psychological intervention once a week, 20 minutes/time, while the observation group 1 received Wuqinxi exercise twice a day for about 30 minutes on the basis of the control group.The observation group 2 received a combination of dynamic and static Wuqinxi exercise on the basis of the control group, Wuqinxi dynamic exercise combined with Wuqinxi exercise guided imagination training about 20 minutes/time.All three groups received 12 weeks of intervention.Observe the Chinese version of the Hamilton Depression Scale (HAMD-24), Subthreshold Depression Scale (STDS), and Symptom Checklist-90(SCL-90) before and after intervention, and collect serum γ-aminobutyric acid (GABA) and plasma adrenocor ticotropic hormone (ACTH), and the concentration of oxyhemoglobin (Oxy Hb) in the prefrontal lobe were detected by functional near-infrared spectroscopy (fNIRS). Results The results showed that the HAMD-24 and STDS scores of the two groups (11.33±1.29, 53.08±2.31) were lower than those of the control group and observation group 1(18.27±2.02, 73.60±4.05;15.19±1.92, 64.58±2.69), with statistically significant differences (F=8.64, 11.85, P < 0.05).Observing that the six dimensions of somatization, interpersonal, depression, anxiety, hostility psychoticism in the SCL-90 scale were lower in the two groups than in the other two groups (F=3.68, 9.83, 10.37, 5.85, 3.05, 7.46, P < 0.05).The plasma ACTH levels in the observation group were lower than those in the other two groups, while the peak concentration of Oxy Hb was higher than those in the other two groups (F=3.27, 6.08, P < 0.05).The serum GABA levels were higher than those in the control group, and there was no difference compared to the observation group 1(P>0.05). Conclusion The combination of dynamic and static Wuqinxi training can improve the psychological state of female college students with subthreshold depression, alleviate the depressive symptoms, possibly through increase of prefrontal oxygenated hemoglobin.
- Depression /
- Mental health /
- Hemoglobin A /
- Intervention studies /
- Students /
- Female
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表 1 干预前后3组女大学生HAMD-24、STDS评分比较(x±s)

Table 1. Comparison of HAMD-24 and STDS scores among female college students of three groups before and after intervention(x±s)

干预前后	组别	人数	统计值	HAMD-24	STDS
干预前	对照组	24		22.30±3.06	87.18±4.78
	观察1组	24		22.73±2.31	85.84±3.05
	观察2组	24		23.01±3.80	87.04±3.91
			F值	0.55	0.47
			P值	0.52	0.58
干预后	对照组	24		18.27±2.02^c	73.60±4.05^c
	观察1组	24		15.19±1.92^b	64.58±2.69^b
	观察2组	24		11.33±1.29^bc	53.08±2.31^bc
			F值	8.64	11.85
			P值	< 0.01	< 0.01
注： b为与对照组比较，P < 0.05；c为与观察1组比较，P < 0.05。

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表 2 干预前后3组女大学生SCL-90量表各维度得分比较(x±s)

Table 2. Comparison of SCL-90 scores in various dimensions among female college students of threes groups before and after intervention(x±s)

干预前后	组别	人数	统计值	躯体化	强迫症状	人际关系敏感	抑郁	焦虑
干预前	对照组	24		1.52±0.24	1.32±0.28	1.60±0.27	1.66±0.23	1.58±0.32
	观察1组	24		1.51±0.20	1.33±0.25	1.61±0.27	1.64±0.23	1.56±0.35
	观察2组	24		1.51±0.19	1.34±0.21	1.61±0.26	1.66±0.24	1.58±0.36
			F值	0.13	0.21	0.46	0.49	0.42
			P值	0.88	0.75	0.58	0.55	0.61
干预后	对照组	24		1.51±0.23^c	1.31±0.26	1.54±0.24^c	1.52±0.22^c	1.50±0.25
	观察1组	24		1.48±0.22^b	1.32±0.25	1.49±0.22^b	1.45±0.22^b	1.49±0.26
	观察2组	24		1.45±0.23^bc	1.32±0.23	1.32±0.25^bc	1.30±0.19^bc	1.42±0.33^bc
			F值	3.68	0.23	9.83	10.37	5.85
			P值	0.03	0.72	< 0.01	< 0.01	< 0.01

干预前后	组别	人数	统计值	敌对	恐怖	偏执	精神病性	其他
干预前	对照组	24		1.50±0.36	1.48±0.28	1.50±0.23	1.53±0.24	1.38±0.24
	观察1组	24		1.50±0.37	1.48±0.35	1.51±0.24	1.53±0.25	1.39±0.25
	观察2组	24		1.51±0.36	1.49±0.31	1.49±0.22	1.54±0.27	1.40±0.26
			F值	0.09	0.47	0.19	0.20	0.23
			P值	0.93	0.58	0.78	0.76	0.72
干预后	对照组	24		1.37±0.32	1.40±0.25	1.40±0.22	1.46±0.22^c	1.34±0.23
	观察1组	24		1.38±0.32	1.38±0.26	1.39±0.19	1.40±0.27^b	1.33±0.24
	观察2组	24		1.34±0.19^bc	1.38±0.31	1.38±0.21	1.31±0.21^bc	1.32±0.24
			F值	3.05	0.45	0.28	7.46	0.25
			P值	0.04	0.59	0.69	< 0.01	0.70
注： b为与对照组比较，P < 0.05；c为与观察1组比较，P < 0.05。

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表 3 3组女大学生干预前后血清GABA、血浆ACTH以及Oxy-Hb峰值体积浓度比较(x±s)

Table 3. Comparison of peak concentrations of serum GABA, plasma ACTH, and Oxy-Hb among female college students of three groups before and after intervention(x±s)

组别	人数	干预前			干预后
组别	人数	血清GABA /(μmol·L^-1)	血浆ACTH /(pg·mL^-1)	Oxy-Hb峰值 /[mmol·(L·mm)^-1]	血清GABA /(μmol·L^-1)	血浆ACTH /(pg·mL^-1)	Oxy-Hb峰值 /[mmol·(L·mm)^-1]
对照组	24	4.82±0.71	38.18±4.13	0.30±0.04	4.85±0.72^c	38.42±4.18^c	0.31±0.03^c
观察1组	24	4.90±0.65	39.15±5.09	0.31±0.03	5.27±0.62^b	35.81±5.11^b	0.33±0.03^b
观察2组	24	4.88±0.81	38.42±4.93	0.30±0.02	5.40±0.69^b	32.06±4.35^bc	0.39±0.04^bc
F值		0.20	0.54	0.10	5.75	3.27	6.08
P值		0.77	0.53	0.92	< 0.01	0.03	< 0.01
注： b为与对照组比较，P < 0.05；c为与观察1组比较，P < 0.05。

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