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運動對思覺失調症患者認知表現之文獻回顧

A review on exercise and cognitive performance in people with schizophrenia

摘要


思覺失調症是一種嚴重腦部異常的精神疾病,影響人們的思考,感受與行為,使人們產生異常的經驗。學者表示增加身體運動量可能可以促進思覺失調症患者的健康情形,對於患者某些症狀具有良好的效果。因此,本研究擬探討運動介入對思覺失調症患者認知表現之效果,探討各種運動方案,分析其運動型態、強度、運動時間與運動頻率,以深入了解目前已知及未知且需要進一步探究之方向。透過電子資料庫蒐集2018年6月前已發表之期刊論文,最後篩選出符合指標的13篇文獻。其研究結果顯示每周運動2-3次,持續30-60分鐘之中高強度運動,可顯著改善部分認知面向之表現,例如記憶力、處理速度、以及注意力等面向。未來研究可進一步了解運動對認知表現不同面向之效果與機轉,並探討低強度運動或阻力運動對思覺失調症患者認知表現之影響。

並列摘要


Schizophrenia is a disorder of the mind. It is a condition that affects individual's thinking, feeling and behavior and causes people to have abnormal experiences. Researchers suggested that increasing physical exercise may promote health outcomes potentially in patients with schizophrenia and is beneficial for certain symptoms of patients. This study aimed to review the literature about the exercise effects on cognitive performance in patients with schizophrenia and to examine various exercise training programs, including the exercise patterns, intensity, duration, and frequency. It explored what is already known and unknown from the literature. Studies published before June 2018 were identified through a systematic search across major electronic databases. Thirteen studies met the inclusion criteria were selected. The results showed that moderat- to high-intensity exercise lasting 30-60 minutes with 2-3 times per week significantly improve some aspects of cognitive performance, such as memory, processing speed, and attention. Future research could further examine the mechanisms of exercise effects on cognitive performance, and explore the impact of low-intensity exercise or resistance exercise on cognitive performance in patients with schizophrenia.

參考文獻


Angevaren, M., Aufdemkampe, G., Verhaar, H., Aleman, A., & Vanhees, L. (2008). Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. The Cochrane Database of Systematic Reviews(3), CD005381. doi:10.1002/14651858.CD005381.pub3
Chen, L.-J., Steptoe, A., Chung, M. S., & Ku, P.-W. (2016). Association between actigraphy-derived physical activity and cognitive performance in patients with Schizophrenia. Psychological Medicine, 46(11), 2375-2384. doi:doi:10.1017/S0033291716000921
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