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研究生: 潘彥智
Pan, Yan-Zhi
論文名稱: 急性中等強度持續性運動與高強度間歇運動對情感性疾患族群抑制控制、憂鬱心情、愉悅感與血乳酸之影響:事件關聯電位研究
The effect of acute MICT and HIIT on inhibition, depressive mood, pleasure and blood lactate in mood disorder patients: An event-related potential study
指導教授: 張育愷
Chang, Yu-Kai
口試委員: 張育愷
Chang, Yu-Kai
洪聰敏
Hong, Tsung-Min
黃崇儒
Huang, Chung-Ju
口試日期: 2024/07/26
學位類別: 碩士
Master
系所名稱: 體育與運動科學系
Department of Physical Education and Sport Sciences
論文出版年: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 58
中文關鍵詞: 精神疾患憂鬱症重鬱症躁鬱症失樂感急性運動憂鬱運動強度執行功能認知功能P3
英文關鍵詞: Mental illness, depressive disprder, major depressive disorder, bipolar disorder, anhedonia, acute exercise, depression, exercise intensity, executive function, cognitive function, P3
研究方法: 準實驗設計法
DOI URL: http://doi.org/10.6345/NTNU202401814
論文種類: 學術論文
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  • 情感性疾患 (mood disorder) 在全球之高盛行率,造成對經濟與醫療成本的龐大負擔,已成為全球關注的健康照護議題。情感性疾患目前兩項主要之治療方式 (身體治療與心理治療) 都有其限制,健身運動對於情感性疾患之效益引起學者關注。聚焦情感性疾患族群之研究發現,進行中等強度持續性運動與高強度間歇運動能改善其憂鬱症狀以及其他健康指標,但臨床情感性疾患族群進行單次高強度間歇運動的效益之探討仍有所不足。故本研究希望比較臨床情感性疾患族群進行高不同情境介入後抑制控制、憂鬱心情、愉悅感與血乳酸差異,並以神經電生理指標,探討背後可能機制。本研究共招募23位平均年齡36.3歲之臨床情感性疾患族群 (男:5;女:18),進行單次20分鐘之高強度間歇運動、中等強度持續性運動與控制情境介入,於介入前後進行憂鬱心情、愉悅感與血乳酸測量,並於介入後進行叫色測驗與腦波記錄。結果發現單次20分鐘中等強度持續性運動可以顯著提升愉悅感和增加P3振幅,單次20分鐘高強度間歇運動可以顯著提升愉悅感與血乳酸。本研究顯示兩種運動情境相較控制情境無負面影響並提升愉悅感,且有作為輔助治療手段的潛力,故可依自身喜好與目的選擇健身運動形式,獲取健身運動的額外效益。

    The high prevalence of mood disorders globally has created a substantial burden on economic and medical costs, it has become a global health care issue of concern. The two main current treatment methods for mood disorders (physical therapy and psychotherapy) both have their limitations, and the benefits of fitness exercise for mood disorders have attracted scholarly attention. Research focusing on mood disorder populations has found that moderate-intensity continuous exercise and high-intensity interval exercise can improve depressive symptoms and other health indicators. However, there is still a lack of investigation into the benefits of a single session of high-intensity interval exercise for clinical mood disorder patients. Therefore, this study aims to compare clinical mood disorder patients' inhibitory control, depressive mood, pleasure, and blood lactate differences after interventions. Neurophysiological indicators are used to explore the possible underlying mechanisms. The current study recruited 23 clinical mood disorder patients with an average age of 36.3 years (male: 5; female: 18). They underwent single 20-minute sessions of high-intensity interval training, moderate-intensity continuous training, and control session interventions. Measurements of depressive mood, pleasure, and blood lactate were taken before and after the interventions, and Stroop tests and EEG recordings were con-ducted after the interventions. Results showed that a single 20-minute moderate-intensity continuous training session could significantly increase pleasure and P3 amplitude, while a single 20-minute high-intensity interval training session could significantly increase pleasure and blood lactate levels. The current study demonstrates that both exercise session, compared to the control session, have no negative impacts and increase pleasure, showing potential as supplementary treatment. Therefore, individuals can choose their preferred form of fitness exercise based on personal preferences and goals to obtain additional benefits from physical exercise.

    第壹章 緒論 1 第一節 研究背景 1 第二節 研究目的 4 第三節 研究範圍 4 第四節 操作性名詞定義 4 第貳章 文獻探討 6 第一節 情感性疾患的診斷與症狀 6 第二節 情感性疾患流行病學 13 第三節 情感性疾患治療手段 15 第四節 健身運動對情感性疾患之影響 15 第五節 高強度間歇運動對情感性疾患之影響 17 第六節 文獻總結 19 第參章 研究方法 20 第一節 研究參與者 20 第二節 研究流程 20 第三節 研究工具 22 第四節 研究介入設計 27 第五節 資料處理與分析 27 第肆章 結果 29 第一節 參與者背景變項 29 第二節 介入前情緒狀態 30 第三節 介入心率、強度、自覺努力程度與運動樂趣 30 第四節 抑制控制 (叫色測驗) 31 第五節 事件關聯電位 32 第六節 憂鬱心情 35 第七節 愉悅感 35 第八節 血乳酸 36 第伍章 討論 37 第一節 抑制控制 37 第二節 事件關聯電位 39 第三節 憂鬱心情 40 第四節 愉悅感 41 第五節 血乳酸 42 第六節 研究限制與未來方向 43 第陸章 結論 44 參考文獻 45

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