Name: a community-based stress management program: using wearable devices to assess whole body physiological responses in non-laboratory settings
Uploaded: 2018-01-22T13:00:00
Description: Watch this Scientific Journal Video about A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings at JoVE.com

作者想感谢 Dr. Harpreet Dhanoa 对呼吸和冥想计划的设计的慷慨的洞察力, 以便它是安全的, 治疗性的和有压力的管理问题的个人。
KC, RC, 和约翰构思的项目。RC 和 KC 进行了文献检索、研究选择和数据抽取。所有的作者都参与了手稿的开发, 并为最终版本提供了投入。

该议定书得到了机构审查委员会 (IRB) 的批准, 所有与会者都签署了一份知情同意书。简单地说, 十二健康, 正常, 不吸烟的主题 (五男性, 七妇女) 年龄在31和65岁之间 (平均年龄 = 44 ±12年) 自愿参加这项研究。布朗和 Gerbarg 的3研究了不同年龄段 (14-85 岁) 的人在焦虑、创伤后应激障碍、整体健康和生活方式管理方面的冥想和类似的呼吸技术。
1. 参与者选择
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<ol>
	<li>Sperduti, M., Martinelli, P., Piolino, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+neurocognitive+model+of+meditation+based+on+activation+likelihood+estimation+(ALE)+meta-analysis.">A neurocognitive model of meditation based on activation likelihood estimation (ALE) meta-analysis.</a> Conscious Cogn. 21 (1), 269-276 (2012).</li><li>Sepp&#228;l&#228;, E. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Breathing-based+meditation+decreases+posttraumatic+stress+disorder+symptoms+in+US+Military+Veterans:+A+randomized+controlled+longitudinal+study.">Breathing-based meditation decreases posttraumatic stress disorder symptoms in US Military Veterans: A randomized controlled longitudinal study.</a> J Trauma Stress. 27 (4), 397-405 (2014).</li><li>Brown, R. P., Gerbarg, P. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Yoga+breathing,+meditation,+and+longevity.">Yoga breathing, meditation, and longevity.</a> Ann N Y Acad Sci. 1172 (1), 54-62 (2009).</li><li>Carter, K. S., Carter, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Breath-based+meditation:+A+mechanism+to+restore+the+physiological+and+cognitive+reserves+for+optimal+human+performance.">Breath-based meditation: A mechanism to restore the physiological and cognitive reserves for optimal human performance.</a> World J Clin Cases. 4 (4), 99-102 (2016).</li><li>Mohan, A., Sharma, R., Bijlani, R. 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G., Rundgren, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Vasopressin+and+amino+acid+concentrations+in+serum+following+absorption+of+irrigating+fluid+containing+glycine+and+ethanol.">Vasopressin and amino acid concentrations in serum following absorption of irrigating fluid containing glycine and ethanol.</a> Br J Anaesth. 63 (3), 337-339 (1989).</li><li>Keller, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Does+the+perception+that+stress+affects+health+matter?+The+association+with+health+and+mortality.">Does the perception that stress affects health matter? The association with health and mortality.</a> Health Psychol. 31 (5), 677-684 (2012).</li><li>Gaylord, C., Orme-Johnson, D., Travis, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effects+of+the+transcendental+meditation+technique+and+progressive+muscle+relaxation+on+EEG+coherence,+stress+reactivity,+and+mental+health+in+black+adults.">The effects of the transcendental meditation technique and progressive muscle relaxation on EEG coherence, stress reactivity, and mental health in black adults.</a> Int J Neurosci. 46 (1-2), 77-86 (1989).</li><li>Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., Toney, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Using+self-report+assessment+methods+to+explore+facets+of+mindfulness.">Using self-report assessment methods to explore facets of mindfulness.</a> Assessment. 13 (1), 27-45 (2006).</li><li>Brown, R. P., Gerbarg, P. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sudarshan+Kriya+yogic+breathing+in+the+treatment+of+stress,+anxiety,+and+depression:+part+I-neurophysiologic+model.">Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model.</a> J Altern Complement Med. 11 (1), 189-201 (2005).</li><li>Bhatia, M., Kumar, A., Kumar, N., Pandey, R. M., Kochupillai, V. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Electrophysiologic+evaluation+of+Sudarshan+Kriya:+an+EEG,+BAER,+P300+study.">Electrophysiologic evaluation of Sudarshan Kriya: an EEG, BAER, P300 study.</a> Indian J Physiol Pharmacol. 47 (2), 157-163 (2003).</li><li>Lievesley, R., Wozencroft, M., Ewins, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+Emotiv+EPOC+neuroheadset:+an+inexpensive+method+of+controlling+assistive+technologies+using+facial+expressions+and+thoughts.">The Emotiv EPOC neuroheadset: an inexpensive method of controlling assistive technologies using facial expressions and thoughts.</a> J Assist Technol. 5 (2), 67-82 (2011).</li><li>Badcock, N. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Validation+of+the+Emotiv+EPOC(R)+EEG+gaming+system+for+measuring+research+quality+auditory+ERPs.">Validation of the Emotiv EPOC(R) EEG gaming system for measuring research quality auditory ERPs.</a> Peer J. 1, 38 (2013).</li><li>Duvinage, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Performance+of+the+Emotiv+Epoc+headset+for+P300-based+applications.">Performance of the Emotiv Epoc headset for P300-based applications.</a> Biomed Eng Online. 12 (1), 1 (2013).</li><li>Cannesson, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pleth+variability+index+to+monitor+the+respiratory+variations+in+the+pulse+oximeter+plethysmographic+waveform+amplitude+and+predict+fluid+responsiveness+in+the+operating+theatre.">Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre.</a> Br J Anaesth. 101 (2), 200-206 (2008).</li><li>Cannesson, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Does+the+Pleth+variability+index+indicate+the+respiratory-induced+variation+in+the+plethysmogram+and+arterial+pressure+waveforms.">Does the Pleth variability index indicate the respiratory-induced variation in the plethysmogram and arterial pressure waveforms.</a> Anesth Analg. 106 (4), 1189-1194 (2008).</li><li>Lin, Y., Fisher, M. E., Roberts, S. M., Moser, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Deconstructing+the+Emotion+Regulatory+Properties+of+Mindfulness:+An+Electrophysiological+Investigation.">Deconstructing the Emotion Regulatory Properties of Mindfulness: An Electrophysiological Investigation.</a> Front Hum Neurosci. 10, (2016).</li><li>Poh, P. Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Respiratory+pump+contributes+to+increased+physiological+reserve+for+compensation+during+simulated+haemorrhage.">Respiratory pump contributes to increased physiological reserve for compensation during simulated haemorrhage.</a> Exp Physiol. 99 (10), 1421-1426 (2014).</li></ol>

穿戴技术的演变和它准确地跟踪生理反应的能力可以革命性的日常管理的压力和监测的物理和认知性能在一系列的干预措施18。已经有许多临床应用涉及压力干预, 包括但不限于血压, 心率, 运动或活动预测。这些技术通过诸如微分变异性指数 (元) 和补偿性储备指数等机器学习算法不断改进, 可扩展到任何研究或社区干预的学术研究领域19. 然而, 无线传感技术必?...

虽然压力是生活中不可避免的和持久的组成部分, 对物理和情感刺激的管理的替代方法被认为是1,2,3,4。不间断的压力与糖尿病、肥胖、心脏和脑血管疾病等慢性病的早期发病和发展有关4,5。近年来, 越来越多的美国人报告压力对他们的身心健康有负面影响6, 而且相当比例的人没有感觉到他们在管理他们的压力方面做得够多了.7。此外, 最近的一项研究表明, 当个人认为压力会对他们的身体健康产生负面影响时, 过早死亡的风险就会升高8。
传统上, 公共卫生和医务专业人员把精力集中在体力活动上, 以此作为管理压力的手段。然而, 美国的大部分人口发展不良的生活方式习惯 (即, 吸烟或过量饮酒) 或不健康的行为 (即, 不良的饮食模式), 由于压力的生活方式。目前, 越来越多的美国人意识到有可能使用各种形式的瑜伽和呼吸练习来进行压力管理4,6,9。然而, 由于缺乏科学验证, 文化拨款, 和必要的物理环境 (即, 瑜伽工作室), 美国人口的很大一部分没有考虑这些替代方法的压力管理6。
为了提供整体的压力管理技术, 如瑜伽呼吸和引导的放松, 以更广泛的观众, 一个协议是开发和交付给一小部分人在非实验室设置。以前的研究表明, 交替鼻孔呼吸的技术可以有效地提供更轻松的心境和身体4。
直到最近, 科学研究的复杂的生理测量, 如大脑活动, 呼吸和组织灌注仅限于实验室设置, 因此研究依赖于不太复杂的措施, 如动态动脉血压(总部基地), 呼吸率 (RR), 心率 (HR)。然而, 随着更科学准确, 可穿戴设备的发展, 对压力管理干预措施的生理反应可以在非实验室环境中进行研究。
该项目的目标是创建一个可访问的, 成本低廉的压力管理程序, 是可实验室和非实验室设置。此外, 本文还提供了一种基于证据的方法来调查在非实验室环境中的压力管理协议期间的生理反应, 同时利用商用可穿戴设备。
建议允许调查人员研究更好的压力管理干预措施, 以及系统地设置和利用便携式脑电图系统, 这很容易适应各种环境。指定了复制程序所需的详细信息。

<table style="border-collapse:collapse;width:808pt" width="1077">
	<tbody>
		<tr>
			<td>Epoc+ 14 channel wireless EEG</td>
			<td>Emotiv Systems</td>
			<td></td>
			<td>&#160;Assemble the headset. Fully saturate the felt pads using 0.5% saline solution. When the headset is placed on the scalp, the pads should feel wet.&#160; Measurements: Brain Waves, Facial Expression, Mental Command</td>
		</tr>
		<tr>
			<td>Fingertip Pulse Oximeter with Bluetooth and Pleth Variability Index</td>
			<td>Masimo Mighty Sat with PVI</td>
			<td></td>
			<td>&#160;Measurements: Pulse Rate, Oxygen Saturation, Perfusion Index, Pleth Variability Index (PVI)</td>
		</tr>
		<tr>
			<td>The 39-item Five Facet Mindfulness Questionnaire</td>
			<td>A psychometric instrument used to assess five facets of mindfulness</td>
			<td></td>
			<td>Questionnaire available in electronic and pencil and paper versions. Measurements: Mood, cognition function</td>
		</tr>
	</tbody>
</table>

a community-based stress management program: using wearable devices to assess whole body physiological responses in non-laboratory settings

以务实的呼吸为基础的干预, 有利于人类的表现和压力管理, 是及时和宝贵的个人寻求整体的方式, 情绪调节和优化补偿储备机制。该协议的目的不仅是教导身心意识, 而且还提供反馈利用生理数据和调查结果。这项研究的主要结果表明, 在四周的呼吸基础上的冥想压力协议后, 心脏的相干性和α变量之间有显著的相关性。冥想和有节律的呼吸导致阿尔法脑活动的显著增加。这些大脑生理反应符合微分变异性指数 (元) 的变化, 表明人体进入冥想状态和有效地管理压力的能力。在每天练习了四周的压力管理协议中所使用的技术后, 根据五方面的正念问卷进行评估, 在应用正念技能方面有了改进。在4周的干预期后, 整体正念评分、微分变异性指数 (元) 和灌注指数 (PI) 增加。脑电图 (脑电波) 的结果与在后研究后续会议期间的冥想状态是一致的。这提供了证据, 可穿戴的设备是可行的数据收集在呼吸为基础的压力管理干预。这一协议可以很容易和有效地实施到任何研究设计, 其中生理数据是需要在一个非实验室的基础设置。

这项研究的主要结果表明, 心脏的相干性和α变量是显著相关后, 主要终点, 基线后四周, 和终点后四周的呼吸为基础的冥想压力协议, 但不在基线测量期间 (图 1)。根据这些研究结果, 结论是, 该议定书产生了与冥想状态一致的阿尔法脑活动的显著增加。这些脑部生理变化与元变化 (图 2) 一致, 表明人体进入冥想状态并有效地管理?...

Watch this Scientific Journal Video about A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings at JoVE.com

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings

压力是生活中不可避免和持久的组成部分, 其管理的整体方法正在考虑之中。建立了一个标准化的方法, 以证明基于呼吸的压力管理协议的可行性, 可用于商业上可用的便携式技术。

基于社区的压力管理计划: 在非实验室环境中使用可穿戴设备评估全身生理反应

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