Strong mind, strong body: The promise of mind–body interventions to address growing mental health needs among youth

Lana Ruvolo Grasser, Hilary Marusak
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Abstract

As the prevalence of childhood and adolescent anxiety, depression, and other mental health concerns continues to rise, there has been an unprecedented increase in support of mind–body practices like yoga, dance, meditation, mindfulness, aerobic exercise, and more—in part driven by the mental health burden imposed by the COVID-19 pandemic. While a growing body of evidence supports the safety and effectiveness of mind–body approaches, gaps in funding for and empirical research on mechanistic underpinnings, methodology development to assess multicomponent therapeutic practices, dissemination and implementation, and diversity in researchers, practitioners, and recipients remain. As a consequence, the neurobiological impacts of mind–body techniques are not well understood nor broadly accepted as standard forms of care by clinicians and insurers—often being considered as “alternative” rather than “complementary” or “integrative.” In this commentary, we summarize work from our labs and others highlighting the promise of mind–body approaches for improving mental health in youth, in line with the National Institute of Mental Health's strategic plan to address health disparities. We offer a potential framework for implementation and research—the Expressive Therapies Continuum. We also propose solutions to key research and policy gaps, that by could have positive public health impacts for those who are struggling and to prevent emergence of psychiatric illness, especially in developing youth.

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强健的头脑,强健的身体:身心干预的承诺,以满足青年日益增长的心理健康需求。
随着儿童和青少年焦虑、抑郁和其他心理健康问题的流行率持续上升,对瑜伽、舞蹈、冥想、正念、有氧运动等身心健康练习的支持空前增加,新冠肺炎疫情造成的心理健康负担也在一定程度上推动了这种支持。尽管越来越多的证据支持身心方法的安全性和有效性,但在机制基础的资金和实证研究、评估多成分治疗实践的方法开发、传播和实施以及研究人员、从业者和接受者的多样性方面仍然存在差距。因此,身心技术的神经生物学影响并没有被临床医生很好地理解,也没有被广泛接受为标准的护理形式,保险公司通常被认为是“替代”而不是“互补”或“综合”。在这篇评论中,我们总结了我们实验室和其他实验室的工作,强调了身心方法在改善青少年心理健康方面的前景,这符合国家心理健康研究所解决健康差距的战略计划。我们为表达治疗连续体的实施和研究提供了一个潜在的框架。我们还提出了解决关键研究和政策差距的方案,到那时,这些方案可能会对那些正在挣扎的人产生积极的公共卫生影响,并防止精神疾病的出现,特别是在发展中的年轻人中。
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