van Dixhoorn J, Duivenvoorden H J, Pool J, Verhage F
St Joannes de Deo Hospital, Haarlem, The Netherlands.
J Psychosom Res. 1990;34(3):327-37. doi: 10.1016/0022-3999(90)90089-m.
The psychological impact of exercise training and relaxation therapy was investigated in 156 myocardial infarction patients. They were randomly assigned to either exercise plus relaxation and breathing therapy (Treatment A: n = 76) or exercise training only (Treatment B: n = 80). Patients in Treatment A improved on three out of eight psychological measurements (anxiety, well-being, feelings of invalidity). No change was demonstrable in Treatment B. The difference between the treatments was significant for wellbeing (p less than 0.005). Physical outcome, measured by exercise testing was positive in about half of the patients (Treatment A: 55%, Treatment B: 46%). A negative outcome occurred less in Treatment A (p less than 0.05). Training success was not associated with psychic benefit. The association differed for the two treatments. It was concluded that exercise training was effective for some but not for all cardiac patients, and that a psychic effect of exercise could not be demonstrated. Relaxation therapy enhanced physical and psychic outcome of rehabilitation.
对156名心肌梗死患者进行了运动训练和放松疗法的心理影响调查。他们被随机分为运动加放松和呼吸疗法组（治疗A：n = 76）或仅运动训练组（治疗B：n = 80）。治疗A组的患者在八项心理测量指标中的三项（焦虑、幸福感、无用感）上有所改善。治疗B组未显示出变化。两组治疗在幸福感方面的差异具有显著性（p < 0.005）。通过运动测试衡量的身体结果在大约一半的患者中呈阳性（治疗A组：55%，治疗B组：46%）。治疗A组出现负面结果的情况较少（p < 0.05）。训练成功与心理益处无关。两种治疗的关联有所不同。得出的结论是，运动训练对部分但并非所有心脏病患者有效，且无法证明运动具有心理效应。放松疗法可提高康复的身体和心理效果。
