Department of Psychiatry and Behavioral Sciences, Division of Bio-Behavioral Medicine, Medical University of South Carolina, Charleston, SC, USA.
Department of General Medicine and Primary Care, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
Psychol Health Med. 2021 Oct;26(9):1100-1107. doi: 10.1080/13548506.2020.1776889. Epub 2020 Jun 4.
The aim of the current cross-sectional study was to examine the effects of specific anxiety sensitivity (AS) dimensions (AS -Physical, -Cognitive, and -Social concerns) on exercise tolerance (i.e. 6-minute walk test) and factors that interfere with cardiopulmonary rehabilitation (CPR) and exercise adherence (i.e. depression and anxiety symptoms) among individuals seeking treatment in cardiopulmonary rehabilitation (CPR). Participants were 69 individuals (65.2% male, = 63.60, = 12.55, Range = 27-85 years) with various cardiovascular or pulmonary conditions meeting criteria for CPR entry, who presented for an intake appointment at an outpatient phase 2 CPR clinic. Higher levels of AS-Physical and-Social concerns were significantly associated with poorer exercise tolerance and greater generalized anxiety symptoms, respectively. Though none of the AS dimensions were significant individual predictors, they were collectively associated with greater depressive symptoms. Future work should assess whether it may be useful to target AS in some patients prior to or throughout CPR.
本横断面研究的目的是检验特定焦虑敏感（AS）维度（AS-身体、-认知和-社会关注）对运动耐量（即 6 分钟步行测试）的影响，以及对心肺康复（CPR）和运动依从性（即抑郁和焦虑症状）产生干扰的因素在寻求心肺康复（CPR）治疗的个体中的作用。参与者为 69 名个体（65.2%为男性，均龄=63.60，标准差=12.55，范围 27-85 岁），患有各种心血管或肺部疾病，符合 CPR 纳入标准，在门诊心肺康复 2 期诊所进行了入组预约。较高的 AS-身体和-社会关注程度分别与较差的运动耐量和更广泛的焦虑症状显著相关。尽管 AS 的各个维度都不是显著的个体预测因素，但它们共同与更严重的抑郁症状相关。未来的研究应评估在 CPR 之前或期间针对某些患者靶向 AS 是否有用。
