Karlsen Håvard R, Matejschek Florian, Saksvik-Lehouillier Ingvild, Langvik Eva
Norwegian University of Science and Technology, Norway.
University of Vienna, Austria.
Health Psychol Open. 2021 Jan 13;8(1):2055102920987462. doi: 10.1177/2055102920987462. eCollection 2021 Jan-Jun.
The aim of this paper is to summarise and evaluate the empirical support for the association between anxiety and cardiovascular disease (CVD) and to address challenges related to method and study design. We review results from meta-analyses and more recent findings on the association of anxiety and the risk of CVD. Depression and anxiety are often listed as psychosocial risk markers of CVD, but the role of anxiety as a risk factor for CVD has not received the same evidential support as the effects of depression. Through a narrative review we identified six meta-analyses as well as 15 recent large studies of anxiety and CVD that we summarise. Some of the conflicting findings may be artefacts of study design or population the sample is drawn from. Researchers should take care to be population specific, measurement specific and outcome specific, and to control for comorbid depression.
本文旨在总结和评估焦虑与心血管疾病（CVD）之间关联的实证支持，并应对与方法和研究设计相关的挑战。我们回顾了荟萃分析的结果以及关于焦虑与CVD风险关联的最新研究发现。抑郁和焦虑常被列为CVD的心理社会风险标志物，但焦虑作为CVD风险因素的作用尚未得到与抑郁影响相同的证据支持。通过叙述性综述，我们确定了六项荟萃分析以及15项近期关于焦虑与CVD的大型研究，并对其进行总结。一些相互矛盾的发现可能是研究设计或样本所取自人群的人为因素造成的。研究人员应注意针对特定人群、特定测量方法和特定结果，并控制共病抑郁。
