Diakonhjemmet Hospital, Oslo, Norway.
Solli District Psychiatric Centre (DPS), Nesttun, Norway.
Behav Cogn Psychother. 2021 Sep;49(5):626-640. doi: 10.1017/S1352465821000126. Epub 2021 Mar 8.
Cognitive behavioural therapy (CBT) is currently the treatment of choice for most anxiety disorders. Yet, with recovery rates of approximately 50%, many patients fail to achieve complete remission. This has led to increased efforts to enhance treatment efficacy. Physical exercise (PE) has in recent years been advocated as means to augment the effects of CBT for anxiety disorders. PE appears to reduce anxiety through other mechanisms than CBT, some of which might also have the potential to augment the effects of psychological treatment.
The current review aimed to summarize and discuss the current research status on CBT augmented with PE for anxiety.
A systematic literature search was conducted in the databases PsychInfo, Medline and Web of Science to evaluate the potential augmentative effect of combining PE with CBT for anxiety disorders. These effects were intended to be evaluated in a meta-analysis, but findings from the few and diverse studies were better summarized in a systematic review.
Eight articles were included in this review, of which two had no control group, while six had from two to four experimental arms. Six of the studies concluded in favour of benefits of add-on PE, while two studies found no added benefits of the combined interventions.
The combination of PE and CBT appears feasible. Add-on PE seems to be more beneficial for clinical populations, when administered regularly several times per week, across several weeks. Future studies should investigate further how and for whom to best combine PE and CBT.
认知行为疗法（CBT）目前是大多数焦虑症的首选治疗方法。然而，约有 50%的患者未能完全康复，这导致了人们越来越努力地提高治疗效果。近年来，有人提倡体育锻炼（PE）作为增强焦虑症 CBT 效果的手段。PE 通过不同于 CBT 的机制来降低焦虑，其中一些机制也有可能增强心理治疗的效果。
本综述旨在总结和讨论目前关于 CBT 联合 PE 治疗焦虑症的研究现状。
在 PsychInfo、Medline 和 Web of Science 数据库中进行了系统的文献检索，以评估 CBT 联合 PE 对焦虑症的潜在增强作用。由于这些研究数量少且多样化，我们计划通过荟萃分析来评估这些效果，但最好通过系统综述来总结这些研究的结果。
本综述纳入了 8 篇文章，其中 2 篇没有对照组，6 篇有 2 到 4 个实验组。6 项研究的结论支持 PE 附加治疗的益处，而 2 项研究发现联合干预没有额外益处。
PE 和 CBT 的联合似乎是可行的。当每周定期进行几次、持续数周时，PE 附加治疗对临床人群似乎更有益。未来的研究应进一步探讨如何以及为哪些患者最好地将 PE 和 CBT 结合起来。
