Swavely Ashley Grace, Durstine J Larry
Cardiac Diagnostic Unit-Clinic 2K Duke Clinic, Duke University Hospital, Durham, NC, USA.
Cardiopulmonary Rehabilitation, New Hanover Regional Medical Center, Wilmington, NC, USA.
Sports Med Health Sci. 2020 May 19;2(2):72-79. doi: 10.1016/j.smhs.2020.05.001. eCollection 2020 Jun.
This manuscript reviews the current literature involving clinical anxiety and cardiopulmonary disease, considers the hypothesized physiological mechanisms for anxiety, and discusses the use of exercise as a treatment for both anxiety and cardiopulmonary diseases. The literature summary consists of original investigations, meta-analysis, commentaries, and review publications in order to better understand the biological and psychological mechanisms for using exercise as treatment and to provide details specific to cardiopulmonary disease and anxiety management. A gap in the literature exists concerning the anxiolytic effects of exercise as a psychological and physical treatment in cardiopulmonary populations. The findings from this review support further investigation into the use of exercise to ameliorate the burden of anxiety in cardiopulmonary disease patients. This review evaluates the current literature surrounding cardiopulmonary disease and anxiety. A systematic literature search identified articles discussing the prevalence, association, and risk of anxiety in cardiopulmonary patients. Though depression is often studied in this population, recent investigation supports a need for further research regarding anxiety in cardiopulmonary patients. Treatment to manage patients' psychological profile can reduce exacerbations of known disease, reduce hospital readmission, and improve functional capacity, and overall quality of life.
本手稿回顾了当前涉及临床焦虑与心肺疾病的文献,探讨了焦虑的假定生理机制,并讨论了运动作为焦虑和心肺疾病治疗方法的应用。文献综述包括原始研究、荟萃分析、评论及综述性出版物,以便更好地理解运动作为治疗手段的生物学和心理学机制,并提供心肺疾病及焦虑管理的具体细节。在心肺疾病人群中,运动作为一种心理和身体治疗方法的抗焦虑作用方面,文献存在空白。本综述的结果支持进一步研究运动对减轻心肺疾病患者焦虑负担的作用。本综述评估了当前围绕心肺疾病与焦虑的文献。系统的文献检索确定了讨论心肺疾病患者焦虑的患病率、关联性及风险的文章。尽管该人群中抑郁症常被研究,但最近的调查表明有必要对心肺疾病患者的焦虑进行进一步研究。管理患者心理状况的治疗可减少已知疾病的发作、降低住院再入院率、提高功能能力及整体生活质量。