School of Social Sciences, Nottingham Trent University, Nottingham, UK.
Health and Wellbeing Service, Sheffield IAPT, Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.
Clin Respir J. 2023 Sep;17(9):966-972. doi: 10.1111/crj.13685. Epub 2023 Aug 15.
Our understanding of the psychological impact of living with pulmonary hypertension (PH) is growing, particularly for how anxiety and depression present in this group. There is evidence for the use of psychological interventions in other chronic lung conditions; however, trials focusing on adults with PH have yet to be subject to a systematic review.
We systematically searched four databases for evidence examining the effectiveness of psychological interventions for adults with PH. A narrative approach has been used to present findings.
Overall, 186 unique articles were identified of which four were suitable. Data was gathered from 143 individuals. Cognitive behavioural therapy (CBT), metacognitive therapy (MCT) or counselling were investigated. All three studies reported a significant reduction in anxiety and depression, and some secondary outcomes were also associated with change.
The evidence supporting the use of psychological therapies for adults with PH is promising, although limited. There is an urgent need for more research in this area to better understand how we can support this clinical group.
我们对肺动脉高压（PH）患者心理影响的理解正在不断加深，尤其是焦虑和抑郁在这一群体中的表现。其他慢性肺部疾病中已证实心理干预的有效性，但针对成人 PH 的试验尚未进行系统评价。
我们系统地在四个数据库中搜索了评估针对 PH 成人的心理干预效果的证据。采用叙述性方法呈现研究结果。
共确定了 186 篇独特的文章，其中 4 篇适合。数据来自 143 个人。研究调查了认知行为疗法（CBT）、元认知疗法（MCT）或咨询。所有三项研究均报告焦虑和抑郁显著减轻，一些次要结果也与变化相关。
有证据支持对 PH 成人使用心理疗法，尽管证据有限，但这一领域仍迫切需要更多研究，以更好地了解如何为这一临床群体提供支持。
