PDF(Pubmed)
Abstract：
UNASSIGNED: Despite well-established efficacy for patients with a cardiovascular diagnosis or event, exercise-based cardiac rehabilitation program participation and completion has remained alarmingly low due to both system-level barriers and patient-level factors. Patient mental health, particularly depression, is now recognized as significantly associated with reduced enrollment, participation, attendance, and completion of a cardiac rehabilitation program. More recently, anxiety sensitivity has emerged as an independent construct, related to but distinct from both depression and anxiety. Anxiety sensitivity has been reported to be adversely associated with participation in exercise and, thus, may be important for patients in cardiac rehabilitation. Accordingly, the objective of this study was to conduct a scoping review to summarize the evidence for associations between anxiety sensitivity and cardiovascular disease risk factors, exercise, and clinical outcomes in cardiac rehabilitation.
UNASSIGNED: A formal scoping review, following PRISMA-ScR guidelines, was undertaken. Searches of MEDLINE, Web of Science, CINAHL, PSYCINFO, and Scopus databases were conducted, supplemented by hand searches; studies published through December of 2020 were included. The initial screening was based on titles and abstracts and the second stage of screening was based on full text examination.
UNASSIGNED: The final search results included 28 studies. Studies reported statistically significant associations between anxiety sensitivity and exercise, cardiovascular disease, and participation in cardiac rehabilitation. Many studies, however, were conducted in non-clinical, community-based populations; there were few studies conducted in cardiovascular disease and cardiac rehabilitation clinical patient populations. Additionally, significant gaps remain in our understanding of the sex-based differences in the complex relationships between anxiety sensitivity, exercise and cardiac rehabilitation.
UNASSIGNED: More research is needed to understand specific associations between anxiety sensitivity and clinical outcomes among clinical cardiovascular disease patients and participants in cardiac rehabilitation programs. Treatment of anxiety sensitivity to optimize clinical outcomes in cardiac rehabilitation programs should be investigated in future studies.
UNASSIGNED: A formal scoping review, following PRISMA-ScR guidelines, was undertaken. Searches of MEDLINE, Web of Science, CINAHL, PSYCINFO, and Scopus databases were conducted, supplemented by hand searches; studies published through December of 2020 were included. The initial screening was based on titles and abstracts and the second stage of screening was based on full text examination.
UNASSIGNED: The final search results included 28 studies. Studies reported statistically significant associations between anxiety sensitivity and exercise, cardiovascular disease, and participation in cardiac rehabilitation. Many studies, however, were conducted in non-clinical, community-based populations; there were few studies conducted in cardiovascular disease and cardiac rehabilitation clinical patient populations. Additionally, significant gaps remain in our understanding of the sex-based differences in the complex relationships between anxiety sensitivity, exercise and cardiac rehabilitation.
UNASSIGNED: More research is needed to understand specific associations between anxiety sensitivity and clinical outcomes among clinical cardiovascular disease patients and participants in cardiac rehabilitation programs. Treatment of anxiety sensitivity to optimize clinical outcomes in cardiac rehabilitation programs should be investigated in future studies.
摘要：
未经评估：尽管对有心血管诊断或事件的患者有良好的疗效，由于系统层面的障碍和患者层面的因素,基于运动的心脏康复计划的参与和完成度仍然低得惊人.患者心理健康,尤其是抑郁症,现在被认为与入学人数减少显著相关，参与,出席,完成心脏康复计划.最近,焦虑敏感性已经成为一种独立的结构，与抑郁和焦虑有关但又不同。据报道，焦虑敏感性与参与锻炼有不利关系，因此，可能对心脏康复患者很重要。因此，这项研究的目的是进行范围审查，以总结焦虑敏感性和心血管疾病危险因素之间关联的证据，锻炼,和心脏康复的临床结果。
未经评估：正式范围审查，遵循PRISMA-ScR准则，进行了。搜索MEDLINE,WebofScience,CINAHL,PSYCINFO,进行了Scopus数据库，辅以手工搜索；包括截至2020年12月发表的研究。初始筛选基于标题和摘要，第二阶段筛选基于全文检查。
未经评估：最终搜索结果包括28项研究。研究报告了焦虑敏感性和运动之间的统计学显著关联，心血管疾病,参与心脏康复。许多研究,然而,在非临床中进行，以社区为基础的人群；在心血管疾病和心脏康复临床患者人群中进行的研究很少。此外,我们对焦虑敏感性之间复杂关系的性别差异的理解仍然存在显著差距，运动和心脏康复。
UNASSIGNED：需要更多研究来了解临床心血管疾病患者和心脏康复计划参与者的焦虑敏感性与临床结果之间的特定关联。在未来的研究中，应研究焦虑敏感性的治疗以优化心脏康复计划的临床结果。
未经评估：正式范围审查，遵循PRISMA-ScR准则，进行了。搜索MEDLINE,WebofScience,CINAHL,PSYCINFO,进行了Scopus数据库，辅以手工搜索；包括截至2020年12月发表的研究。初始筛选基于标题和摘要，第二阶段筛选基于全文检查。
未经评估：最终搜索结果包括28项研究。研究报告了焦虑敏感性和运动之间的统计学显著关联，心血管疾病,参与心脏康复。许多研究,然而,在非临床中进行，以社区为基础的人群；在心血管疾病和心脏康复临床患者人群中进行的研究很少。此外,我们对焦虑敏感性之间复杂关系的性别差异的理解仍然存在显著差距，运动和心脏康复。
UNASSIGNED：需要更多研究来了解临床心血管疾病患者和心脏康复计划参与者的焦虑敏感性与临床结果之间的特定关联。在未来的研究中，应研究焦虑敏感性的治疗以优化心脏康复计划的临床结果。
