Abstract：
Anxiety disorders are the most common group of mental disorders, but they are often underrecognized and undertreated in primary care. Dysfunctional breathing is a hallmark of anxiety disorders; however, mainstays of treatments do not tackle breathing in patients suffering anxiety. This scoping review aims to identify the nature and extent of the available research literature on the efficacy of breathwork interventions for adults with clinically diagnosed anxiety disorders using the DSM-5 classification system. Using the PRISMA extension for scoping reviews, a search of PubMed, Embase, and Scopus was conducted using terms related to anxiety disorders and breathwork interventions. Only clinical studies using breathwork (without the combination of other interventions) and performed on adult patients diagnosed with an anxiety disorder using the DSM-5 classification system were included. From 1081 articles identified across three databases, sixteen were included for the review. A range of breathwork interventions yielded significant improvements in anxiety symptoms in patients clinically diagnosed with anxiety disorders. The results around the role of hyperventilation in treatment of anxiety were contradictory in few of the examined studies. This evidence-based review supports the clinical utility of breathwork interventions and discusses effective treatment options and protocols that are feasible and accessible to patients suffering anxiety. Current gaps in knowledge for future research directions have also been identified.
摘要：
焦虑症是最常见的一组精神障碍，但是他们在初级保健中往往被低估和治疗不足。呼吸功能失调是焦虑症的标志;然而，治疗的主要方法不能解决焦虑症患者的呼吸问题。本范围审查旨在确定使用DSM-5分类系统对临床诊断为焦虑症的成年人进行呼气干预的有效性的现有研究文献的性质和程度。使用PRISMA扩展范围审查，搜索PubMed,Embase,和Scopus使用与焦虑症和呼吸干预相关的术语进行。仅包括使用呼吸（没有其他干预措施的组合）并使用DSM-5分类系统对诊断为焦虑症的成年患者进行的临床研究。从三个数据库中确定的1081篇文章中，十六人被纳入审查。在临床诊断为焦虑症的患者中，一系列的呼吸干预措施显着改善了焦虑症状。在少数接受检查的研究中，关于过度换气在治疗焦虑症中的作用的结果是矛盾的。这项基于证据的审查支持呼吸干预的临床实用性，并讨论了有效的治疗方案和方案，这些方案和方案对于患有焦虑症的患者是可行的。还确定了当前知识对未来研究方向的差距。
