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Research Article| Volume 48, ISSUE 1, P1-7, January 2019

Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: A systematic review and meta-analysis

  • Xianghui Zheng
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Yang Zheng
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Jing Ma
    Affiliations
    Department of Cardiology, Chinese PLA General Hospital, Beijing, China
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  • Maomao Zhang
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Yongxiang Zhang
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Xianglan Liu
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Liangqi Chen
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Qingyuan Yang
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Yong Sun
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
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  • Jian Wu
    Correspondence
    Corresponding author at: Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, No. 246, Xuefu Road, Nangang District, Harbin, China.
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
    Search for articles by this author
  • Bo Yu
    Affiliations
    Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China

    The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China
    Search for articles by this author
Published:October 23, 2018DOI:https://doi.org/10.1016/j.hrtlng.2018.09.011

      Abstract

      Background

      Cardiac rehabilitation (CR) has been shown to provide the best social, psychological and physical conditions for patient recovery after myocardial infarction (MI).

      Objectives

      The aim of present study was to quantify the efficacy of exercise-based CR treatments in terms of relief from symptoms of anxiety and depression symptoms among patients with MI.

      Methods

      Literature published up to August 2017 was reviewed systematically using relevant keywords, MeSH terms, and Emtree headings to search PubMed, Embase, CINAHL (Ebsco), Cochrane Central Register of Controlled Trials (CENTRAL) and Web of Science. The results of included studies were compared meta-analytically.

      Results

      We found that exercise-based CR had a significant effect on decreasing anxiety and depression scores. Furthermore, exercise-based CR may alleviate anxiety and depressive symptoms at different time periods.

      Conclusions

      For patients with MI, exercise-based CR has been demonstrated to alleviate anxiety and depressive symptoms. These findings highlight CR as essential and beneficial for minimizing MI patient anxiety and depression during recovery.

      Keywords

      Abbreviations:

      AMI (acute myocardial infarction), CR (cardiac rehabilitation), HRQoL (health-related quality of life), PTCA (coronary angioplasty), CHD (coronary heart disease), PCI (percutaneouscoronary intervention), CABG (coronary by-pass surgery), MI (myocardial infarction), SAQ (Speilberger Anxiety Questionnaire), SRQ-D (the self-rating questionnaire for depression), HADS (Hospital Anxiety and Depression Scale), BDI (Beck Depression Inventory), UC (usual care), PGWBI (The Psychological General Well-Bening Inventory), SDS (Self-rating Depression Scale), CSPFQ (Cattell Sixteen Personality Factor Questionnaire), CBT (cognitive behavioral therapy), iCBT (internet-based cognitive behavioral therapy.)
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