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Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: A systematic review and meta-analysis
Authors:Xianghui Zheng  Yang Zheng  Jing Ma  Maomao Zhang  Yongxiang Zhang  Xianglan Liu  Liangqi Chen  Qingyuan Yang  Yong Sun  Jian Wu  Bo Yu
Institution:1. Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China;2. The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang Province, China;3. Department of Cardiology, Chinese PLA General Hospital, Beijing, China
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:Cardiac rehabilitation  Anxiety  Depression  Myocardial infarction  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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