Policy base for activity therapy:
For People with generalised anxiety disorder
The NHS: www.nhs.uk
Regular exercise, particularly aerobic exercise, may help you combat stress and release tension.
It also encourages your brain to release serotonin, which can improve your mood.
Examples of good aerobic exercises include:
You should aim to do at least 150 minutes of moderate-intensity exercise a week.
The medical team at Anxiety UK:
Exercising when you have anxiety can be quite a challenge but it’s a great way to relieve stress and keep your mind as well as your body healthy. Jane has collated her best tips for Anxiety UK on how to keep your body active and healthy and in turn manage your anxiety.
Stress and Anxiety
These are terms in common use and there is considerable overlap between the two and in the way people describe their problems.
Cause and scope for prevention:
It is easy to blame modern life for these conditions but they have always been common and aggravated by deprivation and financial difficulties. What is clear is that regular exercise is an effective means of prevention as well as being effective in reducing the impact of these conditions on the person’s ability to function and on their quality of life.
There is no definitive test.
Standard medical therapy:
Until recently the standard treatment was pharmacological, by the prescription of ‘anxiolytic’ drugs like Benzodiazepines but the standard response now is to offer Cognitive Behavioural Therapy (CBT).
The NHS set up a project called IAPT (Improving Access to Psychological Therapies), which allows individuals to request CBT directly without having to see their GP first.
The NHS App called the Stress & Anxiety Companion is for people with mild to moderate anxiety or stress and uses cognitive behavioural therapy (CBT) to help change the way people think and feel about things.
Benefit of exercise therapy:
Professor Cary Cooper, the adviser to the NHS on Cognitive Behavioural Therapy, has stated:
Exercise won't make your stress disappear, but it will reduce some of the emotional intensity that you're feeling, clearing your thoughts and letting you deal with your problems more calmly.
The NHS website also explains how getting active helps you feel better and has a useful list of Do’s and Don’t’s.
Being active is not only great for your physical health and fitness. Evidence also shows it can also improve your mental wellbeing by:
We search the National Library of Medicine for systematic reviews (see appendix 1 for a definition) We also specifically identify the Cochrane Reviews because the Cochrane Collaboration is committed to their regular updating.
We then search for only the last five years because we have Exercise the Miracle Cure, published in 2015 as a comprehensive account of the evidence at that time.
We then review the titles of the last five years because some of them have been given the wrong keyword and do not relate to exercise therapy.
This produces a list of relevant reviews.
Number of systematic reviews (15-01-2021): 251
Number of these that are Cochrane reviews: 107
Number of systematic reviews in the last five years: 142
Number of systematic reviews in last five years deemed irrelevant: 91
Number of systematic reviews in the last five years deemed relevant: 51 (APPENDIX 2)
In preparing a systematic review the reviewer:
1. Prepares a protocol conforming to one of the standard protocols eg that of Cochrane.
2. Defines a search strategy with the support of a librarian.
3. Uses explicit quality criteria to include or exclude primary studies.
4. Combines the data from the primary studies (a process called meta-analysis).
5. Prepares a report including the references to the excluded studies as well as to the included studies.
The term ‘overview of systematic reviews’ describes an article in which all the available systematic reviews are combined.
Exercise therapy for people with anxiety
The National Library of Medicine www.nlm.gov was searched for ‘Systematic Review’, in the last 5 years. 142 reviews were identified.
These were reviewed by Muir Gray for relevance eg some systematic reviews were focused on drug therapy, this removed 91 reviews from the database and the remaining 51 are listed below.
USING THE DATABASE
To read the abstract or the full text simple copy the doi, for example doi: 10.1016/j.bjpt.2017.06.004. and paste it into your web browser
Anxiety exercise therapy Search
Filters applied: Systematic Review, in the last 5 years.
An examination of the anxiolytic effects of exercise for people with anxiety and
stress-related disorders: A meta-analysis.
Stubbs B, Vancampfort D, Rosenbaum S, Firth J, Cosco T, Veronese N, Salum GA, Schuch FB.
Psychiatry Res. 2017 Mar;249S102-108. doi: 10.1016/j.psychres.2016.12.020. Epub 2017 Jan 6.
PMID: 28088704 Review.
The literature regarding exercise for people with established anxiety disorders is equivocal. ...Our
data suggest that exercise is effective in improving anxiety symptoms in people with a current
diagnosis of anxiety and/ or stress-related disor …
Mind-Body Exercise for Anxiety and Depression in COPD Patients: A
Systematic Review and Meta-Analysis.
Li Z, Liu S, Wang L, Smith L.
Int J Environ Res Public Health. 2019 Dec 18;17(1):22. doi: 10.3390/ijerph17010022.
PMID: 31861418 Free PMC article.
The aim of the present study was to systematically analyze the effects of mind-body exercise for
COPD patients with anxiety and depression and provide scientific evidence-based exercise
prescription. ...Sub-group analysis indicated that, for anxiety, 3 …
Effect of exercise versus cognitive behavioural therapy or no intervention on
anxiety, depression, fitness and quality of life in adults with previous
methamphetamine dependency: a systematic review.
Morris L, Stander J, Ebrahim W, Eksteen S, Meaden OA, Ras A, Wessels A.
Addict Sci Clin Pract. 2018 Jan 16;13(1):4. doi: 10.1186/s13722-018-0106-4.
PMID: 29338767 Free PMC article.
Exercise has been reported to possibly reverse physiological and neurological damage caused by previous MA use, and to reduce anxiety and depression in this population. The aim of this
systematic review was to identify, clinically appraise and synthesise the availab …
Exercise in the treatment of clinical anxiety in general practice - a systematicreview and meta-analysis.Aylett E, Small N, Bower P.BMC Health Serv Res. 2018 Jul 16;18(1):559. doi: 10.1186/s12913-018-3313-5.PMID: 30012142 Free PMC article.There is a lack of evidence for the effectiveness of exercise in the treatment of anxiety in patientswho present to general practice and also about the intensity of exercise required to lead toimprovement. The aim of this systematic review was to assess the …
Systematic review of systematic reviews of non-pharmacological interventionsto treat behavioural disturbances in older patients with dementia. TheSENATOR-OnTop series.Abraha I, Rimland JM, Trotta FM, Dell'Aquila G, Cruz-Jentoft A, Petrovic M, Gudmundsson A, SoizaR, O'Mahony D, Guaita A, Cherubini A.BMJ Open. 2017 Mar 16;7(3):e012759. doi: 10.1136/bmjopen-2016-012759.PMID: 28302633 Free PMC article. Review.RESULTS: 38 SRs and 129 primary studies were identified, comprising the following categories ofnon-pharmacological interventions: (1) sensory stimulation interventions (25 SRs, 66 primarystudies) that encompassed: shiatsu and acupressure, aromatherapy, massage/touch therapy …
The Combined Effect of Exercise and Behavioral Therapy for Depression andAnxiety: Systematic Review and Meta-Analysis.Bourbeau K, Moriarty T, Ayanniyi A, Zuhl M.Behav Sci (Basel). 2020 Jul 14;10(7):116. doi: 10.3390/bs10070116.PMID: 32674359 Free PMC article. Review.Behavioral therapy (BT) and exercise are efficacious treatments for depression and anxiety whenemployed separately. ...The effect of these therapies on depression and anxiety were analyzed.Subgroup analyses were performed to evaluate the effect of …
Exercise therapy of patients with irritable bowel syndrome: A systematic reviewof randomized controlled trials.Zhou C, Zhao E, Li Y, Jia Y, Li F.Neurogastroenterol Motil. 2019 Feb;31(2):e13461. doi: 10.1111/nmo.13461. Epub 2018 Sep 19.PMID: 30232834However, the effects of exercise on IBS are unclear. PURPOSE: We conducted a systematic reviewto assess the effects of exercise on IBS. ...We extracted and pooled relevant information regardingthe effects of exercise in patients with IBS. The primary outcome …
Effect of exercise-based cardiac rehabilitation on anxiety and depression inpatients with myocardial infarction: A systematic review and meta-analysis.Zheng X, Zheng Y, Ma J, Zhang M, Zhang Y, Liu X, Chen L, Yang Q, Sun Y, Wu J, Yu B.Heart Lung. 2019 Jan;48(1):1-7. doi: 10.1016/j.hrtlng.2018.09.011. Epub 2018 Oct 23.PMID: 30366575Furthermore, exercise-based CR may alleviate anxiety and depressive symptoms at different timeperiods. CONCLUSIONS: For patients with MI, exercise-based CR has been demonstrated toalleviate anxiety and depressive symptoms. ...
Benefits and harms of exercise therapy in people with multimorbidity: Asystematic review and meta-analysis of randomised controlled trials.Bricca A, Harris LK, J.ger M, Smith SM, Juhl CB, Skou ST.Ageing Res Rev. 2020 Nov;63S101166. doi: 10.1016/j.arr.2020.101166. Epub 2020 Sep 5.PMID: 32896665 Free PMC article.OBJECTIVES: To investigate the benefits and harms of exercise therapy on physical andpsychosocial health in people with multimorbidity. ...Exercise therapy was not associated with anincreased risk of non-serious adverse events (risk ratio 0.96, 95 % …
Systematic Review of Occupational Therapy and Adult Cancer Rehabilitation:Part 1. Impact of Physical Activity and Symptom Management Interventions.Hunter EG, Gibson RW, Arbesman M, D'Amico M.Am J Occup Ther. 2017 Mar/Apr;71(2):7102100030p1-7102100030p11. doi:10.5014/ajot.2017.023564.PMID: 28218585 Review.This article focuses on the importance of physical activity and symptom management. Strongevidence supports the use of exercise for cancer-related fatigue and indicates that lymphedema isnot exacerbated by exercise. Moderate evidence supports the use of yoga to re …
Effect of Physical Therapy in Bruxism Treatment: A Systematic Review.Amorim CSM, Espirito Santo AS, Sommer M, Marques AP.J Manipulative Physiol Ther. 2018 Jun;41(5):389-404. doi: 10.1016/j.jmpt.2017.10.014.PMID: 30041736 Review.The articles were grouped into 7 treatment methods used in physical therapy. The treatmentmethods were electrotherapeutic (14 articles), cognitive-behavioral therapy (3 articles), therapeuticexercises (2 articles), acupuncture (2 articles), postural awareness (1 a …
Yoga for improving health-related quality of life, mental health and cancerrelatedsymptoms in women diagnosed with breast cancer.Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ.Cochrane Database Syst Rev. 2017 Jan 3;1(1):CD010802. doi: 10.1002/14651858.CD010802.pub2.PMID: 28045199 Free PMC article. Review.SELECTION CRITERIA: Randomised controlled trials were eligible when they (1) compared yogainterventions versus no therapy or versus any other active therapy in women with a diagnosis ofnon-metastatic or metastatic breast cancer, and (2) assessed at least one of th …
Treatment of depression, anxiety, and trauma-related disorders during theperinatal period: A systematic review.Nillni YI, Mehralizade A, Mayer L, Milanovic S.Clin Psychol Rev. 2018 Dec;66S136-148. doi: 10.1016/j.cpr.2018.06.004. Epub 2018 Jun 9.PMID: 29935979 Free PMC article.This review summarizes the outcomes of 78 studies focused on the treatment of depression,anxiety, and trauma-related disorders during the perinatal period. ...The most studied treatmentwas cognitive behavioral therapy (CBT; n = 22), followed by interpersonal psych …
The effect of exercise therapy on depressive and anxious symptoms inpatients with ischemic heart disease: A systematic review.Verschueren S, Eskes AM, Maaskant JM, Roest AM, Latour CHM, Op Reimer WS.J Psychosom Res. 2018 Feb;105S80-91. doi: 10.1016/j.jpsychores.2017.11.018. Epub 2017 Dec 1.PMID: 29332638Therefore, we systematically reviewed the existing literature on the effectiveness of exercisetherapy to reduce depression and anxiety symptoms specifically in patients with IHD. ...In thegroup with elevated anxiety symptoms, exercise had a po …
The effect of exercise on anxiety in the elderly worldwide: a systematic reviewand meta-analysis.Kazeminia M, Salari N, Vaisi-Raygani A, Jalali R, Abdi A, Mohammadi M, Daneshkhah A, Hosseinian-Far M, Shohaimi S.Health Qual Life Outcomes. 2020 Nov 11;18(1):363. doi: 10.1186/s12955-020-01609-4.PMID: 33176811 Free PMC article.BACKGROUND: Physical activity and exercise are among the most important, simplest, andcheapest approaches to anxiety treatment, especially for the elderly. ...The overall sample size of allcollected studies for the meta-analysis was 841 s. Mean anxiety …
Physical and Psychological Health Outcomes of Qigong Exercise in OlderAdults: A Systematic Review and Meta-Analysis.Chang PS, Knobf T, Oh B, Funk M.Am J Chin Med. 2019;47(2):301-322. doi: 10.1142/S0192415X19500149. Epub 2019 Mar 4.PMID: 30827152Physical limitations, depression and anxiety are prevalent among older adults. Mild to moderateexercise can promote physical and psychological health and reduce the risk of chronic diseases....No significant adverse events were reported. The findings suggest that …
Community-deliverable exercise and anxiety in adults with arthritis and otherrheumatic diseases: a systematic review with meta-analysis of randomisedcontrolled trials.Kelley GA, Kelley KS, Callahan LF.BMJ Open. 2018 Feb 17;8(2):e019138. doi: 10.1136/bmjopen-2017-019138.PMID: 29455165 Free PMC article. Review.Overall, statistically significant reductions in anxiety were found (exercise minus control changesES=-0.40, 95% CI -0.65 to -0.15, tau(2)=0.14; Q=40.3, P=0.0004; I(2) =62.8%). ...CONCLUSIONS:Exercise is associated with reductions in anxiety among ad …
Workplace interventions for common mental disorders: a systematic metareview.Joyce S, Modini M, Christensen H, Mykletun A, Bryant R, Mitchell PB, Harvey SB.Psychol Med. 2016 Mar;46(4):683-97. doi: 10.1017/S0033291715002408. Epub 2015 Dec 1.PMID: 26620157 Review.Depression and anxiety disorders are the leading cause of sickness absence and long-term workincapacity in most developed countries. ...Overall, these findings demonstrate there are empiricallysupported interventions that workplaces can utilize to aid in the prevention o …
The Impact of Physical Activity on Non-Motor Symptoms in Parkinson's Disease:A Systematic Review.Cusso ME, Donald KJ, Khoo TK.Front Med (Lausanne). 2016 Aug 17;3S35. doi: 10.3389/fmed.2016.00035. eCollection 2016.PMID: 27583249 Free PMC article. Review.In this review, the efficacy of physical activity, including physiotherapy and occupational therapy, asan intervention in NMS will be assessed. The papers were extracted between the 20th and 22nd ofJune 2016 from PubMed, Web of Science, Medline, Ovid, SportsDiscuss, and …
Anaerobic Exercise Training in the Therapy of Substance Use Disorders: ASystematic Review.Colledge F, Gerber M, Pühse U, Ludyga S.Front Psychiatry. 2018 Dec 4;9S644. doi: 10.3389/fpsyt.2018.00644. eCollection 2018.PMID: 30564150 Free PMC article.Methods: The aim of this systematic review is to identify and evaluate studies which have employedeither an acute or chronic anaerobic exercise component as a therapy modality for SUDs. Theprimary outcomes are abstinence, craving, withdrawal, consumption, quality …
Interventions for common mental health problems among university and collegestudents: A systematic review and meta-analysis of randomized controlledtrials.Huang J, Nigatu YT, Smail-Crevier R, Zhang X, Wang J.J Psychiatr Res. 2018 Dec;107S1-10. doi: 10.1016/j.jpsychires.2018.09.018. Epub 2018 Sep 29.PMID: 30300732Common mental health problems (CMHPs), such as depression, anxiety disorder, obsessivecompulsivedisorder (OCD), and post-traumatic stress disorder (PTSD) are internalizing disorderswith high comorbidity. ...For interventions with high number of papers, we performed subg …
Yoga as an Intervention for the Reduction of Symptoms of Anxiety andDepression in Children and Adolescents: A Systematic Review.James-Palmer A, Anderson EZ, Zucker L, Kofman Y, Daneault JF.Front Pediatr. 2020 Mar 13;8S78. doi: 10.3389/fped.2020.00078. eCollection 2020.PMID: 32232017 Free PMC article.Purpose: The purpose of this review is to evaluate the implementation and effectiveness of yoga forthe reduction of symptoms of anxiety and depression in youth. To our knowledge, there are nosystematic reviews to date looking at the reduction of symptoms of both anxie …
Treatments for Poststroke Motor Deficits and Mood Disorders: A SystematicReview for the 2019 U.S. Department of Veterans Affairs and U.S. Departmentof Defense Guidelines for Stroke Rehabilitation.D'Anci KE, Uhl S, Oristaglio J, Sullivan N, Tsou AY.Ann Intern Med. 2019 Dec 17;171(12):906-915. doi: 10.7326/M19-2414. Epub 2019 Nov 19.PMID: 31739315Low-quality evidence indicated that antidepressants may reduce depression, whereas the frequencyand severity of antidepressant-related adverse effects was unclear. Low-quality evidence suggestedthat cognitive behavioral therapy and exercise, including mind-body …
Effects of Breathing Exercises on Patients With Lung Cancer.Liu X, Wang YQ, Xie J.Oncol Nurs Forum. 2019 May 1;46(3):303-317. doi: 10.1188/19.ONF.303-317.PMID: 31007262PROBLEM IDENTIFICATION: To evaluate the effects of breathing exercises on dyspnea, six-minutewalk distance (6MWD), anxiety, and depression in patients with lung cancer. LITERATURE SEARCH:A systematic literature search of the Cochrane Library, Web of Science, Embase, PubM …
Brief Report: Exercise and Anxiety in Adults with Arthritis and Other RheumaticDiseases: Support for Evidential Value.Kelley GA, Kelley KS, Callahan LF.Biomed Res Int. 2018 Oct 18;2018S2984671. doi: 10.1155/2018/2984671. eCollection 2018.PMID: 30420959 Free PMC article.OBJECTIVE: Given the high prevalence of anxiety in adults with arthritis and other rheumaticdiseases (AORD) and the subsequent need for interventions to reduce anxiety, this brief reportsought to determine if evidential value exists to support the role of exerc …
Factors influencing physical activity and rehabilitation in survivors of criticalillness: a systematic review of quantitative and qualitative studies.Parry SM, Knight LD, Connolly B, Baldwin C, Puthucheary Z, Morris P, Mortimore J, Hart N, DenehyL, Granger CL.Intensive Care Med. 2017 Apr;43(4):531-542. doi: 10.1007/s00134-017-4685-4. Epub 2017 Feb 16.PMID: 28210771 Review.Five major themes and 28 sub-themes were identified, encompassing: (1) patient physical andpsychological capability to perform physical activity, including delirium, sedation, illness severity,comorbidities, weakness, anxiety, confidence and motivation; (2) safety influe …
Strategies not accompanied by a mental health professional to address anxietyand depression in children and young people: a scoping review of range and asystematic review of effectiveness.Wolpert M, Dalzell K, Ullman R, Garland L, Cortina M, Hayes D, Patalay P, Law D.Lancet Psychiatry. 2019 Jan;6(1):46-60. doi: 10.1016/S2215-0366(18)30465-6. Epub 2018 Dec 3.PMID: 30522980Most studies focused on adolescents or young adults. Evidence suggested that light therapy couldbe effective for season depression and that digital interventions based on attention biasmodification are ineffective for anxiety. Mixed evidence was available on the e …
The effects of exergames on anxiety levels: A systematic review and metaanalysis.Viana RB, Dankel SJ, Loenneke JP, Gentil P, Vieira CA, Andrade MDS, Vancini RL, de Lira CAB.Scand J Med Sci Sports. 2020 Jul;30(7):1100-1116. doi: 10.1111/sms.13654. Epub 2020 Apr 15.PMID: 32171032There are currently many different approaches to performing exergames and there is still noconsensus as to whether exergames are able to reduce anxiety levels, as well as whetherexergames provide greater reductions on anxiety levels when added to traditional forms …
Comparing Mindful and Non-Mindful Exercises on Alleviating AnxietySymptoms: A Systematic Review and Meta-Analysis.So WWY, Lu EY, Cheung WM, Tsang HWH.Int J Environ Res Public Health. 2020 Nov 23;17(22):8692. doi: 10.3390/ijerph17228692.PMID: 33238594 Free PMC article.For studies that reported significant group differences at post-assessment, results showed thatmindful exercise was more beneficial in reducing anxiety than non-mindful exercise. The metaanalysisreported that yoga was more effective in reducing anxiety ...
Nonpharmacologic Interventions to Prevent or Mitigate Adverse Long-TermOutcomes Among ICU Survivors: A Systematic Review and Meta-Analysis.Geense WW, van den Boogaard M, van der Hoeven JG, Vermeulen H, Hannink G, Zegers M.Crit Care Med. 2019 Nov;47(11):1607-1618. doi: 10.1097/CCM.0000000000003974.PMID: 31464769Many outcomes favored the interventions, but significant differences were only found for diaries inreducing depression (two studies, n = 88; standardized mean difference, 0.68; 95% CI, 0.14-1.21)and anxiety (two studies, n = 88; standardized mean difference, 0.44; 95% CI …
76The effect of tai chi and Qigong exercise on depression and anxiety ofindividuals with substance use disorders: a systematic review and metaanalysis.Liu F, Cui J, Liu X, Chen KW, Chen X, Li R.BMC Complement Med Ther. 2020 May 29;20(1):161. doi: 10.1186/s12906-020-02967-8.PMID: 32471415 Free PMC article.BACKGROUND: Previous studies have acknowledged Tai Chi and Qigong exercise could bepotential effective treatments for reducing depression and anxiety in both healthy and clinicalpopulations. ...CONCLUSION: The findings suggest potentially beneficial effect of Qigo …
Effects of Exercise During or Postchemotherapy in Cancer Patients: ASystematic Review and Meta-Analysis.Zeng J, Wu J, Tang C, Xu N, Lu L.Worldviews Evid Based Nurs. 2019 Apr;16(2):92-101. doi: 10.1111/wvn.12341. Epub 2019 Mar 10.PMID: 30854763Exercise could have a beneficial effect in cancer patients undergo chemotherapy in the outcome ofphysical fitness (MD: 0.16, 95% CI: 0.08-0.25, p < .01 and MD: 2.46, 95% CI: 1.44-3.47, p < .01) anddepression (MD: -1.36, 95% CI: -2.68 to -0.04, p = .04), but not in …
Exercise as treatment for alcohol use disorders: systematic review and metaanalysis.Hallgren M, Vancampfort D, Giesen ES, Lundin A, Stubbs B.Br J Sports Med. 2017 Jul;51(14):1058-1064. doi: 10.1136/bjsports-2016-096814. Epub 2017 Jan 13.PMID: 28087569 Review.DATA SOURCES: 3 major electronic databases were searched from inception until April 2016 forexercise intervention studies in adults with AUDs. ELIGIBILITY CRITERIA: Studies of acute exercisein people with AUDs; and randomised and non-randomised trials examining ef …
Behavioural modification interventions for medically unexplained symptoms inprimary care: systematic reviews and economic evaluation.Leaviss J, Davis S, Ren S, Hamilton J, Scope A, Booth A, Sutton A, Parry G, Buszewicz M, Moss-Morris R, White P.Health Technol Assess. 2020 Sep;24(46):1-490. doi: 10.3310/hta24460.PMID: 32975190 Free PMC article.At the end of treatment, behavioural interventions showed some beneficial effects when comparedwith usual care, in particular for improvement of specific physical symptoms [(1) pain: high-intensitycognitive-behavioural therapy (CBTHI) standardised mean difference (SMD) 0 …
Interventions to promote mental health in nursing students: A systematic reviewand meta-analysis of randomized controlled trials.Li C, Yin H, Zhao J, Shang B, Hu M, Zhang P, Chen L.J Adv Nurs. 2018 Dec;74(12):2727-2741. doi: 10.1111/jan.13808. Epub 2018 Sep 3.PMID: 30019393RESULTS: Twelve studies with a total sample size of 651 participants met the inclusion criteria.Interventions included psychotherapy, exercise, training programme and other forms ofintervention. The results of subgroup analysis showed that depression benefit more from ps …
The effects of regular physical activity on anxiety symptoms in healthy olderadults: a systematic review.Mochcovitch MD, Deslandes AC, Freire RC, Garcia RF, Nardi AE.Braz J Psychiatry. 2016 Jul-Sep;38(3):255-61. doi: 10.1590/1516-4446-2015-1893.PMID: 27579597 Free PMC article. Review.OBJECTIVE: Anxiety symptoms are common in older adults with or without anxiety disorders....More studies are needed to identify the ideal PA modality, frequency, duration, and intensity foroptimizing the positive effects of exercise on anxiety in thi …
Treatment of Anxiety in Patients With Coronary Heart Disease: A SystematicReview.Farquhar JM, Stonerock GL, Blumenthal JA.Psychosomatics. 2018 Jul-Aug;59(4):318-332. doi: 10.1016/j.psym.2018.03.008. Epub 2018 Mar 27.PMID: 29735242 Free PMC article.Most studies were conducted with nonanxious patients. The Hospital Anxiety and Depression Scaleand State-Trait Anxiety Inventory were the most frequently used instruments to assess anxiety....CONCLUSION: Although there have been a number of randomized clini …
Psychosocial effects of workplace exercise - A systematic review.Bordado Sk.ld M, Bayattork M, Andersen LL, Schlünssen V.Scand J Work Environ Health. 2019 Nov 1;45(6):533-545. doi: 10.5271/sjweh.3832. Epub 2019 May23.PMID: 31120539Objectives Workplace exercise interventions are known to reduce musculoskeletal complaints andare widely offered to promote employee`s health. The psychosocial effects of such interventionsare not clear. This review evaluates the effects of workplace exercise …
The Benefits of Physical Exercise on Mental Disorders and Quality of Life inSubstance Use Disorders Patients. Systematic Review and Meta-Analysis.Gim.nez-Meseguer J, Tortosa-Mart.nez J, Cortell-Tormo JM.Int J Environ Res Public Health. 2020 May 23;17(10):3680. doi: 10.3390/ijerph17103680.PMID: 32456164 Free PMC article.Physical exercise seems to have a promising effect on numerous variables related to the recoveryof drug-dependent patients. ...A total of 59 studies were included. An effect of exercise on qualityof life and mental disorders was identified. Subgroup analysis revea …
Effects of Exercise on Select Biomarkers and Associated Outcomes in ChronicPain Conditions: Systematic Review.Kawi J, Lukkahatai N, Inouye J, Thomason D, Connelly K.Biol Res Nurs. 2016 Mar;18(2):147-59. doi: 10.1177/1099800415599252. Epub 2015 Aug 14.PMID: 26276511 Review.Current management is challenged by lack of validated objective measures like biological markers.Clinical pain studies employing exercise interventions have evaluated biomarkers; however, it isunclear how exercise impacts biomarkers involved in pain pathways and w …
A Systematic Review of Interventions for Health Anxiety Presentations AcrossDiverse Chronic Illnesses.Petricone-Westwood D, Jones G, Mutsaers B, Leclair CS, Tomei C, Trudel G, Dinkel A, Lebel S.Int J Behav Med. 2019 Feb;26(1):3-16. doi: 10.1007/s12529-018-9748-6.PMID: 30498918PURPOSE: Health anxiety (HA) is associated with reduced quality of life among individuals withchronic illnesses. ...RESULTS: The data on psychotherapy (CBT, third-wave CBT, and mindfulness),patient education, and rehabilitation programs demonstrated effectiveness in canc …
Psychological therapies for the treatment of anxiety disorders in chronicobstructive pulmonary disease.Usmani ZA, Carson KV, Heslop K, Esterman AJ, De Soyza A, Smith BJ.Cochrane Database Syst Rev. 2017 Mar 21;3(3):CD010673. doi: 10.1002/14651858.CD010673.pub2.PMID: 28322440 Free PMC article. Review.Coexisting anxiety and COPD contribute to poor health outcomes in terms of exercise tolerance,quality of life and COPD exacerbations. ...All three studies assessed psychological therapy(cognitive behavioural therapy) plus co-intervention versus co-in …
Special Issue - Therapeutic Benefits of Physical Activity for Mood: A SystematicReview on the Effects of Exercise Intensity, Duration, and Modality.Chan JSY, Liu G, Liang D, Deng K, Wu J, Yan JH.J Psychol. 2019;153(1):102-125. doi: 10.1080/00223980.2018.1470487. Epub 2018 Oct 15.PMID: 30321106Results show that moderate-intensity anaerobic exercise is associated with greater moodimprovements. The relationship between exercise duration and mood change is non-linear; Aregime of 10- to 30-minute exercise is sufficient for mood improvements. For e …
Additional effects of psychological interventions on subjective and objectiveoutcomes compared with exercise-based cardiac rehabilitation alone inpatients with cardiovascular disease: A systematic review and meta-analysis.Albus C, Herrmann-Lingen C, Jensen K, Hackbusch M, Münch N, Kuncewicz C, Grilli M, Schwaab B,Rauch B; German Society of Cardiovascular Prevention & Rehabilitation (DGPR).Eur J Prev Cardiol. 2019 Jul;26(10):1035-1049. doi: 10.1177/2047487319832393. Epub 2019 Mar 11.PMID: 30857429 Free PMC article.BACKGROUND: Exercise-based cardiac rehabilitation (ebCR) often includes various psychologicalinterventions for lifestyle change or distress management. However, the additional benefit ofspecific psychological interventions on depression, anxiety, quality of life, …
The Effect of Tai Chi Chuan on Negative Emotions in Non-Clinical Populations: AMeta-Analysis and Systematic Review.Zhang S, Zou L, Chen LZ, Yao Y, Loprinzi PD, Siu PM, Wei GX.Int J Environ Res Public Health. 2019 Aug 21;16(17):3033. doi: 10.3390/ijerph16173033.PMID: 31438638 Free PMC article.We performed a meta-analysis and systematically evaluated the effect of TCC on selected negativeemotions (i.e., anxiety and depression). Fourteen experimental studies from three English-and twoChinese-language databases were evaluated. ...These findings suggest that TCC …
A systematic review of exercise and psychosocial rehabilitation interventions toimprove health-related outcomes in patients with bladder cancer undergoingradical cystectomy.Rammant E, Decaestecker K, Bultijnck R, Sundahl N, Ost P, Pauwels NS, Deforche B, Pieters R,Fonteyne V.Clin Rehabil. 2018 May;32(5):594-606. doi: 10.1177/0269215517746472. Epub 2017 Dec 12.PMID: 29231044REVIEW METHODS: Randomized controlled trials (RCTs) and non-randomized studies assessingeffects of exercise and psychosocial interventions in bladder cancer patients undergoing radicalcystectomy were eligible. ...Psychosocial interventions showed positive effects on a …
The effects of interacting with fish in aquariums on human health and wellbeing:A systematic review.Clements H, Valentin S, Jenkins N, Rankin J, Baker JS, Gee N, Snellgrove D, Sloman K.PLoS One. 2019 Jul 29;14(7):e0220524. doi: 10.1371/journal.pone.0220524. eCollection 2019.PMID: 31356652 Free PMC article.The remaining studies involved novel interactions with fish in home or public aquariums. Outcomesrelating to anxiety, relaxation and/or physiological stress were commonly assessed; evidence wasmixed with both positive and null findings. ...
A systematic review and meta-analysis of lifestyle interventions in women ofreproductive age with overweight or obesity: the effects on symptoms ofdepression and anxiety.van Dammen L, Wekker V, de Rooij SR, Groen H, Hoek A, Roseboom TJ.Obes Rev. 2018 Dec;19(12):1679-1687. doi: 10.1111/obr.12752. Epub 2018 Aug 28.PMID: 30155959We included lifestyle intervention RCTs in women of reproductive age with overweight or obesitythat assessed effects on symptoms of depression and/or anxiety. The difference between baselineand post-intervention scores on symptoms of depression and anxiety for the …
Progressive muscle relaxation as a supportive intervention for cancer patientsundergoing chemotherapy: A systematic review.Pelekasis P, Matsouka I, Koumarianou A.Palliat Support Care. 2017 Aug;15(4):465-473. doi: 10.1017/S1478951516000870. Epub 2016 Nov28.PMID: 27890023 Review.BACKGROUND: Many cancer patients use a wide variety of techniques to improve their physical andmental well-being, including relaxation therapy and, specifically, Progressive Muscle Relaxation(PMR). However, there is no strong evidence that supports the efficacy of this t …
Self-management interventions for cancer survivors: a systematic review.Boland L, Bennett K, Connolly D.Support Care Cancer. 2018 May;26(5):1585-1595. doi: 10.1007/s00520-017-3999-7. Epub 2017 Dec4.PMID: 29199362PURPOSE: Many cancer survivors experience problems with persisting symptoms such as pain,fatigue, anxiety and depression post-treatment. Self-management interventions are recommendedfor cancer patients as they can help individuals identify and manage these continuing sym …
Psychological factors associated with diabetes self-management amongadolescents with Type 1 diabetes: A systematic review.Martinez K, Frazer SF, Dempster M, Hamill A, Fleming H, McCorry NK.J Health Psychol. 2018 Nov;23(13):1749-1765. doi: 10.1177/1359105316669580. Epub 2016 Sep 22.PMID: 27663288This review aims to synthesise the literature examining the psychosocial variables related to selfmanagement(insulin adherence, non-adherence and administration, blood sugar monitoring, dietarybehaviour, exercise behaviour) in adolescents with type 1 diabetes. A systema …
Does therapeutic writing help people with long-term conditions? Systematicreview, realist synthesis and economic considerations.Nyssen OP, Taylor SJ, Wong G, Steed E, Bourke L, Lord J, Ross CA, Hayman S, Field V, Higgins A,Greenhalgh T, Meads C.Health Technol Assess. 2016 Apr;20(27):vii-xxxvii, 1-367. doi: 10.3310/hta20270.PMID: 27071807 Free PMC article. Review.BACKGROUND: Writing therapy to improve physical or mental health can take many forms. ...Metaanalysesconducted across all of the LTCs provided no evidence that unfacilitated emotional writinghad any effect on depression at short- (n = 1563, SMD -0.06, 95% CI -0.29 to 0. …
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