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[Exercise test in the neurotic patients].

L Borodulin-Nadzieja1, A Janocha, E Salomon

  • 1Katedry i Zakładu Fizjologii AM we Wrocławiu.

Psychiatria Polska
|April 27, 1999
PubMed
Summary

Psychotherapy improved physical efficiency and reduced cardiac symptoms in neurotic patients. Exercise tests revealed lower heart rate and higher blood pressure before treatment, which normalized post-therapy.

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Area of Science:

  • Cardiology
  • Psychiatry
  • Exercise Physiology

Context:

  • Neurotic patients often report physical complaints like fatigue and palpitations.
  • Objective assessment of physical efficiency is crucial for understanding these symptoms.

Purpose:

  • To evaluate the impact of psychotherapy on the physical efficiency and cardiac function of neurotic patients.
  • To objectively measure changes in exercise capacity and electrocardiogram (ECG) parameters before and after treatment.

Summary:

  • Patients underwent treadmill exercise tests (ECG, heart rate, blood pressure) twice: pre- and post-3-month psychotherapy.
  • Significant improvements in physical efficiency and reductions in repolarization disorders, ST-T changes, and extrasystoles were observed post-therapy.
  • Pre-treatment findings included higher heart rate and lower blood pressure, suggesting sympathetic nervous system overactivity.

Impact:

  • Findings support the functional basis of cardiac symptoms in neurotic patients.
  • Demonstrates psychotherapy's efficacy in improving physical well-being and normalizing physiological responses.
  • Highlights the utility of exercise testing in assessing treatment outcomes for psychosomatic complaints.

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