对患有焦虑障碍的成年人进行运动治疗的有效性和可接受性:系统性审查和网络元分析
Evander Fung-Chau Lei1,2, Ke-Wen Wan1,2, Zihan Dai3
1Academy of Wellness and Human Development, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Hong Kong, People's Republic of China.
BMJ open sport & exercise medicine
|January 23, 2026
概括
抵抗运动和心身运动 (MBE) 对焦虑障碍有希望. 虽然抵抗训练 (RT) 对焦虑障碍最有效,但MBE对焦虑症状有效. 可接受性数据仍然不清楚.
科学领域:
- 心理健康研究 心理健康研究
- 运动科学 运动科学
- 临床心理学 临床心理学
背景情况:
- 焦虑症是普遍存在的,损害了具有重大社会成本的条件.
- 运动是一种公认的辅助治疗焦虑症,但最优的方法是未知的.
- 区分焦虑症和症状对于有针对性的干预至关重要.
研究的目的:
- 进行网络元分析,评估焦虑障碍成年人的运动干预措施.
- 评估各种运动类型对焦虑的有效性和可接受性.
- 为了比较不同的炼方式与已建立的治疗和对照.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和频率网络元分析.
- 搜索了5个主要数据库,截至2025年3月1日,包括有氧运动,心身运动 (MBE) 和抵抗训练 (RT).
- 使用Cochrane RoB 2.0评估偏差风险,并分析了焦虑症严重程度的降低和戒断率.
主要成果:
- 包括30个RCT (1421名参与者),具有不同的偏差风险.
- 抵抗训练 (RT) 在联合焦虑状况 (SMD -0.80) 和焦虑障碍 (SMD -0.79) 中表现出最高的有效性.
- 心与身体运动 (MBE) 对焦虑症状 (SMD -0.84) 最有效,治疗方法之间的可接受性没有显著差异.
结论:
- 抵抗运动和MBE显示出作为焦虑障碍有效治疗的潜力,以中等确定性证据为依据.
- 抵抗训练 (RT) 对于被诊断出焦虑障碍最有效,而MBE对焦虑症状最有效.
- 需要进一步的研究来澄清不同运动干预措施对焦虑的可接受性.
相关概念视频
01:30Generalized Anxiety Disorder
668
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
668
01:28Social Anxiety Disorder
468
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
468
01:24Treatment Strategies for Psychological Disorders
751
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
751
01:18Anxiety: Overview
961
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
961
01:10Review and Preview
8.3K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.3K
01:13Review and Preview
10.9K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
10.9K