The relationship between anxiety sensitivity and clinical outcomes in cardiac rehabilitation: A scoping review

Background: Despite well-established efficacy for patients with a cardiovascular diagnosis or event, exercise-based cardiac rehabilitation program participation and completion has remained alarmingly low due to both system-level barriers and patient-level factors. Patient mental health, particularly...

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Main Authors: Ebuka Osuji (Author), Peter L. Prior (Author), Neville Suskin (Author), Jefferson C. Frisbee (Author), Stephanie J. Frisbee (Author)
Format: Book
Published: Elsevier, 2022-12-01T00:00:00Z.
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001 doaj_aa7ec045b4564db0af2eab5c8cc4e443
042 |a dc 
100 1 0 |a Ebuka Osuji  |e author 
700 1 0 |a Peter L. Prior  |e author 
700 1 0 |a Neville Suskin  |e author 
700 1 0 |a Jefferson C. Frisbee  |e author 
700 1 0 |a Stephanie J. Frisbee  |e author 
245 0 0 |a The relationship between anxiety sensitivity and clinical outcomes in cardiac rehabilitation: A scoping review 
260 |b Elsevier,   |c 2022-12-01T00:00:00Z. 
500 |a 2666-6677 
500 |a 10.1016/j.ajpc.2022.100376 
520 |a Background: Despite well-established efficacy for patients with a cardiovascular diagnosis or event, exercise-based cardiac rehabilitation program participation and completion has remained alarmingly low due to both system-level barriers and patient-level factors. Patient mental health, particularly depression, is now recognized as significantly associated with reduced enrollment, participation, attendance, and completion of a cardiac rehabilitation program. More recently, anxiety sensitivity has emerged as an independent construct, related to but distinct from both depression and anxiety. Anxiety sensitivity has been reported to be adversely associated with participation in exercise and, thus, may be important for patients in cardiac rehabilitation. Accordingly, the objective of this study was to conduct a scoping review to summarize the evidence for associations between anxiety sensitivity and cardiovascular disease risk factors, exercise, and clinical outcomes in cardiac rehabilitation. Methods: A formal scoping review, following PRISMA-ScR guidelines, was undertaken. Searches of MEDLINE, Web of Science, CINAHL, PSYCINFO, and Scopus databases were conducted, supplemented by hand searches; studies published through December of 2020 were included. The initial screening was based on titles and abstracts and the second stage of screening was based on full text examination. Results: The final search results included 28 studies. Studies reported statistically significant associations between anxiety sensitivity and exercise, cardiovascular disease, and participation in cardiac rehabilitation. Many studies, however, were conducted in non-clinical, community-based populations; there were few studies conducted in cardiovascular disease and cardiac rehabilitation clinical patient populations. Additionally, significant gaps remain in our understanding of the sex-based differences in the complex relationships between anxiety sensitivity, exercise and cardiac rehabilitation. Conclusion: More research is needed to understand specific associations between anxiety sensitivity and clinical outcomes among clinical cardiovascular disease patients and participants in cardiac rehabilitation programs. Treatment of anxiety sensitivity to optimize clinical outcomes in cardiac rehabilitation programs should be investigated in future studies. 
546 |a EN 
690 |a Anxiety sensitivity 
690 |a Cardiac rehabilitation 
690 |a Cardiovascular disease 
690 |a Exercise 
690 |a Cardiovascular disease risk factors 
690 |a Diseases of the circulatory (Cardiovascular) system 
690 |a RC666-701 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n American Journal of Preventive Cardiology, Vol 12, Iss , Pp 100376- (2022) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2666667722000605 
787 0 |n https://doaj.org/toc/2666-6677 
856 4 1 |u https://doaj.org/article/aa7ec045b4564db0af2eab5c8cc4e443  |z Connect to this object online.