Blevins Claire E, Rapoport Marie A, Battle Cynthia L, Stein Michael D, Abrantes Ana M
Butler Hospital, Providence, RI, USA.
Alpert Medical School of Brown University, Providence, RI, USA.
Ment Health Phys Act. 2017 Oct;13:137-142. doi: 10.1016/j.mhpa.2017.09.009. Epub 2017 Sep 29.
Women are particularly likely to drink alcohol for the purpose of coping with or alleviating negative affect. Engaging in physical activity has been posited as a potentially effective alternate coping strategy during early recovery for managing mood and cravings. Utilizing exercise to cope may be associated with more adaptive coping strategies in general. Additionally, an intrinsic (autonomous) motivational style and positive beliefs about exercise are associated with long-term adherence to physical activity. The current study evaluates changes in coping strategies, autonomous motivation, and beliefs about exercise among women engaged in a physical activity intervention during early recovery (N=20; mean age=39.53). General coping strategies, motivational style, and beliefs about exercise were examined before and after engaging in the 12-week intervention which aimed to help women utilize physical activity as a means to cope with negative affect and alcohol craving. We found that, by the end of the intervention, participants significantly increased utilization of adaptive coping strategies such as the use of emotional support from others. Additionally, participants increased autonomous motivation over time. There were no significant changes in beliefs about exercise. Changes in beliefs about benefits of exercise, autonomous motivation, and adaptive coping were related to use of exercise to cope. However, even though these changes were associated with how women in the intervention used exercise, they were not associated with exercising more. Results from this open pilot suggest that women in early recovery from alcohol who increase physical activity - specifically as a means to cope with negative affect and craving - also demonstrate other wider coping strategies, more positive beliefs, and autonomous motivation.
女性尤其有可能为了应对或减轻负面影响而饮酒。在早期康复过程中，进行体育活动被认为是一种潜在有效的替代应对策略，可用于管理情绪和渴望。一般来说，利用运动来应对可能与更具适应性的应对策略相关。此外，内在（自主）动机风格以及对运动的积极信念与长期坚持体育活动有关。本研究评估了在早期康复阶段参与体育活动干预的女性（N = 20；平均年龄 = 39.53岁）在应对策略、自主动机和对运动的信念方面的变化。在参与旨在帮助女性将体育活动作为应对负面影响和戒酒渴望的手段的12周干预前后，对一般应对策略、动机风格和对运动的信念进行了检查。我们发现，到干预结束时，参与者显著增加了对适应性应对策略的使用，比如利用他人的情感支持。此外，参与者随着时间推移自主动机有所增强。对运动的信念没有显著变化。对运动益处的信念、自主动机和适应性应对的变化与利用运动来应对有关。然而，尽管这些变化与干预中的女性如何利用运动有关，但它们与更多地进行运动并无关联。这项开放性试点研究的结果表明，从酒精成瘾中早期康复的女性增加体育活动——特别是将其作为应对负面影响和渴望的手段时——也会表现出其他更广泛的应对策略、更积极的信念和自主动机。
