Bichler Carina S, Niedermeier Martin, Hüfner Katharina, Gálffy Mátyás, Sperner-Unterweger Barbara, Kopp Martin
Department of Sport Science, University of Innsbruck, Innsbruck, Austria.
Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital for Psychiatry II, Innsbruck, Austria.
Front Psychiatry. 2022 Jun 9;13:856730. doi: 10.3389/fpsyt.2022.856730. eCollection 2022.
Exercise programs have shown anxiolytic effects in psychiatric patients. Adherence to exercise programs and subsequent long-term lifestyle change is influenced by acute affective responses of the exercise programs. This research aimed to assess acute affective responses of two different exercise modalities compared to a non-exercise control program and its effects on persisting physical activity behavior change.
Sixty-six outpatients diagnosed with an anxiety disorder or posttraumatic stress disorder were randomly allocated to one of three groups in a randomized longitudinal controlled clinical pilot trial: climbing ( = 26), nordic walking ( = 19), social contact control ( = 21). Affective responses were assessed pre, during, and post activity. General physical activity behavior was recorded prior to participation in the program, post program, and at follow-ups three and six months after the program.
Multilevel modeling analyzes of 1,066 individual data points revealed increases in affective valence in the exercise sessions compared to the social contact sessions. State anxiety decreased in the climbing group compared to the social contact group. Physical activity behavior was increased immediately following the program as well as at six months follow-up in both exercise groups. A larger increase in affective valence during and after the sessions was associated with higher physical activity post program.
Climbing and conventional nordic walking exercise sessions revealed positive affective changes in outpatients indicating therapeutic potential of both modalities for acute emotion regulation. In accordance with theoretical models of human behavior change, it was judged that the experience of a more pleasant affective state following the exercise sessions induced more persisting effects on physical activity behavior after the exercise programs.
https://www.clinicaltrials.gov/ct2/show/NCT03758599, identifier: NCT03758599.
运动计划已显示出对精神疾病患者的抗焦虑作用。对运动计划的坚持以及随后长期生活方式的改变会受到运动计划急性情感反应的影响。本研究旨在评估两种不同运动方式与非运动对照计划相比的急性情感反应及其对持续身体活动行为改变的影响。
在一项随机纵向对照临床试验中，66名被诊断患有焦虑症或创伤后应激障碍的门诊患者被随机分配到三组中的一组：攀岩组（n = 26）、北欧式健走组（n = 19）、社交接触对照组（n = 21）。在活动前、活动期间和活动后评估情感反应。在参与计划前、计划后以及计划后三个月和六个月的随访中记录一般身体活动行为。
对1066个个体数据点的多水平模型分析显示，与社交接触组相比，运动组在运动过程中的情感效价有所增加。与社交接触组相比，攀岩组的状态焦虑有所降低。两个运动组在计划结束后以及六个月随访时身体活动行为均有所增加。运动过程中和运动后情感效价的更大增加与计划后更高的身体活动相关。
攀岩和传统北欧式健走运动课程在门诊患者中显示出积极的情感变化，表明这两种方式在急性情绪调节方面具有治疗潜力。根据人类行为改变的理论模型，判断运动课程后更愉悦的情感状态体验对运动计划后的身体活动行为产生了更持久的影响。
https://www.clinicaltrials.gov/ct2/show/NCT03758599，标识符：NCT03758599。
