Resistance exercise training among young adults with analogue generalized anxiety disorder
- PMID: 33321380
- DOI: 10.1016/j.jad.2020.12.020
Resistance exercise training among young adults with analogue generalized anxiety disorder
Abstract
Introduction: The objective of this randomized controlled trial (RCT) was to quantify the effects of eight weeks of World Health Organization and American College of Sports Medicine guidelines-based resistance exercise training (RET) among participants meeting criteria for subclinical, or analogue-GAD (AGAD) METHODS: Forty-four participants (mean age (y): 25.4.6±4.9.2) were randomized to either an eight-week, fully-supervised, one-on-one RET intervention or wait-list control. AGAD status was determined using validated cut-scores for both the Psychiatric Diagnostic Screening Questionnaire-GAD subscale (≥6) and Penn State Worry Questionnaire (≥45). Remission, based on change in AGAD status, was assessed post-intervention, and quantified with number needed to treat (NNT). Primary analyses focused on participants missing outcome data at ≤1 time point (RET: n=12, Wait-list: n=15). RM-ANCOVA examined differences between RET and wait-list across time. Simple effects analysis decomposed significant interactions. Hedges' d quantified magnitude of differences in change between conditions over time.
Results: Attendance was 81% and compliance to the RET was 77%. Participants significantly increased strength (all d≥1.24, p≤0.006) with no adverse events. RET improved AGAD status (NNT=3, 95%CI: 2 to 7). Significant group X time interactions were found for worry (F(3,66) = 3.12, p≤0.043; d=0.93, 95%CI: 0.13 to 1.73) and anxiety symptoms (F(3,57.84)=2.91, ε=0.88, p≤0.045; d=0.71, 95%CI: -0.08 to 1.49). RET significantly reduced worry (mean difference=-6.49, p≤0.045) and anxiety symptoms (mean difference=-10.50, p≤0.001).
Limitations: Limitations include a small sample size, and lack of attention-matched control condition.
Conclusion: RET significantly improved AGAD severity, and elicited large, clinically meaningful improvements in worry and anxiety symptoms among young adults with AGAD.
Keywords: Anxious; Muscle Strengthening Activity; Strength training; Worry.
Copyright © 2020. Published by Elsevier B.V.
Similar articles
-
Resistance exercise training for anxiety and worry symptoms among young adults: a randomized controlled trial.Sci Rep. 2020 Oct 16;10(1):17548. doi: 10.1038/s41598-020-74608-6. Sci Rep. 2020. PMID: 33067493 Free PMC article. Clinical Trial.
-
The effects of acute resistance exercise among young adults: A randomized controlled trial.J Affect Disord. 2022 Feb 15;299:102-107. doi: 10.1016/j.jad.2021.11.049. Epub 2021 Nov 18. J Affect Disord. 2022. PMID: 34801607 Clinical Trial.
-
Effects of resistance exercise training on depressive symptoms among young adults: A randomized controlled trial.Psychiatry Res. 2023 Aug;326:115322. doi: 10.1016/j.psychres.2023.115322. Epub 2023 Jun 28. Psychiatry Res. 2023. PMID: 37429171 Clinical Trial.
-
The Effects of Resistance Exercise Training on Anxiety: A Meta-Analysis and Meta-Regression Analysis of Randomized Controlled Trials.Sports Med. 2017 Dec;47(12):2521-2532. doi: 10.1007/s40279-017-0769-0. Sports Med. 2017. PMID: 28819746 Review.
-
Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults.Cochrane Database Syst Rev. 2016 Mar 12;3(3):CD011565. doi: 10.1002/14651858.CD011565.pub2. Cochrane Database Syst Rev. 2016. PMID: 26968204 Free PMC article. Review.
Cited by
-
Endocannabinoid and psychological responses to acute resistance exercise in trained and untrained adults.PLoS One. 2023 Dec 1;18(12):e0291845. doi: 10.1371/journal.pone.0291845. eCollection 2023. PLoS One. 2023. PMID: 38039265 Free PMC article.
-
Exercise as Treatment for "Stress-Related" Mental Disorders.Curr Neuropharmacol. 2024;22(3):420-436. doi: 10.2174/1570159X22666230927103308. Curr Neuropharmacol. 2024. PMID: 37779399 Free PMC article.
-
Exercise as an antidepressant: exploring its therapeutic potential.Front Psychiatry. 2023 Sep 12;14:1259711. doi: 10.3389/fpsyt.2023.1259711. eCollection 2023. Front Psychiatry. 2023. PMID: 37772067 Free PMC article. Review.
-
Psychometric analysis of the Psychiatric Diagnostic Screening Questionnaire (PDSQ) and determinants of psychopathology in two outpatient clinics in Navarre (Spain).An Sist Sanit Navar. 2023 Aug 30;46(2):e1043. doi: 10.23938/ASSN.1043. An Sist Sanit Navar. 2023. PMID: 37647203 Free PMC article.
-
Comparative Effectiveness of Multiple Exercise Interventions in the Treatment of Mental Health Disorders: A Systematic Review and Network Meta-Analysis.Sports Med Open. 2022 Oct 29;8(1):135. doi: 10.1186/s40798-022-00529-5. Sports Med Open. 2022. PMID: 36308622 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous