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Gepubliceerd in: Cognitive Therapy and Research 1/2019

27-07-2018 | Original Article

Anxiety Sensitivity is Associated with Lower Enjoyment and an Anxiogenic Response to Physical Activity in Smokers

Auteurs: Samantha G. Farris, Aubrey J. Legasse, Lisa A. Uebelacker, Richard A. Brown, Lawrence H. Price, Ana M. Abrantes

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2019

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Abstract

The subjective affective response to, and enjoyment of, physical activity are strong predictors of engagement in physical activity. Anxiety sensitivity, the fear of bodily sensations, is a cognitive factor that may inhibit the pleasurable affective experience of physical activity, possibly contributing to low levels of physical activity. The current study evaluated anxiety sensitivity in relation to PA enjoyment and affective experience before and after exercise in smokers. Participants were low-active treatment-seeking smokers (n = 201) enrolled in a smoking cessation intervention. At baseline, participants completed self-report assessments of anxiety sensitivity, cigarette dependence, and physical activity enjoyment. State affect was also reported before and after a submaximal exercise test to index pre-exercise activity affect and affective response to exercise. Anxiety sensitivity was significantly negatively correlated with physical activity enjoyment, specifically lower enjoyable physical feelings of physical activity. Anxiety sensitivity was significantly correlated with lower state mood and higher state anxiety prior to the submaximal exercise test, and higher anxiety immediately after the exercise test. Additionally, anxiety sensitivity predicted increased anxiety, but not lower mood, in response to the submaximal exercise test. This is the first study to document an association of anxiety sensitivity with affective determinants of physical activity behavior in smokers. Anxiety sensitivity was associated with lower physical activity enjoyment, higher negative affect prior to and after exercise testing, and an anxiogenic response to exercise. Future work is needed to understand how the current findings generalize beyond smokers.
Literatuur
go back to reference Abrantes, A. M., Farris, S. G., Minami, H., Strong, D. R., Riebe, D., & Brown, R. A. (2018). Acute effects of aerobic exercise on affect and smoking craving in the weeks before and after a cessation attempt. Nicotine & Tobacco Research, 20(5), 575–582.CrossRef Abrantes, A. M., Farris, S. G., Minami, H., Strong, D. R., Riebe, D., & Brown, R. A. (2018). Acute effects of aerobic exercise on affect and smoking craving in the weeks before and after a cessation attempt. Nicotine & Tobacco Research, 20(5), 575–582.CrossRef
go back to reference American College of Sports Medicine. (2010). ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins. American College of Sports Medicine. (2010). ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins.
go back to reference Borg, G. V. (1982). Psychological basis of perceived exertion. Medicine and Science in Sports and Exercise, 14, 377–381.PubMed Borg, G. V. (1982). Psychological basis of perceived exertion. Medicine and Science in Sports and Exercise, 14, 377–381.PubMed
go back to reference Brown, R. A., Lejuez, C. W., Kahler, C. W., & Strong, D. R. (2002). Distress tolerance and duration of past smoking cessation attempts. Journal of Abnormal Psychology, 111(1), 180–185.PubMedCrossRef Brown, R. A., Lejuez, C. W., Kahler, C. W., & Strong, D. R. (2002). Distress tolerance and duration of past smoking cessation attempts. Journal of Abnormal Psychology, 111(1), 180–185.PubMedCrossRef
go back to reference Carek, P. J., Laibstain, S. E., & Carek, S. M. (2011). Exercise for the treatment of depression and anxiety. International Journal of Psychiatry in Medicine, 41(1), 15–28.PubMedCrossRef Carek, P. J., Laibstain, S. E., & Carek, S. M. (2011). Exercise for the treatment of depression and anxiety. International Journal of Psychiatry in Medicine, 41(1), 15–28.PubMedCrossRef
go back to reference Centers for Disease Control and Prevention. (2013). Health behaviors of adults: United States 2008–2010. Vital and Health Statistics (Vol. 257). Centers for Disease Control and Prevention. (2013). Health behaviors of adults: United States 20082010. Vital and Health Statistics (Vol. 257).
go back to reference de Souza Moura, A. M., Lamego, M. K., Paes, F., Ferreira Rocha, N. B., Simoes-Silva, V., Rocha, S. A., et al. (2015). Effects of aerobic exercise on anxiety disorders: A systematic review. CNS & Neurological Disorders Drug Targets, 14(9), 1184–1193.CrossRef de Souza Moura, A. M., Lamego, M. K., Paes, F., Ferreira Rocha, N. B., Simoes-Silva, V., Rocha, S. A., et al. (2015). Effects of aerobic exercise on anxiety disorders: A systematic review. CNS & Neurological Disorders Drug Targets, 14(9), 1184–1193.CrossRef
go back to reference DeVellis, R. F. (2017). Scale development: Theory & applications (4th ed.). Newbury Park: Sage. DeVellis, R. F. (2017). Scale development: Theory & applications (4th ed.). Newbury Park: Sage.
go back to reference Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2008). The relationship between exercise intensity and affective responses demystified: To crack the 40-year-old nut, replace the 40-year-old nutcracker! Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35(2), 136–149. https://doi.org/10.1007/s12160-008-9025-z.CrossRef Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2008). The relationship between exercise intensity and affective responses demystified: To crack the 40-year-old nut, replace the 40-year-old nutcracker! Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35(2), 136–149. https://​doi.​org/​10.​1007/​s12160-008-9025-z.CrossRef
go back to reference Fagerström, K. O. (2012). Determinants of tobacco use and renaming the FTND to the Fagerström test for cigarette dependence. Nicotine & Tobacco Research, 14(1), 75–78.CrossRef Fagerström, K. O. (2012). Determinants of tobacco use and renaming the FTND to the Fagerström test for cigarette dependence. Nicotine & Tobacco Research, 14(1), 75–78.CrossRef
go back to reference Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom tolerance questionnaire. British Journal of Addiction, 86(9), 1119–1127.PubMedCrossRef Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom tolerance questionnaire. British Journal of Addiction, 86(9), 1119–1127.PubMedCrossRef
go back to reference Herring, M. P., Jacob, M. L., Suveg, C., Dishman, R. K., & O’Connor, P. J. (2012). Feasibility of exercise training for the short-term treatment of generalized anxiety disorder: A randomized controlled trial. Psychotherapy and Psychosomatics, 81(1), 21–28. https://doi.org/10.1159/000327898.PubMedCrossRef Herring, M. P., Jacob, M. L., Suveg, C., Dishman, R. K., & O’Connor, P. J. (2012). Feasibility of exercise training for the short-term treatment of generalized anxiety disorder: A randomized controlled trial. Psychotherapy and Psychosomatics, 81(1), 21–28. https://​doi.​org/​10.​1159/​000327898.PubMedCrossRef
go back to reference Kendzierski, D., & DeCarlo, K. J. (1991). Physical activity enjoyment scale: Two validation studies. Journal of Sport & Exercise Psychology, 13(1), 50–64.CrossRef Kendzierski, D., & DeCarlo, K. J. (1991). Physical activity enjoyment scale: Two validation studies. Journal of Sport & Exercise Psychology, 13(1), 50–64.CrossRef
go back to reference Lasser, K., Boyd, J. W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284(20), 2606–2610.PubMedCrossRef Lasser, K., Boyd, J. W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284(20), 2606–2610.PubMedCrossRef
go back to reference Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological Bulletin, 141(1), 176–212.PubMedCrossRef Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological Bulletin, 141(1), 176–212.PubMedCrossRef
go back to reference Marcus, B. H., Williams, D. M., Dubbert, P. M., Sallis, J. F., King, A. C., Yancey, A. K., et al. (2006). Physical activity intervention studies what we know and what we need to know: A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular. Circulation, 114(24), 2739–2752. https://doi.org/10.1161/CIRCULATIONAHA.106.179683.PubMedCrossRef Marcus, B. H., Williams, D. M., Dubbert, P. M., Sallis, J. F., King, A. C., Yancey, A. K., et al. (2006). Physical activity intervention studies what we know and what we need to know: A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular. Circulation, 114(24), 2739–2752. https://​doi.​org/​10.​1161/​CIRCULATIONAHA.​106.​179683.PubMedCrossRef
go back to reference McCabe, R. E., Chudzik, S. M., Antony, M. M., Young, L., Swinson, R. P., & Zolvensky, M. J. (2004). Smoking behaviors across anxiety disorders. Journal of Anxiety Disorders, 18(1), 7–18.PubMedCrossRef McCabe, R. E., Chudzik, S. M., Antony, M. M., Young, L., Swinson, R. P., & Zolvensky, M. J. (2004). Smoking behaviors across anxiety disorders. Journal of Anxiety Disorders, 18(1), 7–18.PubMedCrossRef
go back to reference McCarthy, D. E., Curtin, J. J., Piper, M. E., & Baker, T. B. (2010). Negative reinforcement: Possible clinical implications of an integrative model. In Substance abuse and emotion (pp. 15–42). Washington: American Psychological Association. https://doi.org/10.1037/12067-001.CrossRef McCarthy, D. E., Curtin, J. J., Piper, M. E., & Baker, T. B. (2010). Negative reinforcement: Possible clinical implications of an integrative model. In Substance abuse and emotion (pp. 15–42). Washington: American Psychological Association. https://​doi.​org/​10.​1037/​12067-001.CrossRef
go back to reference McWilliams, L. A., & Asmundson, G. J. (2001). Is there a negative association between anxiety sensitivity and arousal-increasing substances and activities? Journal of Anxiety Disorders, 15(3), 161–70.PubMedCrossRef McWilliams, L. A., & Asmundson, G. J. (2001). Is there a negative association between anxiety sensitivity and arousal-increasing substances and activities? Journal of Anxiety Disorders, 15(3), 161–70.PubMedCrossRef
go back to reference Merom, D., Phongsavan, P., Wagner, R., Chey, T., Marnane, C., Steel, Z., et al. (2008). Promoting walking as an adjunct intervention to group cognitive behavioral therapy for anxiety disorders: A pilot group randomized trial. Journal of Anxiety Disorders, 22(6), 959–968.PubMedCrossRef Merom, D., Phongsavan, P., Wagner, R., Chey, T., Marnane, C., Steel, Z., et al. (2008). Promoting walking as an adjunct intervention to group cognitive behavioral therapy for anxiety disorders: A pilot group randomized trial. Journal of Anxiety Disorders, 22(6), 959–968.PubMedCrossRef
go back to reference Morris, C. D., Burns, E. K., Waxmonsky, J. A., & Levinson, A. H. (2014). Smoking cessation behaviors among persons with psychiatric diagnoses: Results from a population-level state survey. Drug and Alcohol Dependence, 136(1), 63–68.PubMedCrossRef Morris, C. D., Burns, E. K., Waxmonsky, J. A., & Levinson, A. H. (2014). Smoking cessation behaviors among persons with psychiatric diagnoses: Results from a population-level state survey. Drug and Alcohol Dependence, 136(1), 63–68.PubMedCrossRef
go back to reference Moshier, S. J., Hearon, B. A., Calkins, A. W., Szuhany, K. L., Utschig, A. C., Smits, J. A. J., & Otto, M. W. (2013). Clarifying the link between distress intolerance and exercise: Elevated anxiety sensitivity predicts less vigorous exercise. Cognitive Therapy and Research, 37(3), 476–482. https://doi.org/10.1007/s10608-012-9489-9.CrossRef Moshier, S. J., Hearon, B. A., Calkins, A. W., Szuhany, K. L., Utschig, A. C., Smits, J. A. J., & Otto, M. W. (2013). Clarifying the link between distress intolerance and exercise: Elevated anxiety sensitivity predicts less vigorous exercise. Cognitive Therapy and Research, 37(3), 476–482. https://​doi.​org/​10.​1007/​s10608-012-9489-9.CrossRef
go back to reference Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
go back to reference O’Donnell, D. E., Elbehairy, A. F., Berton, D. C., Domnik, N. J., & Neder, J. A. (2017). Advances in the evaluation of respiratory pathophysiology during exercise in chronic lung diseases. Frontiers in Physiology, 8, 82.PubMedPubMedCentral O’Donnell, D. E., Elbehairy, A. F., Berton, D. C., Domnik, N. J., & Neder, J. A. (2017). Advances in the evaluation of respiratory pathophysiology during exercise in chronic lung diseases. Frontiers in Physiology, 8, 82.PubMedPubMedCentral
go back to reference Petruzzello, S. J., Landers, D. M., Hatfield, B. D., Kubitz, K. A., & Salazar, W. (1991). A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Outcomes and mechanisms. Sports Medicine, 11(3), 143–82.PubMedCrossRef Petruzzello, S. J., Landers, D. M., Hatfield, B. D., Kubitz, K. A., & Salazar, W. (1991). A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Outcomes and mechanisms. Sports Medicine, 11(3), 143–82.PubMedCrossRef
go back to reference Piper, M. E., Smith, S. S., Schlam, T. R., et al. (2010). Psychiatric disorders in smokers seeking treatment for tobacco dependence: Relations with tobacco dependence and cessation. Journal of Consulting and Clinical Psychology, 78(1), 13–23.PubMedPubMedCentralCrossRef Piper, M. E., Smith, S. S., Schlam, T. R., et al. (2010). Psychiatric disorders in smokers seeking treatment for tobacco dependence: Relations with tobacco dependence and cessation. Journal of Consulting and Clinical Psychology, 78(1), 13–23.PubMedPubMedCentralCrossRef
go back to reference Pober, D. M., Freedson, P. S., Kline, G. M., McInnis, K. J., & Rippe, J. M. (2002). Development and validation of a one-mile treadmill walk test to predict peak oxygen uptake in healthy adults ages 40 to 79 years. Canadian Journal of Applied Physiology, 27(6), 575–589. https://doi.org/10.1139/h02-033.PubMedCrossRef Pober, D. M., Freedson, P. S., Kline, G. M., McInnis, K. J., & Rippe, J. M. (2002). Development and validation of a one-mile treadmill walk test to predict peak oxygen uptake in healthy adults ages 40 to 79 years. Canadian Journal of Applied Physiology, 27(6), 575–589. https://​doi.​org/​10.​1139/​h02-033.PubMedCrossRef
go back to reference Rhodes, R. E., & Kates, A. (2015). Can the affective response to exercise predict future motives and physical activity behavior? A systematic review of published evidence. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 49(5), 715–731. https://doi.org/10.1007/s12160-015-9704-5.CrossRef Rhodes, R. E., & Kates, A. (2015). Can the affective response to exercise predict future motives and physical activity behavior? A systematic review of published evidence. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 49(5), 715–731. https://​doi.​org/​10.​1007/​s12160-015-9704-5.CrossRef
go back to reference Román, P. A. L., García Pinillos, F., Navarro Martínez, A. V., & Izquierdo Rus, T. (2014). Validity and reliability of physical activity enjoyment scale questionnaire (PACES) in children with asthma. The Journal of Asthma: Official Journal of the Association for the Care of Asthma, 51(6), 633–638. https://doi.org/10.3109/02770903.2014.898773.CrossRef Román, P. A. L., García Pinillos, F., Navarro Martínez, A. V., & Izquierdo Rus, T. (2014). Validity and reliability of physical activity enjoyment scale questionnaire (PACES) in children with asthma. The Journal of Asthma: Official Journal of the Association for the Care of Asthma, 51(6), 633–638. https://​doi.​org/​10.​3109/​02770903.​2014.​898773.CrossRef
go back to reference Rush, A., Trivedi, M., Ibrahim, H., Carmody, T., Arnow, B., Klein, D. N., et al. (2013). The 16-item quick inventory of depressive symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54(5), 573–583.CrossRef Rush, A., Trivedi, M., Ibrahim, H., Carmody, T., Arnow, B., Klein, D. N., et al. (2013). The 16-item quick inventory of depressive symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54(5), 573–583.CrossRef
go back to reference Russell, J. A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39(6), 1161–1178.CrossRef Russell, J. A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39(6), 1161–1178.CrossRef
go back to reference U S Department of Health and Human Services. (2014). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. U S Department of Health and Human Services,Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Health, Office on Smoking and Health, pp. 1–36. U S Department of Health and Human Services. (2014). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. U S Department of Health and Human Services,Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Health, Office on Smoking and Health, pp. 1–36.
go back to reference Wedekind, D., Broocks, A., Weiss, N., Engel, K., Neubert, K., & Bandelow, B. (2010). A randomized, controlled trial of aerobic exercise in combination with paroxetine in the treatment of panic disorder. The World Journal of Biological Psychiatry: The Official Journal of the World Federation of Societies of Biological Psychiatry, 11(7), 904–913. https://doi.org/10.3109/15622975.2010.489620.CrossRef Wedekind, D., Broocks, A., Weiss, N., Engel, K., Neubert, K., & Bandelow, B. (2010). A randomized, controlled trial of aerobic exercise in combination with paroxetine in the treatment of panic disorder. The World Journal of Biological Psychiatry: The Official Journal of the World Federation of Societies of Biological Psychiatry, 11(7), 904–913. https://​doi.​org/​10.​3109/​15622975.​2010.​489620.CrossRef
go back to reference Williams, D. M. (2008). Exercise, affect, and adherence: an integrated model and a case for self-paced exercise. Journal of Sport & Exercise Psychology, 30(5), 471–496.CrossRef Williams, D. M. (2008). Exercise, affect, and adherence: an integrated model and a case for self-paced exercise. Journal of Sport & Exercise Psychology, 30(5), 471–496.CrossRef
go back to reference Williams, D. M., Dunsiger, S., Jennings, E. G., & Marcus, B. H. (2012). Does affective valence during and immediately following a 10-min walk predict concurrent and future physical activity? Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 44(1), 43–51. https://doi.org/10.1007/s12160-012-9362-9.CrossRef Williams, D. M., Dunsiger, S., Jennings, E. G., & Marcus, B. H. (2012). Does affective valence during and immediately following a 10-min walk predict concurrent and future physical activity? Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 44(1), 43–51. https://​doi.​org/​10.​1007/​s12160-012-9362-9.CrossRef
go back to reference Wipfli, B. M., Rethorst, C. D., & Landers, D. M. (2008). The anxiolytic effects of exercise: a meta-analysis of randomized trials and dose-response analysis. Journal of Sport & Exercise Psychology, 30(4), 392–410.CrossRef Wipfli, B. M., Rethorst, C. D., & Landers, D. M. (2008). The anxiolytic effects of exercise: a meta-analysis of randomized trials and dose-response analysis. Journal of Sport & Exercise Psychology, 30(4), 392–410.CrossRef
Metagegevens
Titel
Anxiety Sensitivity is Associated with Lower Enjoyment and an Anxiogenic Response to Physical Activity in Smokers
Auteurs
Samantha G. Farris
Aubrey J. Legasse
Lisa A. Uebelacker
Richard A. Brown
Lawrence H. Price
Ana M. Abrantes
Publicatiedatum
27-07-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9948-z

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