Top

Gepubliceerd in:

01-06-2013 | Original Article

Clarifying the Link Between Distress Intolerance and Exercise: Elevated Anxiety Sensitivity Predicts Less Vigorous Exercise

Auteurs: Samantha J. Moshier, Bridget A. Hearon, Amanda W. Calkins, Kristin L. Szuhany, Angela C. Utschig, Jasper A. J. Smits, Michael W. Otto

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2013

Abstract

Anxiety sensitivity, one measure of distress intolerance, has been increasingly shown to play a role in a variety of health behaviors. A number of reports now suggest that individuals with higher levels of anxiety sensitivity (AS) are less likely to engage in exercise. However, this finding has been inconsistent across sex and limited by measurement strategy. This study examined the relationship between AS and self-reported exercise in a mixed-sex sample of 233 individuals. Consistent with prediction, AS was negatively associated with engagement in vigorous-intensity exercise; however, the strength of this association when covarying for sex was dependent on the measurement strategy used (continuous vs. categorical ASI scores). Sex did not moderate the AS-vigorous exercise association. AS was not associated with moderate-intensity exercise or walking. Results suggest a role of distress intolerance in exercise behavior and confirm the importance of continued research on this topic.

vorige artikel Emotion Regulation Deficits as Mediators Between Trauma Exposure and Borderline Symptoms

volgende artikel Major Depression and Risky Sexual Behavior Among Substance Dependent Patients: The Moderating Roles of Distress Tolerance and Gender

Anestis, M. D., Holm-Denoma, J. M., Gordon, K. H., Schmidt, N. B., & Joiner, T. E. (2008). The role of anxiety sensitivity in eating pathology. Cognitive Therapy and Research, 32, 370–385. doi:10.1007/s10608-006-9085-y.CrossRef

Bauman, A., Bull, F., Chey, T., Craig, C. L., Ainsworth, B. E., Sallis, J. F., et al. (2009). The international prevalence study on physical activity: Results from 20 countries. International Journal of Behavioral Nutrition and Physical Activity, 6, 21.PubMedCrossRef

Bauman, A., Phongsavan, P., Schoeppe, S., & Owen, N. (2006). Physical activity measurement—A primer for health promotion. Promotion and Education, 13(2), 92–103.PubMedCrossRef

Bernstein, A., Zvolensky, M. J., Kotov, R., Arrindell, W. A., Taylor, S., Sandin, B., et al. (2006). Taxonicity of anxiety sensitivity: A multi-national analysis. Journal of Anxiety Disorders, 20(1), 1–22.PubMedCrossRef

Broman-Fulks, J. J., Deacon, B. J., Olatunji, B. O., Bondy, C. L., Abramowitz, J. S., & Tolin, D. F. (2010). Categorical or dimensional: A reanalysis of the anxiety sensitivity construct. Behavior Therapy, 41(2), 154–171.PubMedCrossRef

Broman-Fulks, J. J., Green, B. A., Olatunji, B. O., Berman, M. E., Arnau, R. C., Deacon, B. J., et al. (2008). The latent structure of anxiety sensitivity—Revisited. Assessment, 15(2), 188–203. doi:1073191107311284.PubMedCrossRef

Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005). Distress tolerance and early smoking lapse. Clinical Psychology Review, 25(6), 713–733. doi:10.1016/j.cpr.2005.05.003.PubMedCrossRef

Brown, W. J., Trost, S. G., Bauman, A., Mummery, K., & Owen, N. (2004). Test–retest reliability of four physical activity measures used in population surveys. Journal of Science and Medicine in Sport, 7(2), 205–215.PubMedCrossRef

Brownson, R. C., Baker, E. A., Housemann, R. A., Brennan, L. K., & Bacak, S. J. (2001). Environmental and policy determinants of physical activity in the United States. American Journal of Public Health, 91(12), 1995–2003.PubMedCrossRef

Calkins, A. W., Hearon, B. A., Capozzoli, M. C., & Otto, M. W. (2012). Psychosocial predictors of sleep dysfunction: The role of anxiety sensitivity, dysfunctional beliefs and neuroticism. Behavioral Sleep Medicine. doi:10.1080/15402002.2011.643968.

Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-Country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. doi:10.1249/01.MSS.0000078924.61453.FB.PubMedCrossRef

Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 15, 297–333.CrossRef

DeMartini, K. S., & Carey, K. B. (2011). The role of anxiety sensitivity and drinking motives in predicting alcohol use: A critical review. Clinical Psychology Review, 31(1), 169–177.PubMedCrossRef

Ekelund, U., Sepp, H., Brage, S., Becker, W., Jakes, R., Hennings, M., et al. (2006). Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults. Public Health Nutrition, 9(2), 258–265.PubMedCrossRef

Ekkekakis, P., Parfitt, G., & Petruzzello, S. J. (2011). The pleasure and displeasure people feel when they exercise at different intensities: Decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Medicine, 41(8), 641–671. doi:10.2165/11590680-000000000-00000.PubMedCrossRef

Feldner, M. T., Zvolensky, M. J., Stickle, T. R., Bonn-Miller, M. O., & Leen-Feldner, E. W. (2006). Anxiety sensitivity-physical concerns as a moderator of the emotional consequences of emotion suppression during biological challenge: An experimental test using individual growth curve analysis. Behavior Research and Therapy, 44(2), 249–272.CrossRef

Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ). (2005). www.ipaq.ki.se.

Guiraud, T., Labrunee, M., Gayda, M., Juneau, M., & Gremeaux, V. (2012). Non-pharmacological strategies in cardiovascular prevention: 2011 highlights. Annals of Physical Rehabilitation Medicine, 55(5), 342–374.

Hagstromer, M., Oja, P., & Sjostrom, M. (2006). The International Physical Activity Questionnaire (IPAQ): A study of concurrent and construct validity. Public Health Nutrition, 9(6), 755–762.PubMedCrossRef

Hearon, B. A., Utschig, A. C., Smits, J. A., Moshier, S. J., & Otto, M. W. (2011). The role of anxiety sensitivity and eating expectancy in maladaptive eating behavior. Paper presented at the symposium Expanding the application of anxiety sensitivity to health behaviors. The 45th Annual Convention of the Association for Behavioral and Cognitive Therapies, Toronto, ON.

Lee, I. M., Hsieh, C. C., & Paffenbarger, R. S, Jr. (1995). Exercise intensity and longevity in men. The Harvard Alumni Health Study. Journal of the American Medical Association, 273(15), 1179–1184.PubMedCrossRef

Lejuez, C. W., Zvolensky, M. J., Daughters, S. B., Bornovalova, M. A., Paulson, A., Tull, M. T., et al. (2008). Anxiety sensitivity: A unique predictor of dropout among inner-city heroin and crack/cocaine users in residential substance use treatment. Behavior Research and Therapy, 46(7), 811–818.CrossRef

Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576–600. doi:10.1037/a0019712.PubMedCrossRef

McAuley, E., Jerome, G. J., Elavsky, S., Marquez, D. X., & Ramsey, S. N. (2003). Predicting long-term maintenance of physical activity in older adults. Preventative Medicine, 37(2), 110–118.CrossRef

McHugh, R. R., Daughters, S., Lejuez, C., Murray, H., Hearon, B., Gorka, S., et al. (2011). Shared variance among self-report and behavioral measures of distress intolerance. Cognitive Therapy & Research, 35(3), 266–275. doi:10.1007/s10608-010-9295-1.

McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52(10), 938–946.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), 161–170.PubMedCrossRef

Peterson, R. A., & Reiss, S. (1993). Anxiety Sensitivity Index revised test manual. Worthington, OH: International Diagnostic Systems Publishing Corporation.

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behavior Research and Therapy, 24(1), 1–8.CrossRef

Reiss, S., Peterson, R., Taylor, S., Schmidt, N., & Weems, C. F. (2008). Anxiety Sensitivity Index consolidated user manual: ASI, ASI-3, and CASI. Worthington, OH: International Diagnostic Systems.

Sabourin, B. C., Hilchey, C. A., Lefaivre, M.-J., Watt, M. C., & Stewart, S. H. (2011). Why do they exercise less? Barriers to exercise in high-anxiety-sensitive women. Cognitive Behaviour Therapy, 40(3), 206–215. doi:10(1080/16506073),2011,573572.PubMedCrossRef

Sallis, J. F., Hovell, M. F., Hofstetter, C. R., Faucher, P., Elder, J. P., Blanchard, J., et al. (1989). A multivariate study of determinants of vigorous exercise in a community sample. Preventative Medicine, 18(1), 20–34.CrossRef

Schmidt, N. B., Kotov, R., Lerew, D. R., Joiner, T. E., & Ialongo, N. S. (2005). Evaluating latent discontinuity in cognitive vulnerability to panic: A taxometric investigation. Cognitive Therapy and Research, 29, 673–691.CrossRef

Slentz, C. A., Duscha, B. D., Johnson, J. L., Ketchum, K., Aiken, L. B., Samsa, G. P., et al. (2004). Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE—A randomized controlled study. Archives of Internal Medicine, 164(1), 31–39. doi:10.1001/archinte.164.1.31164/1/31.PubMedCrossRef

Smits, J. A., Berry, A. C., Tart, C. D., & Powers, M. B. (2008). The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: A meta-analytic review. Behavior Research and Therapy, 46(9), 1047–1054.CrossRef

Smits, J. A., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39(1), 28–36. doi:10.1080/16506070902915261.PubMedCrossRef

Smits, J. A., & Zvolensky, M. J. (2006). Emotional vulnerability as a function of physical activity among individuals with panic disorder. Depression and Anxiety, 23(2), 102–106. doi:10.1002/da.20146.PubMedCrossRef

Swain, D. P., & Franklin, B. A. (2006). Comparison of cardioprotective benefits of vigorous versus moderate intensity aerobic exercise. American Journal of Cardiology, 97(1), 141–147.PubMedCrossRef

Tanasescu, M., Leitzmann, M. F., Rimm, E. B., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002). Exercise type and intensity in relation to coronary heart disease in men. Journal of the American Medical Association, 288(16), 1994–2000.PubMedCrossRef

Troiano, R. P., Berrigan, D., Dodd, K. W., Masse, L. C., Tilert, T., & McDowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise, 40(1), 181–188. doi:10.1249/mss.0b013e31815a51b3.PubMed

Tull, M. T., & Gratz, K. L. (2008). Further examination of the relationship between anxiety sensitivity and depression: the mediating role of experiential avoidance and difficulties engaging in goal-directed behavior when distressed. Journal of Anxiety Disorders, 22(2), 199–210.PubMedCrossRef

WHO (Ed.). (2011). Global status report on noncommunicable diseases 2010. Geneva: W. H. Organization.

Williams, D. M., Dunsiger, S., Ciccolo, J. T., Lewis, B. A., Albrecht, A. E., & Marcus, B. H. (2008). Acute affective response to a moderate-intensity exercise stimulus predicts physical activity participation 6 and 12 months later. Psychology of Sport and Exercise, 9(3), 231–245. doi:10.1016/j.psychsport.2007.04.002.PubMedCrossRef

Zvolensky, M. J., Forsyth, J. P., Bernstein, A., & Leen-Feldner, E. W. (2007). A concurrent test of the anxiety sensitivity taxon: Its relation to bodily vigilance and perceptions of control over anxiety-related events in a sample of young adults. Journal of Cognitive Psychotherapy, 21, 72–90.CrossRef

Titel: Clarifying the Link Between Distress Intolerance and Exercise: Elevated Anxiety Sensitivity Predicts Less Vigorous Exercise
Auteurs: Samantha J. Moshier
Bridget A. Hearon
Amanda W. Calkins
Kristin L. Szuhany
Angela C. Utschig
Jasper A. J. Smits
Michael W. Otto
Publicatiedatum: 01-06-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-012-9489-9

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2013

Concurrent and Prospective Relations Between Distress Tolerance, Life Stressors, and Anger

Commentary on the Distress Tolerance Special Issue

Rumination Mediates the Relationship Between Distress Tolerance and Depressive Symptoms Among Substance Users

Cognitive Bias Modification in Pre-adolescent Children: Inducing an Interpretation Bias Affects Self-imagery

Keep Your Eye on the Target: Safety Behavior Reduces Targeted Threat Beliefs Following a Behavioral Experiment

Differentiating Worry and Rumination: Evidence from Heart Rate Variability During Spontaneous Regulation