A Review: The Relationship Between Exercise and Anxiety Levels

Authors

  • Hussein Ali Abdulabbas Alhusseini Faculty of Nursing, University of Babylon, Hillah, Iraq.
  • Zaman Ahmed Hrefish Faculty of Nursing, University of Babylon, Hillah, Iraq.
  • Mohammed Abbas Hussein Faculty of Nursing, University of Babylon, Hillah, Iraq.

DOI:

https://doi.org/10.48165/sajssh.2024.5603

Keywords:

Anxiety, Exercise, Non-pharmacological treatment, Neurobiology, Psychosocial factors

Abstract

Anxiety disorders are among the most common challenges of mental health, impacting  people across all demographics and lessening overall quality of life. While traditional  managements, such as cognitive-behavioral therapy (CBT) and selective serotonin reuptake  inhibitors (SSRIs), are commonly used, these interferences may not be appropriate for  everyone due to personal preferences or side effects. Therefore, there is increasing interest in  non-pharmacological substitutes like exercise. This review inspects the multifaceted  relationship between anxiety and exercise, framed within the biopsychosocial model, which  studies the interplay of social factors, psychological, and biological. Exercise has been shown  to lessen anxiety symptoms by chronic and acute mechanisms, including physiological  changes like neurotransmitter modulation, cognitive benefits such as improved executive  functioning, and emotional advantages like enhanced self-efficacy and mood. The review  highlights both immediate and long-term anxiolytic effects of exercise, supported by  neurobiological and psychosocial evidence. However, questions remain about the most  effective exercise regimens for anxiety reduction and the mechanisms through which they  work. Understanding these aspects is crucial for developing targeted exercise-based  interventions to promote mental health. 

References

Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., ... & ESEMeD/MHEDEA 2000 Investigators, et al. (2004). Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica, 109(S420), 21–27.

Asmundson, G. J. G., Fetzner, M. G., Deboer, L. B., Powers, M. B., Otto, M. W., & Smits, J. A. J. (2013). Let's get physical: A contemporary review of the anxiolytic effects of exercise for anxiety and its disorders. Depression and Anxiety, 30(4), 362–373.

Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55(11), 1247–1263.

Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). Guilford Press.

Basso, J. C., & Suzuki, W. A. (2017). The effects of acute exercise on mood, cognition, neurophysiology, and neurochemical pathways: A review. Brain Plasticity, 2(2), 127– 152.

Chang, Y. K., Labban, J. D., Gapin, J. I., & Etnier, J. L. (2012). The effects of acute exercise on cognitive performance: A meta-analysis. Brain Research, 1453, 87–101.

Craft, L. L., & Perna, F. M. (2004). The benefits of exercise for the clinically depressed. Primary Care Companion to the Journal of Clinical Psychiatry, 6(3), 104–111.

Craske, M. G., & Waters, A. M. (2005). Panic disorder, phobias, and generalized anxiety disorder. Annual Review of Clinical Psychology, 1, 197–225.

Dinas, P. C., Koutedakis, Y., & Flouris, A. D. (2011). Effects of exercise and physical activity on depression. Irish Journal of Medical Science, 180(2), 319–325.

Dishman, R. K., Berthoud, H. R., Booth, F. W., Cotman, C. W., Edgerton, V. R., Fleshner, M. R., ... & Hillman, C. H. (2006). Neurobiology of exercise. Obesity, 14(3), 345–356.

Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: A meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. American Journal of Psychiatry, 164(10), 1476–1488.

Herring, M. P., O’Connor, P. J., & Dishman, R. K. (2010). The effect of exercise training on anxiety symptoms among patients: a systematic review. Archives of internal medicine, 170(4), 321-331.

Hettema, J. M., Neale, M. C., & Kendler, K. S. (2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. American Journal of Psychiatry, 158(10), 1568–1578.

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1

Kirmayer, L. J., Gomez-Carrillo, A., & Veissière, S. (2015). Culture and depression in global mental health: An ecosocial approach to the phenomenology of psychiatric disorders. Social Science & Medicine, 147, 116–123.

McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67(2), 113–123.

Mineka, S., & Zinbarg, R. (2006). A contemporary learning theory perspective on the etiology of anxiety disorders: It’s not what you thought it was. American Psychologist, 61(1), 10–26.

Nutt, D. J. (2002). The neuropharmacology of serotonin and noradrenaline in depression. International Clinical Psychopharmacology, 17(Suppl 1), S1–S12.

Rebar, A. L., Stanton, R., Geard, D., Short, C., Duncan, M. J., & Vandelanotte, C. (2015). A meta-meta-analysis of the effect of physical activity on depression and anxiety in non clinical adult populations. Health Psychology Review, 9(3), 366–378. https://doi.org/10.1080/17437199.2015.1022901

Salmon, P. (2001). Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theory. Clinical Psychology Review, 21(1), 33–61.

Smith, J. C. (2013). Effects of emotional exposure on state anxiety after acute exercise. Medicine & Science in Sports & Exercise, 45(2), 372–378.

Smoller, J. W., Gardner-Schuster, E., Covino, J., & Radant, A. (2008). The genetic basis of panic and phobic anxiety disorders. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 148C(2), 118–126.

Stanton, R., & Reaburn, P. (2014). Exercise and the treatment of depression: A review of the exercise program variables. Journal of Science and Medicine in Sport, 17(2), 177– 182. https://doi.org/10.1016/j.jsams.2013.03.010

Stonerock, G. L., Hoffman, B. M., Smith, P. J., & Blumenthal, J. A. (2015). Exercise as treatment for anxiety: Systematic review and analysis. Annals of Behavioral Medicine, 49(4), 542–556.

Strickland, J. C., Smith, M. A., & Drummond, S. P. A. (2002). The anxiolytic effects of resistance exercise. Frontiers in Psychology, 3, 1–9.

Stubbs, B., Vancampfort, D., Rosenbaum, S., Firth, J., Cosco, T., Veronese, N., ... & Schuch, F. B. (2017). An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Research, 249, 102– 108.

Teychenne, M., Ball, K., & Salmon, J. (2010). Physical activity and likelihood of depression in adults: A review. Preventive Medicine, 46(5), 397–411.

Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145–161.

van Praag, H. (2009). Exercise and the brain: Something to chew on. Trends in Neurosciences, 32(5), 283–290.

Warburton, D. E. R., Nicol, C. W., & Bredin, S. S. D. (2006). Health benefits of physical activity: The evidence. Canadian Medical Association Journal, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351

World Health Organization. (2017). Depression and Other Common Mental Disorders: Global Health Estimates. World Health Organization. https://www.who.int/publications/i/item/depression-global-health-estimates

Downloads

Published

2024-12-05

How to Cite

Alhusseini, H.A.A., Hrefish, Z.A., & Hussein, M.A. (2024). A Review: The Relationship Between Exercise and Anxiety Levels . South Asian Journal of Social Sciences and Humanities, 5(6), 26–34. https://doi.org/10.48165/sajssh.2024.5603