A Review: The Relationship Between Exercise and Anxiety Levels
DOI:
https://doi.org/10.48165/sajssh.2024.5603Keywords:
Anxiety, Exercise, Non-pharmacological treatment, Neurobiology, Psychosocial factorsAbstract
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
Issue
Section
License
Copyright (c) 2024 South Asian Journal of Social Sciences and Humanities
This work is licensed under a Creative Commons Attribution 4.0 International License.