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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 4/2015

01-08-2015 | Original Article

Exercise as Treatment for Anxiety: Systematic Review and Analysis

Authors: Gregory L. Stonerock, Ph.D., Benson M. Hoffman, Ph.D., Patrick J. Smith, Ph.D., James A. Blumenthal, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 4/2015

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Abstract

Background

Exercise has been shown to reduce symptoms of anxiety, but few studies have studied exercise in individuals preselected because of their high anxiety.

Purpose

The objective of this study is to review and critically evaluate studies of exercise training in adults with either high levels of anxiety or an anxiety disorder.

Methods

We conducted a systematic review of randomized clinical trials (RCTs) in which anxious adults were randomized to an exercise or nonexercise control condition. Data were extracted concerning anxiety outcomes and study design. Existing meta-analyses were also reviewed.

Results

Evidence from 12 RCTs suggested benefits of exercise, for select groups, similar to established treatments and greater than placebo. However, most studies had significant methodological limitations, including small sample sizes, concurrent therapies, and inadequate assessment of adherence and fitness levels.

Conclusions

Exercise may be a useful treatment for anxiety, but lack of data from rigorous, methodologically sound RCTs precludes any definitive conclusions about its effectiveness.
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Metadata
Title
Exercise as Treatment for Anxiety: Systematic Review and Analysis
Authors
Gregory L. Stonerock, Ph.D.
Benson M. Hoffman, Ph.D.
Patrick J. Smith, Ph.D.
James A. Blumenthal, Ph.D.
Publication date
01-08-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 4/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9685-9

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