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Two Interventions Decrease Anxiety Sensitivity Among High Anxiety Sensitive Women: Could Physical Exercise Be the

Brigitte C Sabourin1, Margo C Watt2,3, Olav E Krigolson4

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A brief cognitive behavioral therapy (CBT) with running showed lasting reductions in anxiety sensitivity and emotional distress for high-anxiety individuals. Unexpectedly, a health education control group also experienced similar benefits.

Keywords:
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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • Anxiety sensitivity (AS) is a key factor in anxiety disorders.
  • Cognitive Behavioral Therapy (CBT) with interoceptive exposure (IE) has shown promise in reducing AS.
  • Running can serve as an interoceptive exposure component in CBT.

Purpose of the Study:

  • To investigate the sustained effects of a brief group-based CBT with running as an IE component on AS and emotional distress.
  • To compare the efficacy of CBT/IE with a health education control (HEC) intervention.
  • To examine outcomes in participants with high versus low baseline AS.

Main Methods:

  • Female undergraduates with high or low AS were randomized to either CBT/IE or HEC.
  • The CBT/IE group received a 3-day intervention with 42 running IE trials.
  • The HEC group received a 3-day health education program focusing on exercise, nutrition, and sleep.

Main Results:

  • The CBT/IE intervention significantly decreased AS, depression, and stress symptoms in high AS participants, with effects maintained at 14 weeks.
  • Unexpectedly, the HEC group also showed similar and lasting reductions in AS, depression, and anxiety symptoms.
  • No significant post-intervention differences were found between the CBT/IE and HEC groups for any outcome measure; low AS participants showed minimal sustained changes.

Conclusions:

  • Both CBT/IE and HEC interventions led to comparable and sustained reductions in AS and emotional distress for individuals with high AS.
  • Aerobic exercise, potentially integrated into both interventions, may play a crucial role in the observed positive outcomes.
  • The findings suggest that interventions incorporating elements of health education and physical activity can effectively reduce anxiety and distress.