Aerobic Exercise Training Facilitates the Effectiveness of Cognitive Behavioral Therapy in Panic Disorder

Gaudlitz, Katharina; Plag, Jens; Dimeo, Fernando; Ströhle, Andreas

doi:10.1002/da.22337

Cited by 73 publications

(81 citation statements)

References 37 publications

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“…Aerobic exercise may have important clinical implications as a temporary alternative when psychological services are not immediately available; for example, as a means to manage anxiety symptoms in individuals waitlisted for evidence-based psychotherapy. Reductions in anxiety sensitivity have also been suggested to be a mechanism of change in cognitive behavioural therapy (Gallagher et al, 2013); as such, and consistent with emerging evidence (Gaudlitz, Plag, Dimeo, & Stro¨hle, 2015;Powers et al, 2015), aerobic exercise could be used as an adjunct to psychotherapy in order to complement or enhance its effectiveness. Finally, the present trial provides evidence that aerobic exercise can have positive psychological effects even at a dose much lower than is typically recommended to achieve health benefits (Public Health Agency of Canada, 2012;Statistics Canada, 2013).…”

Section: Discussionmentioning

confidence: 84%

A Single Bout of Aerobic Exercise Reduces Anxiety Sensitivity But Not Intolerance of Uncertainty or Distress Tolerance: A Randomized Controlled Trial

LeBouthillier

Asmundson

2015

Cognitive Behaviour Therapy

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Section: Discussionmentioning

confidence: 84%

A Single Bout of Aerobic Exercise Reduces Anxiety Sensitivity But Not Intolerance of Uncertainty or Distress Tolerance: A Randomized Controlled Trial

LeBouthillier

Asmundson

2015

Cognitive Behaviour Therapy

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“…This sample was part of a more extended trial focusing on the effect of aerobic exercise on cognitive behavioral therapy in PD that was published elsewhere [45]. It was approved by the ethics committee at Chari té – Universitätsmedizin Berlin (EA1/129/08) and registered at “ClinicalTrials.gov” (identifier: NCT01788800).…”

Section: Methodsmentioning

confidence: 99%

Reduced Sensitivity to Non-Fear-Related Stimulus Changes in Panic Disorder

et al. 2019

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Panic disorder (PD) is associated with increased body vigilance and reduced cognitive resources directed at non-fear-related stimuli, particularly in the absence of stimulus-rich environments. To date, only few studies have investigated whether this deficit in PD is reflected in reduced mismatch negativity (MMN), an event-related potential indexing preattentive sensitivity to unexpected stimulus changes. We tested 35 patients affected by PD and 42 matched healthy controls in an oddball paradigm, using frequency and duration deviant stimuli to measure auditory MMN. PD patients displayed reduced duration MMN amplitudes in comparison to healthy controls. No group differences were detected for duration MMN latency, as well as frequency MMN indices. Results support the notion of reduced processing of non-fear-related stimuli in PD patients, particularly with regard to the preattentive processing of sound duration deviants. Additionally, our findings are in line with clinical studies reporting divergent deficits in preattentive processing of frequency and duration deviants.

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“…In contrast to these reports, Gaudlitz et al 14 demonstrated that AE (i.e., 30 minutes at 70% VO 2max , 3 times a week) associated with cognitive behavioral therapy resulted in a reduction of anxiety levels. AE performed in another study, (six sessions of 20 minutes at 70% maximum heart rate) also decreased the anxiety sensitivity compared to unexercised controls.…”

Section: ■ Discussionmentioning

confidence: 89%

“…[8][9][10][11][12] A recent study showed significant anxiolytic and antidepressant effects resulting from regular physical exercise. 13 Gaudlitz et al 14 demonstrated that aerobic exercise (AE) associated with cognitive behavioral therapy promotes additional benefits in terms of decreasing anxiety levels. It has also been shown that the performance of AE, preceding a provocative test of CO 2 inhalation, results in a significant reduction in the anxiogenic responses compared with subjects rested before the test.…”

Section: ■ Introductionmentioning

confidence: 99%

Aerobic exercise reduces anxiety symptoms and improves fitness in patients with panic disorder

Lamego¹,

Lattari²,

Filho³

et al. 2016

Medical Express

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OBJECTIVE:To investigate the effects of a regularly repeated aerobic exercise series on anxiety and maximum oxygen consumption (VO 2max ) in Panic Disorder patients. METHODS: Ten previously sedentary female subjects diagnosed with Panic Disorder performed 36 sessions of aerobic exercise (at 70 to 75% of VO 2max ), 3 times per week during 12 weeks. A cardiopulmonary evaluation (ergospirometry test) was used to set the intensity of training as well as to establish baseline and post-training VO 2max parameters. The assessment of anxiety symptoms was performed at baseline, at the end of the 6 th and 12 th weeks, using the Trait Anxiety Inventory (STAI-T) and State Anxiety Inventory (STAI-S), and the Subjective Units of Distress Scale (SUDS) questionnaires. One-way ANOVA for repeated measurements (at 3 moments: Baseline, 6th week (mid-training) and 12 th week (post-training) was used to compare the evolution of the questionnaires; the Bonferroni post hoc test was applied to identify differences between moments. A dependent t-test was performed for measures of VO 2max . RESULTS: Compared to baseline, (a) STAI-T showed significant anxiety reductions at mid-and post-training moments; (b) STAI-S and SUDS recorded anxiety reductions only at Post-training; (c) VO 2max showed a significant improvement at Post-training. CONCLUSION: This protocol promoted beneficial effects on cardiorespiratory fitness and anxiety levels of Panic Disorder patients.

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Aerobic Exercise Training Facilitates the Effectiveness of Cognitive Behavioral Therapy in Panic Disorder

Abstract: For patients with PD, regular aerobic exercise adds an additional benefit to CBT. This supports previous results and provides evidence about the intensity of exercise that needs to be performed.

Cited by 73 publications

References 37 publications

A Single Bout of Aerobic Exercise Reduces Anxiety Sensitivity But Not Intolerance of Uncertainty or Distress Tolerance: A Randomized Controlled Trial

A Single Bout of Aerobic Exercise Reduces Anxiety Sensitivity But Not Intolerance of Uncertainty or Distress Tolerance: A Randomized Controlled Trial

Reduced Sensitivity to Non-Fear-Related Stimulus Changes in Panic Disorder

Aerobic exercise reduces anxiety symptoms and improves fitness in patients with panic disorder

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