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The Influence of Exercise on Mental Health



HIGHLIGHT "We now have evidence to support the claim that exercise is related to positive mental health as indicated by relief in sympotoms of depression and anxiety." A NOTE FROM THE EDITORS Mental health as discussed in this paper by Dr. Daniel Landers, a leading authority on this topic, focuses on conditions sometimes considered to be illness states (i.e., pathological depression) as well as conditions that limit wellness or quality of life (i.e., anxiety, low self-esteem). To aid the reader, some basic terms used in this paper are outlined in the boxes below. Definitions Acute. Acute refers to something that occurs at a specific time often for a relatively short duration. For example, acute exercise refers to a bout of exercise done at a specific time for a specific amount of time. Acute anxiety is anxiety that exists in a person in response to a specific event (same as state anxiety). Anxiety. Anxiety is a form of negative self-appraisal characterized by worry, self-doubt, and apprehension.
The Influence of Exercise on Mental Health
Daniel M. Landers
"We now have evidence to support the claim that exercise is related to positive
mental health as indicated by relief in sympotoms of depression and anxiety."
Mental health as discussed in this paper by Dr. Daniel Landers, a leading authority on this topic, focuses
on conditions sometimes considered to be illness states (i.e., pathological depression) as well as
conditions that limit wellness or quality of life (i.e., anxiety, low self-esteem). To aid the reader, some
basic terms used in this paper are outlined in the boxes below.
Acute. Acute refers to something that occurs at a specific time often for a relatively short duration. For
example, acute exercise refers to a bout of exercise done at a specific time for a specific amount of time.
Acute anxiety is anxiety that exists in a person in response to a specific event (same as state anxiety).
Anxiety. Anxiety is a form of negative self-appraisal characterized by worry, self-doubt, and
Chronic. Chronic refers to something that persists for a relatively long period of time. Chronic
depression, for example, would be depression that lasts a long time. A chronic exerciser is someone who
does exercise on a regular basis.
Depression. Depression is a state of being associated with feelings of hopelessness or a sense of defeat.
People with depression often feel “down” or “blue” even when circumstances would dictate otherwise.
All people feel “depressed” at times, but a “depressed” person feels this way much of the time.
Clinical depression. This is depression (see definition) that persists for a relatively long period of time or
becomes so severe that a person needs special help to cope with day-to-day affairs.
Meta-analysis. A type of statistical analysis that researchers use to make sense of many different research
studies done on the same topic. By analyzing findings from many different studies, conclusions can be
drawn concerning the results of all studies considered together. Both unpublished and published studies
can be included in this type of analysis.
Positive mood. Positive self-assessments associated with feelings of vigor, happiness, and/or other
positive feelings of well-being.
State anxiety. State anxiety is anxiety present in very specific situations. For example, state sports
anxiety is present when a person is anxious in a specific sports situation even if the person is not generally
Trait anxiety. Trait anxiety is the level of anxiety present in a person on a regular basis. A person with
high trait anxiety is anxious much of the time while a person low in trait anxiety tends to be anxious less
often and in fewer situations.
Mental Health Benefits of Physical Activity
Reduced anxiety
Best results with “aerobic exercise”
Best after weeks of regular exercise
Best benefits to those who are low fit to begin with
Best benefits for those high in anxiety to begin with
Reduced depression
Best after weeks of regular exercise
Best when done several times a week
Best with more vigorous exercise
Best for those who are more depressed (needs more research)
Benefits (anxiety and depression) similar to those for other treatments
Activity associated with positive self-esteem
Activity associated with restful sleep Activity associated with ability to respond to stress
For some time now, it has been common knowledge that exercise is good for one’s physical health. It
has only been in recent years, however, that it has become commonplace to read in magazines and health
newsletters that exercise can also be of value in promoting sound mental health. Although this optimistic
appraisal has attracted a great deal of attention, the scientific community has been much more cautious in
offering such a blanket endorsement. Consider the tentative conclusions from the Surgeon General’s
Report on Physical Activity and Health (PCPFS Research Digest, 1996) that “physical activity appears to
relieve symptoms of depression and anxiety and improve mood” and that “regular physical activity may
reduce the risk of developing depression, although further research is needed on this topic.”
The use of carefully chosen words, such as “appears to” and “may” illustrate the caution that people in the
scientific community have when it comes to claiming mental health benefits derived from exercise. Part
of the problem in interpreting the scientific literature is that there are over 100 scientific studies dealing
with exercise and depression or exercise and anxiety and not all of these studies show statistically
significant benefits with exercise training. The paucity of clinical trial studies and the fact that a “mixed
bag” of significant and nonsignificant findings exists makes it difficult for scientists to give a strong
endorsement for the positive influence of exercise on mental health. There is no doubt that the mental
health area needs more clinical trial studies. This would be particularly useful in determining if exercise
“causes” improvements in variables associated with sound mental health. However, until these clinical
trial studies materialize, there is still much that can be done to strengthen statements made about exercise
and mental health.
What evidence would prompt some scientists to “stick their necks out” in favor of more definitive
statements? One reason for greater optimism is the recent appearance of quantitative reviews (i.e., meta-
analyses) of the literature on a number of mental health topics. These reviews differ in several ways from
the traditional narrative reviews. A meta-analysis allows for a summary of results across studies. By
including all published and unpublished studies and combining their results, statistical power is increased.
Another advantage of using this type of review process is that a clearly defined sequence of steps is
followed and included in the final report so that anyone can replicate the studies. Two additional
advantages that meta-analysis has over other types of reviews include: (a) the use of a quantification
technique that gives an objective estimate of the magnitude of the exercise treatment effect; and (b) its
ability to examine potential moderating variables to determine if they influence exercise-mental health
relationships. Given these advantages, this paper will focus primarily on results derived from large-scale
meta-analytic reviews.
It is estimated that in the United States approximately 7.3% of the adult population has an anxiety
disorder that necessitates some form of treatment (Regier et al., 1988). In addition, stress-related
emotions, such as anxiety, are common among healthy individuals (Cohen, Tyrell, & Smith, 1991). The
current interest in prevention has heightened interest in exercise as an alternative or adjunct to traditional
interventions such as psychotherapy or drug therapies.
Anxiety is associated with the emergence of a negative form of cognitive appraisal typified by worry,
self-doubt, and apprehension. According to Lazarus and Cohen (1977), it usually arises “ the face of
demands that tax or exceed the resources of the system or ... demands to which there are no readily
available or automatic adaptive responses” (p. 109). Anxiety is a cognitive phenomenon and is usually
measured by questionnaire instruments. These questionnaires are sometimes accompanied by
physiological measures that are associated with heightened arousal/anxiety (e.g., heart rate, blood
pressure, skin conductance, muscle tension). A common distinction in this literature is between state and
trait questionnaire measures of anxiety. Trait anxiety is the general predisposition to respond across many
situations with high levels of anxiety. State anxiety, on the other hand, is much more specific and refers to
the person’s anxiety at a particular moment. Although “trait” and “state” aspects of anxiety are
conceptually distinct, the available operational measures show a considerable amount of overlap among
these subcomponents of anxiety (Smith, 1989).
For meta-analytic reviews of this topic, the inclusion criterion has been that only studies examining
anxiety measures before and after either acute or chronic exercise have been included in the review.
Studies with experiment-imposed psychosocial stressors during the postexercise period have not been
included since this would confound the effects of exercise with the effects of stressors (e.g., Stoop color-
word test, active physical performance). The meta-analysis by Schlicht (1994), however, included some
stress-reactivity studies and therefore was not interpretable.
Landers and Petruzzello (1994) examined the results of 27 narrative reviews that had been conducted
between 1960 and 1991 and found that in 81% of them the authors had concluded that physical
activity/fitness was related to anxiety reduction following exercise and there was little or no conflicting
data presented in these reviews. For the other 19%, the authors had concluded that most of the findings
were supportive of exercise being related to a reduction in anxiety, but there were some divergent results.
None of these narrative reviews concluded that there was no relationship.
There have been six meta-analyses examining the relationship between exercise and anxiety reduction
(Calfas & Taylor, 1994; Kugler, Seelback, & Krüskemper, 1994; Landers & Petruzzello, 1994; Long &
van Stavel, 1995; McDonald & Hodgdon, 1991; Petruzzello, Landers, Hatfield, Kubitz, & Salazar, 1991).
These meta-analyses ranged from 159 studies (Landers & Petruzzello, 1994; Petruzzello et al., 1991) to
five studies (Calfas & Taylor, 1994) reviewed. All six of these meta-analyses found that across all studies
examined, exercise was significantly related to a reduction in anxiety. These effects ranged from “small”
to “moderate” in size and were consistent for trait, state, and psychophysiological measures of anxiety.
The vast majority of the narrative reviews and all of the meta-analytic reviews support the conclusion that
across studies published between 1960 and 1995 there is a small to moderate relationship showing that
both acute and chronic exercise reduces anxiety. This reduction occurs for all types of subjects, regardless
of the measures of anxiety being employed (i.e., state, trait or psychophysiological), the intensity or the
duration of the exercise, the type of exercise paradigm (i.e., acute or chronic), and the scientific quality of
the studies. Another meta-analysis (Kelley & Tran, 1995) of 35 clinical trial studies involving 1,076
subjects has confirmed the psychophysiological findings in showing small (4/3 mm Hg), but
statistically significant, postexercise reductions for both systolic and diastolic blood pressure among
normal normotensive adults.
In addition to these general effects, some of these meta-analyses (Landers & Petruzzello, 1994;
Petruzzello et al., 1991) that examined more studies and therefore had more findings to consider were
able to identify several variables that moderated the relationship between exercise and anxiety reduction.
Compared to the overall conclusion noted above, which is based on hundreds of studies involving
thousands of subjects, the findings for the moderating variables are based on a much smaller database.
More research, therefore, is warranted to examine further the conclusions derived from the following
moderating variables. The meta-analyses show that the larger effects of exercise on anxiety reduction are
shown when: (a) the exercise is “aerobic” (e.g., running, swimming, cycling) as opposed to nonaerobic
(e.g., handball, strength-flexibility training), (b) the length of the aerobic training program is at least 10
weeks and preferably greater than 15 weeks, and (c) subjects have initially lower levels of fitness or
higher levels of anxiety. The “higher levels of anxiety” includes coronary (Kugler et al., 1994) and panic
disorder patients (Meyer, Broocks, Hillmer-Vogel, Bandelow, & Rüther, 1997). In addition, there is
limited evidence which suggests that the anxiety reduction is not an artifact “due more to the cessation of
a potentially threatening activity than to the exercise itself” (Petruzzello, 1995, p. 109), and the time
course for postexercise anxiety reduction is somewhere between four to six hours before anxiety returns
to pre-exercise levels (Landers & Petruzzello, 1994). It also appears that although exercise differs from no
treatment control groups, it is usually not shown to differ from other known anxiety-reducing treatments
(e.g., relaxation training). The finding that exercise can produce an anxiety reduction similar in magnitude
to other commonly employed anxiety treatments is noteworthy since exercise can be considered at least as
good as these techniques, but in addition, it has many other physical benefits.
Depression is a prevalent problem in today’s society. Clinical depression affects 2–5% of Americans each
year (Kessler et al., 1994) and it is estimated that patients suffering from clinical depression make up 6
8% of general medical practices (Katon & Schulberg, 1992). Depression is also costly to the health care
system in that depressed individuals annually spend 1.5 times more on health care than nondepressed
individuals, and those being treated with antidepressants spend three times more on outpatient pharmacy
costs than those not on drug therapy (Simon, VonKorff, & Barlow, 1995). These costs have led to
increased governmental pressure to reduce health care costs in America. If available and effective,
alternative low-cost therapies that do not have negative side effects need to be incorporated into treatment
plans. Exercise has been proposed as an alternative or adjunct to more traditional approaches for treating
depression (Hales & Travis, 1987; Martinsen, 1987, 1990).
The research on exercise and depression has a long history of investigators (Franz & Hamilton, 1905;
Vaux, 1926) suggesting a relationship between exercise and decreased depression. Since the early 1900s,
there have been over 100 studies examining this relationship, and many narrative reviews on this topic
have also been conducted. During the 1990s there have been at least five meta-analytic reviews (Craft,
1997; Calfas & Taylor, 1994; Kugler et al., 1994; McDonald & Hodgdon, 1991; North, McCullagh, &
Tran, 1990) that have examined studies ranging from as few as nine (Calfas & Taylor, 1994) to as many
as 80 (North et al., 1990). Across these five meta-analytic reviews, the results consistently show that both
acute and chronic exercise are related to a significant reduction in depression. These effects are generally
“moderate” in magnitude (i.e., larger than the anxiety-reducing effects noted earlier) and occur for
subjects who were classified as nondepressed, clinically depressed, or mentally ill. The findings indicate
that the antidepressant effect of exercise begins as early as the first session of exercise and persists
beyond the end of the exercise program (Craft, 1997; North et al., 1990). These effects are also consistent
across age, gender, exercise group size, and type of depression inventory.
Exercise was shown to produce larger antidepressant effects when: (a) the exercise training program
was longer than nine weeks and involved more sessions (Craft, 1997; North et al., 1990); (b) exercise was
of longer duration, higher intensity, and performed a greater number of days per week (Craft, 1997); and
(c) subjects were classified as medical rehabilitation patients (North et al., 1991) and, based on
questionnaire instruments, were classified as moderately/severely depressed compared to
mildly/moderately depressed (Craft, 1997). The latter effect is limited since only one study used
individuals who were classified as severely depressed and only two studies used individuals who were
classified as moderately to severely depressed. Although limited at this time, this finding calls into
question the conclusions of several narrative reviews (Gleser & Mendelberg, 1990; Martinsen, 1987,
1993, 1994), which indicate that exercise has antidepressant effects only for those who are initially mild
to moderately depressed.
The meta-analyses are inconsistent when comparing exercise to the more traditional treatments for
depression, such as psychotherapy and behavioral interventions (e.g., relaxation, meditation), and this
may be related to the types of subjects employed. In examining all types of subjects, North et al. (1990)
found that exercise decreased depression more than relaxation training or engaging in enjoyable activities,
but did not produce effects that were different from psychotherapy. Craft (1997), using only clinically
depressed subjects, found that exercise produced the same effects as psychotherapy, behavioral
interventions, and social contact. Exercise used in combination with individual psychotherapy or exercise
together with drug therapy produced the largest effects; however, these effects were not significantly
different from the effect produced by exercise alone (Craft, 1997).
That exercise is at least as effective as more traditional therapies is encouraging, especially
considering the time and cost involved with treatments like psychotherapy. Exercise may be a positive
adjunct for the treatment of depression since exercise provides additional health benefits (e.g., increase in
muscle tone and decreased incidence of heart disease and obesity) that behavioral interventions do not.
Thus, since exercise is cost effective, has positive health benefits, and is effective in alleviating
depression, it is a viable adjunct or alternative to many of the more traditional therapies. Future research
also needs to examine the possibility of systematically lowering antidepressant medication dosages while
concurrently supplementing treatment with exercise.
Positive mood . The Surgeon General’s Report also mentions the possibility of exercise improving
mood. Unfortunately the area of increased positive mood as a result of acute and chronic exercise has
only recently been investigated and therefore there are no meta-analytic reviews in this area. Many
investigators are currently examining this subject and many of the preliminary results have been
encouraging. It remains to be seen if the additive effects of these studies will result in conclusions that are
as encouraging as the relationship between exercise and the alleviation of negative mood states like
anxiety and depression.
Self-esteem . Related to the area of positive mood states is the area of physical activity and self-esteem.
Although narrative reviews exist in the area of physical activity and enhancement of self-esteem, there are
currently four meta-analytic reviews on this topic (Calfas & Taylor, 1994; Gruber, 1986; McDonald &
Hodgdon, 1991; Spence, Poon, & Dyck, 1997). The number of studies in these meta-analyses ranged
from 10 studies (Calfas & Taylor, 1994) to 51 studies (Spence et al., 1997). All four of the reviews found
that physical activity/exercise brought about small, but statistically significant, increases in physical self-
concept or self-esteem. These effects generalized across gender and age groups. In comparing self-esteem
scores in children, Gruber (1986) found that aerobic fitness produced much larger effects on self-esteem
scores than other types of physical education class activities (e.g., learning sports skills or perceptual-
motor skills). Gruber (1986) also found that the effect of physical activity was larger for handicapped
compared to nonhandicapped children.
Restful sleep . Another area associated with positive mental health is the relationship between exercise
and restful sleep. Two meta-analyses have been conducted on this topic (Kubitz, Landers, Petruzzello, &
Han, 1996; O’Connor & Youngstedt, 1995). The studies reviewed have primarily examined sleep
duration and total sleep time as well as measures derived from electroencephalographic (EEG) activity
while subjects are in various stages of sleep. Operationally, sleep researchers have predicted that sleep
duration, total sleep time, and the amount of high amplitude, slow wave EEG activity would be higher in
physically fit individuals than those who are unfit (i.e., chronic effect) and higher on nights following
exercise (i.e., acute effect). This prediction is based on the “compensatory” position, which posits that
“fatiguing daytime activity (e.g., exercise) would probably result in a compensatory increase in the need
for and depth of nighttime sleep, thereby facilitating recuperative, restorative and/or energy conservation
processes” (Kubitz et al., p. 278).
The sleep meta-analyses by O’Connor and Youngstedt (1995) and Kubitz et al. (1996) show support
for this prediction. Both reviews show that exercise significantly increases total sleep time and aerobic
exercise decreases rapid eye movement (REM) sleep. REM sleep is a paradoxical form in that it is a deep
sleep, but it is not as restful as slow wave sleep (i.e., stages 3 and 4 sleep). Kubitz et al. (1996) found that
acute and chronic exercise was related to an increase in slow wave sleep and total sleep time, but was also
related to a decrease in sleep onset latency and REM sleep. These findings support the compensatory
position in that trained subjects and those engaging in an acute bout of exercise went to sleep more
quickly, slept longer, and had a more restful sleep than untrained subjects or subjects who did not
exercise. There were moderating variables influencing these results. Exercise had the biggest impact on
sleep when: (a) the individuals were female, low fit, or older; (b) the exercise was longer in duration; and
(c) the exercise was completed earlier in the day (Kubitz et al., 1996).
The research literature suggests that for many variables there is now ample evidence that a definite
relationship exists between exercise and improved mental health. This is particularly evident in the case
of a reduction of anxiety and depression. For these topics, there is now considerable evidence derived
from over hundreds of studies with thousands of subjects to support the claim that “exercise is related to a
relief in symptoms of depression and anxiety.” Obviously, more research is needed to determine if this
overall relationship is “causal,” and there is also a need to examine further some of the variables that are
believed to moderate the overall relationship.
For many of the other variables related to mental health, the initial meta-analyses have shown
evidence that is promising. Compared to the area of depression and anxiety, however, there is either a
need for more research on these topics or more quantitative reviews of the expansive research that already
exists. For example, the relatively new research into the influence of exercise on positive mood states is in
need of more research studies, whereas the area of exercise and self-esteem needs quantitative reviews of
the expansive research literature that already exists. At the present time, it appears that aerobic exercise
enhances physical self-concept and self-esteem, but more research needs to be done to confirm these
initial findings. Exercise is related not only to a relief in symptoms of depression and anxiety but it also
seems to be beneficial in enhancing self-esteem, producing more restful sleep, and helping people recover
more quickly from psychosocial stressors. None of these relationships is the result of a single study. They
are based on most, if not all, of the available research in the English language at the time the meta-
analytic review was published. The overall positive patterns of the meta-analytic findings for these
variables lends greater confidence that exercise has an important role to play in promoting sound mental
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... ❖ 1990'larda daha önceki bireysel çalışmaların gruplarından elde edilen verilerin yeniden analizine odaklanan beş farklı çalışmada ('metaincelemeler') fiziksel aktivite yapanların depresyon düzeylerinin azaldığı bulunmuştur (Landers, 1997). ❖ 7.432 yaşlı Kanadalı üzerinde yapılan bir çalışmada, üç farklı boş zaman etkinliğine katılım ile depresyonun azalması arasında pozitif bir ilişki bulunmuştur. ...
... İncelemelerin %81'inin egzersizi takiben kaygıda azalma bulunmuştur. Altı kapsamlı anlatı incelemesinde aerobik egzersizin kaygıyı önemli ölçüde azalttığını tespit edilmiştir (Landers, 1997). ❖ Yaşlı kadınlarla yapılan bir odak grup çalışmasında, katılımcılar, boş zamanların onlara günlük stresten bir kaçış sağladığını ve ailede ölüm gibi büyük travmalarla başa çıkmalarına yardımcı olduğunu bildirmiştir (Siegenthaler, 1997). ...
... ❖ Önemli sayıda araştırmaya göre, tutarlı fiziksel aktivite benlik saygısını artırmaktadır (Frank ve Gustafson, 2001). ❖ Yapılan çalışmalarda, fiziksel aktivite ile artan fiziksel benlik kavramı veya benlik saygısı arasında pozitif bir ilişki bulunmuştur (Landers, 1997). ...
... All participants who reported not suffering from depression were excluded (in the ENSE 2017, questions about depression included the items 25.20a (Have you ever been affected by depression?) and 25.20b (Has a doctor told you that you have it?). Participants who answered "No" to both questions were excluded (16,073)). Participants who did not answer any of the GHQ-12 items (47.1-47.12) were also discarded (34 participants). ...
... At the same time, stress did not vary significantly, as no direct associations were found between the PAL and the stress dimension in men, as already reported by Allison et al. [59]. Therefore, several studies state that PA decreases and psychological distress from depression associations exist [15], as well as the dimensions of successful coping [62] and self-esteem [16], both in the general population and in both sexes. ...
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Perceived social support (PSS) and physical activity (PA) could help to reduce psychological distress in people with depression. This study aims to analyse the associations between (a) mental health and its dimensions through the Goldberg General Health Questionnaire (GHQ-12), (b) the PA level (PAL), and c) the PSS in the Spanish adult population with psychological distress. This cross-sectional study is based on Spanish National Health Survey 2017 data, including 1670 adults with depression. A descriptive analysis was performed. Differences in medians between sexes were analysed using the Mann–Whitney U test. The Chi-square test was used to assess the independence between sex and PAL. The Kruskal–Wallis’ test was performed to analyse possible baseline differences between PAL and continuous variables derived from the GHQ-12. Finally, a correlation study was conducted between the generated variables and the GHQ-12 items, together with the PAL and the Duke-UNC-11, using Spearman’s rho correlation coefficients. Weak inverse correlations were found between the GHQ-12 and PAL (rho: −0.214); and PSS (r: −0.286). PAL and PSS showed weak inverse correlations with successful coping (rho: −0.216 and r: −0.265), self-esteem (rho: −0.209 and r: −0.283), and stress (rho: −0.130 and r: −0.232). Thus, higher PAL and SSP is associated with lower psychological distress.
... (Martens et al., 1990).It was found that "sports psychologist have believed that high intensity of anxiety in the course of competition is harmful, worsening performance and even a significant factor to dropout" (Raglin & Hanin, 2000). Usually, anxiety has the propensity to intimidate the wellbeing of a person because it elevate someone's worries and uncertainties (Landers, 1997). The athletes overall performance in the sports is affected by anxiety (Cox, Qiu, & Liu, 1993;Raglin & Hanin, 2000). ...
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This study aimed to assess the impact of sports anxiety on the sports performance of players. The sample was comprised of 110 sports players (68 males, 42 females). The data was collected by using the probability sampling technique of purposive sampling from Sports Players that belong to Bahawalpur and Multan cities of Punjab Province. The age range of the respondents of this cross-sectional research was from 18 to 35years. Demographic information such as age, gender, qualifications, Area, marital status, socioeconomic status, and which kind of sport they play was also asked from them. Two questionnaires were utilized for the purpose of data collection, one was a 15-item, The Sport Competition Anxiety Test, and the second was a 6-item, Athlete’s Subjective Performance Scale. After data collection, SPSS ( 21 version) was used for the analysis. The findings showed that if the sports anxiety increases, the sports performance of the player will decrease and vice versa (r=-.33). Moreover, sports anxiety was also a significant predictor of sports performance. The results also revealed no significant gender differences in sports anxiety and sports performance.
... In recent years, evidence has accumulated demonstrating that physical activity can promote wellness in adults as well as youths. Self-assessed health-related quality of life is signifi cantly better among people who meet national activity guidelines than among those who do not (Brown et al., 2004), and active people are less likely to be anxious and depressed (Dunn, Trivedi, & O'Neal, 2001;Landers, 1999). Further, active people are less likely to miss work and more likely to be productive at work (Colditz, 1999;Gettman, 1999), are more likely to experience positive moods (Landers, 1999), are more likely to have better self-esteem (Landers), are more likely to experience more restful sleep (Landers), and are more likely to function effectively in daily life than inactive people (Spirduso & Cronin, 2001). ...
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The article describes the top 10 reasons why quality physical education should be included in the school curriculum.
Historically, prevention in psychology has never been outright objectionable for mental health professionals. However, despite its acceptance, not enough practitioners engage in prevention and wellness promotion in their daily activities. The Oxford Handbook of Prevention in Counseling Psychology offers the foundational knowledge necessary to engage in successful prevention and wellness promotion with clients across the lifespan. Written from a counseling psychology perspective, this book presents an approach to prevention that emphasizes strengths of individuals and communities, integrates multicultural and social justice perspectives, and includes best practices in the prevention of a variety of psychological problems in particular populations. Assembling articles into four comprehensive sections, this book provides expert coverage on the following: fundamental aspects of prevention research and practice (i.e. the history of prevention, best practice guidelines, ethics, and evaluation); relevant topics such as bullying, substance abuse, suicide, school dropout, disordered eating, and intimate partner violence; the promotion of wellness and adaptation in specific populations and environments, providing findings on increasing college retention rates, fostering healthy identity development, promoting wellness in returning veterans, and eliminating heterosexism and racism; and the future of prevention, training, the intersection of critical psychology and prevention, and the importance of advocacy.
While exercise is viewed as a positive part of a healthy lifestyle, various health issues may arise throughout the life of a female athlete. Issues may be related to dissatisfaction with athletic performance, overuse injuries including bone stress fractures, and/or specific medical issues. No health issues should be viewed in isolation, but rather in the holistic context of the individual. Understanding the interrelated entities of energy availability, menstrual function, and bone mineral density as a portion of the female athlete triad is essential to the care of the active female. Energy availability can be negatively impacted by inadequate intake of nutrition through disordered eating (inadvertent or purposeful) or one of the pathologic eating disorders, and/or abnormally increased training volume, viewed as dysfunctional exercise. Low energy availability can then negatively impact hormones related to metabolism and menstrual function, ultimately impacting bone health. Regular menstrual cycles have been viewed, by some, as a vital sign for the female athlete’s overall health and energy availability. Irregular menses or amenorrhea should be thoroughly evaluated. Abnormal menses is frequently found to be related to inadequate energy availability and resultant diminished sex hormones, known as functional hypothalamic amenorrhea, a diagnosis of exclusion. This also causes changes in bone health and puts the athlete at risk for stress fractures, suboptimal peak bone mass density, and possible future osteoporosis. In order to heighten awareness regarding the need to screen for potentially harmful conditions in the female athlete, this chapter provides guidance regarding screening for eating disorders, dysfunctional exercise, and menstrual dysfunction. By understanding methods to screen for these entities, those providing care and supervision to female athletes can be empowered to assist the active female to maintain a healthy relationship with exercise throughout the course of her lifetime.
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This paper examines the health implications of recreation activities among undergraduate students of Obafemi Awolowo University, Ile-Ife, Nigeria. A multi-stage sampling procedure was employed for the study. Eight undergraduate’s hall of residence comprising four each for male and female were identified, three halls of residence each from male and female hostel were randomly selected. 1018 rooms were identified across the selected halls of residence out of which 102 rooms which represents 10% of the total number of rooms were selected for questionnaire administration. The study revealed that academic work schedule, mood, personal interest and awareness are the significant deterring factors to students participation in recreational activities, also, majority of the students perceived recreation as beneficial to their health and wellbeing. The correlation analysis between proximity to recreational facility and duration of recreation also showed that proximity does not influence recreational participation with an R value of 19.5%. A regression model with R= 92.7% revealed a strong relationship between hours spent recreating and health benefits experienced. The study concludes that policies that will encourage participation in recreational activities should be encouraged.
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The current state of physical inactivity of people can be traced back to the people who have been denied their fundamental human right to physical education and participation in school sports (PES). Growing up without the fundamental human right to free movement and participation in sports activities enabled students to stay physically inactive. The purpose of this study was to explore what is currently known about the role of PES in all areas of human development and SDGs and to raise awareness about PES, which has been shown to be on the decline. To increase the study’s overall efficacy, an external desk research approach was employed to gather relevant information published online: reports, policies, charters, recommendations, and other relevant articles from various electronic databases and websites of international organizations responsible for PES, culture, and health. PES benefits are discussed in all domains of human development, including physical and mental health, cognitive, psychosocial, and moral benefits. Contrary to its importance to human growth as a whole, PES has been sidelined since the end of the twentieth century. An awareness of the subject of PES has thus been raised as a backbone of the entire community in the twenty-first century, so as to translate the promises and policies of PES into realities and practices.
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The purpose of the present study was to describe the state of mental preparation in Iranian elite athletes. Ottawa Mental Set Assessment Tool-3 to measure mental skill, Levenson test to measure attribution, Sport Motivation Scale to measure sport motivation, and Sheared test to measure mental toughness were administered on 295 athletes who attended various national team camps during year 2013. The results indicated that standard scores for basic mental skills were high, but for psychosomatic skills and cognitive skills were moderate. The Locus of Control for most athletes was internal. Both Internal and External motivation scores for most athletes were high and the score for amotivation was low. Standard scores for all components of mental toughness were average and above. Totally, it can be concluded the state of Attribution and Motivation is appropriate in Iranian elite athletes. They need to be educated in mental toughness concerns. Designing training programs for psychosomatic and cognitive components of mental skills seems also necessary.
Numerous provocative studies on the psychological effects of aerobic fitness training are available today, and more are appearing almost on a daily basis. This book reviews and evaluates the research, and it asks and attempts to answer significant background questions: What are the various motivating factors that have contributed to the emergence of the national fitness movement? What are the public health considerations con- cerning the relationship between physical fitness and coronary heart disease? What exactly do we mean by "physical fitness," especially "aerobic" fitness? This book contains essential, in-depth data for everyone interested in the most solid and reliable information on the psychology of aerobic fitness.
To identify the most consistent relationships among psychological variables and physical activity in youth (ages 11-21 years), 20 articles on depression, anxiety, stress, self-esteem, self-concept, hostility, anger, intellectual functioning, and psychiatric disorders were reviewed. Physical activity was consistently related to improvements in self-esteem, self-concept, depressive symptoms, and anxiety/stress. The effect sizes were +.12, -.15, and -.38 for self-esteem/self-concept, stress/anxiety, and depression, respectively. The evidence for hostility/anger and academic achievement was inconclusive. No negative effects of physical activity were reported. The literature suggests that physical activity in youth is psychologically beneficial. More research is needed to confirm previous findings. Adolescents should engage in moderate or vigorous aerobic activity approximately three times per week for a total of at least 60 minutes per week.
Three things make stress an important area of study for a variety of disciplines. First, stress emotions and their effects are of the greatest importance to satisfaction and morale. Second, stress emotions strongly influence every aspect of adaptive functioning, including, for example, problem solving, social competence, and somatic health/illness. Third when stress emotions such as anxiety, fear, guilt, anger, sadness-depression, and jealousy occur, we can certain that some important transaction has been taking place between the person and the environment; in other words, we have response evidence of a psychological event that is anything but trivial in the eyes of the affected person.
A meta-analysis was conducted on 40 studies (76 effects) in order to examine exercise training as a method of stress-management treatment for adults. It offered evidence of a low-to-moderate positive effect in anxiety reduction. Exercise training studies that examined change from pre to post-treatment and studies that examined both change over time and between group differences were examined separately. The unbiased weighted average effect sizes were .45 and .36, respectively. Thus, exercise training improved anxiety levels an average of .36 standard deviations over alternative or control conditions. Adults who were more likely to have a stressful lifestyle benefited more from the exercise training than those who did not. Recommendations are made for both practice and research.
Habitual physical exercise is almost universally accepted as being a protective behavior for physical and mental health. Despite the heterogeneity of research results, reviewers conclude, that mental health benefits of physical activity include reductions in state and trait anxiety. These effects are believed to be independent of age, gender and further personal and situational characteristics. To clarify the inconsistent results a meta-analysis was conducted. Twenty studies published between 1980 and 1990 were found that provided 22 independent effect-sizes based on 1,306 subjects. Using the Schmidt-Hunter-procedure, a population effect-size of rw = − .15 resulted. This coefficient is comparatively small and not significantly different from zero. According to various tests the data set has to be considered as heterogeneous. Subsequent meta-analyses aimed at identifying possible moderators such as age, sex, etc. There is evidence for a marginal anxiolytic effect of physical exercise in middle-aged persons (30 to 50 years).