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EFENDI…YUSRAN…RUSDI
ANXIETY   DEPRESSION
More people are looking to exercise to promote
their psychological well-being

Many researchers, clinicians, and laypeople have
observed that physical activity enhances
feeling of well-being, in particular by
reducing anxiety and depression.

Landers,1999; Landers & Arent,2001 –
Exercise is related to decreases in anxiety
and depression as well as to increases in
feeling of general well-being
The mental health problems
            anxiety                             depression


The effects of exercise on anxiety and depression can be classified as
             acute                                 chronic


 Acute effects refer to immediate and possibly, but not necessarily,
      temporary effects arising from a single bout of exercise


   Long term or chronic effects of exercise has focused on
     changes over time in both anxiety and depression.
EXERCISE IN THE REDUCTION OF
             ANXIETY

                     Reductions in state
                                            Exercise training is
  Longer training        anxiety and
                                           particularly effective
programs are more      depression after
                                            for individuals who
   effective than      aerobic exercise
                                           have elevated levels
  shorter ones in      may be achieved
                                             of anxiety, but it
producing positive      with exercise
                                              reduces anxiety
 changes in well-    intensities between
                                           even for people with
       being             30%-70% of
                                           low levels of anxiety
                     maximal heart rate
EXERCISE IN THE REDUCTION
       OF ANXIETY

                State anxiety                     Reductions in
                  returns to                     anxiety are not
All durations
                pre-exercise       Exercise is     necessarily
 of exercise
                anxiety levels   associated with   tied to the
significantly
                  within 24       reductions in   physiological
   reduced
                hours (maybe     muscle tension gains resulting
   anxiety
                as quickly as                       from the
                 4-6 hours)                       exercise bout
EXERCISE IN THE REDUCTION
         OF ANXIETY
   The anxiety     Aerobic exercise
    reduction        can produce
                                    Anxiety reduction
    following          anxiety
                                      after exercise
 exercise occurs reductions similar
                                      occurs for all
regardless of the in magnitude to
                                         types of
    intensity,     those with other
                                       participants
duration, or type commonly used
   of exercise    anxiety treatment
The positive effects are seen across age
groups, health status, race, socioeconomic
status, and gender

    Exercise is as effective as psychotherapy in
    reducing depression

        Exercise produces larger antidepressant
        effects when the training program is at least
        9 weeks long

            Both aerobic and anaerobic exercise are
            associated with reductions in depression


                 Reductions in depression following exercise
                 do not depend on fitness levels.
• Mood can be                   MOOD
      defined as a host
      of transient,
      fluctuating         • is generally
      affective states      defined as a state
      that can be           of emotional or
      positive or           affective arousal
      negative              of varying,
                            impermanent
Berger, Pargman, &
                            duration
 Weinberg, (2002)
• The existence of changes in
 Biddle, (2000)         positive mood states related to
                        exercise

                      • They are more likely to use exercise
Thayer, Newman, &
                        rather than other techniques to
 McClain, (1994)        energize themselves


                      • showed increases in positive mood
 Hansen, Stevens,
                        states with as little as 10 minutes of
 and Coast (2001)       moderate exercise

    Giacobbi,         • Exercise improved positive mood
Hausenblas, & Frye,     regardless of the number of negative
                        and positive events in a given day
     (2005)
Rhythmic
                  abdominal
                  breathing         Relative
                                   absence of
Duration,                        interpersonal
intensity,                        competition
frequency
              GUIDELINES FOR
             USING EXERCISE TO
              ENHANCE MOOD


enjoyment                        Closed and
                                 predictable
               Rhythmic and
                                  activities
                 repetitive
                movements
Exercise increases         Exercise decreases
Academic performance       Absenteeism at work

Assertiveness              Alcohol abuse

Confidence                 Anger

Emotional stability        Anxiety

Intellectual functioning   Confusion

Memory                     Depression

Perception                 Headaches
PHYSIOLOGICAL                  PSYCHOLOGICAL
    EXPLANATIONS                    EXPLANATIONS
 Increase in cerebral blood    Enhanced feeling of control
flow                            Feeling of competency and
Changes in brain              self-efficacy
neurotransmitters ( e.g.,       Positive social interactions
norepine phrine, endorphins,    Improved self-concept and
serotonin)                     self-esteem
Increase in maximal oxygen     Opportunities for fun and
consumption and delivery of    enjoyment
oxygen to celebral tissues
Reductions in muscle
tension
Structural changes in the
brain
   Exercise        Higher levels of self
    confidence, greater feeling of control,
    improved imagination, and a greater sense of
    self-sufficiency.
   Regular exercise has been show to be related
    to increased self-esteem.
   It is believed that changes in the body as a
    result of physical fitness training can alter
    one’s body image and thus enhance self
    concept and self esteem.
   Hardiness       personally style that enables
    person to withstand or cope with stressful
    situations.
   Have 3 traits :
    ◦ A sense of personal control over external events
    ◦ A sense of involvement, commitment and purpose in
      daily life.
    ◦ The flexibility to adapt to unexpected changes by
      perceiving them as challenges or opportunity for further
      growth
Exercise can help protect against stress
related illness, especially for hardy people
   Motor development is important to the
    development of inteligence in children
    (Piaget, 1936)
   Chronic exercise, in comparison with acute
    exercise, showed greater effects on cognitive
    performance.
   Exercise programs conducted over longer
    periods of time are associated with gains in
    cognitive functioning.
   Fitness training had beneficial effects on the
    cognitive functioning of older adults.
   Fitness training combined with strength and
    flexibility had a greater positive effect on
    cognition than fitness training with only an
    aerobic component
   Exercise effects on cognition were largest when
    exercise training exceeded 30 minutes per
    session.
   Cardiovascular exercise appears to protect the
    brain and help repair or restore the aged brain.
   Quality of life       one’s behavioral functioning
    ability, or being able to “do every stuff” and living
    long enough to do it.
   Active individuals tend to be better health, report
    more stamina, have more positive attitudes
    toward work, and report a greater ability to cope
    with stress and tension.
   Small increase in sleep.
   Greater life satisfaction.
   Exercise programs contribute to a person’s
    quality of life by influencing affects, perceived
    stress, physical health, and life satisfaction.
   Euphoria, spiritually, power, gracefulness,
    effortless movement, a glimpse of perfection,
    and spinning out.( Sach 1984 & Berger 1996 )
    euphoric sensation, usually UNEXPECTED, of
    heightened wee-being, an appreciation of
    nature, and the trancesdence of time and
    space.
   Cant reliably predicted but is facilitated by
    the presence of few distractions and cool,
    calm weather with low humidity.
   Not concern with pace and time
   Endorphins were produced during running.
   Activated when people are involved in
    romantic love or listening to music.
   The greater euphoria, the higher the levels of
    endorphins found in the brain.
   To be a useful adjunct to traditional
    psychotherapy, but does not replace therapy
    especially in patients who have a clinical
    disorder.
   Popular because they provide a natural,
    practical, inexpensive, and time efficient
    adjunct to traditional psychoterapies.
   SHOULD NOT USE for :
    ◦ Obese
    ◦ severe heart desease
    ◦ Those with high blood pressure that cannot be
      controlled by medication

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Exercise and Psychological Well-being

  • 2. ANXIETY DEPRESSION
  • 3. More people are looking to exercise to promote their psychological well-being Many researchers, clinicians, and laypeople have observed that physical activity enhances feeling of well-being, in particular by reducing anxiety and depression. Landers,1999; Landers & Arent,2001 – Exercise is related to decreases in anxiety and depression as well as to increases in feeling of general well-being
  • 4. The mental health problems anxiety depression The effects of exercise on anxiety and depression can be classified as acute chronic Acute effects refer to immediate and possibly, but not necessarily, temporary effects arising from a single bout of exercise Long term or chronic effects of exercise has focused on changes over time in both anxiety and depression.
  • 5. EXERCISE IN THE REDUCTION OF ANXIETY Reductions in state Exercise training is Longer training anxiety and particularly effective programs are more depression after for individuals who effective than aerobic exercise have elevated levels shorter ones in may be achieved of anxiety, but it producing positive with exercise reduces anxiety changes in well- intensities between even for people with being 30%-70% of low levels of anxiety maximal heart rate
  • 6. EXERCISE IN THE REDUCTION OF ANXIETY State anxiety Reductions in returns to anxiety are not All durations pre-exercise Exercise is necessarily of exercise anxiety levels associated with tied to the significantly within 24 reductions in physiological reduced hours (maybe muscle tension gains resulting anxiety as quickly as from the 4-6 hours) exercise bout
  • 7. EXERCISE IN THE REDUCTION OF ANXIETY The anxiety Aerobic exercise reduction can produce Anxiety reduction following anxiety after exercise exercise occurs reductions similar occurs for all regardless of the in magnitude to types of intensity, those with other participants duration, or type commonly used of exercise anxiety treatment
  • 8. The positive effects are seen across age groups, health status, race, socioeconomic status, and gender Exercise is as effective as psychotherapy in reducing depression Exercise produces larger antidepressant effects when the training program is at least 9 weeks long Both aerobic and anaerobic exercise are associated with reductions in depression Reductions in depression following exercise do not depend on fitness levels.
  • 9. • Mood can be MOOD defined as a host of transient, fluctuating • is generally affective states defined as a state that can be of emotional or positive or affective arousal negative of varying, impermanent Berger, Pargman, & duration Weinberg, (2002)
  • 10. • The existence of changes in Biddle, (2000) positive mood states related to exercise • They are more likely to use exercise Thayer, Newman, & rather than other techniques to McClain, (1994) energize themselves • showed increases in positive mood Hansen, Stevens, states with as little as 10 minutes of and Coast (2001) moderate exercise Giacobbi, • Exercise improved positive mood Hausenblas, & Frye, regardless of the number of negative and positive events in a given day (2005)
  • 11. Rhythmic abdominal breathing Relative absence of Duration, interpersonal intensity, competition frequency GUIDELINES FOR USING EXERCISE TO ENHANCE MOOD enjoyment Closed and predictable Rhythmic and activities repetitive movements
  • 12. Exercise increases Exercise decreases Academic performance Absenteeism at work Assertiveness Alcohol abuse Confidence Anger Emotional stability Anxiety Intellectual functioning Confusion Memory Depression Perception Headaches
  • 13. PHYSIOLOGICAL PSYCHOLOGICAL EXPLANATIONS EXPLANATIONS  Increase in cerebral blood  Enhanced feeling of control flow  Feeling of competency and Changes in brain self-efficacy neurotransmitters ( e.g.,  Positive social interactions norepine phrine, endorphins,  Improved self-concept and serotonin) self-esteem Increase in maximal oxygen  Opportunities for fun and consumption and delivery of enjoyment oxygen to celebral tissues Reductions in muscle tension Structural changes in the brain
  • 14. Exercise Higher levels of self confidence, greater feeling of control, improved imagination, and a greater sense of self-sufficiency.  Regular exercise has been show to be related to increased self-esteem.  It is believed that changes in the body as a result of physical fitness training can alter one’s body image and thus enhance self concept and self esteem.
  • 15. Hardiness personally style that enables person to withstand or cope with stressful situations.  Have 3 traits : ◦ A sense of personal control over external events ◦ A sense of involvement, commitment and purpose in daily life. ◦ The flexibility to adapt to unexpected changes by perceiving them as challenges or opportunity for further growth Exercise can help protect against stress related illness, especially for hardy people
  • 16. Motor development is important to the development of inteligence in children (Piaget, 1936)  Chronic exercise, in comparison with acute exercise, showed greater effects on cognitive performance.  Exercise programs conducted over longer periods of time are associated with gains in cognitive functioning.
  • 17. Fitness training had beneficial effects on the cognitive functioning of older adults.  Fitness training combined with strength and flexibility had a greater positive effect on cognition than fitness training with only an aerobic component  Exercise effects on cognition were largest when exercise training exceeded 30 minutes per session.  Cardiovascular exercise appears to protect the brain and help repair or restore the aged brain.
  • 18. Quality of life one’s behavioral functioning ability, or being able to “do every stuff” and living long enough to do it.  Active individuals tend to be better health, report more stamina, have more positive attitudes toward work, and report a greater ability to cope with stress and tension.  Small increase in sleep.  Greater life satisfaction.  Exercise programs contribute to a person’s quality of life by influencing affects, perceived stress, physical health, and life satisfaction.
  • 19. Euphoria, spiritually, power, gracefulness, effortless movement, a glimpse of perfection, and spinning out.( Sach 1984 & Berger 1996 )  euphoric sensation, usually UNEXPECTED, of heightened wee-being, an appreciation of nature, and the trancesdence of time and space.
  • 20. Cant reliably predicted but is facilitated by the presence of few distractions and cool, calm weather with low humidity.  Not concern with pace and time  Endorphins were produced during running.  Activated when people are involved in romantic love or listening to music.  The greater euphoria, the higher the levels of endorphins found in the brain.
  • 21. To be a useful adjunct to traditional psychotherapy, but does not replace therapy especially in patients who have a clinical disorder.  Popular because they provide a natural, practical, inexpensive, and time efficient adjunct to traditional psychoterapies.  SHOULD NOT USE for : ◦ Obese ◦ severe heart desease ◦ Those with high blood pressure that cannot be controlled by medication