Clarifying the Link Between Distress Intolerance and Exercise: Elevated Anxiety Sensitivity Predicts Less Vigorous Exercise
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Anxiety sensitivity, one measure of distress intolerance, has been increasingly shown to play a role in a variety of health behaviors. A number of reports now suggest that individuals with higher levels of anxiety sensitivity (AS) are less likely to engage in exercise. However, this finding has been inconsistent across sex and limited by measurement strategy. This study examined the relationship between AS and self-reported exercise in a mixed-sex sample of 233 individuals. Consistent with prediction, AS was negatively associated with engagement in vigorous-intensity exercise; however, the strength of this association when covarying for sex was dependent on the measurement strategy used (continuous vs. categorical ASI scores). Sex did not moderate the AS-vigorous exercise association. AS was not associated with moderate-intensity exercise or walking. Results suggest a role of distress intolerance in exercise behavior and confirm the importance of continued research on this topic.
KeywordsExercise Physical activity Anxiety sensitivity Distress intolerance
- Calkins, A. W., Hearon, B. A., Capozzoli, M. C., & Otto, M. W. (2012). Psychosocial predictors of sleep dysfunction: The role of anxiety sensitivity, dysfunctional beliefs and neuroticism. Behavioral Sleep Medicine. doi: 10.1080/15402002.2011.643968.
- Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-Country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB.PubMedCrossRefGoogle Scholar
- Ekkekakis, P., Parfitt, G., & Petruzzello, S. J. (2011). The pleasure and displeasure people feel when they exercise at different intensities: Decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Medicine, 41(8), 641–671. doi: 10.2165/11590680-000000000-00000.PubMedCrossRefGoogle Scholar
- Feldner, M. T., Zvolensky, M. J., Stickle, T. R., Bonn-Miller, M. O., & Leen-Feldner, E. W. (2006). Anxiety sensitivity-physical concerns as a moderator of the emotional consequences of emotion suppression during biological challenge: An experimental test using individual growth curve analysis. Behavior Research and Therapy, 44(2), 249–272.CrossRefGoogle Scholar
- Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ). (2005). www.ipaq.ki.se.
- Guiraud, T., Labrunee, M., Gayda, M., Juneau, M., & Gremeaux, V. (2012). Non-pharmacological strategies in cardiovascular prevention: 2011 highlights. Annals of Physical Rehabilitation Medicine, 55(5), 342–374.Google Scholar
- Hearon, B. A., Utschig, A. C., Smits, J. A., Moshier, S. J., & Otto, M. W. (2011). The role of anxiety sensitivity and eating expectancy in maladaptive eating behavior. Paper presented at the symposium Expanding the application of anxiety sensitivity to health behaviors. The 45th Annual Convention of the Association for Behavioral and Cognitive Therapies, Toronto, ON.Google Scholar
- Lejuez, C. W., Zvolensky, M. J., Daughters, S. B., Bornovalova, M. A., Paulson, A., Tull, M. T., et al. (2008). Anxiety sensitivity: A unique predictor of dropout among inner-city heroin and crack/cocaine users in residential substance use treatment. Behavior Research and Therapy, 46(7), 811–818.CrossRefGoogle Scholar
- McHugh, R. R., Daughters, S., Lejuez, C., Murray, H., Hearon, B., Gorka, S., et al. (2011). Shared variance among self-report and behavioral measures of distress intolerance. Cognitive Therapy & Research, 35(3), 266–275. doi: 10.1007/s10608-010-9295-1.
- Peterson, R. A., & Reiss, S. (1993). Anxiety Sensitivity Index revised test manual. Worthington, OH: International Diagnostic Systems Publishing Corporation.Google Scholar
- Reiss, S., Peterson, R., Taylor, S., Schmidt, N., & Weems, C. F. (2008). Anxiety Sensitivity Index consolidated user manual: ASI, ASI-3, and CASI. Worthington, OH: International Diagnostic Systems.Google Scholar
- Slentz, C. A., Duscha, B. D., Johnson, J. L., Ketchum, K., Aiken, L. B., Samsa, G. P., et al. (2004). Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE—A randomized controlled study. Archives of Internal Medicine, 164(1), 31–39. doi: 10.1001/archinte.164.1.31164/1/31.PubMedCrossRefGoogle Scholar
- Smits, J. A., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39(1), 28–36. doi: 10.1080/16506070902915261.PubMedCrossRefGoogle Scholar
- Tull, M. T., & Gratz, K. L. (2008). Further examination of the relationship between anxiety sensitivity and depression: the mediating role of experiential avoidance and difficulties engaging in goal-directed behavior when distressed. Journal of Anxiety Disorders, 22(2), 199–210.PubMedCrossRefGoogle Scholar
- WHO (Ed.). (2011). Global status report on noncommunicable diseases 2010. Geneva: W. H. Organization.Google Scholar
- Williams, D. M., Dunsiger, S., Ciccolo, J. T., Lewis, B. A., Albrecht, A. E., & Marcus, B. H. (2008). Acute affective response to a moderate-intensity exercise stimulus predicts physical activity participation 6 and 12 months later. Psychology of Sport and Exercise, 9(3), 231–245. doi: 10.1016/j.psychsport.2007.04.002.PubMedCrossRefGoogle Scholar
- Zvolensky, M. J., Forsyth, J. P., Bernstein, A., & Leen-Feldner, E. W. (2007). A concurrent test of the anxiety sensitivity taxon: Its relation to bodily vigilance and perceptions of control over anxiety-related events in a sample of young adults. Journal of Cognitive Psychotherapy, 21, 72–90.CrossRefGoogle Scholar