Running as Interoceptive Exposure for Decreasing Anxiety Sensitivity: Replication and Extension

被引:25
作者
Sabourin, Brigitte C. [1 ]
Stewart, Sherry H. [2 ,3 ,4 ]
Watt, Margo C. [5 ]
Krigolson, Olav E. [6 ]
机构
[1] Univ Manitoba, Dept Clin Hlth Psychol, Winnipeg, MB, Canada
[2] Dalhousie Univ, Dept Psychol, Halifax, NS, Canada
[3] Dalhousie Univ, Dept Neurosci, Halifax, NS, Canada
[4] Dalhousie Univ, Dept Psychiat, Halifax, NS, Canada
[5] St Francis Xavier Univ, Dept Psychol, Antigonish, NS B2G 1C0, Canada
[6] Univ Victoria, Neuroecon Lab, Victoria, BC, Canada
基金
加拿大健康研究院;
关键词
brief intervention; cognitive behaviour therapy; interoceptive exposure; physical exercise; COGNITIVE-BEHAVIORAL THERAPY; PANIC DISORDER; AEROBIC EXERCISE; INTERVENTIONS; WOMEN; FEAR; HYPERVENTILATION; INDIVIDUALS; SPECIFICITY; MEDIATORS;
D O I
10.1080/16506073.2015.1015163
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
A brief, group cognitive behavioural therapy with running as the interoceptive exposure (IE; exposure to physiological sensations) component was effective in decreasing anxiety sensitivity (AS; fear of arousal sensations) levels in female undergraduates (Watt et al., Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity, 201-219, 2008). Additionally, repeated exposure to running resulted in decreases in cognitive (i.e., catastrophic thoughts) and affective (i.e., feelings of anxiety) reactions to running over time for high AS, but not low AS, participants (Sabourin et al., "Physical exercise as interoceptive exposure within a brief cognitive-behavioral treatment for anxiety-sensitive women", Journal of Cognitive Psychotherapy, 22:302-320, 2008). A follow-up study including the above-mentioned intervention with an expanded IE component also resulted in decreases in AS levels (Sabourin et al., under review). The goals of the present process study were (1) to replicate the original process study, with the expanded IE component, and (2) to determine whether decreases in cognitive, affective, and/or somatic (physiological sensations) reactions to running would be related to decreases in AS. Eighteen high AS and 10 low AS participants completed 20 IE running trials following the 3-day group intervention. As predicted, high AS participants, but not low AS participants, experienced decreases in cognitive, affective, and somatic reactions to running over time. Furthermore, decreases in cognitive and affective, but not in somatic, reactions to running were related to decreases in AS levels. These results suggest that the therapeutic effects of repeated exposure to running in decreasing sensitivity to anxiety-related sensations are not related to decreasing the experience of somatic sensations themselves. Rather, they are related to altering the cognitive and affective reactions to these sensations.
引用
收藏
页码:264 / 274
页数:11
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