A dyadic investigation of exercise support between cardiac patients and their spouses.

The authors examined married partners' similarity in reported exercise behavior as a moderator of the association between social support for exercise provided and received by extending an actor-partner dyadic effects model. Participants were married cardiac rehabilitation patients and their spouses (N=99 couples). For couples similar in their reported exercise behavior, a significant association was found between both partners' independent reports of providing exercise support to and receiving exercise support from one another (n=49 couples). However, for couples differing in their reported exercise behavior (n=50 couples), no association was found between either partner's provision and receipt of support for exercise. Findings have the potential to inform practitioners of patients who may not be receiving adequate social support for their recommended exercise. Future interventions may consider implementing dyadic educational or motivational strategies with patients and their spouses.     

Global and appearance-contingent self-esteem: Associations with health and attractiveness exercise reasons

Whilst some individuals exercise for health-related reasons, others appear to exercise to bolster physical attractiveness. For the latter, this is often attributed to dissatisfaction with appearance. Few studies, however, have explored if differences in self-esteem may relate to diverse exercise reasons. The present study investigated whether global self-esteem, appearance-contingent self-worth, and appearance satisfaction may be differentially associated with health and attractiveness exercise reasons. It was further sought to explore whether these relations coincided with different motivational regulations. Adults from the east midlands of the United Kingdom (N = 209; 75% female, 25% male; mean age = 29.77 years) completed measures relating to their global and appearance-contingent self-esteem, appearance satisfaction, exercise intentions, and motivations. Structural equation modelling revealed that global self-esteem was positively associated with appearance satisfaction and health reasons for exercise, whereas appearance-contingent self-esteem related to lower appearance satisfaction and attractiveness reasons. Appearance satisfaction had no association with either exercise reason but was associated with intrinsic motivation and lower controlled exercise motivations. Health exercise reasons were positively associated with intrinsic, identified, and introjected motivation, whereas attractiveness reasons were exclusively related to external motivation. The findings highlight the conceptual importance of differentiating the level and contingency of exercisers’ self-esteem. The findings may also have substantive value for exercise practitioners in understanding different reasons for exercise.     

The effects of exercise withdrawal on mood and inflammatory cytokine responses in humans

Mechanisms underlying the relationship between exercise and mood are not well understood. This study sought to investigate the role of pro- and anti-inflammatory cytokines and autonomic balance in determining the impact of exercise withdrawal on negative mood. Healthy men and women who regularly exercised (N?=?26, mean age?=?25.5 years, SD?=?4.5 years) were randomised to exercise withdrawal or exercise maintenance for 2 weeks. Protocol adherence was monitored using accelerometers. Inflammatory markers from plasma (interleukin-6, IL-6; tumour necrosis factor-alpha; interleukin-10; and interleukin-1 receptor antagonist), heart-rate variability (HRV) and measures of mood (General Health Questionnaire-28 (GHQ) and the Profile of Mood States (POMS)) were assessed at study entry and at 2-week follow-up. Exercise withdrawal resulted in significant increases in negative mood over time on both the GHQ (p?=?0.028) and the POMS (p?=?0.005). Following the intervention, IL-6 concentration was lower in the exercise withdrawal than exercise maintenance condition (p?=?0.05). No intervention effects were observed for other cytokines or HRV. The mood changes were significantly related to changes in IL-6 concentration (β?=?-?0.50, p?=?0.011), indicating that reduction in IL-6 was related to increased negative mood. Our results are consistent with positive effects of exercise on mental health, but further research on inflammatory pathways is warranted.     

Perceived self-regulation of exercise goals and interfering goals among regular and irregular exercisers: a life space analysis

ObjectivesTo investigate whether adults self-classified as regular and irregular exercisers tend to differentially perceive the self-regulation of their exercise goals (a between groups comparison) and whether the groups’ differ in their self-regulatory perceptions of an exercise goal versus a goal that strongly interferes with exercise (a within groups comparison).DesignsCross-Sectional Survey.MethodsCollege students (N=399, 66% female), who were either regular or irregular exercisers, completed the Goal Systems Assessment Battery [GSAB; Karoly, P., & Ruehlman, L. S. (1995). Goal cognition and its clinical implications: Development and preliminary validation of four motivational assessment instruments. Assessment, 2, 113–129] for the goal of exercise and for a self-selected interfering goal. The GSAB gauges how individuals evaluate multiple functional components of self-regulation.ResultsA doubly multivariate MANOVA revealed a significant interaction between exercise regularity and goal type. Irregular exercisers manifested a pattern of goal regulatory thinking favoring their interfering goal relative to their exercise goal with respect to its value and the extent of their monitoring, planning, social comparison, and self-rewarding their progress toward that goal. Regular exercisers tended not to make such regulatory distinctions.ConclusionsAlthough life pursuits identified as interfering with exercise (e.g. academic goals) generally require more of a psychological investment than engaging in exercise, regular exercisers tend to construe their physical activity goals in a manner that closely matches their ratings of competing life aspirations. A dual focus on exercise goals and their aspirational rivals may inform motivational theory and intervention.     

Depressed people are not less motivated by personal goals but are more pessimistic about attaining them

Despite its theoretical importance, personal goal motivation has rarely been examined in clinical depression. Here we investigate whether clinically depressed persons (n = 23) differ from never-depressed persons (n = 26) on number of freely generated approach and avoidance goals, appraisals of these goals, and reasons why these goals would and would not be achieved. Participants listed approach and avoidance goals separately and generated explanations for why they would (pro) and would not (con) achieve their most important approach and avoidance goals, before rating the importance, likelihood, and perceived control of goal outcomes. Counter to hypothesis, depressed persons did not differ from never-depressed controls on number of approach or avoidance goals, or on the perceived importance of these goals. However, compared to never-depressed controls, depressed individuals gave lower likelihood judgments for desirable approach goal outcomes, tended to give higher likelihood judgments for undesirable to-be-avoided goal outcomes, and gave lower ratings of their control over goal outcomes. Furthermore, although controls generated significantly more pro than con reasons for goal achievement, depressed participants did not. These results suggest that depressed persons do not lack valued goals but are more pessimistic about their likelihood, controllability, and reasons for successful goal attainment.     

Stage of exercise change model and attitudes toward exercise in older adults.

This study examined the attitudes toward exercise held by older adults within different stages of the exercise change model for the purpose of aiding health professionals in developing effective approaches that engage older adults in physical activity. Men and women (n = 116) between the ages of 60 and 93 years (73.9+/-6.6) completed a questionnaire used to categorize them into one of five stages of exercise change: precontemplation, contemplation, preparation, action, and maintenance. Participants also completed a questionnaire to assess four attitude factors related to exercise: tension release, health promotion, vigorous exercise, and social benefits. The Active older adults in this study reported positive attitudes toward exer cising for health benefits, social interaction, and tension release. Of these, the health benefits of exercise appear to be the most important factor in their participation in exercise. Therefore, prograns designed to engage older adults in regular physical activity should promote positive attitudes toward exercise, especially regarding the health related aspects of exercise.     

Testing the effects of an expectancy-based intervention among adolescents: Can placebos be used to enhance physical health?

It has been suggested that the well-known health benefits associated with exercise can be explained by a placebo effect, and that greater effort should be given to convince people that their current behaviors have desirable health consequences. The overall purpose of this study was to test the efficacy of this "mind-set matters" hypothesis through the use of an expectancy-based intervention with adolescents. The study involved a four week randomized controlled trial with 348 Grade 9 adolescents (M (age)?=?14.07 yrs, SD?=?0.30), from four high schools, taking part in either a placebo-intervention condition (n?=?188) or a control condition (n?=?160). Participants in the placebo-intervention condition were informed that what they are already doing in school physical education lessons fulfills current recommendations for an active lifestyle. Participants in the control condition were not given this information. Four weeks after the intervention, adolescents in the placebo-intervention condition did not demonstrate significant changes in physiological health-related measures (diet, weight, body mass index, percentage body fat, heart rate, mean arterial pressure). The findings question the external validity of the "mind-set matters" hypothesis with adolescents, and suggest that simply encouraging adolescents to believe that they are healthy may not enable them to respond with improved indicators of physical health.     

Path analysis of exercise treatment-induced changes in psychological factors leading to weight loss

Physical activity may affect weight loss largely through psychological pathways associated with eating changes, especially in obese individuals whose caloric expenditure through exercise is typically small. Direct testing of this is, however, lacking. Previously sedentary adults (N?=?114; 77% female; M(age)?=?43.3 years), with a minimum body mass index (BMI) of 35 kg/m2 (M (BMI)?=?42.0 kg/m2), participated in a 24-week treatment of cognitive-behavioural exercise support and nutrition information. A path model based on tenets of social cognitive and self-efficacy theory was constructed. It was expected that improvements in self-efficacy, physical self-concept, body satisfaction and mood associated with the exercise treatment would predict changes in self-regulation and increased physical activity. It was also hypothesised that improvements in self-efficacy and self-regulation for appropriate eating would transfer from these relationships and predict weight loss. After three theoretically viable paths were added based on modification indices, structural equation modelling indicated a good fit with the data, χ2(16)?=?20.53, p?=?0.20; RMSEA?=?0.05; SRMR?=?0.06; CFI?=?0.97; TLI?=?0.95. Associations of psychological effects linked to exercise programme participation with predictors of appropriate eating and weight loss were found, and may inform theory, research and treatments.     

Relations among exercise type,self-objectification,and body image in the fitness centre environment: The role of reasons for exercise

ObjectiveThe study aimed to investigate different types of exercise, the role of exercise motivation and body image outcomes within the fitness centre environment.Design and methodParticipants were 571 female fitness class participants recruited from fitness centres. They ranged in age from 18 to 71 years and participated in a variety of fitness activities both within and outside of the fitness centre environment. Reasons for exercise, self-objectification, body esteem, and disordered eating symptomatology were assessed using questionnaire measures.ResultsTime spent exercising within the fitness centre environment was more highly related to body image and eating disturbance than time spent exercising outside of the fitness centre environment. Participation in cardio-based workouts (e.g., cardiovascular machines) was positively related to self-objectification, disordered eating behaviour, and appearance-related reasons for exercise, and negatively related to body esteem. In contrast, participation in yoga-based fitness classes was related to lower self-objectification and exercising more for health and fitness. Appearance-focused reasons for exercise were found to mediate the relationship between exercise types and self-objectification, disordered eating, and body esteem.ConclusionThe results show that the reasons women have for doing exercise provide a mechanism through which different types of exercise are associated with negative body image outcomes. Thus, despite the physical health-related benefits associated with regular physical activity, exercise motivated by appearance reasons (e.g., weight control) can lead to poorer body image in some women.     

Exploring the experience of introjected regulation for exercise across gender in adolescence

ObjectivesThe present study explored the experience of introjected regulation (i.e. a controlling motivational regulation in which people act due to internal pressures that are regulated by contingent self-esteem; [Ryan, R. M., & Deci, E. L. (2000). Intrinsic and extrinsic motivations: classic definitions and new directions. Contemporary Educational Psychology, 25, 54–56]) in relation to sport and exercise in mid-adolescence.MethodsAdolescents reporting strong introjected regulation of sport and/or exercise relative to their peers were identified using quantitative questionnaires, and invited for interview. Semi-structured interviews were recorded with 10 boys and 8 girls (mean age 14 years), transcribed verbatim, and analysed using an interpretive phenomenological approach.ResultsIntrojected regulation accompanied high levels of self-determined motivation, and was associated with high levels of physical activity in the present sample. Two major themes emerged: (i) gender differences in the basis for introjected regulation; and (ii) differences in the reasons and goals underpinning self-determined versus introjected regulations for exercise. In boys, introjected regulation was largely related to social factors, such as avoiding social disapproval and attaining ego enhancement. Girls rarely exercised with their friends, and introjected regulation more commonly reflected the partial internalization of a health and fitness rationale. In many cases, self-determined and introjected regulations were underpinned by different goals or reasons, supporting the importance of assessing an individual's multiple motives towards activities.ConclusionsIntrojected regulation for exercise was associated with higher than expected levels of participation in sport and exercise, regardless of whether it was founded on contingent self-worth, or the partial internalization of adaptive reasons for exercise. The implications of social control on future exercise participation are discussed.     

Subjective theories of exercise course instructors: causal attributions for dropout in health and leisure exercise programmes

Objectives: Dropout is a major problem in exercise programmes. Investigations have usually focused on exercise participants. The present study examines dropout from the perspective of exercise course instructors.Design: Course instructors' cognitions about why participants quit their course were examined. Instructors evaluated a number of possible reasons for dropout and assessed the dropout rate in their courses.Sample: Instructors of exercise classes (N=343).Method: Self-reported cross-sectional mailed survey.Results: Cluster analysis supported three different types of exercise course instructors. Type 1 attribute the participants' quitting to external reasons (‘self-protecting type’). Type 2 evaluate all potential causes as irrelevant (‘disregarding type’). Type 3 assign equal weight to internal and external reasons, seemingly reflecting an adaptation to situational requirements (‘adaptive type’). Type 3 exercise course instructors report the highest increase in number of participants. They were therefore identified as successful in motivating and attracting participants to their programmes.Conclusion: Exercise course instructors' subjective theories about reasons for dropout may influence their ability to motivate individuals to remain in their programmes or attract them to programmes.     

Perspectives of Homeschoolers Motivated by Religious and Moral Reasons

This study sought to highlight the association between motivation to homeschool and public school enrollment. Homeschooling parents (n?=?1052) across the United States responded to questions from a survey administered online. Logistic regression analysis and the chi-square test showed that homeschooling parents who chose the religious/moral answer option on the survey as the reason to homeschool, were less likely to choose to enroll into a public school program. Qualitatively, the narrative data of religious/moral homeschoolers and their reasons not to enroll in public education provided a number of themes, including quality of the environment (n?=?22) and reasons based on religion and faith (n?=?18). These findings may prove useful for public school officials who desire to know more about how some families make educational decisions.     

Use of Internet Resources to Support Prolonged Exposure for Combat-Related PTSD

In vivo exposure as part of Prolonged Exposure (PE) requires the patient and therapist to generate a list of cues that are reminiscent of the trauma and generative of distress. In contrast to civilian trauma, it can be more challenging to build a robust in vivo hierarchy for a combat-related index trauma. Internet resources such as databases that list casualties from different wars, memorial pages of those who died in theater, and lists of unit association memberships and reunions are useful sources for in vivo hierarchies. These materials can provide opportunities for exposure to additional cues reminiscent of the traumatic event, provide information about the traumatic event that the veteran had been unable to recall, and create opportunities for veterans to reestablish relationships with veteran peers. Case illustrations are provided and reasons for caution are discussed.     

Relationship of social cognitive theory factors to exercise maintenance in adults

Modifiable variables related to Bandura's social cognitive theory were tested for their relationship to self-reported retrospective exercise maintenance in 178 adults. Significant bivariate correlations were found between length of adherence to regular moderate-to-vigorous exercise and item clusters reflecting social support (r = .42), self-management ability (r =.39), and ability to tolerate exercise-induced discomfort (r = .60). Stepwise multiple regression analysis indicated that each item cluster significantly contributed to the overall explained variance in length of exercise maintenance over 52 weeks (R2 =.43). When responses from each of the item clusters were summed, participants defined as adherents had significantly higher scores than drop-outs. Discussion emphasized the need for replication and implications for exercise adherence intervention.     

Integrating stage and continuum models to explain processing of exercise messages and exercise initiation among sedentary college students.

Concepts from the transtheoretical model (J.O. Prochaska, C.C. DiClemente, & J.C. Norcross, 1992), theory of planned behavior (I. Ajzen, 1985), and the elaboration likelihood model (R.E. Petty & J.T. Cacioppo, 1986b) were used to examine how exercise readiness impacted processing of exercise messages and exercise initiation. Sedentary college students (n = 147) were assessed for exercise attitude, intent, behavior, and stage of change. Students also listed their thoughts after reading messages with either strong or weak arguments for exercise. Attitude predicted depth of message processing, but stage of change did not. Stage of change and intent at baseline predicted exercise adoption at 1- to 3-month follow-up (n = 134), with baseline activity moderating the effect of intent. Tailoring messages to recipients' depth of processing and interactive effects of intent and behavior on exercise adoption should be considered in future research.     

Path analysis of exercise treatment-induced changes in psychological factors leading to weight loss

Physical activity may affect weight loss largely through psychological pathways associated with eating changes, especially in obese individuals whose caloric expenditure through exercise is typically small. Direct testing of this is, however, lacking. Previously sedentary adults (N?=?114; 77% female; M _age?=?43.3 years), with a minimum body mass index (BMI) of 35?kg/m² (M _BMI?=?42.0?kg/m²), participated in a 24-week treatment of cognitive-behavioural exercise support and nutrition information. A path model based on tenets of social cognitive and self-efficacy theory was constructed. It was expected that improvements in self-efficacy, physical self-concept, body satisfaction and mood associated with the exercise treatment would predict changes in self-regulation and increased physical activity. It was also hypothesised that improvements in self-efficacy and self-regulation for appropriate eating would transfer from these relationships and predict weight loss. After three theoretically viable paths were added based on modification indices, structural equation modelling indicated a good fit with the data, χ ²(16)?=?20.53, p?=?0.20; RMSEA?=?0.05; SRMR?=?0.06; CFI?=?0.97; TLI?=?0.95. Associations of psychological effects linked to exercise programme participation with predictors of appropriate eating and weight loss were found, and may inform theory, research and treatments.     

Mind-set matters: exercise and the placebo effect

In a study testing whether the relationship between exercise and health is moderated by one's mind-set, 84 female room attendants working in seven different hotels were measured on physiological health variables affected by exercise. Those in the informed condition were told that the work they do (cleaning hotel rooms) is good exercise and satisfies the Surgeon General's recommendations for an active lifestyle. Examples of how their work was exercise were provided. Subjects in the control group were not given this information. Although actual behavior did not change, 4 weeks after the intervention, the informed group perceived themselves to be getting significantly more exercise than before. As a result, compared with the control group, they showed a decrease in weight, blood pressure, body fat, waist-to-hip ratio, and body mass index. These results support the hypothesis that exercise affects health in part or in whole via the placebo effect.     

Effects of increasing expenditure of energy during exercise on psychological well-being in older adults

The purpose of present study was to examine the effects on psychological well-being of energy expended as a result of the exercise intervention. 33 older adults (M age=68.6 yr., SD=4.7) participated in three supervised water-based exercise sessions per week for 12 wk. Based on the relative changes in daily energy expenditure as measured by questionnaire between pre- and posttraining, the subjects were split into three groups. This classified each subject as either having experienced a relatively low change (n=11), moderate change (n= 11), or high change (n= 11) in daily energy expenditure. Our data showed that the group with the greater increase in energy expenditure as a result of exercise, when compared pre- and posttraining, improved only on Depression-Dejection on the Profile of Mood States more than did the group with low change. Consequently, we concluded that the amount of energy expended was partially related to improvement in psychological well-being.     

Appearance vs. health motives for exercise and for weight loss

Objective

This study had three primary aims: (1) to investigate differences between restrained and unrestrained eaters in their reasons for exercise and their motives for losing weight; (2) to investigate the association of appearance and health motives for exercise and for losing weight with body image concerns; and (3) to determine whether appearance motives for exercise and for losing weight mediate the link between internalized societal standards of attractiveness and body image concerns.

Design

Cross-sectional survey.

Method

205 women completed measures of dietary restraint, reasons for exercise, motivation for losing weight, internalization of societal standards of attractiveness, and body image concerns.

Results

Unrestrained eaters were more motivated to exercise and to lose weight for health reasons than for appearance reasons, whereas restrained eaters were equally motivated by appearance and health reasons. Appearance-based motives for exercising and for losing weight were positively associated with body image concerns, whereas health-related reasons for exercise were negatively associated with body image concerns. Furthermore, in a multiple mediation analysis, appearance motives for weight loss mediated the relation between internalization of societal standards of attractiveness and body image concerns, but appearance reasons for exercise did not.

Conclusion

These findings indicate that appearance-based motives for exercise and weight loss are associated with negative outcomes. Efforts to promote exercise and weight management should emphasize the health benefits rather than the implications for appearance.     

Contingency management of exercise by chronic schizophrenics

Research on the control and maintenance of exercise by chronic schizophrenics has been relatively neglected, despite widespread knowledge of the adverse consequences of sedentary living. The present study evaluated the effects of simple contingency-management procedures designed to encourage exercising by two psychotic residents living in a sheltered group home. For both subjects, the ABAB experimental analysis demonstrated the effectiveness of the intervention. Improved levels of exercise were maintained at follow-up and the contingency-management system was implemented as a regular part of the group home's rehabilitation program for all residents.