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Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
1
A Self-Study: Physical Exercise as a Means of Reducing Anxiety
Andrew Pearce
Psych 6104
Yorkville University
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
2
Abstract
Anxiety is a common behavioural health problem, especially for a student undertaking
graduate studies. Anxiety if left unmonitored and unmanaged can result in debilitating
biological, psychological, and social effects. In fact, continuous high levels of anxiety can lead
to chronic health problems such as anxious depression, hypertension, and insomnia (Jonas &
Lando, 2000), thus infringing upon a person’s ability to perform at work, to engage in social
settings, and to pursue further education.
Research has considered the potential benefits of various interventions such as mindfulness
therapy, cognitive behavioural therapy (CBT), and physical exercise (PE), as potential anxiety-
reducing therapies (Keng, Smoski, & Robins, 2011). However, there is much less data on the
effects of exercise on anxiety than for exercise on depression (Lee & Hopkins, 2013). Therefore,
amongst the potential anxiety interventions to be enacted and measured, the aim of this self-
study is to determine if physical exercise is a viable means of reducing anxiety as a person
adjusts to graduate studies (Keng, Smoski, & Robins, 2011).
Using a single-case self-study research design and employing the Beck Anxiety Inventory
(BAI) to gather anxiety data (Appendix 1, Figure 1), one participant is observed for two weeks
without any intervention and then for three weeks the same participant is introduced to one
intervention variable: exercise.
Week one and week two began with a BAI score of 30 and 26; however, once the exercise
intervention began in week three and continued into weeks four and five, the participant’s BAI
score dropped from 15 in week three, to 3 in week four, and 2 in week five, resulting in an
overall drop of 28 points from week one.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Based on the BAI data that were collected (Appendix 2, Figure 1.2), exercise is a viable means
for reducing anxiety. The findings from this single-case self-study, as well as recommendations
and implications for future students regarding “Safe and Effective Use of Self” (SEUS), are also
discussed in this self-study.
Keywords: anxiety reduction, exercise therapy, exercise intervention and anxiety
A Self-Study: Physical Exercise as a Means of Reducing Anxiety
Undertaking graduate studies is a significantly challenging and rewarding journey, with or
without various internal and external factors, such as but not limited to academic competence,
family dynamics and responsibilities, work responsibilities, and social obligations. Timothy
Melchert explains in his book, Foundations of Professional Psychology, that there are many
contributing biospychosocial (BPS) factors “at play” in a person’s life (Melchert, 2011). For
example, a counselling student’s psychological well-being may be linked to a specific desire of
educational attainment, which may also be accompanied with apprehensive feelings and
worrisome thoughts. In addition, the student may think and feel that he or she may not possess
the academic competency required to succeed in graduate studies such as a Masters of Arts in
Counselling Psychology (MACP).
Clearly, anxiety is a valid underlining stressor to one’s overall well-being and academic
success (Melchert, 2011, p. 34). Therefore, for a student undertaking graduate studies anxiety is
a significant issue, which if left unmonitored and unmanaged can result in debilitating
biopsychosocial effects.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Anxiety is a common mental condition characterized by feelings of persistent nervousness,
apprehension, tension, discomfort, and worrisome thoughts about day-to-day things. As these
anxious feelings and emotions manifest, the body reacts to the perceived threats known as
“anxious arousal”, resulting in but not limited to shortness of breath, nausea, muscle tightness,
sweating, and increased heartbeat (Kessler et al., 1994; Anxiety Center, 2015; Banich &
Compton, 2011, p. 416).
According to Kessler, Berglund, Demler, Robertson, and Walters, anxiety is a common
behavioural health disorder among adults within North America. In fact, “various large scale
epidemiological surveys in the United States [suggest] a lifetime prevalence rate of between 25-
30% for at least one anxiety disorder” (Kessler, Berglund, Demler, Robertson, & Walters, 2004).
In addition, a Canadian Community Health Survey found “Canada [exhibits] similar patterns of
anxiety prevalence” (Canadian Community Health Survey, 2003).
In order to ascertain one’s anxiety, various methods are used to measure anxiety such as the
State Trait Anxiety Inventory (STAI) and the Beck Anxiety Inventory (BAI). The STAI consists
of 40 self-report items and distinguishes between a person’s state and trait anxiety levels. State
anxiety examines how a person is feeling at the time of a perceived threat (Spielberger &
Sydeman, 1994) such as feelings of nervousness, fear, and discomfort. Whereas trait anxiety
looks at a person’s enduring disposition to feelings of discomfort and worry in various normal
situations such as at social functions or going to the mall (Spielberger & Sydeman, 1994).
The Beck Anxiety Inventory (BAI) consists of a 21 self-report questionnaire, which measures
common symptoms of anxiety with a scoring scale of 0-3, with a maximum possible score of 63.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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A 0-21 range reflects low anxiety, a 22-35 range reflects moderate anxiety, and 36-63 reflects
severe anxiety.
It is important to note that anxiety is a normal response to a threating situation (Taylor, 2010)
such as crossing a high bridge over a large body of water or boarding an airplane for the first
time. Yet anxiety can be detrimental to a person’s well-being because continuous high levels of
anxiety can lead to chronic health problems such as anxious depression, hypertension, and
insomnia (Jonas & Lando, 2000), thus infringing upon a person’s ability to perform at work, to
engage in social settings, and to pursue further education. Due to potential health risks and the
impact of behavioural health problems, including anxiety on human functioning, health groups
“recommend being active almost every day of the week for daily sessions of at least 30 minutes”
(Pate, Pratt, & Blair, 1995).
In all, anxiety is a common behavioural health problem; as a result, research considers the
potential benefits of various interventions such as mindfulness therapy, cognitive behavioural
therapy (CBT), and physical exercise (PE) as potential anxiety-reducing therapies (Keng,
Smoski, & Robins, 2011).
Researchers also advocate for the benefit of PE as a valid therapy for reducing anxiety
because of its appeal, compared to the potential adverse effects of pharmacotherapy (Craft &
Perna, 2004; Swan & Hyland, 2012), such as but not limited to weight gain and potential
impairment of sex drive (Gardner, Baldessarini, & Waraich, 2005).
According to the Centre for Disease Control, physical exercise brings a large range of
physiological health benefits (CDC, 1996). However, there is much less data available on the
effects of exercise on anxiety than for exercise on depression (Lee & Hopkins, 2013); therefore,
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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further research is needed to scientifically verify the correlation of physical exercise and its
effect on reducing anxiety.
In terms of validation, research needs to not only look at the implications of exercise on
anxiety but to also consider new research findings of both controlled and randomized study
groups, because “all scientific work is liable to be upset or modified by advancing knowledge”
(Hill, 1965, p. 299).
Therefore, among the potential anxiety interventions to be enacted and measured, this paper
will focus on answering the question, “Is physical exercise (PE) a valid means of reducing
anxiety as a person adjusts to the Masters of Arts in Counselling Psychology program (MACP)?”
Literary Review
The following electronic databases: BioMed, NCBI, EBSCO, ProQuest, Pubmed, PsycINFO,
and the Jama Network (September 10, 2015 through to October 30, 2015) were used to compare
the benefits of exercise as a means of decreasing anxiety.
Within the last decade, there has been significant interest in the validity of physical exercise
as a means of decreasing anxiety. The most recent systematic review and meta-analysis entitled
Exercise Therapy in Adults with Serious Mental Illness found that exercise has
no beneficial effect…on anxiety and depressive symptoms…[and] [although] exercise therapies can lead to a modest increase in levels of exercise activity…overall there [are] no noticeable change for symptoms of mental health, body mass index, and body weight (Pearsall, Smith, Pelosi, & Geddes, 2014).
Whereas several other empirical studies and systematic reviews have found several benefits
of physical exercise on behavioural health problems such as anxiety.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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In fact, a recent 2010 study by Lee and Hopkins found exercise has a positive impact on a
person’s overall well-being, including cognition, academic achievement, and psychosocial
function (Lee & Hopkins, 2013).
In addition, according to Swan and Hyland’s study entitled, A Review of the Beneficial Mental
Health Effects of Exercise and Recommendations for Future Research, exercise is “as effective
as pharmacotherapy for depressive and anxiety disorders, and preliminary evidence suggests that
it is equally effective as CBT treatments” (Swan & Hyland, 2012). They also reported “research
data indicates that physical exercise is an efficacious treatment method for depression, with
evidence also supporting its use as a treatment for anxiety conditions” (Swan & Hyland, 2012).
Also, a study conducted by Brown, Pearson & Braithwaite observing the effects of exercise on
patients with PTSD, who exercised three times a week, found that PTSD symptoms decreased
following exercise (Brown, Pearson, & Braithwaite, 2013).
Similarly, Herring, Puetz, and O’Conner’s (2010) systematic review considering the effects of
exercise on anxiety symptoms discovered that “exercise interventions significantly reduced
anxiety symptoms in comparison to no treatment. Also, exercise routines consisting of thirty-
minutes or more, a day, and interventions lasting no longer than ten weeks were found to be most
effective” (Herring, Puetz, & O’Conner, 2010).
Subsequently, in a 2010 study observing the benefits of aerobic exercise in conjunction with
treatment over a 10-week period, Saeed, Antonacci, and Bloch found participants “[experienced]
significant reductions in [anxiety] symptoms…” (Saeed, Antonacci, & Bloch, 2010). Saeed et al.
also found “high-energy exercise…reduced symptoms of depression more than less frequent or
lower-energy exercise” (Saeed et al., 2010). Whereas Wipfli, Rethorst, and Landers found
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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“exercise groups showed greater reductions in anxiety compared with groups that received other
forms of anxiety-reducing treatment and larger reductions in anxiety among exercise groups than
no-treatment groups” (Wipfli, Rethorst, & Landers, 2008).
Similarly, DeBoer, Powers and Utschig in a study looking at Exercise as an Avenue for the
Treatment of Anxiety Disorders found that regular exercisers were less likely to suffer from
anxiety than inactive individuals. They also found that exercise not only “[affects] noradrenergic
neurotransmission, which has been implicated in the etiology of panic disorder”, but they have
also found that “EEG-a frequency band does increase during and after exercise…[and] following
exercise there are electrocortical changes, “specifically increases in the EEG-a frequency band,
particularly in the frontal anterior regions of the brain, [which] are thought to be associated with
relaxation and decreased anxiety” (DeBoer, Powers, & Utschig, 2012).
Regarding the frequency and duration of exercise and the effects of physical exercise on
reducing anxiety, a study by Brown, Pearson, and Braithwaite found exercise programs that run
for 12 weeks or more show greater impact in reducing anxiety (Brown, Pearson & Braithwaite,
2013); whereas Wipfli et al. discovered that exercise plans that run fewer than 12 weeks are
more effective in reducing anxiety and depression (Wipfli et al., 2008). Wipfli et al. also found
that four exercise sessions per week “showed the largest effects” (Wipfli et al., 2008) than
exercise plans consisting of less than four sessions per week. Whereas Herring et al. found that
the benefit of exercise reducing anxiety was consistent with four to five exercise sessions per
week (Herring et al., 2010).
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Therefore, based on recent research, physical exercise is not only an effective means of
reducing anxiety but is also an effective protective factor for behavioural health and BPS
functioning (Melchert, 2011).
Research Question and Hypothesis
The purpose of this self-study is to answer the question: “Is physical exercise a valid means of
reducing anxiety as a person adjusts to the Masters of Arts in Counselling Psychology program?”
(MACP).
Based on available research considering physical exercise as a potential anxiety discharge, it
appears that exercise is a viable means of reducing anxiety. Therefore, I hypothesize that
conducting thirty minutes of exercise, following two weeks of no exercise intervention, for three
weeks, five days a week, with a particular exercise fitness program, at the same time everyday,
will significantly reduce my anxiety, as I adjust to Yorkville University’s Masters of Arts in
Counselling Psychology Program (MACP).
Method
Participant
This self-study involved one participant: a healthy and fit 30-year-old white male, married
with one child, an English speaking Canadian citizen from Milton, Ontario, of middle economic
status, and with a degree in theology and pastoral ministry from Vanguard College.
Procedure
Following two weeks of no specific exercise routine, I conducted a specific exercise program
“Insanity: Max 30”, consisting of cardio and weights five days a week, for thirty minutes a day,
at the same time everyday for three weeks.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Measures
For all five weeks quantitative data were collected. I measured my weekly anxiety level
using the Beck Anxiety Inventory (BAI). The BAI consists of 21 self-report questions, which
measure common symptoms of anxiety with a scoring scale of 0-3.
§ 0 (Not at all)
§ 1 (Mildly – but it didn’t bother me much)
§ 2 (Moderately – it wasn’t pleasant at times)
§ 3 (Severely – it bothered me a lot)
I then tallied the totals in each column and added the totals together to discover the grand
score and level of anxiety. The 0-21 range reflects “low anxiety”, the 22-35 range reflects
“moderate anxiety”, and the 36-63 range reflects “severe anxiety” (Beck Institute).
Design
This self-study is comprised of a quantitative single-case design involving one participant,
myself, being observed naturally for two weeks without any manipulation or intervention; then
for three weeks the participant is introduced to one manipulation/intervention variable, exercise,
to evaluate the impact of exercise on one outcome variable, anxiety.
The exercise intervention occurs within the participant’s own home, in a comfortable and
well-lit finished basement, using the “Insanity: Max 30” workout DVD, with a standard yoga
mat, towel, and 8 oz. water bottle.
At the end of each of the first two weeks anxiety data will be acquired via the Beck Anxiety
Inventory (BAI), as shown in Figure 1 (Appendix 1). Then the recorded scores for each week
are recorded in an Excel Data Chart, as seen in Figure 1.1 (Appendix 1). For the remaining three
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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weeks anxiety data are gathered post workout via BAI (Appendix 1, Figure 1); then the scores
from the three weeks of exercise are added to the Excel Data Chart (Appendix 1, Figure 1.1).
Following the completion of the three-week exercise intervention, the totals for each of the
five weeks are tallied and plotted in a line graph in order to display the overall results, as shown
in Figure 1.2 (Appendix 2).
Results
The exercise intervention for anxiety was implemented as intended. All anxiety data were
collected for all five weeks at the end of each week and remained intact as shown in Figure 1.1
(Appendix 1). The BAI total range potential was between 0-63.
Week three featured a grand baseline score of 30. The most scores occurred within the
“severely” category, with eight selections: feeling hot, unable to relax, fear of worst happening,
unsteady, afraid, nervous, scared, and indigestion, featuring a category score of 24. Only one
question selection came from the “moderately” category: shaky/unsteady, and four questions
selected the “mildly” category: tingling, dizziness, hands trembling, and face flushed. The
remaining eight questions fell under the “not at all” category with a score of 0.
The scores from week one were well above what I expected. However, adjustment to the
MACP program has been difficult due to the frequency and amount of assignments to complete
and submit.
Week two featured a grand score of 26, a drop of 4 points from week one. The majority of the
scores once again came from the “severely” category with a score of 15; however, this time only
five selections pertained to this category, whereas the “moderately” category jumped from one
selection to three selections with a score of 6.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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The five selections within the “severely” category were unable to relax, fear of worst
happening, unsteady, nervous, and shaky. The three selections from the “moderately” category
were feeling hot, terrified or afraid, and scared.
The “mildly” category increased from 4 points from week one to 5 points in week two
featuring five selections: dizzy, hands trembling, fear of losing control, indigestion, and hot/cold
sweats. The remaining eight questions under the “not at all” category tallied a score of 0.
The total score for week two is not surprising considering the anxiety I experienced from
finding time to complete the required course readings, as well as coordinating with team
members to complete a group project that included extensive research, interaction, delegation,
and intervention in order to complete the project on time.
Week three showed a total score of 15, a drop in 11 points from week two and a drop in 15
points from week one. During week three, there were only three selections from the “severely”
category: unable to relax, nervous, and scared. This is a significant drop within the “severely”
category compared to the five selections within this category from week two and eight selections
from week one.
Also, the question selections “fear of the worst and unsteady” moved from the “severely”
category in week one and week two to the “moderately” category in week three. This shift in
selection is interesting to note because these two question selections held steady at “severely” for
two weeks, prior to the exercise intervention.
In addition, week three featured only two selections from the “mildly” category compared to
the five selections from week two and the four selections from week one. The “fear of the worst
happening” question that fell under the “severely” category in week one, held steady in week
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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two, but moved to the “mildly” category in week three. Furthermore, the question selection of
shaky/unsteady that began in the “moderately” category in week one moved to the “severely”
category in week two, but then moved to the “mildly” category in week three.
In all, the data from week three were not surprising considering the exercise intervention
employed in week three. I attribute the significant changes in question selections and the overall
reduction in anxiety levels to the exercise intervention.
Week four revealed the greatest gains in decreasing anxiety with a total BAI score of 4, which
is a drop of 26 points from week one and a drop of 11 points from week three. Subsequently,
week five, the final week of the study, continued the steady decline in anxiety levels by showing
a total BAI score of only 2, a total drop of 28 points from week one.
Also, only two question selections “unable to relax and nervous” fell under the “mildly”
category, whereas the remaining 19 questions fell under the “not at all” category, tallying a total
score of 0.
In all, the reduction of anxiety levels during week four and five as shown by the graph in
Figure 1.2 (Appendix 1, 2) is not surprising to see. I expected there to be significant gains in
reducing anxiety levels by week four and to see a steady decline into week five.
Based on the BAI data that were collected (Appendix 2, Figure 1.2) and the intervention
introduced in week three, exercise is a viable means of reducing anxiety. In fact, as a result of
employing the exercise intervention, I experienced not only significant reduction in anxiety
levels, but I also experienced an increase in energy, focus, and in my opinion an increase in
cognitive performance in required course work as well.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Discussion
The results from this five-week self-study appear to affirm not only Lee and Hopkins’
research findings that exercise, whether moderate or high intensity for a minimum of 30 minutes
a day, will have a positive impact on cognition, academic achievement, and psychosocial
function (Lee & Hopkins, 2013), but also affirm my research hypothesis that engaging in thirty
minutes of exercise for three weeks, five days a week, at the same time everyday with a
particular exercise intervention program will significantly reduce my anxiety, as I adjust to
Yorkville University’s Masters of Arts in Counselling Psychology program (MACP).
I am not surprised with the outset baseline. In fact, from the beginning of the self-study I felt
confident that subsequent scores would indicate the exercise therapy was effective. The key to
facilitating the integrity of this self-study is to be honest with the BAI so that accurate BAI
measurements can occur and the effectiveness of exercise as a viable means of reducing anxiety
levels can be confirmed. Yet, I was surprised with the overall higher scores in the beginning of
the self-study, but not surprised with the significant decline in anxiety levels.
At first I wondered what my scores may look like, considering the research that shows
women are more prone to high anxiety levels than men (BioMed). Neuroscience researchers
have "found that females are more sensitive to low levels of an important stress hormone and
less able to adapt to high levels than males" (Molecular Psychiatry, 2010). In all, my anxiety
levels were lower compared to a female friend who tracked her anxiety levels in order to
unofficially compare herself with my self-study results.
Furthermore, the steady decline in anxiety levels appears to also affirm the research presented
in the literary review section of this self-study, which highlights the several benefits for those
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
15
who engage in exercise interventions. The benefits of exercise interventions include, but are not
limited to an increase in psychological and physiological function (Lee & Hopkins, 2013),
including “[experiencing] significant reductions in [anxiety] symptoms…” (Saeed et al., 2010),
…reduced symptoms of depression…” (Saeed et al., 2010), and “…reductions in anxiety
compared with groups that received other forms of anxiety-reducing treatment…” (Wipfli et al.,
2008).
Therefore, the results from this self-study in combination with recent research affirming
exercise interventions as a viable means in reducing anxiety is promising. However, there are
potential implications concerning the validity of this self-study because I was the sole participant
and I was responsible for entering BAI data weekly; there was no third party present to verify
transparency and quantitative data.
Also, the exercise intervention employed is not a standard workout program. Rather,
“Insanity Max 30” is an intense workout program (Beachbody) that other participants may find
difficult to engage in or may even become anxious about attempting such an exercise regiment.
Therefore, based on these implications, this self-study cannot be completely bias free, nor can
this study 100% affirm exercise as a viable means to reducing anxiety, due to the lack of
additional participants to compare the impact of the exercise intervention on anxiety. However,
the quantitative data, frequency, and duration of the exercise intervention of this self-study is
consistent with the research method and design and is also supported by Herring et al.’s (2010)
study, which found anxiety reduction is consistent with four to five exercise sessions per week
(Herring et al., 2010). In addition, DeBoer, Powers and Utschig found that regular exercisers
were less likely to suffer from anxiety than inactive individuals (DeBoer et al., 2012).
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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In short, based on the supporting research, the design of this self-study, and the BAI data that
were collected, as shown in Figure 1.1 and Figure 1.2 (Appendix 1, 2), it appears that my
hypothesis is correct, in that exercise is a viable means of reducing anxiety.
Recommendations for Future Students Starting the MACP Program
This reflective self-study called “Safe and Effective Use of Self” (SEUS) will aid a potential
counselor’s growth in the competency of self-awareness, treatment planning, prevention of
behavioural health problems, and in assessing biopsychosocial functioning issues, as well as
being better equipped to assist future clients to do the same.
In order for potential counselling students to be effective in the counselling psychology field,
they need to take a good look at themselves and consider the contributing biopsychosocial (BPS)
factors and the protective factors in their lives, such as a supportive family and positive social
networks. Exercise can serve as one of the many protective factors. Adherence to health
promotion initiatives will increase competence, psychological well-being, and increase their
ability to “respond to stressors and influences that might otherwise lead to maladjustment”
(Melchert, p. 205).
In the midst of all the assignments and presentations, including individual and group work,
which all MACP students will have on their “to-do” list, I recommend that each student take the
time to envision the SESUS Self-Study (Appendix 3, Figure 1.3) as a personal vehicle of
opportunity to not only identify the integrated biopsychosocial factors impacting one’s daily
behaviour and functioning, but also as a vehicle of opportunity to become better equipped to
meet the demands of the MACP program, as well as being able to authentically and vivaciously
administer the duties of professional psychology.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Furthermore, I recommend that among incorporating practicing positive self-talk, increasing
competency in the area of study, increasing positive/protective factors, and incorporating study
structures, one should make time for physical exercise and other health promotion initiatives
such as proper nutrition. When a student makes time for exercise, he or she will find that
exercise, whether moderate or high intensity for a minimum of 30 minutes a day, will have a
positive impact on his or her cognition, physiology, academic achievement, and psychosocial
function (Lee & Hopkins, 2013).
I see the benefits of exercises on my cognitive function and energy everyday. There is a
combination of the increase of oxygen to the brain as a result of exercise (Compton & Banich,
2011) and the contribution of genetics upon one’s abilities; however, the “will” is a powerful
component. I believe it is the “will” to fight everyday to “push play” and reap the benefits of
exercise, which also makes a difference in one’s BPS functioning and behaviour.
For all these reasons, I am not surprised with Kramer and Erickson’s findings that “increasing
evidence now supports the conclusion that aerobic exercise has beneficial effects on cognitive
tasks during aging” (Compton & Banich, 2011, p. 463). Also, “aerobic exercise and enriched
environments are both known to affect neurogenesis in different ways: aerobic exercise affects
the production of stem cells, whereas an enriched environment affects their survival” (Compton
& Banich, 2011, p. 464). Furthermore, the most recent research shows “that physical activity
yields neurocognitive benefits, including an antidepressant and anxiolytic effect” (McIntyre,
2015, p. 21).
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In all, if future MACP students will take the time to care for themselves via SEUS, they will
be better equipped to care for those who unveil their lives to engage in the biopsychosocial
(BPS) journey of assessment, treatment, and prevention.
Reflection and Application of SEUS as a Counsellor
Administering a “Safe and Effective Use of Self” (SEUS) has been an eye-opening
opportunity for me because I could have strictly viewed this SEUS self-study as another course
requirement to complete; however, I chose to embrace SEUS as a vehicle of discovery and
change.
SEUS revealed the various issues, strengths, weaknesses, needs, and resources in my life
(Melchert, 2011, p. 135), which needed to be strengthened or even confronted, so I could be not
only behavioural healthy and thriving in my personal life, but also ready for the tasks required of
a psychotherapist.
For these reasons, I believe that SEUS is a gift, because SEUS is a tool of prevention and
prevention involves taking practical steps that will not only consider the BPS factors involved
(Melchert, 2011, p. 97) in one’s life, but will also look at the most pressing needs of one’s
behavioural health and functioning (Melchert, 2011, p. 93).
In my case, the most pressing need was to reduce anxiety so that I could thrive as a student in
the MACP program. Realizing the impact of physical exercise via my self-study as a viable
means of reducing anxiety has been a daily preventative/protective measure and choice long after
the data collection stage expired. Thanks to SEUS and the intervention enacted, I am thriving
personally, professionally, and academically.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Furthermore, as a counselor, SEUS will assist me in journeying alongside my future clients.
When I perhaps get frustrated with the delay clients may take in embodying the life-giving
changes that they seek, I will recall my own journey of self-discovery, along with the difficulties
and joys of incorporating an action plan, to stimulate my overall well-being and BPS
functioning.
Moreover, SEUS has shown me that self-discovery involves course corrections and that
course corrections, as difficult as they can be, are an essential means of prevention because
without an honest SEUS the issues in my life or in the life of a future client could potentially get
much worse (Melchert, 2011, p. 93). Timothy Melchert’s statement in chapter three of his book
entitled Foundations of Professional Psychology serves as an important daily reminder; he says
"professional psychologists are not responsible for assessing and treating medical conditions, but
they are responsible for generally understanding the interaction of mental health and
psychological functioning as well as knowing when referrals for medical evaluations may be
needed" (2011). Therefore, as a counselor, SEUS will be a guide in my future practice as a
psychotherapist, revealing my counseling competencies and also reminding me of when I need to
refer patients to the appropriate qualified psychiatrist, psychotherapist, family physician, and
specialist, etc.
In conclusion, SEUS is an incredible personal vehicle of discovery, facilitating growth in
competency and resiliency that has not only enabled me to adjust to the MACP program, but has
also shown me the value of self-discovery and embodying life-giving changes in order to
facilitate and promote optimal behavioural mental health and BPS functioning in the lives of my
future clients.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Appendix 1
Figure 1 Beck Anxiety Inventory
Figure 1.1 Beck Anxiety Inventory: Excel Data Collection Chart
Beck Anxiety Inventory
Week 1
30 Week 2
26
Week 3
15 Week 4
3
Week 5
2
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Appendix 2
Figure 1.2 Graph depicting the Beck Anxiety Inventory Weekly Data
0
5
10
15
20
25
30
35
Week 1 Week 2 Week 3 Week 4 Week 5
Figure 1.2 (Beck Anxiety Inventory)
Beck Anxiety Inventory
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Appendix 3
Figure 1.3 Chart accounting for SESUS hours spent per week on the BPS Self-Study. Task Hours Spent
Discussion Questions
4
SEUS (Engaging in the research project, employing exercise regiment, recording BAI data, reflection on the data and reflection and recommendation of exercise regiment intervention employed)
5
BPS Wellness Paper (Literary review, method, results, charts, graphs, recommendation and reflection)
4
References
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Anxiety Center. (2015). Anxiety Symptoms. Retrieved from http:// http://www.anxietycentre.com/anxiety-symptoms.shtml Beck, A. T., Steer, R. A. (1993). Beck Anxiety Inventory Manual. San Antonio: Harcourt Brace and Company. Beck Institute for Cognitive Behaviour Therapy. (2015). Beck Anxiety Inventory. Retrieved from http://www.beckinstitute.org/ Brown, H. E., Pearson, N., Braithwaite R. E. (2013). Physical activity interventions and depression in children and adolescents. Sports Medicine, 43(3): 1-12. Canadian Community Health Survey: Mental health and well-being. (2003, September 3). The Daily, Statistics Canada. Craft, L. L., Perna, M. F. (2004). The benefits of exercise for the clinically depressed. Clinical Psychiatry 6(3): 104-111. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC474733/ DeBoer, B. L., Powers, B. M., Utschig, C. A., Otto, W. M., & Smits, A. J. (2012). Exploring exercise as an avenue for the treatment of anxiety disorders. National Institute of Health, 12 (8): 1011-1022. doi: 10.1586/em.12.73 Gardner, D. M, Baldessarini, R. J, Waraich, P. (2005). Modern antipsychotic drugs: A critical overview. Canadian Medical Association; 172(13): 1703-11. Herring, M. P., O’Connor, P. J., Dishman, R. K. (2010). The effect of exercise training on anxiety symptoms among patients: A systematic review. Archives Internal Medicine. 170(4): 321-331 Herring, M. P., Puetz, T. W., O’Connor, P. J. (2012). Effect of exercise training on depressive symptoms among patients with a chronic illness: A systematic review and meta- analysis of randomized controlled trials. Archives Internal Medicine 2012; 172(2): 101-11. Hill, A. B. (1965). The environment and disease: association or causation? Proceedings of the Royal Society of Medicine, vol. 58, pp. 295–300. Keng, S. L., Smoski, J. M., Robins, J. C. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Rev. 31(6): 1041-1056 doi: 10.1016/j.cpr.2011.04.006 Kessler, R. C., Berglund, P. A., Demler, O., Jin, R., & Walters, E. E. (2005).
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Lifetime prevalence and age of onset distributions of DSM IV disorders in the National Comorbidity Survey Replication (NCSR). Archives of General Psychiatry, 62, 593-602 Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62, 617-27. Lee, C., Hopkins, J. (2013). Effect of aerobic exercise on cognition, academic achievement, and psychosocial function in children: A systematic review of randomized control trials. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809922/ doi: 10.5888/pcd10.130010 McIntyre, R. S. (2015). Evidence-based treatment of bipolar disorder, bipolar depression, and mixed features. Journal Of Family Practice, S16-S23. Melchert, P. T. (2011). Foundations of Professional Psychology: The End of Theoretical Orientations and the Emergence of the Biopsychosocial Approach. London: Elsevier Inc.
Molecular Psychiatry (2010) 15, 896–904; doi:10.1038/mp.2010.66
Pate, R. R., Pratt, M., Blair, S. N., et al. (1995). Physical activity and public health: A recommendation from the centers for disease control and prevention and the american college of sports medicine. JAMA; 273: 402-7. Pearsall, R., Smith, D. J., Pelosi, A., & Geddes, J. (2014). Exercise therapy in adults with serious mental illness: A systematic review and meta-analysis. BMC Psychiatry, 14(1), 1-28. doi:10.1186/1471-244X-14-117 Raglin, J. S., Morgan, W. P. (1987) Influence of exercise and quiet rest on state anxiety and blood pressure. Medical Science Sports Exercises 1987; 19: 456-63. Saeed, A. S., Antonacci, J. D., Bloch, M. R. (2010). Exercise, yoga and meditation for depressive and anxiety disorders. Am Fam Physician. 81 (8), 981-986. Scott, M. G. The contributions of physical activity to psychological development. Res Q. 1960; 31:307–320. Spielberger, C. D., Sydeman, S. J. (1994). State-trait anxiety inventory and state-trait anger expression inventory. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcome assessment. (pp. 292-321). Hillsdale, NJ: Lawrence Erlbaum Associates. Swan, J., Hyland, P. (2012). A review of the beneficial mental health effects of exercise and recommendations for future research. Psychology and Society, vol. 5(1), 1-15.
Running head: A Self-Study: Physical Exercise as a Means of Reducing Anxiety
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Tyron, S. (2014). Insanity: Max 30. Retrieved from https://www.beachbody.com/product/fitness_programs/insanity-max-30- workout.do?code=SEMB_IM_GOOGLE Wipfli, B. M., Rethorst, C. D., Landers, D. M. (2008). The anxiolytic effects of exercise: A meta-analysis of randomized trials and dose-response analysis. Journal of Sport Exercise Psychology; 30: 392-410.