Therapeutic exercise is associated with dose-dependent reductions in acute anxiety across psychiatric diagnoses

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Objective:

To examine the association between participation in therapeutic exercise and short-term changes in self-reported anxiety among psychiatric patients.

Key Findings:
  • Self-reported anxiety scores significantly decreased post-exercise (median pre = 3; median post = 2; Wilcoxon P < 0.001).
  • 81% of patients reported improvement in anxiety levels.
  • Greater participation in exercise sessions correlated with larger decreases in anxiety (Spearman ρ = −0.63 to −0.66, all P < 0.001).
  • Anxiety reductions were consistent across sex, diagnosis, and age.
Interpretation:

Participation in therapeutic exercise is associated with rapid reductions in self-reported anxiety across various psychiatric conditions, suggesting a potential transdiagnostic benefit.

Limitations:
  • Lack of a control group limits causal inference.
  • Use of a symptom questionnaire in a session-based format may affect results.
Conclusion:

Therapeutic exercise may serve as a rapid adjunctive strategy for anxiety reduction in psychiatric care, warranting further controlled trials to explore its efficacy.

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