Exercise for mood and anxiety disorders : therapist guide PDF
Preview Exercise for mood and anxiety disorders : therapist guide
Exercise for Mood and Anxiety Disorders EDITOR-IN-CHIEF DavidH.Barlow,PhD SCIENTIFIC ADVISORY BOARD AnneMarieAlbano,PhD GillianButler,PhD DavidM.Clark,PhD EdnaB.Foa,PhD PaulJ.Frick,PhD JackM.Gorman,MD KirkHeilbrun,PhD RobertJ.McMahon,PhD PeterE.Nathan,PhD ChristineMaguthNezu,PhD MatthewK.Nock,PhD PaulSalkovskis,PhD BonnieSpring,PhD GailSteketee,PhD JohnR.Weisz,PhD G.TerenceWilson,PhD Exercise for Mood and Anxiety Disorders T h e r a p i s t G u i d e Jasper A. J. Smits • Michael W. Otto 1 2009 1 OxfordUniversityPress,Inc.,publishesworksthatfurther OxfordUniversity’sobjectiveofexcellence inresearch,scholarship,andeducation. Oxford NewYork Auckland CapeTown DaresSalaam HongKong Karachi KualaLumpur Madrid Melbourne MexicoCity Nairobi NewDelhi Shanghai Taipei Toronto Withofficesin Argentina Austria Brazil Chile CzechRepublic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore SouthKorea Switzerland Thailand Turkey Ukraine Vietnam Copyright©2009byOxfordUniversityPress,Inc. PublishedbyOxfordUniversityPress,Inc. 198MadisonAvenue,NewYork,NewYork10016 www.oup.com OxfordisaregisteredtrademarkofOxfordUniversityPress Allrightsreserved.Nopartofthispublicationmaybereproduced, storedinaretrievalsystem,ortransmitted,inanyformorbyanymeans, electronic,mechanical,photocopying,recording,orotherwise, withoutthepriorpermissionofOxfordUniversityPress. LibraryofCongressCataloging-in-PublicationData Smits,JasperA.J. Exerciseformoodandanxietydisorders:therapistguide/JasperA.J.Smits,MichaelW.Otto. p. cm.—(TreatmentsThatWork) Includesbibliographicalreferencesandindex. ISBN978-0-19-538225-9 1.Mood(Psychology) 2.Exercisetherapy. 3.Exercise—Psychologicalaspects. I.Otto,MichaelW. II.Title. BF521.S652009 616.89(cid:2)0642—dc22 2009000271 9 8 7 6 5 4 3 2 1 PrintedintheUnitedStatesofAmerica onacid-freepaper About TreatmentsThatWorkTM Stunning developments in healthcare have taken place over the last severalyears,butmanyofourwidelyacceptedinterventionsandstrate- gies in mental health and behavioral medicine have been brought into questionbyresearchevidenceasnotonlylackingbenefit,butperhaps, inducing harm. Other strategies have been proven effective using the bestcurrentstandardsofevidence,resultinginbroad-basedrecommen- dations to make these practices more available to the public. Several recent developments are behind this revolution. First, we have arrived at a much deeper understanding of pathology, both psychological and physical, which has led to the development of new, more precisely tar- getedinterventions.Second,ourresearchmethodologieshaveimproved substantially, such that we have reduced threats to internal and exter- nal validity, making the outcomes more directly applicable to clinical situations.Third,governmentsaroundtheworldandhealthcaresystems andpolicymakershavedecidedthatthequalityofcareshouldimprove, thatitshouldbeevidencebased,andthatitisinthepublic’sinterestto ensurethatthishappens(Barlow,2004;InstituteofMedicine,2001). Of course, the major stumbling block for clinicians everywhere is the accessibility of newly developed evidence-based psychological inter- ventions. Workshops and books can go only so far in acquainting responsible and conscientious practitioners with the latest behavioral healthcare practices and their applicability to individual patients. This newseries,TreatmentsThatWork™,isdevotedtocommunicatingthese excitingnewinterventionstocliniciansonthefrontlinesofpractice. Themanualsandworkbooksinthisseriescontainstep-by-stepdetailed procedures for assessing and treating specific problems and diagnoses. But this series also goes beyond the books and manuals by providing ancillary materials that will approximate the supervisory process in v assistingpractitionersintheimplementationoftheseproceduresintheir practice. In our emerging healthcare system, the growing consensus is that evidence-based practice offers the most responsible course of action for the mental health professional. All behavioral healthcare clinicians deeplydesiretoprovidethebestpossiblecarefortheirpatients.Inthis series, our aim is to close the dissemination and information gap and makethatpossible. Oneofthebestkeptsecretsinthetreatmentofmoodandanxietydis- orders is the proven efficacy of a program of exercise, which has many benefits on mood, but has yet to be widely adopted as a therapeutic technique. This therapist guide provides guidance for care providers who want to apply exercise-based interventions to the treatment of moodandanxietydisorders. Theinterventionsdescribedcanbeappliedinavarietyofsettingsrang- ingfromprimarycaretospecialtycareinthecontextofpsychological, psychiatric, nursing, or social work settings. Treatment is organized around a weekly prescribed activity program, with an emphasis on teachingclientsstrategiesforstayingmotivatedandorganizedinorder toensureadherencetotheprogram.Theintroductorychaptersdescribe the intervention and how to initiate it with clients, while later chap- tersfocusspecificallyonusingexercisetocombatdepression,aswellas stress,worry,andpanic.Thisguideprovidesanintegratedapproachto establish exercise programs targeting mood and anxiety disorders, and also provides useful cognitive and behavioral interventions designed to supporttheseprograms. DavidH.Barlow,Editor-in-Chief, TreatmentsThatWork™ Boston,MA References Barlow, D. H. (2004). Psychological treatments. American Psychologist, 59, 869–878. InstituteofMedicine.(2001).Crossingthequalitychasm:Anewhealthsystem forthe21stcentury.Washington,DC:NationalAcademyPress. vi Dedications JAJS:ToJillandStella,formanyhappyexercisesessions MWO:ToJenni,forthelaughterandjoyshebrings vii This page intentionally left blank Acknowledgments Our writing of the therapist guide and workbook for Exercise for Mood and Anxiety Disorders was motivated by research showing the tremendous benefits of exercise for mental health and well-being. We want to acknowledge the valuable evidence provided by inter- national teams of researchers who documented these benefits in population-based studies, experimental investigations, clinical studies, meta-analytical comparisons, and review articles. We would also like to thank our collaborators on our own investigations in this area. In particular, our collaborators on research and review articles included Evi Behar, Angie Berry, Tim Church, Lynette Craft, Daniel Galper, Dina Gordon, Tracy Greer, Pamela Handelsman, Bridget Hearon, Kristin Julian, Kate McHugh, Alicia Meuret, Heather Murray, Mark Powers, Katherine Presnell, David Rosenfield, Anke Seidel, Georgia Stathopoulou,CandyceTart,MadhukarTrivedi,andMichaelZvolensky. Alloftheseindividualshelpedexpandwhatisknownaboutthebenefits ofexerciseformoodandanxietydisorders. ix
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