Recent Research in Psychology David G. McDonald James A. Hodgdon The Psychological Effects of Aerobic Fitness Training Research and Theory Springer-Verlag New York Berlin Heidelberg London Paris Tokyo Hong Kong Barcelona David G. McDonald James A. Hodgdon Department of Psychology Department of Applied Psychology University of Missouri Naval Health Research Center Columbia, MO 65211 San Diego, CA 92138 USA USA Library of Congress Cataloging-in-Publication Data McDonald, David G. (David George) Psychological effects of aerobic fitness training: research and theory I David G. McDonald, James A. Hodgdon. p. cm. --(Recent research in psychology) Includes bibliographical references and index. ISBN-13: 978-0-387-97603-7 e-ISBN-13: 978-1-4612-3182-0 001: 10.1007/978-1-4612-3182-0 1. Aerobic exercises--Psychological aspects. I. Hodgdon, James A. II. Title. III. Series. [DNLM: 1. Exercise. 2. Physical Fitness-psychology. QT 255 M478p] RA781.15.M33 1991 613.7'1 '0 19--dc20 DNLM/DLC 91-4820 for Library of Congress CIP Printed on acid-free paper. © 1991 Springer-Verlag New York, Inc. All rights reserved. This work may not be translated or copied in whole without the written permission of the publisher (Springer-Verlag New York, Inc., 175 Fifth Avenue, New York, NY 10010, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use of general descriptive names, trade names, trademarks, etc., in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. Camrea-ready copy provided by the authors. 987 6 5 4 3 2 1 ISBN-13: 978-0-387 -97603-7 PREFACE This book has two purposes. First, it is a critical ex amination of the question of how best to do research on the psychological effects of aerobic fitness training, and, more to the pOint, why this research is important. Second, it is a quantitative review of the previous research, with consideration of its impact on theory. In dealing with the first question, we have included (1) some necessary background material on the nature of ae robic fitness itself and (2) a summary of the basis for the strikingly high interest in aerobic fitness in recent times. We then cover the fundamental questions of experimental design, with many examples of the sources of error or • confounds· that can be found in the fitness literature, and we finish by giving a list of recommended features for a well-designed fitness study. Our purpose is to assist in the design of future studies, while simultaneously providing criteria for evaluating previous work. In dealing with the second question, we use a quanti tative review process, meta-analYSis. which is an objective method for combining the results of independent studies. Therefore included are material on the nature of meta analysis, historical background. and strengths and weak nesses. The primary weakness of previously published meta-analyses is that they may suffer from lack of re peatability, due to incomplete reporting of the coding procedures and other data summary steps. We have therefore included much of our data so that the interested reader may easily repeat all of our steps, and add any other post hoc analyses or future updates of interest. Conducting an objective assessment of this research gave us an opportunity to attempt a more comprehensive consideration of its impact on theory, or. more precisely, vi Preface a theoretical model representing the established findings and their interrelationships. Good theory, by definition, promotes additional work that advances our understanding of natural processes. We hope we have made a contribution toward this end. There are a number of compelling reasons for writing this book. Not the least of these reasons is the fact that interest in the psychological effects of aerobic fitness training is at an all-time high. Consequently, much has been written on the subject, but with mixed results. Fact and fiction abound with almost equal credibility and lon gevity, making it difficult to determine the truly estab lished, facts or plan intelligently for future studies. Our primary goal therefore has been to determine what findings have been well established, and what "findings" have not. In other words, where are we now, and where should we go? We are speaking to anyone interested in the question of psychological effects of aerobic fitness training, whether as a consumer or as a current or future investigator. In vestigators could come from a large variety of fields, in cluding health psychology, exercise/sport psychology, exercise phySiology, any of the health professions, and the disciplines of education, physical education, and sport. This certainly includes graduate students in any of these areas, especially students about to embark on a thesis or disser tation study, plus accelerated undergraduates. Doubtless there are numerous others, and we welcome interested comments. We are especially pleased as well to have this oppor tunity to acknowledge the support and encouragement pro vided by others. Among the number of administrators at the University of Missouri and the Naval Health Research Center who made supportive contributions were several who were foremost. The project could not have been accom plished had it not been for the support provided by Laverne C. Johnson, in concrete terms of budget, space, and per sonnel, and also for the high compliment of his consistent confidence in our efforts. Similarly, Russell Geen, Eric Gunderson. and Joseph LoPiccolo each provided material and moral support. for which we owe our thanks. A number of colleagues made substantive contributions. Paul Naitoh and Ross Vickers made critical suggestions in Preface vii the early stages that helped us avoid serious pitfalls. Harris Cooper, ever the prototype professional, made sig nificant suggestions in the early, middle, and final stages. He and John Honan read early drafts of several of tne chapters, and as a result some of our early mistakes were corrected in time. It is a rare privilege to work with such colleagues. Still others went out of their way to provide technical assistance that proved to be utterly essential. Ray Hilbert and Richard Booth (Naval Health Research Center com puting services), and Greg Johnson (University of Missouri computing services) were far more than helpful. Together they proved that a 2,OOO-mile gap between collaborative research sites can indeed be virtually eliminated. Any literature review project is necessarily dependent on the facilities of a research library and its staff. We are especially indebted to and sincerely pleased to ac knowledge the world-class assistance of Mary Aldous and Betty Croft of the Walter L. Wilkins Biomedical Library. Naval Health Research Center. Our sincere expression of gratitude could never fully repay their enormous contri bution. Finally. and most importantly. Merete McDonald pro vided consistent support and encouragement for the project, beginning with the first rough index cards ("just a quick little project"), and continuing through to its completion. Sharing with her all the temporary setbacks and moments of accomplishment in this work has been a deep and abiding satisfaction, and the gratitude returned is equally sincere. David G. McDonald James A. Hodgdon January, 1991 CONTENTS Preface v ONE - INTRODUCTION 1 Coronary Heart Disease in the Twentieth Century 2 Can the Study of Risk Factors Reverse the Trend? 4 Emerging Significance of the Field of Exercise Physi- ology . . . . . . . . . . . . . . . . . . . . . . . . 6 Can Fitness Provide Insurance Against Coronary Heart Disease? .......... 8 Exercise as Its Own Reward 10 Summary ....... 11 TWO - AEROBIC FITNESS 13 What Is Aerobic Fitness? 13 Popular Aspects of Fitness and the Exercise Revo- lution ......................... 14 What Is the Training Effect and How Is It Achieved? 15 What Are the Risks and Necessary Precautions? 16 What Are the Likely Results of a Fitness Program? 17 Demonstrated Health Benefits of Aerobic Fitness 18 Summary ..... ..... 25 THREE - EXPERIMENTAL DESIGN 27 Introduction 27 What Are Subject and Experimenter Biasing Effects? 29 Problems with Definition and Standardization of Procedure ..................... 31 Effects of Extraneous Variables on the Validity of Experiments . . . . . . . . . . . . . . . . 32 Extraneous Variables Affecting Internal Validity 33 Extraneous Variables Affecting External Validity 37 Requirements for a Study of Aerobic Fitness Effects 39 Procedures for Measurement of Aerobic Fitness 44 Summary ....................... 46 x Contents FOUR - MET A-ANALYSIS 48 The Nature of Evidence in the Scientific Process 48 Sources of Error in Narrative Research Reviews 50 Origin of and Early Work in Meta-analysis 52 Strengths and Benefits of Meta-analysis 53 When is Meta-analysis Appropriate? 57 How to Do a Meta-analysis ..... . 58 Problems and Solutions in Meta-analysis 59 Remaining Problems in Meta-analysis 61 Summary ....... . 63 FIVE - SEARCH METHODS 65 What and Where Is the Target Literature? 65 Computer-Assisted Searches 66 Additional Search Methods 67 Selection Criteria . . . . . . 69 Characteristics of Studies Not Included 71 Coding Methods ......... . 72 Information in the Coding Summary 74 Summary ..... 76 SIX - MOOD STUDIES 78 Measures of Mood State 79 Independent Variables 80 Results by Study 86 Results by Group 92 POMS and MAACL Compared 97 General Findings 97 Interpretation of Findings 98 Summary ....... . 99 SEVEN - DEPRESSION AND ANXIETY 101 Measures of Depression 102 Measures of Anxiety 104 Independent Variables 105 Results by Study 108 Depression and Anxiety Groups -- Results by Group 108 Additional Comparisons ....... . 117 General Findings -- Depression Studies 119 General Findings -- Anxiety Studies 120 Depression and Anxiety Compared 121 Interpretation of Findings for Depression and Anx- iety .................. . 122 Contents xi Summary 123 EIGHT - SELF-CONCEPT STUDIES 125 Measures of Self-concept 126 Independent Variables 129 Results by Study 132 Resul ts by Group 132 Additional Comparisons 139 General Findings 140 Interpretation of Findings 141 Summary ..... 143 NINE - PERSONALITY STUDIES 145 Measures of Personali ty 146 Independent Variables 149 Results by Study 156 Resul ts by Group 156 Additional Comparisons 174 General Findings 176 Interpretation of Findings 177 Summary 179 TEN - THEORY AND CONCLUSIONS 182 Summary of Results 182 Theoretical Models 188 Guidelines for Future Research 192 Appendix A 195 Statistical Formulae 195 Coding Summary 196 References 199 Index 217 ONE INTRODUCTION The purpose of this book is to review and evaluate the research on the psychological effects of aerobic fitness training. It is a book that would have been impossible to write only a few short years ago. Today, however, there is a significant number of highly provocative studies on this Question in the literature. with more and more appearing almost daily. To accomplish such an evaluative review in a manner that makes a legitimate contribution, however, we must first address the background Questions and more recent developments that have combined to make this work worthwhile at this time. There are indeed a number of such critical background considerations that are especially relevant, and it is our intention to clarify these matters first, and then turn to the target literature after the context has been properly defined. In order of presentation, these major Questions are: What are the public health conSiderations, especially with regard to coronary heart disease, that have led to the re latively recent public espousal of the exercise hypothesis, that is, that physical fitness produces a measure of pro tection from coronary disease? Are there any additional motivating factors. beyond public health considerations, that have contributed to the emergence of the national fitness movement? What are these other motivating fac tors, and what do we mean by the term "physical fitness' (especially aerobic fitness), plus how is it achieved, and what are the demonstrated benefits? What are the primary considerations in designing and conducting a rigorous ex perimental test of the-effects of fitness training, and what have been the most frequently encountered difficulties with experiments in this area? How does one go about finding the published research on this Question, and how best should one evaluate it? Only after these Questions have been properly discussed would it be appropriate to begin consideration of the re-
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