Physical activity and social cognitive theory variables among persons with multiple sclerosis and elevated anxiety

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2023-10-01 DOI:10.1016/j.mhpa.2023.100541

Petra Šilić , Brenda Jeng , Catherine D. Jones , Trinh L.T. Huynh , Jennifer Duffecy , Robert W. Motl

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引用次数: 0

Abstract

Purpose/objective

Anxiety is prevalent and poorly managed among persons with multiple sclerosis (MS). Physical activity (PA) may reduce anxiety, yet little is known about PA and its theory-based correlates in persons with MS who report elevated anxiety. Such research is important for the design and delivery of behavioral interventions targeting PA for the treatment of anxiety in MS. This study examined PA and social cognitive theory (SCT) variables (i.e., self-efficacy, barriers, outcome expectations, goal-setting/planning, social support, and functional limitations) in persons with MS who report elevated anxiety.

Research method/design

324 participants with MS (aged 48.5[9.5] years) completed SCT, anxiety, and PA measures, and wore accelerometers for 7 days as a device-measure of PA. The sample was categorized into subsamples with non-elevated (n = 218) and elevated anxiety (n = 106) based on the cut-off score of 8 for the Hospital Anxiety Depression Scale Anxiety subscale. We examined levels of PA and SCT variables between the two subsamples.

Results

There were no differences in PA levels between the subsamples when controlling for group differences in age, education, and disease duration. Social support was lower and perceived functional limitations were higher in those with elevated anxiety and were significantly associated with PA. Regression analyses identified planning, social support, and perceived functional limitations as correlates of PA in those with elevated anxiety.

Conclusions/Implications

This study may guide research on SCT-based behavioral interventions for increasing PA as an approach for reduced anxiety among persons with MS and elevated anxiety by targeting exercise planning, social support, and perception of functional limitations.

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多发性硬化症和焦虑症患者的体育活动和社会认知理论变量

目的/目的焦虑在多发性硬化症（MS）患者中普遍存在且管理不善。体育活动（PA）可以减少焦虑，但对报告焦虑加剧的MS患者的PA及其基于理论的相关性知之甚少。这项研究对于设计和提供针对PA的行为干预措施以治疗多发性硬化症焦虑症非常重要。本研究调查了报告焦虑加剧的多发性痴呆症患者的PA和社会认知理论（SCT）变量（即自我效能、障碍、结果预期、目标设定/规划、社会支持和功能限制）。研究方法/设计324名MS患者（年龄48.5[9.5]岁）完成了SCT、焦虑和PA测量，并佩戴加速度计7天，作为PA的设备测量。根据医院焦虑抑郁量表焦虑分量表的截止分8，将样本分为非升高（n=218）和升高焦虑（n=106）两个子样本。我们检查了两个子样本之间PA和SCT变量的水平。结果在控制年龄、教育程度和疾病持续时间的组差异时，子样本之间的PA水平没有差异。焦虑加剧者的社会支持较低，感知功能限制较高，与PA显著相关。回归分析表明，计划、社会支持和感知功能限制与焦虑加剧者PA相关。结论/含义本研究可指导基于SCT的行为干预研究，通过针对运动计划、社会支持和功能限制的感知，增加PA，作为减少多发性硬化症和焦虑加剧患者焦虑的一种方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;