The DOI matches its Crossref record; 121 of the 127 references it cites were found in a registry or an index.
Exercise as Treatment for Anxiety: Systematic Review and Analysis
Open accessAbstract
BACKGROUND: Exercise has been shown to reduce symptoms of anxiety, but few studies have studied exercise in individuals preselected because of their high anxiety. PURPOSE: The objective of this study is to review and critically evaluate studies of exercise training in adults with either high levels of anxiety or an anxiety disorder. METHODS: We conducted a systematic review of randomized clinical trials (RCTs) in which anxious adults were randomized to an exercise or nonexercise control condition. Data were extracted concerning anxiety outcomes and study design. Existing meta-analyses were also reviewed. RESULTS: Evidence from 12 RCTs suggested benefits of exercise, for select groups, similar to established treatments and greater than placebo. However, most studies had significant methodological limitations, including small sample sizes, concurrent therapies, and inadequate assessment of adherence and fitness levels. CONCLUSIONS: Exercise may be a useful treatment for anxiety, but lack of data from rigorous, methodologically sound RCTs precludes any definitive conclusions about its effectiveness.
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“Rodriguez-Ayllon et al. (2019) and Stonerock et al. (2015) reported beneficial but heterogeneous effects of physical activity on psychological well-being”
From Anxiety, Academic Performance, and Physical Activity in University Students: A Scoping Review (2025) · cites this paper as Stonerock et al. (2015)
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“Consistent with previous reviews (Rodriguez-Ayllon et al., 2019; Stonerock et al., 2015), methodological shortcomings such as non-random sampling, lack of control groups, and unvalidated measurement tools remain barriers to drawing definitive conclusions.”
From Anxiety, Academic Performance, and Physical Activity in University Students: A Scoping Review (2025) · cites this paper as Stonerock et al., 2015
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“Exercise may therefore incorporate gradual exposure with response prevention in the context of training, similar to conventional psychotherapy paradigms using desensitization techniques through gradual exposure (80–82).”
From The Role of Exercise in Management of Mental Health Disorders: An Integrative Review (2021) · cites this paper as [82]
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1 retracted
Antidepressants for generalised anxiety disorder (GAD)
Kapczinski, F. P., Souza, J. J. D. S., da Cunha, A. A. B. M., & Schmitt, R. R. (2003) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003592 · Cited by 163
RetractedDiagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048
(1970) · Cited by 24,983
The assessment of anxiety states by rating
HAMILTON, M. (1959) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1959.tb00467.x · Cited by 11,455
Diagnostic and Statistical Manual of Mental Disorders(DSM)
Leong, F. T. L. (2008) · Sage eBooks · doi:10.4135/9781412963978.n182 · Cited by 10,861
(1985) · Europe PMC (PubMed Central) · Cited by 9,143
The file drawer problem and tolerance for null results.
Rosenthal, R. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.3.638 · Cited by 9,068
(1976) · Medical Entomology and Zoology · Cited by 8,899
(1995) · Cited by 6,909
Research works printed but not linked: 3
- Mussgay L, Schmidt F, Morad E, Ruddel H. Does aerobic exercise modulate baroreflex sensitivity in patients with anxiety and somatization disorders? Homeost Health Dis. 2003; 42: 277-287.
- Beck AT, Steer RA. Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation; 1990.
- McNair DM, Lorr M, Droppleman L. POMS: Profile of Mood States. North Tonawanda, NY: Multi-Health Systems Inc; 1992.
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Metadata
- Authors
- Stonerock, G. L., Hoffman, B. M., Smith, P. J., & Blumenthal, J. A.
- Affiliations
- Duke University (US)
- Corresponding author
- Stonerock, Gregory L.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-02-20
- Volume
- 49
- Issue
- 4
- Pages
- 542-556
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC4498975
- OpenAlex
- W2028247430
- Cited by
- 363
- References
- 127
- Citations by year
- 2026: 19 · 2025: 38 · 2024: 38 · 2023: 48 · 2022: 38 · 2021: 45 · 2020: 46 · 2019: 26 · 2018: 25 · 2017: 19 · 2016: 12 · 2015: 8
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (R01HL093374, HL080664-01, R01HL080664)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- exercise training, anxiety disorders, anxiety symptoms, exercise therapy, methodological limitations, exercise adherence, physical fitness
- MeSH terms
- Anxiety, Anxiety Disorders, Combined Modality Therapy, Exercise Therapy, Humans
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