EXERCISE, LEISURE AND MOOD IMPROVEMENT Emily Salzano Guthrie B.A., California State University, Sacramento, 2002 THESIS Submitted in partial satisfaction of the requirements for the degree of MASTER OF ARTS in PSYCHOLOGY at CALIFORNIA STATE UNIVERSITY, SACRAMENTO FALL 2009 EXERCISE, LEISURE AND MOOD IMPROVEMENT A Thesis by Emily Salzano Guthrie Approved by: __________________________________, Committee Chair Dr. Lisa M. Bohon __________________________________, Second Reader Dr. Kelly Cotter __________________________________, Third Reader Dr. Lisa Harrison ___________________________________ Date ii Student: Emily Salzano Guthrie I certify that this student has met the requirements for format contained in the University format manual, and that this thesis is suitable for shelving in the Library and credit is to be awarded for the thesis. _______________________________________________ ___________________ Dr. Lisa M. Bohon, Graduate Coordinator Date Department of Psychology iii Abstract of EXERCISE, LEISURE AND MOOD IMPROVEMENT by Emily Salzano Guthrie The effects of exercise and leisure activity on positive mood, anxiety and depression in college age women was investigated. Individuals participated in a 30-minute activity, either exercise or reading, performed indoors or outdoors. Variables were measured using the MAACL to assess mood, the STAI to assess anxiety, and the CESD to assess depression. Participants were 100 female undergraduate students with a mean age of 22.09 (SD = 5.19). The sample was multi-ethnic with a majority of European Americans (56%). Contrary to the hypotheses, results indicated that participants who performed activities outdoors reported higher levels of state anxiety F(1, 98) = 10.75, p = .002 and depression F(1, 98) = 3.98, p = .050 than those who performed activities indoors. Further analyses indicated that those in the outdoor condition were higher in trait anxiety, thus random assignment did not minimize individual differences across conditions, and could account for the unexpected findings. , Committee Chair Dr. Lisa M. Bohon ______________________ Date iv ACKNOWLEDGMENTS It is a pleasure to thank those who have supported me through this process and those who have made my thesis project possible. This adventure would not have been possible without the support of many people. I owe my deepest gratitude to Dr. Lisa M. Bohon who was abundantly helpful and offered invaluable assistance, support and guidance. I would also like to thank the members of my thesis committee, Dr. Kelly Cotter and Dr. Lisa Harrison, who without their knowledge and assistance this study would not have been successful. I would also like to show my gratitude to my loving parents who have supported and encouraged me for many years. Your love and continued guidance has made an impact on me forever. Finally, I would like to thank my loving husband, Damian. I am grateful for your everlasting support and love, and for always being in my corner. v TABLE OF CONTENTS Page Acknowledgments..........................................................................................................v List of Tables ............................................................................................................. vii Chapter 1. INTRODUCTION ................................................................................................. 1 2. METHODS ............................................................................................................. 6 3. RESULTS ............................................................................................................. 12 4. DISCUSSION ....................................................................................................... 22 References ................................................................................................................... 28 vi LIST OF TABLES Page 1. Table 1 Chronbach’s Alpha………………………………................ 2. Table 2 Descriptive Statistics for All Variables…………………….. 14 3. Table 3 Descriptive Statistics for Activity……….............................. 4. Table 4 Descriptive Statistics for Setting…………………................ 17 5. Table 5 ANOVA for Activity and Setting……….............................. 19 6. Table 6 Correlations for all Variables……………………................. 21 vii 12 15 1 Chapter 1 INTRODUCTION There are many different approaches to treating the most common of today’s mental illness. Among the most frequently treated are symptoms associated with depression, anxiety and overall mood state. Many of these current treatments include medication and talk therapy. However, for some who do not suffer from symptoms at a clinical level, perhaps, there are alternative ways for an individual to self manage these indicators of depression and anxiety. Looking at physical activity, leisure activity, and exposure to light, there may be an alternative approach to treating common symptoms associated with poor mood state, depression and anxiety. Physical activity is related to positive gains in both physical health and mental health (CDC, 2007a). In recent years, the fitness industry has been booming due to the benefits of physical activity. Research shows a decrease in risk factors for several diseases (e.g. coronary heart disease, hypertension, different types of cancer, obesity, osteoporosis) and an overall increase in life span (Rocheleau, Webster, Bryan, & Frazier, 2004). It is also commonly known that regular exercise can result in improved mental health (Hansen, Stevens, & Coast, 2001). Based on the Surgeon General’s statement in 2007, the recommended amount of exercise is 3-5 times a week in 30-minute bouts of moderately intense activities such as brisk walking (CDC, 2007a). The Center for Disease Control additionally states that 30 minutes of exercise can be broken down into 10-minute bouts repeated three times a day (2008). The Surgeon General reports that exercise does not need to be strenuous to 2 achieve wanted benefits (CDC, 2007a). In addition, the Surgeon General also states that 60% of adults in the United States do not participate in the recommended requirement of physical activity and that 25% of adults living in the United States are completely inactive (CDC, 2007a). There are individuals who may not comply with the CDC regulations of healthy physical activity. These individuals are missing a critical opportunity to being physically and mentally healthy. Rocheleau et al. (2004) suggests that the non-compliance in the adult population may be because immediate health and physical benefits of exercising are not always apparent. That is, it may take an extended period before individuals begin to perceive changes in their physical health (e.g. weight loss, muscle tone) that would motivate them to continue the regime of physical activity. Rocheleau et al. (2004) showed that the psychological benefits of exercising could be immediate. In addition, it has been said that psychological benefits, such as mood improvement, can result from a single bout of exercise or continued physical activity (Russell et al., 2003). Yueng (1996) showed that an overall increase in positive mood is a very likely result of physical activity. The relation between exercise and mood elevation has been well established and often used widely as an effective treatment for depression and anxiety (Rocheleau et al., 2004). Thus, it is important to view exercise as an ethical treatment for individuals who suffer from these ailments (Bryne & Bryne, 1993). Exercise is not the only contributor to the improvement of mood states. Participating in leisure activities (e.g. reading, knitting, etc.) can lead to an increase in positive mood (Hull, 1990). While this may be true for many individuals, this area of research lacks significant investigation. Hull (1990) suggests that the relation between 3 leisure activities and mood is commonly accepted but not understood due to lack of research. The CDC (2007b) reports that in 2004 there has been an overall decline of leisure-time physical inactivity in men and women. They state that adults are increasingly becoming more active and not remaining sedentary in order to participate in leisure activities. There is lack of research in looking to find any differences between physical activity and leisure activities and their contribution to mood improvement and decrease in depression and anxiety. Pagano, Barkhoff, Heiby, and Schlicht (2006) suggest that there has not been sufficient attention to the area of leisure research and its effect on health. Another factor that could affect exercise and leisure activity in relation to mood improvement is the environment. There is an astounding lack of research on the benefits of indoor compared to outdoor activities, whether leisure or exercise (Dubbert, 2002; Plante et al., 2007). In addition, Tarrant, Manfreedo and Driver (1994) also suggest that there is limited research surrounding leisure and exercise in an outside environment. However, there has been a great deal research related to sunlight and Seasonal Affective Disorder (SAD) in relation to overall general health. Effects of seasons on individual’s mood and levels of depression have been well documented. Putilov and Danilenko (2005) stated that the deprivation of light was a major factor for depressive symptoms during the winter. In addition, they suggest that these symptoms of winter depression could be remitted after a one-hour walk outside (Putilov & Danilenko, 2005). Sato (1997) suggests that SAD is related to a deficiency of light in the environment and phototherapy may be used to reduce depressive symptoms. Lack of sunlight affects everyone, and some at a clinical level. In addition to the outside environment, Light 4 Therapy (LT) is an established treatment for SAD. Because of the benefits established with real light, artificial light has been replaced with LT for a more effective and controlled treatment. Rohan et al. (2007) state that LT involves exposure to artificial bright light in order to reduce symptoms of depression. Gender can also play in issue in mood improvement. Past research states that there has been “stronger association between exercise and mood stated in women than in men” (Hansen et al., 2001; Rocheleau et al., 2004). In addition, it has been suggested that women report higher levels of depression and anxiety than men do when their levels are tested before exercise (Rocheleau et al., 2004). As stated before, there is a lack of research in leisure activity and this is also true when looking specifically at gender. However, it has been suggested that women who participate in leisure activity and had positive associations with leisure activity showed improved mental health and increased overall life satisfaction (Ponde & Santana, 2000). In addition to exercise and leisure in women, it has been also stated that SAD occurs more often in females than in males (Rohan, Sigmon, & Dorhofer, 2003). The present study was designed to assess mood enhancement, level of depression and level of anxiety and their relation to exercise and leisure activities performed indoor or outdoors. In this study, I investigated these conditions for a period of thirty minutes, followed by mood inventories. The following five hypotheses were explored. 1. After a single bout of exercise or leisure activity, positive mood will increase in all conditions, while depression and anxiety will decrease 5 in all conditions (CDC, 2007a; Rocheleau et al. 2004; Hansen, et al. 2001; Hull, 1990). 2. Exercise, whether performed indoors or outdoors, will produce higher levels of positive mood and lower levels of depression and anxiety than leisure activities performed either indoors or outdoors (CDC, 2007a; Rocheleau et al. 2004; Hansen et al. 2001; Hull, 1990). 3. Both exercise and leisure activities performed outdoors, versus indoors, will yield higher levels of mood improvement and lower levels of depression and anxiety (Putilov & Danilenko, 2005; Sato, 1997). 4. Exercise performed indoors will result in higher mood elevation and lower levels of depression and anxiety as compared to leisure activities performed indoors (Putilov & Danilenko, 2005; Sato, 1997). 5. Exercise performed outdoors will result in higher mood elevation and lower levels of depression and anxiety as compared to leisure activities performed outdoors (Putilov & Danilenko, 2005; Sato, 1997). 6 Chapter 2 METHOD Participants The participants in the study were gathered from northern California State University and included 100 female undergraduate psychology students. Participants were solicited to participate in this study and received one hour of credit towards their psychology class requirement. The participants in this study were between the ages of 18 and 45 (M = 22.09, SD = 5.19). Fifty-six participants identified their ethnicity as European American/White (56%) while 13 participants reported themselves as Asian or Pacific Islander (13%). Eleven participants identified their ethnicity as Black and/or African American (11%) while 9 identified as Hispanic/American Latino (9%). Five participants identified as Multi-Ethnic (5%) while four participants reported that they fell into a category of Other (4%). Both Middle Eastern and Native American or Aleutian Islander/Eskimo categories each had one participant identify with these ethnicities (1%). Thirty-six participants reported they had completed 1-2 years of college with no degree (36%) while 30 participants reported they had completed three or more years of college with no degree yet (30%). Seventeen participants had graduated from a 2-year college or vocational school or have an Associated Degree (17%) while twelve have a high school diploma (12%). Four participants stated they have graduated from a 4 or 5year college or have a Batchelor’s Degree (4%) while one participant reported having attended some graduate school (1%). 7 Twenty-five participants reported having zero household income (25%) while thirty-three individuals reported having a combined household income that ranged from $1,000 to $25,000 (33%). Fourteen participants stated that they fell in the household income range of $28,000 to $50,000 (14%) while thirteen individuals reported they have an income that ranges between $55,000 and $75,000 (13%). Six participants stated they have a household income between $80,000 and $100,000 (6%) while nine participants stated they were in the range of $100,000 or above (9%). Fifty-three participants identified themselves as Middle Class (53%) while twenty-nine individuals reported being part of the Working Class (29%). Twelve individuals stated they were part of the Upper Middle Class (12%) while four participants identified with accepting Public Assistance (4%). Two individuals identified themselves as Upper Class (2%). Forty-four participants reported to be single (44%) while thirty-four participants identified themselves as being single and in a committed relationship (34%). Thirteen individuals identified themselves as single and in a casual relationship (13%). Seven participants stated they were currently married (7%) while two identified as being divorced (2%). Measures Physical Activity Readiness Questionnaire (PAR-Q) is a health questionnaire that screens for health issues that may limit participation in research. This measure is solely used for screening purposes and discriminated participants who need medical clearance from a physician from those who are adequately fit to participate in the different 8 conditions. The PAR-Q includes 10 items that screen for health concerns. The PAR-Q assesses participants ability to sit or exercise for 30 minutes and includes questions such as: Do you frequently have pains in your heart and chest?, Has your doctor ever told you that you have a bone or joint problem(s), such as arthritis that has been aggravated by exercise, or might be made worse with exercise?, Is there a good physical reason, not mentioned here, why you should not follow an activity program even if you wanted to? Participants can respond as Yes or No. If participants answered yes to any questions, they were not asked back to participate in phase two of the research. Multiple Affect Adjective Checklist (MAACL) is a scale that consists of “five factor analytically derived scales” (Lubin, Grimes, & Van Whitlock, 1997) that measure participant’s mood. This measure consists of 132 adjectives, which are scored by tallying the items from each subscale that are marked by participants (Lubin, Van Whitlock, Reddy & Petran, 2001). The scales consist of: Anxiety (A), Depression (D), Hostility (H), Positive Affect (PA), and Sensation Seeking (SS), in addition to two composite scales which are titled dysphoria (DYS) and well-being (PASS) (Lubin et al., 1997). The subscale DYS is the sum of A + D + H, where as the subscale for PASS is derived from the sum of PA + SS (Lubin et al., 1997). The MAACL asks individuals to circle adjectives that represent how they are currently feeling. Items include: active, afraid, forlorn, shy, steady, outraged, energetic. The alpha coefficient for internal consistency of seven scales are reported as: A = .86, D = .83, H = .88, PA = .91, SS = .60, DYS = .93, and PASS = .91 (Lubin et al., 1997). 9 The Center for Epidemiologic Studies Depression Scale (CES-D) is a measure that assesses current symptoms of depression in the general population (Radloff, 1977). This measure contains 20 symptoms, “any of which may be experienced occasionally by healthy people: a seriously depressed person would be expected to experience many but not necessarily all of these symptoms” (Radloff, 1997, p. 391). The CES-D asks participants to rate how often they have felt or behaved in certain ways during the past week. Participants can choose from: rarely or none of the time (less than 1 day), some or a little of the time (1-2 days), occasionally or a moderate amount of time (3-4 days), or most or all of the time (5-7 days). Items include: I felt that I was just as good as other people, my sleep was restless, I was happy, people were unfriendly, I had crying spells (Radloff, 1997). The internal consistency of the measure is estimated to be very high with and alpha coefficient of .85. Radloff (1977) suggests, “in a healthy population, positive and negative affect are expected to co-exist, with a low (negative) correlation” (p. 391). In addition, Radloff (1977) proposes that “severely depressed patients are characterized by absence of positive as well as presence of negative affect, so that positive and negative affect would be more highly (negatively) correlated” (p. 391). State-Trait Anxiety Inventory (STAI) is a measure that consists of 40 self-report items divided into two scales used to assess an individual’s state anxiety and trait anxiety (Gros, Antony, Simms, & McCabe, 2007). The inventory is based on Spielberger’s model of state and trait anxiety (Gros et al., 2007). This model suggests that an individual’s experience of anxiety can be triggered by external or internal cues. STAI State evaluates how the participant feels this very moment, whereas the STAI Trait evaluates how the 10 participant generally feels (Gros et al., 2007). Items include: I feel at ease, I feel upset, I am a steady person, I lack self-confidence which participant’s rate themselves on a 4point Likert scale ranging from not at all to very much so (State), and from almost never to almost always (Trait) (Gros et al., 2007). Gros et al. (2007) report an internal consistency of >.89 for the STAI. In addition, the STAI Trait is reported to have a testretest reliability of .88 and the STAI State is reported to have a .70 for the test-retest reliability (Gros et al., 2007). Procedures Paper and pencil questionnaires were used to measure all variables in this study. Participants agreed to complete the required questionnaires and activities In addition, each participant was asked to complete a questionnaire related to their demographic characteristics (e.g. age, sex, ethnicity, education level.) All participants were treated in accordance to the American Psychological Association (APA) guidelines during this research. Participants initially signed the consent to participate in the research project and completed the PAR-Q. If individuals were not cleared using the PAR-Q to participate in physical activity and answered No to being able to withstand sunlight for 30 minutes at a time, they were excused from the research project and credited for 1 hour of their time. The individuals that were cleared to using the PAR-Q to participate in physical activity and answered Yes to being able to withstand sunlight for 30 minutes at a time, continued on to the second phase of research. Participants were then randomized into one of the five 11 conditions: exercise outdoors, exercise indoors, leisure activity outdoors, leisure activity indoors, or the control group. Exercise is operationally defined as using an “easy cycle,” which is a modified stationary bike for 30 minutes at a time. Leisure activity is defined as reading sedentary for 30 minutes at a time. The control condition is defined as individuals not participating in either exercise or leisure activity, however responding only to the MAACL, CES-D, and the STAI. Participants in the outdoors conditions were required to be in direct sunlight for the duration of the activity. Sun block, sunglasses, water and hats were provided to those in this condition. The participants who were in the conditions that are indoors were required to be in indoors the absence of the sun for the duration of the activity. At the end of the thirty minute bout of exercise or leisure activity participants met with the researcher and completed the MAACL, CES-D, and the STAI. At the completion of these inventories, participants received one hour towards research credit. After the completion of the second phase of research, participants were debriefed about the full nature of the research. 12 Chapter 3 RESULTS Reliability analyses were run on all scales to test for internal consistency. All scales were examined using Chronbach’s alpha and found to be acceptable (see Table 1). For all the analyses, an ANOVA was run to look at all main effects and interactions. Table 1 Chronbach’s Alpha Variable MAACLpa .85 MAACLss .72 MAACLh .83 MAACLa .68 MAACLd .78 STAIstate .92 STAItrait .92 CESD .88 ___________________ 13 Hypothesis 1: After a single bout of exercise or leisure activity, positive mood will increase in all conditions, and depression and anxiety will decrease in all conditions (CDC, 2007a; Rocheleau et al., 2004; Hansen et al., 2001; Hull, 1990). Partially consistent with the hypothesis, individuals who participated in exercise indoors (M = 31.40, SD = 7.30) showed significantly lower levels of state anxiety than those who completed a questionnaire indoors (M = 39.05, SD = 13.90), F(4, 95) = 2.71, p = .034. Inconsistent with the hypothesis, no other significant differences were found. See Table 2. Table 2 DESCRIPTIVE STASTICS FOR ALL VARIABLES____________________________________________________________________ Control Group Exercise Outdoors Exercise Indoors Leisure Outdoors Leisure Indoors Variable MAACLpa Mean 6.70 SD 4.77 Mean 7.55 SD 4.60 Mean 9.85 SD 5.12 Mean 7.10 SD 5.49 Mean 7.10 SD 4.45 MAACLss 1.25 1.62 2.00 1.74 2.25 1.80 1.65 4.49 1.50 1.39 MAACLh 0.65 1.49 1.10 2.22 0.75 1.65 1.30 2.53 0.55 1.27 MAACLa 1.55 2.35 1.65 1.89 0.95 1.05 1.40 1.53 0.85 1.18 MAACLd 1.10 1.71 1.05 2.11 0.35 0.74 0.60 1.42 0.15 0.36 STAIstate 39.05a 13.90 39.30 10.75 31.40a 7.30 40.85 11.20 34.60 8.81 CESD 36.45 10.09 36.10 10.32 32.10 9.40 36.55 10.32 32.35 Note. N = 100, a=significant lower level of state anxiety of those who participated in exercise indoor than those in the control group. 6.01 15 Hypothesis 2: Exercise, whether performed indoors or outdoors, will produce higher levels of positive mood and lower levels of depression and anxiety than leisure activities performed either indoors or outdoors (CDC, 2007a; Rocheleau et al., 2004; Hansen et al., 2001; Hull, 1990). Table 3 presents the means and standard deviations for activity main effect. No significant effects were found. Table 3 DESCRIPTIVE STASTICS FOR ACTIVITY___ _ Leisure Exercise Variable M SD M SD MAACLpa 7.10 4.93 8.70 4.94 MAACLss 1.57 1.99 2.12 1.75 MAACLh 0.92 2.01 0.92 1.93 MAACLa 1.12 1.38 1.30 1.55 MAACLd 0.37 1.05 0.70 1.60 STAIstate 37.72 10.44 35.35 9.91 CESD 34.45 8.60 34.10 9.95 __________________________________________ Note. N = 100 16 Hypothesis 3: Both exercise and leisure activities performed outdoors versus indoors, will yield higher levels of mood improvement and lower levels of depression and anxiety (Putilov & Danilenko, 2005; Sato, 1997). Table 4 presents the means and standard deviations for the setting main effect. In relation to the CESD, individuals reported a significantly higher level of depression (M = 36.33, SD = 10.19) when in the outdoor condition than in the indoor condition (M = 32.23, SD = 7.79), F(1, 98) = 3.98, p = .050, , η2 = .05. Likewise, individuals reported higher levels of depression outside rather (M = 0.83, SD = 1.80) than inside (M = 0.25, SD = 0.59) on the MAACLd, F(1, 98) = 3.67, p = .059, , η2 = .05. In addition, individuals reported a significantly higher level of state anxiety while outside (M = 40.07, SD = 10.87) than inside (M = 33.00, SD = 8.15). F(1, 98) = 10.75, p = .002, , η2 = .13. In keeping with these findings, individuals reported a higher level anxiety outdoors (M = 1.53, SD = 1.71) than indoors (M = 0.90, SD = 1.10) on the MAACLa, F(1, 98) = 3.69, p = .058, , η2 = .05No other significant differences were found. 17 Table 4 DESCRIPTIVE STASTICS FOR SETTING____ _____________ Indoors Outdoors Variable M SD M SD MAACLpa 8.48 4.94 7.33 5.01 MAACLss 1.88 1.64 1.83 2.14 MAACLh 0.65 1.46 1.20 2.36 MAACLa 0.90c 1.10 1.53c 1.71 MAACLd 0.25d 0.59 0.83d 1.80 STAIstate 33.00a 8.15 40.08a 10.87 CESD 32.23b 7.79 36.33b 10.19 ______________________________________________________ Note. N = 100, means with superscripts that are the same are significantly different from each other at the .05 level. 18 Hypothesis 4: Exercise performed indoors will result in higher mood elevation and lower levels of depression and anxiety as compared to leisure activities performed indoors (Putilov & Danilenko, 2005, Sato, 1997). Inconsistent with the hypothesis, no statically significant effects were found (See Table 5). Hypothesis 5: Exercise performed outdoors will result in higher mood elevation and lower levels of depression and anxiety as compared to leisure activities performed outdoors (Putilov & Danilenko, 2005, Sato, 1997). Inconsistent with the hypothesis, no statically significant effects were found (See Table 5). 19 Table 5 ANOVA FOR ACTIVITY AND SETTING Sum of Source Squares df Mean Square F p 51.20 26.45 26.45 1 1 1 51.20 26.45 26.45 2.10 1.09 1.09 .151 .301 .301 6.50 .050 .800 1 1 1 6.05 .050 .800 1.67 .014 .221 .200 .907 .640 .000 6.05 .800 1 1 1 .000 6.05 .800 .000 1.53 .204 1.00 .219 .653 .612 7.81 .113 1 1 1 .612 7.81 .113 .289 3.70a .053 .592 .058 .818 2.11 6.61 .313 1 1 1 2.11 6.61 .313 1.17 3.67b .174 .282 .059 .678 Activity Setting Activity*Setting 112.81 1001.11 13.61 1 1 1 112.81 1001.11 13.61 1.21 10.75** .146 .274 .002 .703 Activity Setting Activity*Setting 189.11 599.51 25.31 1 1 1 189.11 599.51 25.31 3.19 10.10** .426 .078 .002 .515 Activity Setting Activity*Setting 2.45 3336.20 .200 1 1 1 2.45 3336.20 .200 .029 3.98* .002 .865 .050 .961 MAACLpa Activity Setting Activity*Setting MAACLss Activity Setting Activity*Setting MAACLh Activity Setting Activity*Setting MAACLa Activity Setting Activity*Setting MAACLd Activity Setting Activity*Setting STAIstate STAItrait CESD Note. * p < .05, **p = .02, ap = .58, bp = .59 20 These reported results were contrary to past research (CDC, 2007a; Russell et al, 2003; Hull 1990; Dubbert, 2002; Plante et al, 2007). Further analyses were performed on the data to in an attempt to understand these findings. In order to test whether groups were comparable in baseline levels of anxiety, a 2-way ANOVA was conducted using activity and setting as independent variables and trait anxiety as the dependent variable. Individuals reported significantly higher levels of trait anxiety while outside (M = 41.90, SD = 10.87) than inside (M = 36.43, SD = 7.13), F(1, 98) = 10.10, p = .002. This would indicate that groups were not comparable in trait anxiety, thus random assignment was not successful in minimizing individual differences across conditions. In addition, a bivariate correlation showed that trait anxiety was significantly correlated with CESD depression (r = .77, p = .01), state anxiety (r = .70, p = .01), MAACL depression (r = .36, p = .01) and MAACL anxiety (r = .53, p = .01) (see Table 6). 21 Table 6 Correlations for all variables ___________________________________________________________________________________________________ STAItrait MAACLpa STAItrait MAACLpa MAACLd MAACLa MAACLh MAACLss CESD STAIstate 1.00 -.23* .36** .53** .20** -.17 .77** .70** 1.00 -.18 -.11 .05 .64** -.28** -.39** 1.00 .60** .58** -.03 .49** .61** 1.00 .61** -.02 .52** .71** 1.00 .24** .25* .47** 1.00 -.21* -.21* 1.00 .69* MAACLd MAACLa MAACLh MAACLss CESD STAIstate 1.00 _______________________________________________________________________________________________________________________ Note. N = 100, *p < .05, **p < .01. 22 Chapter 4 DISCUSSION The first hypothesis, that those who performed an activity, regardless of setting would experience improved overall mood and decreased depression and anxiety compared to those who did not participate in an activity, was partially supported in the present study. Individuals who performed exercise indoors showed significantly lower levels of state anxiety than the control group who filled out questionnaires. However, there were no significant differences between the control group and those who participated in exercise outdoors, leisure activity indoors or leisure activity outdoors. Previous research suggests that physical activity is related to positive gains in both physical health and mental health (CDC, 2007a). In addition to recommendations by the CDC (2007a), Russell et al, (2003) found that physiological benefits, such as mood improvement, can result from a single bout of exercise. The second hypothesis, that performing exercise would yield a higher overall mood improvement and decrease depression and anxiety in comparison to participating in a leisure activity, was not supported by the present study. Mood did not increase and anxiety and depression did not decrease across all exercise conditions, regardless of setting. This finding was inconsistent with past research that suggests an overall increase in positive mood is a very likely result of physical activity (Yueng, 1996). Likewise, the relation between exercise and mood elevation has been well established and is often used as an effective treatment for depression and anxiety (Rocheleau et al., 2004). 23 The third hypothesis stated that either exercise or leisure performed outdoors would yield higher levels of mood improvement and decrease anxiety and depression than activities performed indoors. Results showed that individuals who were in the outdoor conditions showed significantly higher levels of state anxiety and depression than those who were in the indoor conditions. These results are also contrary to past research, which suggests that sunlight can improve mood (Putilov & Danilenko, 2005). Even though random assignment was used to account for individual differences, an ANOVA showed that participants with higher trait anxiety were placed in the outdoor condition than in the indoor condition. In addition, trait anxiety was significantly correlated with state anxiety and depression. It is also possible that individuals in the outdoor conditions were reporting higher trait anxiety due to their elevated levels of state anxiety. All conditions completed the measures after the exercise or leisure activity. Therefore, individuals could have been reporting their level of trait anxiety when in a state-activated condition, which could account for the high correlation between state and trait anxiety. A T-test was performed comparing the control group with the outdoor conditions. There were no significant differences between these groups, suggesting that trait anxiety was not dependent on activity outdoors. The fourth hypothesis suggested that those who performed exercise indoors would experience higher levels of positive mood and decreased anxiety and depression than those who engaged in leisure indoors. The hypothesis was not supported when looking at the interaction of activity and setting. These results are contrary to past research, which 24 stated that psychological benefits, such as mood improvement, could result from a single bout of exercise, or continued physical activity (CDC, 2007a; Russell et al, 2003). The fifth hypothesis, that exercise performed outdoors would result in higher levels of mood and decrease anxiety and depression than leisure performed outdoors, was not supported by the data. This finding is also contrary to past research, which suggested that psychological benefits, such as mood improvement, could result from a single bout of exercise or continued physical activity (CDC, 2007a; Russell et al., 2003). Furthermore, past research with regard to SAD suggests that light can increase positive mood (Putilov & Danilenko, 2005). There could be several alternative explanations as to why these hypotheses were not fully supported. Participants in this study had different levels of anxiety and depression that were not neutralized by random assignment. These baseline differences, could have affected the outcome of the study and presumably, random assignment would account for this individual difference. However, as seen by significant differences in trait anxiety across treatment groups, this is not always the case. These trait differences in anxiety could account for the significant levels of negative affect that were reported in the outdoor conditions. Moreover, individuals who were intrinsically higher in levels of trait anxiety could have experienced higher levels of state anxiety when placed in a social setting for their activity. Participants in this study were required to ride an exercise bike or read the school newspaper on campus when in view of other students. If the participants perceived themselves to be judged or evaluated while participating in these activities, they could have had a negative emotional reaction. These possible explanations 25 could also account for the high levels of depression in the outdoor conditions, as depression and anxiety are highly correlated (Yueng, 1996; Rocheleau et al., 2004). Another reason for these unexpected results could be the type of exercise participants were asked to perform. As stated before, individuals were instructed to sit on a chair and ride a modified exercise bike. It is possible that the exercise itself was not strenuous enough to elicit changes in mood, anxiety and depression. In addition, past exercise behavior of the individual was not accounted for. It is possible that those with a history of working out may not have exerted enough energy to increase mood and decrease anxiety and depression. Additionally, because participants were assigned to ride a bike as their form of exercise rather than to make a choice to do so, they may not have seen this as an enjoyable activity. Perhaps future studies could give participants a choice of physical activities that would allow them to express their personal preferences. Another limitation of the study could be the type of leisure activity chosen for the current study. The leisure activity chosen for this particular study was to read the school newspaper. It is possible that participants did not find this type of leisure activity enjoyable. Perhaps students had already read that particular issue of the college paper or they did not view reading the newspaper as leisurely or enjoyable. Having participants choose a leisure activity that would be enjoyable to them (i.e. knitting, word puzzles, own choice of reading material) would address this issue. In addition to the type of exercise and leisure activity required for this study, the environment was also another type of limitation in this experiment. There was a potential confound in that for many of the outdoor participants, there were a number of bystanders 26 who could have observed the experiment. This might have heightened social anxiety for those in the outdoor conditions. Perhaps in the future, the researcher could control for this by having all participants in the outdoor conditions remain either completely alone, or in the presence of the experimenter alone. This procedure would be matched in the indoor condition. Another limitation to this present study is examining females only. It is possible that when including both male and female participants a difference in mood improvement would be found. In addition, it is important to include both men and women in order to further examine gender differences. Such differences in gender could include change in mood improvement, levels of anxiety and level of depression when looking at exercise, leisure activity, and environment. Although this study did not confirm results that are consistent with past research, there are many areas still left to explore. It is possible that with a larger sample and different design, the expected results will be found. It would be helpful to continue to explore the relation between exercise and leisure activity on mood improvement, anxiety and depression. There is lack of investigation surrounding leisure activity in the research community that could potentially aid in the treatment of anxiety and depression in the clinical sample of individuals. In addition, it would be useful to continue to address the environment and its role in decreasing depression and anxiety and improving overall mood. For some individuals, being outside is helpful in increasing positive mood and decreasing negative 27 feelings. It would be interesting to know if there are certain activities performed outside that could further increase the positive mood and decrease anxiety and depression. 28 REFERENCES Bryne, A. & Bryne D. (1993). The effect of exercise on depression, anxiety, and other mood states: A review. Journal of Psychosomatic Research, 37, 565-574. Centers for Disease Control (CDC), (2007a). 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