LIFT YOUR MOOD NOW WITH EXERCISE

 

By Claire Dorotik B.S., M.A.

 

         

          It’s 5:30 am and Beth Hansen is getting up to go run.  Beth is a member of a national dieters registry, and started running initially to lose weight, yet, “now I run because it makes me feel good”, she tells me.  And feeling good is something we can all use more of.  Compared with the 1950’s, depression is now 10 times as widespread in the United States, and the rate is climbing.  According to Dr Martin Seligman Ph.D, author of “Learned Optimism”, depression also strikes people ten years younger, than in the 1950’s, on average.

 

          Not only have the levels of depression risen sharply since the 1950’s, but also have the number of gyms, health programs, and exercise products.  We hear that we all should exercise more, and that it will help us feel better, but can it really improve our moods?  Further, do all types of exercise improve mood equally well? Maybe not.  Before we look at these questions, let’s first look at how our moods are influenced by our thoughts.

 

          Feeling down might not be as coincidental as you think.  Your mood is inherently related to your thoughts.  Feeling down is characterized by a specific pattern of thinking.  The way you think when you are down differs from the way you think when you are not.  Many researchers, including Seligman, describe this pattern of thinking as having a “dour picture of yourself, the world, and the future.”

 

          It is this very pessimistic style of thinking that immediately creates a change in mood.  Our thoughts are chemical in nature, meaning that the thought alone will create a neurochemical response in the brain, generating a specific mood.  Recent research has been able to demonstrate that negative thoughts and images cause a measurable decrease in the neurochemical serotonin, responsible for feelings of comfort, pleasure, and satiety.  Chronic pessimistic thinking creates a more permanent drop in serotonin levels, resulting in a negative mood characterized by sadness, despair, inability to find energy to enjoy previously enjoyed activities, anxiety and irritability.

 

          While it is normal to experience some negative thoughts, are you really that pessimistic?  Let’s take a look.  Following is a short test to help you find out.  This test is an adaptation of a test used by the Center for Epidemiological Studies, developed by Lenore Radloff.  To take the test, circle the answer that best describes how you have felt over the past week.

 

  1. I was bothered by things that don’t usually bother me.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. I thought that I was not as good as other people.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days\

3       Most or all of the time [5 to 7 days]

 

  1. I had trouble keeping my mind on what I was doing.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. I thought I was a failure.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. I thought that everything I did was an effort.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. I thought the future was hopeless.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. Racing thoughts affected my sleep.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. I thought everything was my fault.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1. I didn’t enjoy the things I used to enjoy.

0       Rarely or none of the time [less than 1 day]

1       Some or a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

  1.  I worried about the future.

0       Rarely or none of the time [less than 1 day]

1       Some a little of the time [1 to 2 days]

2       Occasionally or a moderate amount of the time [3 to 4 days]

3       Most or all of the time [5 to 7 days]

 

The test assesses the thoughts that contribute to a low mood, and is quite easy to score.  Simply add up the numbers you circled.  The higher your number, the more likely it is that your thoughts are bringing you mood down.  However, this test is not the same thing as a diagnosis of depression.  A full blown diagnosis of depression depends on many other factors, such as the length of your symptoms.  This test will give you an accurate indication of how your thoughts are affecting your mood right now.

         

          If you scored from 0 to 4, you are in the healthy range, below the mean of American adults; 5 to 8 puts you in the mild range; and 9 to 11 puts you in the moderate range.  If you scored over 12, you could be depressed.

 

          Now that you have an accurate picture of how your thoughts are affecting you, let’s get specific.  If you scored a 2 or higher on questions 1, 3, 7, and 10, then your thoughts most likely are causing a low mood with anxiety.  If you scored a 2 or higher on questions 2, 4, 5, 6, 8, and 9, then your thoughts most likely are causing a low mood, without anxiety. 

 

  While any form of exercise will help each one of these types of low mood, we can adjust the specific exercise intensities, modalities and duration to suit the type that you have.  Matching the exercise to the type of mood will serve to balance your neurochemicals more effectively, increase your feeling of success at the exercise, and increase the chances that you will stick to the exercise. 

 

          To do this, we will need to first look at how each form of mood affects a person.  A low mood with anxiety, for example, can be described as “being unable to focus, things moving too fast, feeling exhausted but unable to sleep at the same time”.  While people with anxiety may feel wired, they are actually exhausted.  This is due to the high levels of epinephrine [neurochemical, also known as adrenaline] that cause anxiety.  Another contributing factor to anxiety is the stress related hormone cortisol.  

 

Exercise can be a very powerful antidote against this, and as the Mayo Clinic reports, exercise reduces levels of cortisol, while boosting levels of the feel-good endorphins.  Because we know that anxiety causes you to feel, “wired but tired”, the object is to burn off steam, without overdoing it, and risking an injury.  To date, research points to aerobic exercise, performed at a moderate intensity, as the most effective form of exercise to lower levels of anxiety.  A recent Duke University Medical Center Study from October 1999, had 36 patients with anxiety disorders participate in an 8 week aerobic exercise treatment program.  Not only did all participants significantly reduce their anxiety scores, but at a 1 year follow-up, most maintained the improvements.  However, the effects may not be immediate.  In a 2000 study performed at The University of Missouri, the reductions in anxiety were not seen until 30-60 minutes after the exercise.  This study also demonstrated that the exercise intensities over 50% of V02 max did not significantly reduce anxiety levels.  In fact, exercise intensities over 50% of V02 max, showed increases in anxiety levels in some study participants.

 

So what does all this mean?  From these studies and similar others, we can conclude that moderate intensity aerobic exercise is the most effective treatment for anxiety.  For athletes, it might be easier to use a perceived exertion as a measure of exercise intensity.  This would mean training at a perceived exertion number of 50-60, on a scale of 0-100. Whether a V02 percentage is used or a perceived exertion number is used, the rule is moderate. Remember, although anxiety can make you feel like you want to train really hard, keeping the intensity level in the moderate range actually lowers the levels of epinephrine and cortisol more effectively. 

 

          What if you don’t have anxiety, but just feel down?  For a low mood without anxiety, the predominant factor is lack of energy.  Unlike with anxiety, where you feel wired but tired, with a low mood, you just feel tired.  You may have muscle aches and increased soreness.  You may feel like even the smallest things are a challenge.  You may also feel that you are unable to accomplish things, and/or not good at anything.  These symptoms can be attributed to the depleted levels of serotonin that cause a low mood.   Because of these factors, matching the exercise to the type of mood is very important.  Primarily, the exercise must be something that is easily achievable, so that you feel successful. 

 

To do this, the exercise intensity should be kept in the low to moderate range, [50-70% of your maximal heart rate], and should be something that you are familiar with.  Current research shows that both aerobic and non-aerobic forms of exercise have beneficial effects on mood.  In a two year follow-up study performed at Westmost College, in California, researchers found that participants who had completed a 20 week program involving both strength training, and aerobic exercise maintained the initial reductions in feelings of depression, two years after completing the program.  Similar results were also demonstrated in a study performed at the Duke University Medical Center.  This study used both non-aerobic, and aerobic exercise, performed at 50% of V02 max to show significant improvement in clinically depressed individuals.  These results were also maintained at a one year follow-up assessment. 

 

So both aerobic and non-aerobic exercise can lift your mood, and increase your levels of serotonin, but again, the intensity should be kept in the moderate range, so that the exercise is easily achievable.  This is important, because as Dr. Vickers points out, “Having confidence in our ability to make a positive change is strongly associated with actually taking the steps to make that change happen”. 

 

Many studies have shown that even moderate levels of exercise have very positive effects on the serotonin level.   While all of the reasons for this are not clearly understood, the Mayo Clinic states that, “exercise will cause an increase in levels of certain mood enhancing neurotransmitters in the brain”.  Additionally, it seems that, the longer the duration of the exercise, the greater the affect on the serotonin level.  This effect is seen particularly in anecdotal reports of marathon runners that describe reaching a “high” after several miles of running.  Like running, the exercise should be something that allows you shift attention away from unpleasant or unhelpful thoughts and instead direct attention toward neutral or pleasant thoughts and activities, while remaining achievable.  The important thing to remember is that the exercise must be something with which you can feel successful.                                          

 

While feeling down and feeling anxious are different in many ways, they  have one thing in common, and that is a decrease in the neurochemical serotonin.  Exercise can do wonders to lift mood, and more now than ever before, research is beginning to prove it.  The National Center for Chronic Disease Prevention and Health Promotion now lists exercise as part of a chronic disease prevention program, stating that, “exercise reduces feelings of depression and anxiety”.  Whether it is anxiety, or the blues you are feeling, matching the exercise to your mood will increase your chances of success.  So don’t overdue it, research shows that moderate is better.  The important thing is that you are doing something, and as Dr. Vickers-Douglas points out, “exercise empowers people to take an active role in their treatment”, and by making the exercise specific to your mood you will leave each exercise session feeling better than when you started, and before long, your exercise will leave that low mood behind.