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Intense Interval Exercise Beats Relaxation Therapy for Panic Disorder in 12-Week Trial

Researchers propose the workout-based exposure approach as a low-cost option that can be used outside clinics.

Overview

  • A randomized controlled trial assigned 102 adults with panic disorder to brief intermittent high-intensity exercise or a relaxation-therapy control for 12 weeks.
  • Panic and Agoraphobia Scale scores, along with anxiety and depression measures, dropped in both groups but declined more in the exercise arm, with gains sustained to 24 weeks.
  • The exercise protocol combined stretching, 15 minutes of walking, one to six 30-second sprints each with 4.5 minutes of active recovery, and a concluding 15-minute walk.
  • Control participants performed segmental muscle contraction followed by localized relaxation, and all sessions used biometric monitoring with no medications administered.
  • Participants reported greater enjoyment with the exercise program, and the authors recommend adopting it as an interoceptive exposure strategy within CBT care.