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The overarching objective is to examine the brain-based biological mechanistic pathway by which exercise exerts anxiolytic effects. The investigators will measure brain-derived markers of mitochondrial metabolism (acetyl-L-carnitine [LAC]) and inflammation (interleukin-6 [IL-6]) using innovative technology to isolate neuronal exosomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Individuals with Anxiety Disorder | Experimental | All participants will complete the 4-week exercise intervention in which they'll be prescribed 150 minutes of moderate intensity exercise per week at home, which will be measured using Fitbits. |
|
| Control Individuals | Active Comparator | All participants will complete the 4-week exercise intervention in which they'll be prescribed 150 minutes of moderate intensity exercise per week at home, which will be measured using Fitbits. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise Intervention | Behavioral | Exercise intervention is delivered in weekly individual sessions virtually for the 4-week intervention period. Sessions range from 25-45 minutes. The sessions serve as touch base points to review exercise for the week, plan for the coming week, problem-solve obstacles, and discuss various motivational strategies to help with an exercise routine. Participants are prescribed 150 minutes of moderate intensity exercise per week to be completed at home. |
| Measure | Description | Time Frame |
|---|---|---|
| Acetyl-L-carnitine (LAC) Levels | Levels of LAC isolated from neuronal exosomes from plasma blood draws. | Week 4 |
| Interleukin-6 (IL-6) Levels | Levels of IL-6 isolated from neuronal exosomes from plasma blood draws. | Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Continuously measured moderate/vigorous minutes of exercise | Information collected via Fitbit. | Up to Week 4 |
| 7-Day Physical Activity Recall | Measurement of total weekly metabolic equivalent of task (MET)-hours. |
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Inclusion Criteria:
For both participant groups: To be eligible to participate in this study, an individual must meet all of the following criteria:
For anxiety disorder participant group, an individual must also meet:
• Primary psychiatric diagnosis of generalized anxiety disorder (GAD), social anxiety disorder, or panic disorder
Exclusion Criteria:
Non-psychiatric controls who meet the following criteria will be excluded from participation in this study:
• Current psychiatric condition assessed by the MINI
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kristin Szuhany, PhD | Contact | 646-754-5161 | Kristin.szuhany@nyulangone.org |
| Name | Affiliation | Role |
|---|---|---|
| Kristin Szuhany, PhD | NYU Langone Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NYU Langone Health | Recruiting | New York | New York | 10016 | United States |
Deidentified data will be made available if requested.
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Baseline, Week 2, Week 4 |
| Overall Anxiety Severity and Impairment Scale (OASIS) | OASIS is a 5-item assessment of anxiety severity and impairment over the past week; each item is rated on a Likert scale from 0-4. The total score is the sum of responses and ranges from 0-20; higher scores indicate greater anxiety severity and impairment. | Baseline, Week 2, Week 4 |
| Anxiety Sensitivity Index (ASI-3) Score | ASI-3 is an 18-item assessment of anxiety severity over the past week; each item is rated on a Likert scale from 0-4. The total score is the sum of responses and ranges from 0-72; higher scores indicate greater anxiety severity. | Baseline, Week 2, Week 4 |
| Quick Inventory of Depressive Symptomatology (QIDS) Score | QIDS is a 16-item assessment of depressive symptomatology; each item is rated on a Likert scale from 0-3. The total score is the sum of responses from each of the 9 domains and ranges from 0-27; higher scores indicate greater severity of depressive symptomatology. | Baseline, Week 2, Week 4 |
| Perceived Stress Scale (PSS) Score | PSS is a 10-item assessment of perceived stress; each item is rated on a scale from 0-4. The score is the sum of responses ranges from 0 to 40 with higher scores indicating higher perceived stress. | Baseline, Week 2, Week 4 |
| Childhood Trauma Questionnaire | CTQ is a 28-item assessment of childhood trauma. The scale comprises five sub-scales; the score to each subscale ranges from 5-25; the total score is the sum of the sub-scales and ranges from 25-125; higher scores indicate more frequent/severe childhood trauma experiences. | Baseline, Week 2, Week 4 |
| Insomnia Severity Index (ISI) Score | ISI is a 7-item assessment of insomnia; each item is rated on a scale from 0-4. The total score is the sum of responses and ranges from 0-28; higher scores indicate greater insomnia severity. | Baseline, Week 2, Week 4 |
| International Physical Activity Questionnaire (IPAQ) Score | IPAQ is an assessment of overall activity levels; the total score is expressed as METs (Metabolic Equivalents), a unit representing energy cost, where 1 MET is resting energy expenditure. | Baseline, Week 2, Week 4 |
| Body Mass Index (BMI) | Baseline, Week 2, Week 4 |