title: Do 'mind over muscle' strategies work? Examining the effects of attentional association and dissociation on exertional, affective and physiological responses to exercise.
abstract: Despite the well established physical and psychological benefits derived from leading a physically active life, rates of sedentary behaviour remain high. Dropout and non-compliance are major contributors to the problem of physical inactivity. Perceptions of exertion, affective responses (e.g. displeasure or discomfort), and physiological stress could make the exercise experience aversive, particularly for beginners. Shifting one's attentional focus towards environmental stimuli (dissociation) instead of one's body (association) has been theorized to enhance psychological responses and attenuate physiological stress. Research evidence on the effectiveness of attentional focus strategies, however, has been perplexing, covering the entire gamut of possible outcomes (association and dissociation having been shown to be both effective and ineffective). This article examines the effects of manipulations of attentional focus on exertional and affective responses, as well as on exercise economy and tolerance. The possible roles of the characteristics of the exercise stimulus (intensity, duration) and the exercise participants, methodological issues, and limitations of experimental designs are discussed. In particular, the critical role of exercise intensity is emphasized. Dissociative strategies may be more effective in reducing perceptions of exertion and enhancing affective responses at low to moderate exercise intensities, but their effectiveness may be diminished at higher and near-maximal levels, at which physiological cues dominate. Conversely, associative strategies could enable the exerciser to regulate intensity to avoid injury or overexertion. Thus, depending on intensity, both strategies have a place in the 'toolbox' of the public health or exercise practitioner as methods of enhancing the exercise experience and promoting long-term compliance.
authors.affiliation: Department of Physical Education, State University of New York College at Oneonta, New York, New York, USA.
authors.forename: Erik
authors.initials: E
authors.lastname: Lind
authors.forename: Amy S
authors.initials: AS
authors.lastname: Welch
authors.forename: Panteleimon
authors.initials: P
authors.lastname: Ekkekakis
mesh_terms: D000339:Affect; D054874:Athletic Performance / Q000502:physiology / Q000523:psychology*; D001288:Attention; D003463:Cues; D015444:Exercise / Q000502:physiology / Q000523:psychology*; D017079:Exercise Tolerance / Q000502:physiology; D030141:Feedback, Psychological / Q000502:physiology*; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D006854:Hydrocortisone / Q000032:analysis; D008954:Models, Biological; D018482:Muscle, Skeletal / Q000502:physiology*; D009638:Norepinephrine / Q000032:analysis; D010101:Oxygen Consumption / Q000502:physiology; D010551:Personality; D005082:Physical Exertion / Q000502:physiology; D012129:Respiratory Function Tests
chemical_list: D006854:Hydrocortisone; D009638:Norepinephrine
references.citation: J Gen Psychol. 1998 Jan;125(1):17-29
references.pmid: 9580972
references.citation: Prev Med. 2003 Jan;36(1):17-29
references.pmid: 12473421
references.citation: Percept Mot Skills. 2003 Apr;96(2):510-6
references.pmid: 12776834
references.citation: J Sports Sci. 1995 Oct;13(5):371-6
references.pmid: 8558623
references.citation: Br J Sports Med. 2005 Oct;39(10):742-6; discussion 742-6
references.pmid: 16183771
references.citation: Health Psychol. 2002 Sep;21(5):452-8
references.pmid: 12211512
references.citation: Health Psychol. 1986;5(2):115-23
references.pmid: 3732226
references.citation: Percept Mot Skills. 1994 Jun;78(3 Pt 1):855-8
references.pmid: 8084703
references.citation: Psychophysiology. 1995 Jan;32(1):49-54
references.pmid: 7878169
references.citation: Am J Clin Hypn. 1992 Jan;34(3):193-201
references.pmid: 1543149
references.citation: J Gen Psychol. 1996 Oct;123(4):297-307
references.pmid: 9042741
references.citation: Psychol Sport Exerc. 2008 May;9(3):231-245
references.pmid: 18496608
references.citation: J Psychosom Res. 1989;33(2):241-8
references.pmid: 2724200
references.citation: Percept Mot Skills. 1988 Apr;66(2):603-16
references.pmid: 3399340
references.citation: Res Q Exerc Sport. 1993 Jun;64(2):134-43
references.pmid: 8341836
references.citation: Med Sci Sports Exerc. 1996 Jun;28(6):706-19
references.pmid: 8784759
references.citation: Br J Sports Med. 1998 Sep;32(3):229-34; discussion 234-5
references.pmid: 9773172
references.citation: Psychosomatics. 1983 Feb;24(2):133-4, 139, 141, passim
references.pmid: 6836092
references.citation: J Pers Soc Psychol. 1980 Jul;39(1):165-74
references.pmid: 7411392
references.citation: J Sports Med Phys Fitness. 1991 Sep;31(3):452-60
references.pmid: 1798322
references.citation: Percept Mot Skills. 1994 Jun;78(3 Pt 1):779-83
references.pmid: 8084691
references.citation: J Sports Med Phys Fitness. 2003 Sep;43(3):267-73
references.pmid: 14625505
references.citation: Percept Mot Skills. 1998 Jun;86(3 Pt 1):763-70
references.pmid: 9656268
references.citation: JAMA. 2005 Jan 19;293(3):293-4
references.pmid: 15657315
references.citation: Prev Med. 1986 Jul;15(4):331-41
references.pmid: 3763558
references.citation: Med Sci Sports Exerc. 1992 Apr;24(4):475-82
references.pmid: 1560746
references.citation: Percept Mot Skills. 1992 Oct;75(2):351-4
references.pmid: 1408587
references.citation: Can J Sport Sci. 1987 Mar;12(1):41-5
references.pmid: 3594318
references.citation: Ann N Y Acad Sci. 1977;301:382-403
references.pmid: 270929
references.citation: Psychol Rep. 1991 Jun;68(3 Pt 2):1327-35
references.pmid: 1924630
references.citation: Br J Health Psychol. 2002 Feb;7(Pt 1):47-66
references.pmid: 14596717
references.citation: J Sports Med Phys Fitness. 1989 Dec;29(4):326-34
references.pmid: 2628631
references.citation: Res Q Exerc Sport. 1995 Jun;66(2):142-50
references.pmid: 7644834
references.citation: J Pers Soc Psychol. 1993 Feb;64(2):274-82
references.pmid: 8433273
references.citation: Med Sci Sports Exerc. 1996 Jan;28(1):47-52
references.pmid: 8775354
references.citation: Int J Obes (Lond). 2006 Apr;30(4):652-60
references.pmid: 16130028
references.citation: Med Sci Sports Exerc. 2005 Aug;37(8):1365-73
references.pmid: 16118584
references.citation: Med Sci Sports Exerc. 1992 Feb;24(2):218-25
references.pmid: 1549011
references.citation: Ergonomics. 1988 Nov;31(11):1573-83
references.pmid: 3068052
references.citation: Prev Med. 2004 Feb;38(2):149-59
references.pmid: 14715206
references.citation: J Sports Med Phys Fitness. 1974 Mar;14(1):40-7
references.pmid: 4847321
references.citation: J Sports Sci. 1999 Mar;17(3):183-96
references.pmid: 10362385
references.citation: J Consult Clin Psychol. 1984 Oct;52(5):795-811
references.pmid: 6501665
references.citation: Can J Appl Sport Sci. 1984 Mar;9(1):25-32
references.pmid: 6705126
references.citation: J Gerontol. 1977 Sep;32(5):541-8
references.pmid: 886159