Alexithymia, reward sensitivity and excessive exercise in non-binge-eaters versus severe binge eaters: Implications for primary and secondary exercise dependence

Lyvers, Michael; Truncali, Joseph; Stapleton, Peta; Thorberg, Fred Arne

doi:10.1007/s12144-022-03511-2

Cited by 5 publications

(3 citation statements)

References 75 publications

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“…The association between alexithymia and ED diagnosis has been highly investigated (Westwood et al., 2017). Patients with ED have considerably higher alexithymia than HC, exhibit a diminished capability to verbally describe feelings, and suffer from more severe general and eating psychopathology (Aloi et al., 2017; Cochrane et al., 1993; Fanton et al., 2022; Karukivi et al., 2010; Lyvers et al., 2022; Saure et al., 2022). Present results are in line with a recent meta‐analysis that indicates higher alexithymia in participants with chronic pain than without pain, and its relationship with greater pain intensity and physical interference (Aaron et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

Pain experience in eating disorders: The mediating role of depression, alexithymia and interoceptive awareness

Fazia,

Carbone,

Rania

et al. 2023

Euro Eating Disorders Rev

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ObjectiveEvidence suggests reduced sensitivity to pain due to high pain threshold in anorexia and bulimia nervosa and a possible role of depression, alexithymia and interoceptive awareness on pain experience. This study examined whether self‐report and real‐time evoked pain experience were mediated by depression, alexithymia and interoceptive awareness in a comprehensive sample of patients with eating disorders (ED).Method145 participants (90 ED, 55 healthy controls (HC)) underwent a real‐time evoked examination of pain and completed self‐report questionnaires for pain (Pain Detect Questionnaire (PD‐Q), PD‐Q VAS, Leeds Assessment of Neuropathic Symptoms and Signs), depression (BDI‐II), interoceptive awareness Multidimensional Assessment of Interoceptive Awareness (MAIA), and alexithymia (TAS‐20). Three mediation models, with ED diagnosis as independent variable, and BDI, MAIA and TAS‐20 as mediators, were tested.ResultsParticipants with ED and HC exhibited similar pain type and intensity (self‐report and real‐time). Eating disorders diagnosis was associated with lower self‐report pain intensity and non‐neuropathic like pain experience (model 1–2). Depressive symptoms partially (model 1–2) or fully (model 3) mediated the association between ED diagnosis and pain experience, alone (model 1) or via alexithymia (model 3). Interoceptive awareness did not influence pain symptomatology.DiscussionED diagnosis is associated with non‐neuropathic and lower pain experience. However, concurrent depression and alexithymia are associated with higher pain symptoms and neuropathic features. These results could inform clinicians about the influence of psychopathology on pain experience in ED.

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Section: Discussionmentioning

confidence: 99%

Pain experience in eating disorders: The mediating role of depression, alexithymia and interoceptive awareness

Fazia,

Carbone,

Rania

et al. 2023

Euro Eating Disorders Rev

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“…The second scale evaluates the sensitivity to reward, related to the behavioral activation system in situations in which the possibility of appetitive or reinforcing stimuli is anticipated. The questionnaire presents satisfactory internal consistency and test–retest reliability [ 18 ] and the relationship of sensitivity to punishment and reward with various mental disorders [ 38 , 39 ] and exercise dependence has been studied [ 40 , 41 ]. The reliability in this study was 0.68.…”

Section: Methodsmentioning

confidence: 99%

Mental Health in First- and Second-Division Soccer Players: A Cross-Sectional Study

Bonet,

Benito,

Usó

et al. 2024

Sports

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Background: The benefits of sport in mental health have been broadly studied. However, few studies have examined these outcomes in high-performance athletes. We aimed to analyze the state of the mental health of the Villarreal Soccer Club’s first- (FD) and second-division (SD) players and the possible mediating effects of sex and professional category. Methods: This was a cross-sectional study with an initial sample of 108 soccer players (final sample n = 54). Data from MINI, HARS, HDRS, BARRAT-11 and SCSRQ questionnaires were analyzed. Results: The mean age was 23.41 years (SD = 4.56) and 61.1% (n = 33) were men. A proportion of 24.1% (n = 13) stated that they had undergone mental health treatment, 7.4% (n = 4) had taken psychotropic drugs, and 2.1% (n = 1) had made a suicide attempt. Differences were observed between the FD and SD players in terms of the sensitivity to punishment (t = −2.2; p = 0.033), overall impulsivity (t = −3.1; p = 0.003), unplanned impulsivity (t = 3.4; p = 0.001), and the HDRS (U = −110.5; p = 0.004), HARS-Total (U = −104.0; p = 0.006) and HARS-Psychological subscale scores (U = −104.0; p = 0.001). Differences were also observed between the female and male SD players for the HARS-Somatic subscale (U = 136.5; p = 0.028). Conclusion: The low values obtained in the clinical scales, together with the reported psychopathological histories, suggested that the Villareal players showed better mental health than the general population.

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“…In a recent study, EA positively correlated with reward sensitivity and interoceptive awareness (Lyvers et al. 2022 ), and participants with severe bingeing scored higher on EA, Alexithymia, risky alcohol use, and sensitivity to reward and punishment. Furthermore, extraversion and narcissism, but not agreeableness, appear to be associated with EA (Cook et al.…”

Section: Introductionmentioning

confidence: 92%

Exercise addiction: A narrative overview of research issues

Weinstein

Szabó

2023

Dialogues in Clinical Neuroscience

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This narrative overview summarises the work on exercise addiction (EA) over the past 12 years and exposes critical conceptual and methodological issues. More than 1000 articles exist on EA, conceptualised as uncontrolled training harming the individual. Still, EA has no clinical diagnosis criteria at this time. Research is increasing continuously, but it is stale in advancing knowledge. Scalar measurement and lack of differentiation between addictive and instrumental exercise could be reasons for insufficient progress. Exercise addiction fits in the framework of behavioural addictions, but excessive exercise patterns also co-occur with other morbidities, including eating or body-image disorders. In these cases, exercise is instrumental; it functions to achieve a non-exercise-related goal. Therefore, it is essential to separate primary from secondary EA. Based on the interactional model, significant stress and capacity-exceeding ambitions fuel primary EA, while chief motives behind secondary EA embed body image dissatisfaction and eating disorders. Few reports exist on EA’s brain mechanisms, which could delay its classification as a distinct psychiatric dysfunction. Treatment of EA involves cognitive-behavioural approaches, but we know little about their effectiveness. Conceptually focussed psychophysiological research and in-depth interviews, complementing scalar data, could answer several open questions in this widely studied but relatively stagnant scholastic field.

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Alexithymia, reward sensitivity and excessive exercise in non-binge-eaters versus severe binge eaters: Implications for primary and secondary exercise dependence

Cited by 5 publications

References 75 publications

Pain experience in eating disorders: The mediating role of depression, alexithymia and interoceptive awareness

Pain experience in eating disorders: The mediating role of depression, alexithymia and interoceptive awareness

Mental Health in First- and Second-Division Soccer Players: A Cross-Sectional Study

Exercise addiction: A narrative overview of research issues

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