Assessment and managem ent of eating disordered patients who over-exercise: A four-year follow-up of six single case studies

Long, Clive G.; Hollin, Clive R.

doi:10.1080/09638239550037604

Cited by 38 publications

(27 citation statements)

References 20 publications

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“…The average age of onset of AN was 20 years (range 12-40 years) and the average duration of the disorder was 13 The average BMI at admission was 14.06; 17 patients (50%) had problems of excessive exercising (Long & Hollin, 1995), 13 had a history of sexual abuse, 12 had a history of selfharm (35.28%), six had a history of problem substance misuse (17.64%) and six had a history of suicide attempts (17.64%). A total of 10 patients met the criteria of AN restricting type (AN-R) and 24 met the criteria for AN binge eating/purging type (AN-BP).…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…Aerobic exercise activities are available to patients in the maintenance phase of recovery. Patients with signifi cant problems of secondary exercise dependence (Hausenblas & Symons Down, 2002) are treated using a cognitive behavioural treatment approach previously described (Long and Hollin, 1995). The treatment of binge eating and purging behaviours follow standard CBT guidelines with a particular emphasis on psychoeducation (Grave, Behn, Hawker, & Fairburn, 2008).…”

Section: Modifi Cation Of Weight Control Measuresmentioning

confidence: 99%

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Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Long

Fitzgerald

Hollin

2011

Clin Psychology and Psychoth

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Despite evidence from a number of long-term follow-up studies of anorexia nervosa that nearly 50% of patients eventually make a full recovery, controlled trials of psychotherapy for anorexia nervosa are lacking. Those with severe and enduring problems represent a considerable therapeutic challenge. Thirty-four consecutive adult referrals to the inpatient treatment unit who fulfilled Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnostic criteria for anorexia nervosa were examined pre-admission, post-discharge and 4 years after admission. Characteristics of remitted and non-remitted patients were examined. Secondary analyses considered the differences between patients with anorexia nervosa, restricting type and anorexia nervosa binging/purging type. The findings highlight a number of differences between patients with anorexia nervosa (restricting type) versus anorexia nervosa (binging/purging type) as well as remitted versus non-remitted patients. The use of a comprehensive battery of assessments found that resolution of eating disorder symptomatology was paralleled by improvements in emotional and psychological distress and improvement in body image perception and coping skills. Better results were obtained for those who had continuity of care on an outpatient basis. This pattern is particularly significant given the more 'chronic' nature of the sample that were older, with a higher incidence of binge-eating and purging than previous samples. Results provide some encouragement for the treatment of those adults with anorexia nervosa who typically have less favourable outcomes.

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Section: Sample Characteristicsmentioning

confidence: 99%

Section: Modifi Cation Of Weight Control Measuresmentioning

confidence: 99%

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Long

Fitzgerald

Hollin

2011

Clin Psychology and Psychoth

Self Cite

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“…A few studies have suggested use of strategies, such as psychoeducation, cognitive behavioral therapy, and motivational interviewing to manage excessive PA. [24][25][26] However, based on the current state of knowledge, such suggestions may be premature. According to the logic of evidencebased medicine, the level of knowledge in a research area should guide the choice of methods and design for obtaining new information.…”

Section: Introductionmentioning

confidence: 99%

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Bratland‐Sanda

Sundgot‐Borgen

Rø

et al. 2009

Intl J Eating Disorders

109

104

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Objective: To describe changes in physical activity (PA) and exercise dependence score during treatment of eating disorders (ED), and to explore correlations among changes in PA, exercise motivation, exercise dependence score and ED psychopathology in excessive and nonexcessive exercisers.Method: Thirty-eight adult females receiving inpatient treatment for anorexia nervosa, bulimia nervosa or ED not otherwise specified participated in this prospective study. Assessments included accelerometer assessed PA, Exercise Dependence Scale, Reasons for Exercise Inventory, ED Examination, and ED Inventory.Results: Amount of PA was significantly reduced in non-excessive exercisers during treatment, in excessive exercisers there was a trend towards reduced amount of PA from admission to discharge. In excessive exercisers, reduced ED psychopathology was correlated with reduction in exercise dependence score and perceived importance of exercise to regulate negative affects, but not with importance of exercise for weight/ appearance. These associations were not found in non-excessive exercisers.Discussion: Excessive exercise is an important issue in longstanding ED, and the excessive exercising patients need help to develop alternative strategies to regulate negative affects. V

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“…Similarly, although programmes to counteract excessive exercising or programmes including physical activity to reduce the risk of osteoporosis have been published (Beumont et al, 1994;Long & Hollin, 1995;Thien, Thomas, Markin, & Birmingham, 2000), no study has yet investigated the degree to which strategies for physical activity are implemented into treatment of EDs.…”

Section: Introductionmentioning

confidence: 98%

How do clinical specialists understand the role of physical activity in eating disorders?

Hechler

Beumont

Marks

et al. 2005

Eur. Eat. Disorders Rev.

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Assessment and managem ent of eating disordered patients who over-exercise: A four-year follow-up of six single case studies

Cited by 38 publications

References 20 publications

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

How do clinical specialists understand the role of physical activity in eating disorders?

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