Compulsive exercise is a condition described since 1970s. It is characterized by a
craving for physical training, resulting in uncontrollable excessive exercise
behavior with harmful consequences, such as injuries and impaired social relations.
It has not been accepted as a mental disorder in either International Classification
of Diseases or Diagnostic and Statistical Manual of Mental
Disorders. The aim of this literature review was to critically examine the
research on links (comorbidity), risks (negative consequences), and challenges faced
(problems in a treatment context). This review found that compulsive exercise is
associated with eating disorder pathology, perfectionism, neuroticism, narcissism,
and obsessive compulsive traits. The most prominent negative consequences were
injuries, social impairment, and depression, but more research is needed to uncover
the potential dysfunction resulting from compulsive exercise. As the condition is not
recognized as a psychiatric disorder, studies on treatment interventions are sparse.
Problems with compliance have been reported; therefore, motivational interviewing has
been proposed as a treatment approach, in combination with cognitive behavioral
therapy. This review summarizes and discusses findings on links/comorbidity,
risks/negative consequences, and treatment challenges. We suggest that future studies
should pay attention to both prevention and counseling in sports settings, where
compulsive exercise appears, as the condition may be associated with harmful
consequences.