Does “excessive” or “compulsive” best describe exercise as a symptom of bulimia nervosa?

Adkins, Emily C.; Keel, Pamela K.

doi:10.1002/eat.20140

Cited by 223 publications

(175 citation statements)

References 16 publications

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“…In addition to exercise motivated by shape and weight concerns, research has elucidated the role of exercise in affect regulation in clinical samples,10, 11 and emerging evidence suggests the importance of withdrawal symptoms and negative consequences of not exercising 3, 12, 13. It has been stated that “compulsive” is a more appropriate term than “excessive” when describing exercise in patients with eating disorders 5, 14. These authors differentiated between a quantity dimension (excessive) measured by frequency, intensity and duration, and the qualitative dimension related to compulsivity.…”

Section: Introductionmentioning

confidence: 99%

Validation of the exercise and eating disorders questionnaire

Danielsen

Bjørnelv

Rø

2015

Intl J Eating Disorders

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ObjectiveCompulsive exercise is a well‐known feature in eating disorders. The Exercise and Eating Disorder (EED) self‐report questionnaire was developed to assess aspects of compulsive exercise not adequately captured by existing instruments. This study aimed to test psychometric properties and the factor structure of the EED among women with eating disorders and a control group.MethodThe study included 449 female participants, including 244 eating disorders patients and 205 healthy controls. The patient group consisted of 32.4% (n = 79) AN patients, 23.4% (n = 57) BN, 34.4% (n = 84) EDNOS and 9.8% (n = 24) with BED diagnosis.ResultsThe analyses confirmed adequate psychometric properties of the EED, with a four‐factor solution: (1) compulsive exercise, (2) positive and healthy exercise, (3) awareness of bodily signals, and (4) weight and shape exercise. The EED discriminated significantly (p < .001) between patients and controls on the global score, subscales, and individual items. Test‐retest reliability was satisfactory (r = 0.86). Convergent validity was demonstrated by high correlations between the EED and the Eating Disorder Examination Questionnaire (EDE‐Q; r = 0.79).DiscussionThe EED is the first clinically derived, self‐report questionnaire to assess compulsive exercise among ED patients. The EED offers assessment that has broader clinical utility than existing instruments because it identifies treatment targets and treatment priorities. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:983–993).

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Section: Introductionmentioning

confidence: 99%

Validation of the exercise and eating disorders questionnaire

Danielsen

Bjørnelv

Rø

2015

Intl J Eating Disorders

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“…1,2 Although this feature has been shown to be most frequent in the acute phases of the ED, [1][2][3][4] it has also been reported as a persistent behavior associated with more severe psychopathology, poorer treatment outcome and higher risk of relapse. [5][6][7][8][9][10] Unfortunately previous studies are hard to interpret due to the lack of a common definition of excessive PA. [2][3][4]6,7 Moreover, the validity of the data may be influenced by retrospective recall biases commonly observed with self reported assessment of PA. 11 Although excessive PA is recognized as a maladaptive behavior, adequate dosed PA might be a beneficial part of treatment for patient across the various ED diagnoses. 12 There is also good evidence for the positive effect of PA in treatment of depression and anxiety, 13 which are common comorbid conditions in ED.…”

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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“…Having a negative relationship exercise has been characterized as overexercise, exercise addiction, excessive exercise, exercise dependence, exercise abuse, compulsive exercise, "activity anorexia," obligatory exercise, and dysfunctional exercise [6,7]. Dysfunctional exercise can occur along with or independently from a clinical eating disorder.…”

Section: What Is the Dysfunctional Exericse?mentioning

confidence: 99%

The Right ?Dose? of Activity: Health Educators Should Promote Mindful and Intuitive Exercise

Reel¹

2012

J Community Med Health Educ

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Does “excessive” or “compulsive” best describe exercise as a symptom of bulimia nervosa?

Abstract: "Compulsive" may be a better description than "excessive" in characterizing exercise as a symptom of bulimia nervosa.

Cited by 223 publications

References 16 publications

Validation of the exercise and eating disorders questionnaire

Validation of the exercise and eating disorders questionnaire

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

The Right ?Dose? of Activity: Health Educators Should Promote Mindful and Intuitive Exercise

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