2017
DOI: 10.1002/eat.22811
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Driven exercise in the absence of binge eating: Implications for purging disorder

Abstract: Findings suggest that among participants with regularly compensatory behaviors without binge eating, those who use exercise alone have similar levels of associated eating-disorder psychopathology as those who use vomiting/laxatives, although they have lower depression levels and overall frequency of purging. Findings provide further support for the clinical significance of PD. Clinicians and researchers should recognize the severity of driven exercise as a compensatory behavior, and the need for further epidem… Show more

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Cited by 19 publications
(14 citation statements)
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“…Exercise may be considered a more socially acceptable method of weight control and emotion regulation. However, recent evidence has highlighted the seriousness of driven exercise, even when it occurs in the absence of binge eating or other purging behaviors; “driven exercisers” were found to report equivalent levels of eating psychopathology as those who reported purging via other mechanisms (Lydecker, Shea, & Grilo, ). Further exploration is needed to identify if, and how monitoring tool use is linked to driven exercise behavior.…”
Section: Discussionmentioning
confidence: 99%
“…Exercise may be considered a more socially acceptable method of weight control and emotion regulation. However, recent evidence has highlighted the seriousness of driven exercise, even when it occurs in the absence of binge eating or other purging behaviors; “driven exercisers” were found to report equivalent levels of eating psychopathology as those who reported purging via other mechanisms (Lydecker, Shea, & Grilo, ). Further exploration is needed to identify if, and how monitoring tool use is linked to driven exercise behavior.…”
Section: Discussionmentioning
confidence: 99%
“…However, it has been argued that this criterion should be included given its importance as a core component of eating disorders, it's high prevalence rate, and it's ability to predict health outcomes among individuals with binge-eating disorder (Grilo, White, Gueorguiva, Wilson, & Masheb, 2013). Similar research is also emerging for night-eating syndrome and purging disorder, two "other specified feeding or eating disorder" (OSFED) groups that are also not diagnostically characterized by weight/shape concerns, showing that adults meeting criteria for these disorders have greater weight/shape concerns compared to adults without these disorder (Lundgren, Allison, Reardon, & Stunkard, 2008;Lydecker, Shea, & Grilo, 2018). Taken together, this body of research suggests that while these disorders are not diagnostically characterized by weight/shape concerns, weight/shape concerns are notably prevalent amongst people meeting criteria for such disorders.…”
mentioning
confidence: 87%
“…According to the literature from the last several years, people who suffer from anorexia or bulimia are dissatisfied with their bodies and are characterized by excessive perfectionism and a desire for control. They also may have interoceptive deficits, difficulties in building emotional bonds with other people, and suffer from other emotional disorders such as anxiety (including fear of puberty), depression, or obsessive-compulsive disorder [44][45][46][47][48][49][50][51][52]. Moreover, the following psychological factors are also associated with increased risk of eating disorders: Emotional dysregulation and low self-esteem [46].…”
Section: Risk Factors For Eating Disordersmentioning
confidence: 99%