The Role of Exercise Dependence for the Relationship between Exercise Behavior and Eating Pathology

Cook, Brian J.; Hausenblas, Hea Ther A.

doi:10.1177/1359105308088520

Cited by 83 publications

(80 citation statements)

References 45 publications

(51 reference statements)

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“…Our observed moderating effect of gender on weight change intention supports social cognitive explanations of weight and body image related pathology (Levine & Smolak, 2006). Taken with our exercise dependence findings, this moderating effect may also suggest that intervening on exercise dependence may help ameliorate the development of an eating disorder in women and drive for muscularity in men (Chittester & Hausenblas, 2009;Cook & Hausenblas, 2008;Fairburn & Bohn, 2005;Fairburn, Cooper & Shafran, 2003;Hay & Fairburn, 1998).…”

Section: Discussionsupporting

confidence: 62%

The moderating effect of gender on ideal-weight goals and exercise dependence symptoms

Cook¹,

Hausenblas²,

Rossi³

2013

Journal of Behavioral Addictions

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Background and aims:Exercise dependence is implicated in the development of eating disorders and muscle dysmorphic disorder. Although conceptually these disorders represent similar pathologies they largely affect different genders and result in opposite body composition, appearance, and ideal-weight goals (i.e., to gain or lose/maintain weight). Therefore, understanding individuals' ideal-weight goals related to engaging in exercise while simultaneously examining gender differences in exercise dependence symptoms may help to identify those whom may be most at-risk for eating disorders and muscle dysmorphic disorder. The purpose of our study was to examine the moderating effect of gender for exercise dependence symptoms in relation to weight gain, loss, or maintenance goals. Methods: Self-reported exercise behavior and exercise dependence symptoms (i.e., Exercise Dependence Scale) were assessed in 513 undergraduate students. Results: Our analysis revealed a moderating effect for gender on ideal-weight goals and a gender difference in exercise dependence symptoms. Specifically, men who were dissatisfied with their current weight reported more exercise dependence symptoms than women. Conclusions: These results support a growing body of research and extend our understanding of the relationships among exercise dependence and gender specific body-focused psychiatric disorders.

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Section: Discussionsupporting

confidence: 62%

The moderating effect of gender on ideal-weight goals and exercise dependence symptoms

Cook¹,

Hausenblas²,

Rossi³

2013

Journal of Behavioral Addictions

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“…Hence, it can develop secondary to an eating disorder and is usually associated with shape concerns, morbid fear of gaining weight, high levels of psychopathology (e.g. anxiety, depression), and reduced health-related quality of life [10][11][12][13][14][15] . Excessive exercise is particularly prevalent among patients with the purging subtype of anorexia nervosa [15] .…”

Section: Introductionmentioning

confidence: 99%

Temperament and Risk for Exercise Dependence: Results of a Pilot Study in Female Patients with Eating Disorders Compared to Elite Athletes

Müller¹,

Claes

Wos³

et al. 2015

Psychopathology

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Background: The present pilot study investigated the relationship between temperament and the risk for exercise dependence (EXD). Sampling and Methods: A total of 32 female patients with eating disorders (potentially at risk for secondary EXD) and 29 female elite athletes without eating disturbances (potentially at risk for primary EXD) answered the Eating Disorder Examination-Questionnaire (EDE-Q), the Exercise Dependence Scale-German version (EDS-G), the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales, and the effortful control subscale of the Adult Temperament Questionnaire (ATQ-EC). Results: There were significant positive correlations of the EDS-G with the BIS in women with an eating disorder and with the BAS in elite athletes. No significant association was found between the EDS-G and effortful control. Conclusions: The results indicate that the risk for EXD is associated with avoidance tendencies in women with eating disorders and with approach tendencies in elite athletes. Implications for secondary and primary EXD are discussed.

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“…Exercise dependence has been suggested as a mediator between PA behavior and ED psychopathology, 19 but the development and change in exercise dependence during treatment of ED has not been studied extensively. Calogero and Pedrotty 17 found reduction in exercise compulsivity and dependence among patients who attended a supervised PA program during treatment of 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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The Role of Exercise Dependence for the Relationship between Exercise Behavior and Eating Pathology

Cited by 83 publications

References 45 publications

The moderating effect of gender on ideal-weight goals and exercise dependence symptoms

The moderating effect of gender on ideal-weight goals and exercise dependence symptoms

Temperament and Risk for Exercise Dependence: Results of a Pilot Study in Female Patients with Eating Disorders Compared to Elite Athletes

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

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