Sasha Gorrell1, Rachael E Flatt2, Cynthia M Bulik2,3,4,5, Daniel Le Grange1,6. 1. Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA. 2. Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. 3. Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. 4. Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. 5. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. 6. Department of Psychiatry & Behavioral Neuroscience, The University of Chicago, Chicago, Illinois, USA.
Abstract
OBJECTIVE: Although maladaptive exercise (ME) is widely recognized as a clinical feature in transdiagnostic eating disorders, less is known about psychosocial factors that give rise to and perpetuate this behavior. This systematic review aimed to examine the empirical status of this association. METHOD: We reviewed 46 full text articles examining longitudinal associations between psychosocial variables and ME. RESULTS: Eighteen studies met full inclusion criteria. Based on our qualitative synthesis, evidence suggests reasonably consistent associations between early concern with weight and shape, and negative affect on later development of ME. DISCUSSION: Inconsistent and insufficient assessment of ME across a majority of studies underscores caution in interpretation of results, but guides important discussion for future clinical and research efforts.
OBJECTIVE: Although maladaptive exercise (ME) is widely recognized as a clinical feature in transdiagnostic eating disorders, less is known about psychosocial factors that give rise to and perpetuate this behavior. This systematic review aimed to examine the empirical status of this association. METHOD: We reviewed 46 full text articles examining longitudinal associations between psychosocial variables and ME. RESULTS: Eighteen studies met full inclusion criteria. Based on our qualitative synthesis, evidence suggests reasonably consistent associations between early concern with weight and shape, and negative affect on later development of ME. DISCUSSION: Inconsistent and insufficient assessment of ME across a majority of studies underscores caution in interpretation of results, but guides important discussion for future clinical and research efforts.
Authors: Phillipa Hay; Stephen Touyz; Jon Arcelus; Kathleen Pike; Evelyn Attia; Ross D Crosby; Sloane Madden; Jackie Wales; Michelle La Puma; Andreea I Heriseanu; Sarah Young; Caroline Meyer Journal: Int J Eat Disord Date: 2018-07-26 Impact factor: 4.861
Authors: Elizabeth W Lampe; Claire Trainor; Emily K Presseller; Megan L Michael; Adam Payne-Reichert; Adrienne S Juarascio; Stephanie M Manasse Journal: Eat Behav Date: 2021-08-20
Authors: Angelique F Ralph; Leah Brennan; Sue Byrne; Belinda Caldwell; Jo Farmer; Laura M Hart; Gabriella A Heruc; Sarah Maguire; Milan K Piya; Julia Quin; Sarah K Trobe; Andrew Wallis; A J Williams-Tchen; Phillipa Hay Journal: J Eat Disord Date: 2022-08-18