Literature DB >> 9560869

Obsessionality in anorexia nervosa: the moderating influence of exercise.

C Davis1, S Kaptein, A S Kaplan, M P Olmsted, D B Woodside.   

Abstract

OBJECTIVE: Research has confirmed substantial links between OCD and AN. Not only are there psychopathological similarities between the two syndromes, but a marked neurochemical correspondence. Extensive exercising is a common feature of AN and also has relevance in its links with OCD. There is evidence from the exercise-induced weight-loss syndrome in animals that exercise and caloric restriction, in combination, tend to increase serotonergic activity in a synergistic manner. This syndrome has been proposed as a valid model of OCD as well as for AN. To date, little research has directly tested this theory in the human condition.
METHOD: Fifty-three AN patients were categorized as high-level exercisers (N = 22) or moderate/nonexercisers (N = 31) based on the frequency of their physical activity over the year before assessment.
RESULTS: Exercisers scored significantly higher on a measure of OC personality characteristics, OC symptomatology, and perfectionism--a personality factor associated with the development of Obsessive-Compulsive Personality Disorder. On the other hand, there were no group differences on other salient eating disorder characteristics such as body esteem, self-esteem, or weight preoccupation. There were also no differences in degree of emaciation as indicated by Body Mass Index.
CONCLUSIONS: Findings suggest that among AN patients obsessional personality characteristics are linked to high-level exercising, and that exercising is associated with a greater degree of OC symptomatology. Results are discussed in the context of current theories of AN, OCD, and some biological mechanisms.

Entities:  

Mesh:

Year:  1998        PMID: 9560869     DOI: 10.1097/00006842-199803000-00015

Source DB:  PubMed          Journal:  Psychosom Med        ISSN: 0033-3174            Impact factor:   4.312


  11 in total

1.  Miasmatic calories and saturating fats: fear of contamination in anorexia.

Authors:  Megan Warin
Journal:  Cult Med Psychiatry       Date:  2003-03

2.  Are all models susceptible to dysfunctional cognitions about eating and body image? The moderating role of personality styles.

Authors:  Sybilla Blasczyk-Schiep; Kaja Sokoła; Karolina Fila-Witecka; Miguel Kazén
Journal:  Eat Weight Disord       Date:  2015-11-02       Impact factor: 4.652

3.  Excessive physical activity in young girls with restrictive-type anorexia nervosa: its role on cardiac structure and performance.

Authors:  Lucia Billeci; Elena Brunori; Silvia Scardigli; Olivia Curzio; Sara Calderoni; Sandra Maestro; Maria Aurora Morales
Journal:  Eat Weight Disord       Date:  2017-10-20       Impact factor: 4.652

4.  Hard exercise, affect lability, and personality among individuals with bulimia nervosa.

Authors:  Lisa M Brownstone; Ellen E Fitzsimmons-Craft; Stephen A Wonderlich; Thomas E Joiner; Daniel Le Grange; James E Mitchell; Scott J Crow; Carol B Peterson; Ross D Crosby; Marjorie H Klein; Anna M Bardone-Cone
Journal:  Eat Behav       Date:  2013-07-21

5.  Exercise and eating disorder symptoms among young females.

Authors:  K Seigel; J Hetta
Journal:  Eat Weight Disord       Date:  2001-03       Impact factor: 3.008

6.  A clinical profile of compulsive exercise in adolescent inpatients with anorexia nervosa.

Authors:  Melissa Noetel; Jane Miskovic-Wheatley; Ross D Crosby; Phillipa Hay; Sloane Madden; Stephen Touyz
Journal:  J Eat Disord       Date:  2016-02-06

7.  Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions.

Authors:  Melissa Rizk; Christophe Lalanne; Sylvie Berthoz; Laurence Kern; Nathalie Godart
Journal:  PLoS One       Date:  2015-11-30       Impact factor: 3.240

8.  Identifying predictors of activity based anorexia susceptibility in diverse genetic rodent populations.

Authors:  Eneda Pjetri; Ria de Haas; Simone de Jong; Cigdem Gelegen; Hugo Oppelaar; Linda A W Verhagen; Marinus J C Eijkemans; Roger A Adan; Berend Olivier; Martien J Kas
Journal:  PLoS One       Date:  2012-11-30       Impact factor: 3.240

Review 9.  The relationship between obsessive-compulsive personality disorder traits, obsessive-compulsive disorder and excessive exercise in patients with anorexia nervosa: a systematic review.

Authors:  Sarah Young; Paul Rhodes; Stephen Touyz; Phillipa Hay
Journal:  J Eat Disord       Date:  2013-05-02

10.  Compulsive exercise in eating disorders: proposal for a definition and a clinical assessment.

Authors:  Nina Dittmer; Corinna Jacobi; Ulrich Voderholzer
Journal:  J Eat Disord       Date:  2018-11-28
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