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Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa

BACKGROUND: For people with anorexia nervosa (AN), compulsive exercise is characterized by extreme concerns about the perceived negative consequences of stopping/reducing exercise, dysregulation of affect, and inflexible exercise routines. It is associated with increased eating disorder psychopathol...

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Autores principales: Young, Sarah, Touyz, Stephen, Meyer, Caroline, Arcelus, Jon, Rhodes, Paul, Madden, Sloane, Pike, Kathleen, Attia, Evelyn, Crosby, Ross D., Hay, Phillipa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799909/
https://www.ncbi.nlm.nih.gov/pubmed/29441204
http://dx.doi.org/10.1186/s40337-018-0188-0
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author Young, Sarah
Touyz, Stephen
Meyer, Caroline
Arcelus, Jon
Rhodes, Paul
Madden, Sloane
Pike, Kathleen
Attia, Evelyn
Crosby, Ross D.
Hay, Phillipa
author_facet Young, Sarah
Touyz, Stephen
Meyer, Caroline
Arcelus, Jon
Rhodes, Paul
Madden, Sloane
Pike, Kathleen
Attia, Evelyn
Crosby, Ross D.
Hay, Phillipa
author_sort Young, Sarah
collection PubMed
description BACKGROUND: For people with anorexia nervosa (AN), compulsive exercise is characterized by extreme concerns about the perceived negative consequences of stopping/reducing exercise, dysregulation of affect, and inflexible exercise routines. It is associated with increased eating disorder psychopathology and poor clinical outcome. However, its relationships with two important clinical issues, quality of life (QoL) and motivation to change, are currently unknown. This study aimed to assess the cross-sectional relationships between compulsive exercise, QoL, psychological distress (anxiety and depressive symptoms, and obsessive-compulsive traits) and motivation to change in patients with AN. METHOD: A total of 78 adults with AN participated in this study, which was nested within a randomized controlled trial of psychological treatments for AN. At baseline (pre-treatment), participants completed questionnaires assessing compulsive exercise, eating disorder (ED) psychopathology, QoL, psychological distress and motivation to change. RESULTS: Baseline correlational analyses demonstrated a moderate positive relationship between compulsive exercise and ED psychopathology, and a weak positive relationship between compulsive exercise and psychological distress. There was a moderate negative relationship between compulsive exercise and eating disorder QoL. CONCLUSIONS: These results indicate compulsive exercise is moderately associated with poorer QoL and weakly associated with higher distress. Targeting compulsive exercise in the treatment of anorexia nervosa may help reduce the burden of illness and improve patients’ engagement in treatment. TRIAL REGISTRATION: ACTRN12610000585022. Taking a LEAP forward in the treatment of anorexia nervosa: a randomized controlled trial. NHMRC grant: 634922.
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spelling pubmed-57999092018-02-13 Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa Young, Sarah Touyz, Stephen Meyer, Caroline Arcelus, Jon Rhodes, Paul Madden, Sloane Pike, Kathleen Attia, Evelyn Crosby, Ross D. Hay, Phillipa J Eat Disord Research Article BACKGROUND: For people with anorexia nervosa (AN), compulsive exercise is characterized by extreme concerns about the perceived negative consequences of stopping/reducing exercise, dysregulation of affect, and inflexible exercise routines. It is associated with increased eating disorder psychopathology and poor clinical outcome. However, its relationships with two important clinical issues, quality of life (QoL) and motivation to change, are currently unknown. This study aimed to assess the cross-sectional relationships between compulsive exercise, QoL, psychological distress (anxiety and depressive symptoms, and obsessive-compulsive traits) and motivation to change in patients with AN. METHOD: A total of 78 adults with AN participated in this study, which was nested within a randomized controlled trial of psychological treatments for AN. At baseline (pre-treatment), participants completed questionnaires assessing compulsive exercise, eating disorder (ED) psychopathology, QoL, psychological distress and motivation to change. RESULTS: Baseline correlational analyses demonstrated a moderate positive relationship between compulsive exercise and ED psychopathology, and a weak positive relationship between compulsive exercise and psychological distress. There was a moderate negative relationship between compulsive exercise and eating disorder QoL. CONCLUSIONS: These results indicate compulsive exercise is moderately associated with poorer QoL and weakly associated with higher distress. Targeting compulsive exercise in the treatment of anorexia nervosa may help reduce the burden of illness and improve patients’ engagement in treatment. TRIAL REGISTRATION: ACTRN12610000585022. Taking a LEAP forward in the treatment of anorexia nervosa: a randomized controlled trial. NHMRC grant: 634922. BioMed Central 2018-02-05 /pmc/articles/PMC5799909/ /pubmed/29441204 http://dx.doi.org/10.1186/s40337-018-0188-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Young, Sarah
Touyz, Stephen
Meyer, Caroline
Arcelus, Jon
Rhodes, Paul
Madden, Sloane
Pike, Kathleen
Attia, Evelyn
Crosby, Ross D.
Hay, Phillipa
Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
title Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
title_full Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
title_fullStr Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
title_full_unstemmed Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
title_short Relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
title_sort relationships between compulsive exercise, quality of life, psychological distress and motivation to change in adults with anorexia nervosa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799909/
https://www.ncbi.nlm.nih.gov/pubmed/29441204
http://dx.doi.org/10.1186/s40337-018-0188-0
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