Affective profiles of exercise episodes are associated with maladaptive and adaptive motivations for exercise.
binge eating
exercise
fear of weight gain
negative affect
positive affect
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
11 2023
11 2023
Historique:
revised:
26
04
2023
received:
27
01
2023
accepted:
01
07
2023
medline:
5
10
2023
pubmed:
12
7
2023
entrez:
12
7
2023
Statut:
ppublish
Résumé
Maladaptive exercise (i.e., driven and/or compensatory exercise) is common in binge-spectrum eating disorders (EDs; e.g., bulimia nervosa, binge ED) and associated with adverse treatment outcomes. Alternatively, individuals with EDs are often also engaging in adaptive exercise (e.g., for enjoyment or health improvement), and increasing adaptive exercise may decrease ED symptoms. The current study aimed to understand which exercise episodes are likely to be maladaptive/adaptive so that interventions can appropriately decrease/increase maladaptive and adaptive exercise. We used latent profile analysis (LPA) to identify pre-exercise affective profiles of 661 exercise episodes among 84 individuals with binge-spectrum EDs and examined associations between LPA-identified profiles and subsequent exercise motivations using ecological momentary assessment. A two-profile solution best fit our data: Profile 1 (n = 174), 'positive affectivity,' and Profile 2 (n = 487), 'negative affectivity.' Episodes in the 'negative affectivity' profile were more likely to be endorsed as both driven and intended to influence body shape/weight. Episodes in the 'positive affectivity' profile were more likely to be endorsed as exercising for enjoyment. Results support two phenotypes of exercise episodes, and differential associations of these phenotypes with adaptive and maladaptive motivations for exercise.
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
863-873Subventions
Organisme : NIMH NIH HHS
ID : F31 MH131262
Pays : United States
Organisme : NIDDK NIH HHS
ID : K23 DK124514
Pays : United States
Organisme : NIMH NIH HHS
ID : F31MH131262
Pays : United States
Organisme : NIDDK NIH HHS
ID : K23DK124514
Pays : United States
Informations de copyright
© 2023 Eating Disorders Association and John Wiley & Sons Ltd.
Références
Akogul, S., & Erisoglu, M. (2017). An approach for determining the number of clusters in a model-based cluster analysis. Entropy, 19(9), 452. https://doi.org/10.3390/e19090452
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Publishing.
Berg, K. C., Cao, L., Crosby, R. D., Engel, S. G., Peterson, C. B., Crow, S. J., Le Grange, D., Mitchell, J. E., Lavender, J. M., Wonderlich, S. A., & Durkin, N. (2017). Negative affect and binge eating: Reconciling differences between two analytic approaches in ecological momentary assessment research. International Journal of Eating Disorders, 50(10), 1222-1230. https://doi.org/10.1002/eat.22770
Brownstone, L. M., Fitzsimmons-Craft, E. E., Wonderlich, S. A., Joiner, T. E., Le Grange, D., Mitchell, J. E., Crow, S. J., Peterson, C. B., Crosby, R. D., Bardone-Cone, A. M., & Klein, M. H. (2013). Hard exercise, affect lability, and personality among individuals with bulimia nervosa. Eating Behaviors, 14(4), 413-419. https://doi.org/10.1016/j.eatbeh.2013.07.004
Cacioppo, J. T., & Berntson, G. G. (1994). Relationship between attitudes and evaluative space: A critical review, with emphasis on the separability of positive and negative substrates. Psychological Bulletin, 115(3), 401-423. https://doi.org/10.1037/0033-2909.115.3.401
Claudino, A. M., Pike, K. M., Hay, P., Keeley, J. W., Evans, S. C., Rebello, T. J., Bryant-Waugh, R., Dai, Y., Zhao, M., Herscovici, C. R., Mellor-Marsá, B., Stona, A. C., Kogan, C. S., Andrews, H. F., Monteleone, P., Pilon, D. J., Thiels, C., Sharan, P., & Matsumoto, C. (2019). The classification of feeding and eating disorders in the ICD-11: Results of a field study comparing proposed ICD-11 guidelines with existing ICD-10 guidelines. BMC Medicine, 17(1), 93. https://doi.org/10.1186/s12916-019-1327-4
Coniglio, K. A., Davis, L., Sun, J., Loureiro, N., & Selby, E. A. (2021). Detecting pathological exercise in college men: An investigation using latent profile analysis. Journal of American College Health, 1-5. https://doi.org/10.1080/07448481.2021.1965612
Coniglio, K. A., & Selby, E. A. (2020). Using self-determination theory to define pathological exercise. Journal of Clinical Sport Psychology, 1, 1-22. https://doi.org/10.1123/jcsp.2019-0047
Deaver, C. M., Miltenberger, R. G., Smyth, J., Meidinger, A., & Crosby, R. (2003). An evaluation of affect and binge eating. Behavior Modification, 27(4), 578-599. https://doi.org/10.1177/0145445503255571
De Young, K. P., & Anderson, D. A. (2010). Prevalence and correlates of exercise motivated by negative affect. International Journal of Eating Disorders, 43(1), 50-58.
Emerson, J. A., Dunsiger, S., & Williams, D. M. (2018). Reciprocal within-day associations between incidental affect and exercise: An EMA study. Psychology and Health, 33(1), 130-143. https://doi.org/10.1080/08870446.2017.1341515
Engel, S. G., Wonderlich, S. A., Crosby, R. D., Mitchell, J. E., Crow, S., Peterson, C. B., Lavender, J. M., Simonich, H. K., Cao, L., & Gordon, K. H. (2013). The role of affect in the maintenance of anorexia nervosa: Evidence from a naturalistic assessment of momentary behaviors and emotion. Journal of Abnormal Psychology, 122(3), 709-719. https://doi.org/10.1037/a0034010
Fairburn, C. G., Cooper, Z., & O'Connor, M. (1993). The eating disorder examination. International Journal of Eating Disorders, 6, 1-8. https://doi.org/10.1002/1098-108x(198701)6:1<1::aid-eat2260060102>3.0.co;2-9
Frank, G. K., DeGuzman, M. C., & Shott, M. E. (2019). Motivation to eat and not to eat-The psycho-biological conflict in anorexia nervosa. Physiology & Behavior, 206, 185-190. https://doi.org/10.1016/j.physbeh.2019.04.007
Gorrell, S., Flatt, R. E., Bulik, C. M., & Le Grange, D. (2021). Psychosocial etiology of maladaptive exercise and its role in eating disorders: A systematic review. International Journal of Eating Disorders, 54(8), 1358-1376. https://doi.org/10.1002/eat.23524
Haedt-Matt, A. A., & Keel, P. K. (2011). Revisiting the affect regulation model of binge eating: A meta-analysis of studies using ecological momentary assessment. Psychological Bulletin, 137(4), 660-681. https://doi.org/10.1037/a0023660
Haedt-Matt, A. A., & Keel, P. K. (2015). Affect regulation and purging: An ecological momentary assessment study in purging disorder. Journal of Abnormal Psychology, 124(2), 399-411. https://doi.org/10.1037/a0038815
Hausenblas, H. A., & Downs, D. S. (2002). How much is too much? The development and validation of the exercise dependence scale. Psychology and Health, 17(4), 387-404. https://doi.org/10.1080/0887044022000004894
Haynos, A. F., Berg, K. C., Cao, L., Crosby, R. D., Lavender, J. M., Utzinger, L. M., Le Grange, D., Engel, S. G., Mitchell, J. E., Peterson, C. B., & Crow, S. J. (2017). Trajectories of higher-and lower-order dimensions of negative and positive affect relative to restrictive eating in anorexia nervosa. Journal of Abnormal Psychology, 126(5), 495-505. https://doi.org/10.1037/abn0000202
Lampe, E. W., Forman, E. M., Juarascio, A. S., & Manasse, S. M. (2021). Feasibility, acceptability, and preliminary target engagement of a healthy physical activity promotion intervention for bulimia nervosa: Development and evaluation via case series design. Cognitive and Behavioral Practice, 29(3), 598-613.
Lampe, E. W., Gorrell, S., Smith, K., Payne-Reichert, A., Juarascio, A. S., & Manasse, S. M. (2023). Divergent trajectories of positive affect following maladaptive and non-maladaptive exercise among individuals with binge-spectrum eating disorders. International Journal of Eating Disorders, 56(5), 1001-1010. https://doi.org/10.1002/eat.23901
Lampe, E. W., Trainor, C., Presseller, E. K., Michael, M. L., Payne-Reichert, A., Juarascio, A. S., & Manasse, S. M. (2021). Characterizing reasons for exercise in binge-spectrum eating disorders. Eating Behaviors, 43, 101558. https://doi.org/10.1016/j.eatbeh.2021.101558
Lampe, E. W., Wons, O., Taylor, L. C., Juarascio, A. S., & Manasse, S. M. (2022). Associations between fear of weight gain and exercise in binge-spectrum eating disorders. Eating and Weight Disorders, 27(6), 2121-2128.
Larsen, J. T., & McGraw, A. P. (2014). The case for mixed emotions. Social and Personality Psychology Compass, 8(6), 263-274. https://doi.org/10.1111/spc3.12108
Latner, J. D., Hildebrandt, T., Rosewall, J. K., Chisholm, A. M., & Hayashi, K. (2007). Loss of control over eating reflects eating disturbances and general psychopathology. Behaviour Research and Therapy, 45(9), 2203-2211. https://doi.org/10.1016/j.brat.2006.12.002
Lavender, J. M., Utzinger, L. M., Crosby, R. D., Goldschmidt, A. B., Ellison, J., Wonderlich, S. A., Engel, S. G., Mitchell, J. E., Crow, S. J., Le Grange, D., & Peterson, C. B. (2016). A naturalistic examination of the temporal patterns of affect and eating disorder behaviors in anorexia nervosa. International Journal of Eating Disorders, 49(1), 77-83. https://doi.org/10.1002/eat.22447
Levinson, C. A., & Williams, B. M. (2020). Eating disorder fear networks: Identification of central eating disorder fears. International Journal of Eating Disorders, 53(12), 1960-1973. https://doi.org/10.1002/eat.23382
Mathisen, T. F. (2018). A randomized controlled trial of physical exercise-and dietary therapy versus cognitive behavior therapy: Treatment effects for women with bulimia nervosa or binge eating disorder.
Mathisen, T. F., Bratland-Sanda, S., Rosenvinge, J. H., Friborg, O., Pettersen, G., Vrabel, K. A., & Sundgot-Borgen, J. (2018). Treatment effects on compulsive exercise and physical activity in eating disorders. Journal of Eating Disorders, 6(1), 1-9. https://doi.org/10.1186/s40337-018-0215-1
Meyer, C., Taranis, L., Goodwin, H., & Haycraft, E. (2011). Compulsive exercise and eating disorders. European Eating Disorders Review, 19(3), 174-189. https://doi.org/10.1002/erv.1122
Mond, J. M., Latner, J. D., Hay, P., Owen, C., & Rodgers, B. (2010). Objective and subjective bulimic episodes in the classification of bulimic-type eating disorders: Another nail in the coffin of a problematic distinction. Behaviour Research and Therapy, 48(7), 661-669. https://doi.org/10.1016/j.brat.2010.03.020
Monell, E., Levallius, J., Forsen Mantilla, E., & Birgegard, A. (2018). Running on empty-A nationwide large-scale examination of compulsive exercise in eating disorders. Journal of Eating Disorders, 6(1), 11. https://doi.org/10.1186/s40337-018-0197-z
Pendleton, V. R., Goodrick, G. K., Poston, W. S. C., Reeves, R. S., & Foreyt, J. P. (2002). Exercise augments the effects of cognitive-behavioral therapy in the treatment of binge eating. International Journal of Eating Disorders, 31(2), 172-184. https://doi.org/10.1002/eat.10010
Raedeke, T. D. (2007). The relationship between enjoyment and affective responses to exercise. Journal of Applied Sport Psychology, 19(1), 105-115. https://doi.org/10.1080/10413200601113638
Ralph, A. F., Brennan, L., Byrne, S., Caldwell, B., Farmer, J., Hart, L. M., Heruc, G. A., Maguire, S., Piya, M. K., Quin, J., Trobe, S. K., Wallis, A., Williams-Tchen, A., & Hay, P. (2022). Management of eating disorders for people with higher weight: Clinical practice guideline. Journal of Eating Disorders, 10(1), 121. https://doi.org/10.1186/s40337-022-00622-w
R Core Team. (2022). R: A language and environment for statistical computing. R Foundation for Statistical Computing.
Rosenberg, J. M., Beymer, P. N., Anderson, D. J., Van Lissa, C., & Schmidt, J. A. (2019). tidyLPA: An R package to easily carry out latent profile analysis (LPA) using open-source or commercial software. Journal of Open Source Software, 3(30), 978. https://doi.org/10.21105/joss.00978
Schaefer, L. M., Engel, S. G., & Wonderlich, S. A. (2020). Ecological momentary assessment in eating disorders research: Recent findings and promising new directions. Current Opinion in Psychiatry, 33(6), 528-533. https://doi.org/10.1097/yco.0000000000000639
Schaefer, L. M., Smith, K. E., Anderson, L. M., Cao, L., Crosby, R. D., Engel, S. G., Crow, S. J., Peterson, C. B., & Wonderlich, S. A. (2020). The role of affect in the maintenance of binge-eating disorder: Evidence from an ecological momentary assessment study. Journal of Abnormal Psychology, 129(4), 387-396. https://doi.org/10.1037/abn0000517
Scharmer, C., Gorrell, S., Schaumberg, K., & Anderson, D. (2020). Compulsive exercise or exercise dependence? Clarifying conceptualizations of exercise in the context of eating disorder pathology. Psychology of Sport and Exercise, 46, 101586. https://doi.org/10.1016/j.psychsport.2019.101586
Sen, N., Celia, K., Gurleyik, D., & Psouni, E. (2020). The role of physical activity on parental rejection and body image perceptions. International Journal of Environmental Research and Public Health, 17(7), 2176. https://doi.org/10.3390/ijerph17072176
Smyth, J. M., Wonderlich, S. A., Heron, K. E., Sliwinski, M. J., Crosby, R. D., Mitchell, J. E., & Engel, S. G. (2007). Daily and momentary mood and stress are associated with binge eating and vomiting in bulimia nervosa patients in the natural environment. Journal of Consulting and Clinical Psychology, 75(4), 629-638. https://doi.org/10.1037/0022-006x.75.4.629
Solhan, M. B., Trull, T. J., Jahng, S., & Wood, P. K. (2009). Clinical assessment of affective instability: Comparing EMA indices, questionnaire reports, and retrospective recall. Psychological Assessment, 21(3), 425-436. https://doi.org/10.1037/a0016869
Srivastava, P. S., Lampe, E. W., Wons, O. B., Juarascio, A. S., & Manasse, S. M. (2022). Understanding momentary associations between body dissatisfaction and exercise in binge-spectrum eating disorders. Eating and Weight Disorders, 27(6), 2193-2200. https://doi.org/10.1007/s40519-022-01371-0
Stone, A. A., & Shiffman, S. (1994). Ecological momentary assessment in behavioral medicine. Annals of Behavioral Medicine, 16(3), 199-202. https://doi.org/10.1093/abm/16.3.199
Udo, T., & Grilo, C. M. (2018). Prevalence and correlates of DSM-5-Defined eating disorders in a nationally representative sample of US adults. Biological Psychiatry, 84(5), 345-354. https://doi.org/10.1016/j.biopsych.2018.03.014
Vocks, S., Hechler, T., Rohrig, S., & Legenbauer, T. (2009). Effects of a physical exercise session on state body image: The influence of pre-experimental body dissatisfaction and concerns about weight and shape. Psychology and Health, 24(6), 713-728. https://doi.org/10.1080/08870440801998988
Wang, S. B., Jones, P. J., Dreier, M., Elliott, H., & Grilo, C. M. (2019). Core psychopathology of treatment-seeking patients with binge-eating disorder: A network analysis investigation. Psychological Medicine, 49(11), 1923-1928. https://doi.org/10.1017/s0033291718002702
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. https://doi.org/10.1037/0022-3514.54.6.1063
Weitz, E., Kleiboer, A., van Straten, A., & Cuijpers, P. (2018). The effects of psychotherapy for depression on anxiety symptoms: A meta-analysis. Psychological Medicine, 48(13), 2140-2152. https://doi.org/10.1017/S0033291717003622
Wonderlich, J. A., Lavender, J. M., Wonderlich, S. A., Peterson, C. B., Crow, S. J., Engel, S. G., Le Grange, D., Mitchell, J. E., & Crosby, R. D. (2015). Examining convergence of retrospective and ecological momentary assessment measures of negative affect and eating disorder behaviors. International Journal of Eating Disorders, 48(3), 305-311. https://doi.org/10.1002/eat.22352
Wons, O. B., Michael, M. L., Lin, M., & Juarascio, A. S. (2021). Characterizing rates of physical activity in individuals with binge eating disorder using wearable sensor technologies and clinical interviews. European Eating Disorders Review, 29(2), 292-299. https://doi.org/10.1002/erv.2811