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Hwang W, Jung E, Hadi N, Kim S. Parental control and college students' depressive symptoms: A latent class analysis. PLoS One 2024; 19:e0287142. [PMID: 38324521 PMCID: PMC10849428 DOI: 10.1371/journal.pone.0287142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 05/31/2023] [Indexed: 02/09/2024] Open
Abstract
We examined how maternal and paternal parental control (helicopter parenting, behavioral control, and psychological control) among college students are related to their depressive symptoms. We collected data from college students who attended a private university in Upstate New York (n = 455) and analyzed it using three-step latent class analysis. Latent class analysis identified four parental control latent classes: weak parental control, strong psychological control, strong helicopter parenting, and strong parental control. College students in the weak parental control class reported lower depressive symptoms than those in strong psychological control and strong parental control classes. In addition, college students in the strong helicopter parenting class reported lower depressive symptoms than those in strong psychological control and strong parental control classes. College students' depressive symptoms were not significantly different between weak parental control and strong helicopter parenting classes. Future researchers are encouraged to continue to acknowledge the characteristics of different forms of parental control and their influence on college students' quality of life in the transition to adulthood, considering the unique approaches of both parents.
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Affiliation(s)
- Woosang Hwang
- Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, United States of America
| | - Eunjoo Jung
- Department of Human Development and Family Science, Syracuse University, Syracuse, NY, United States of America
| | - Narges Hadi
- Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, United States of America
| | - Seonghee Kim
- Research Institute for Liberal Education, Yonsei University, Incheon, South Korea
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Fioravanti G, Nicolis M, MacBeth A, Dimaggio G, Popolo R. Metacognitive interpersonal therapy-eating disorders versus cognitive behavioral therapy for eating disorders for non-underweight adults with eating disorders: study protocol for a pilot pre-registered randomized controlled trial. RESEARCH IN PSYCHOTHERAPY (MILANO) 2023; 26:690. [PMID: 37667887 PMCID: PMC10519278 DOI: 10.4081/ripppo.2023.690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 08/09/2023] [Indexed: 09/06/2023]
Abstract
Eating disorders (ED) are serious disorders characterized by an alteration of eating habits and excessive concern about weight and body shapes (Fairburn, 2002), accompanied by significant impairment inequality of life, high mortality rates and serious organic consequences (Jenkins et al., 2011; Treasure et al., 2015; 2020). Although evidence-based psychological therapies for nonunderweight ED presentations such as cognitive behavioral therapy for eating disorders (CBT-ED) are widely available, there is substantial scope for improvements, particularly in terms of efficacy and adherence. One option is to develop interventions to address elements of pathology not fully addressed by existing empirical supported treatments, such as incorporating techniques aimed at addressing interpersonal problems and personality disorder features into existing treatment delivery. We adapted Metacognitive Interpersonal Therapy, a psychological intervention supported by evidence for treating personality disorders and integrated it with existing CBT techniques for eating disorders (MIT-ED). MIT-ED targets aspects of ED that are not included in the transdiagnostic CBT-E model such as poor metacognition, or maladaptive interpersonal schemas. This is a pre-registered (Protocol number: 0000781) pilot randomized clinical trial aimed at assessing acceptability and feasibility of MIT-ED and establishing preliminary evidence of effectiveness for future larger studies. Twenty patients (10 in each arm) will be randomized to 20 sessions of individual psychotherapy, either MIT-ED or CBTE. Repeated follow-ups will be collected up to 24 months. Participants are recruited at a private outpatient clinic for ED treatment. Acceptability will be assessed via session attendance, completion rates and preliminary outcomes. The primary outcome is ED pathology assessed with the Eating Disorder Examination Questionnaire-6. Other ED outcomes assessed will be eating disorder attitudes, clinical impairment and binge eating pathology. Secondary treatment outcomes are anxiety, depression, and global symptomatology. We will also assess emotional awareness, emotion regulation and therapeutic alliance. Based on previous studies of MIT for personality disorders we hypothesize that MIT-ED will be acceptable to patients, evidenced by high treatment adherence and retention. We hypothesize that MIT-ED will be associated with reductions in eating disorder pathology, at least equivalent to CBT-E. Results will be used to inform the study design, sampling, likely effect sizes and choice of outcome measures for future larger trials of MIT-ED in ED samples.
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Affiliation(s)
- Gloria Fioravanti
- Centro di Trattamento Integrato Disturbi Alimentari e Obesità di Gloria Fioravanti, Verona.
| | - Martina Nicolis
- 1Centro di Trattamento Integrato Disturbi Alimentari e Obesità di Gloria Fioravanti, Verona.
| | - Angus MacBeth
- Department of Clinical Psychology, School of Health in Social Science, The University of Edinburgh, Medical School (Doorway 6), Edinburgh.
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Stackpole R, Greene D, Bills E, Egan SJ. The association between eating disorders and perfectionism in adults: A systematic review and meta-analysis. Eat Behav 2023; 50:101769. [PMID: 37327637 DOI: 10.1016/j.eatbeh.2023.101769] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 06/07/2023] [Accepted: 06/07/2023] [Indexed: 06/18/2023]
Abstract
OBJECTIVE Dimensions of perfectionism are associated with the onset and maintenance of eating disorder pathology in both clinical and non-clinical samples. The aim of this study was to conduct a systematic review and meta-analysis of the association between perfectionism and eating disorders in adults. METHOD A literature search was conducted using the PsycINFO, Medline, Scopus, Embase, Web of Science and ProQuest databases. Ninety-five studies met the inclusion criteria and included a total sample of 32,840 participants (clinical eating disorder diagnosis N = 2414, non-clinical N = 30,428). Correlation coefficients (r) for the association between eating disorders and perfectionism were pooled. A meta-analysis to determine the association between two dimensions of perfectionism and eating disorder symptoms was conducted. Subgroup analyses were conducted with studies using clinical samples, and studies using the Eating Disorder Examination Questionnaire. RESULTS The pooled effect size for the association between perfectionistic concerns and eating disorder symptoms was r = 0.33 [0.30, 0.37]; and r = 0.20 [0.14, 0.25] for the association between perfectionistic strivings and eating disorder symptoms. In the clinical subgroup analyses the effect sizes were r = 0.40 [0.22, 0.58]; and r = 0.35 [0.26, 0.44] respectively. Medium to high heterogeneity was identified across all subgroup analyses and a significant level of publication bias was also identified. DISCUSSION The findings indicate both perfectionistic strivings and perfectionistic concerns have significant associations with eating disorders, and further support the argument that both dimensions of perfectionism are important factors in the prevention and treatment of eating disorders.
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Affiliation(s)
- Rose Stackpole
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Danyelle Greene
- Australian Institute for Business and Economics, Faculty of Business, Economics and Law, University of Queensland, Brisbane, Australia
| | - Elizabeth Bills
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Sarah J Egan
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia; enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.
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Xie H, Zhang F, Cao Y, Long X, Wu B, Gong Q, Jia Z. Brain default mode network mediates the association between negative perfectionism and exercise dependence. J Behav Addict 2022; 11:928-940. [PMID: 36112490 PMCID: PMC9872538 DOI: 10.1556/2006.2022.00067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 07/11/2022] [Accepted: 08/19/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND AND AIMS Perfectionism is correlated with the occurrence of exercise dependence. We aim to reveal the role of functional connectivity (FC) between gray matter (GM) and white matter (WM) networks in the association between perfectionism and exercise dependence. METHODS In this cross-sectional study, one hundred ten participants with exercise dependence underwent behavioral evaluation and resting-state functional magnetic resonance imaging. Perfectionism and exercise dependence were quantified using the Frost Multidimensional Perfectionism Scale (FMPS) and Exercise Dependence Scale (EDS). We used a K-means clustering algorithm to identify functional GM and WM networks and obtained the FCs of the GM-GM, GM-WM, and WM-WM networks. Partial correlation and mediation analyses were performed to explore the relationships among FCs, FMPS, and EDS. RESULTS We identified ten stable GM networks and nine WM networks. Of these, FCs existed between the corona radiata network (WM1) and default mode network (DMN, GM8), WM1 network and WM DMN (WM4), WM1 network and midbrain WM network (WM7), and WM4 network and inferior longitudinal fasciculus network (WM9). The WM1-GM8 and WM1-WM4 FCs were positively correlated with the EDS and negative FMPS. The mediating effects of the WM1-GM8 and WM1-WM4 FCs were established in the association between the negative dimensional FMPS and EDS. DISCUSSION AND CONCLUSIONS The WM1 network anatomically linked the subregions within the GM8 and WM4 networks, and WM1-GM8 and WM1-WM4 FCs mediated the association between negative dimensional FMPS and EDS. These findings indicated that DMN function might be involved in the increased risks of exercise dependence promoted by negative perfectionism.
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Affiliation(s)
- Hongsheng Xie
- Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China,Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Feifei Zhang
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, 610041, China,Department of Radiology, First Hospital of Shanxi Medical University, Taiyuan, 030001, Shanxi Province, China
| | - Yuan Cao
- Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China,Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, 610041, China,Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, 610041, China
| | - Xipeng Long
- Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China,Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Baolin Wu
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, 610041, China,Functional and Molecular Imaging Key Laboratory of Sichuan University, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Qiyong Gong
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, 610041, China,Department of Radiology, West China Xiamen Hospital of Sichuan University, Xiamen, 361021, Fujian Province, China,Corresponding authors. E-mail: ,
| | - Zhiyun Jia
- Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China,Research Unit of Psychoradiology, Chinese Academy of Medical Sciences, Chengdu, 610041, China,Functional and Molecular Imaging Key Laboratory of Sichuan University, West China Hospital of Sichuan University, Chengdu, 610041, China,Corresponding authors. E-mail: ,
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Mavrandrea P, Gonidakis F. Exercise dependence and orthorexia nervosa in Crossfit: exploring the role of perfectionism. CURRENT PSYCHOLOGY 2022; 42:1-9. [PMID: 35990207 PMCID: PMC9382005 DOI: 10.1007/s12144-022-03585-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 07/27/2022] [Accepted: 07/29/2022] [Indexed: 12/20/2022]
Abstract
Physical exercise and healthy diet have a positive effect on health. However, the pathological dimension of both behaviors, namely exercise dependence and orthorexia nervosa, can lead to negative results. So far, literature on these behaviors in the context of high-intensity sports is limited. The present study aims for investigating exercise dependence and orthorexia nervosa in a sample of Crossfit athletes, as well as examining the mediating role of perfectionism in their manifestation.The sample consisted of 110 people who attended Crossfit programs and 131 active gym members. The Exercise Dependence Scale was used to assess exercise dependence, the ORTO-15 to assess orthorexic behavior and the Almost Perfect Scale to evaluate perfectionism.19.8% of crossfitters and 3.8% of gym members were at risk for exercise dependence. 11.7% of participants in the Crossfit group and 10% of participants in the control group had orthorexic symptoms. An association was found between the scores on the two behaviors. In addition, the dimension of perfectionism high standards predicted obligatory exercise and orthorexia nervosa, while the dimension of discrepancy predicted only exercise dependence.The study suggests that exercise dependence is more evident in Crossfit compared to gym athletes and may be accompanied by orthorexic symptoms. Orthorexia nervosa is a noticeable phenomenon in the population of active exercisers. Perfectionism is a risk factor for obligatory exercise and orthorexia. A more demanding selection of target populations is encouraged in order to better understand exercise dependence, orthorexia nervosa and their personality background.
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Affiliation(s)
- Panagiota Mavrandrea
- Eating Disorders Unit, 1st Department of Psychiatry, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Fragiskos Gonidakis
- Eating Disorders Unit, 1st Department of Psychiatry, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece
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González-Hernández J, Bianco A, Marques da Silva C, Gómez-López M. Perfectionism, Resilience and Different Ways of Experiencing Sport during COVID-19 Confinement. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105994. [PMID: 35627531 PMCID: PMC9141558 DOI: 10.3390/ijerph19105994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/12/2022] [Accepted: 05/13/2022] [Indexed: 12/07/2022]
Abstract
The relationship between sports practice and physical and mental health became an important issue during the COVID-19 pandemic, where keeping fit and exercising was one of the best and most popular ways to cope with the confinement situation. The aim of this study was to determine the relationships between perfectionism and resilient resources with psychological well-being, differentiating sports category, gender and experience in a sample of athletes during confinement in different countries affected by the COVID-19 pandemic. An incidental and cross-sectional random sampling method was designed (n = 583). The sample was analysed with three different instruments, evaluating perfectionism, resilience and psychological well-being patterns and comparing three groups with different levels of practice due to confinement (full reduction, moderate reduction and only access restrictions). Results show that both male and senior athletes were more organized, resistant to changes and focused their attention and efforts on their demands and potential. They were stimulated by obstacles that required more effort compared to U23, who reported higher concerns and lower organisational scores. Athletes who completely interrupted their sports dynamics showed higher indicators of perfectionism and performed worse in resilience and well-being. Despite this, age and the variability of the athletes’ experiences proved to be relevant factors in an athlete’s trajectory, and continued to represent a certain degree of balance in the face of COVID-19.
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Affiliation(s)
- Juan González-Hernández
- Department of Personality, Evaluation and Psychological Treatment, University of Granada, 18001 Granada, Spain;
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, 90144 Palermo, Italy;
| | - Carlos Marques da Silva
- Life Quality Research Center (CIEQV), Sport Sciences School of Rio Maior, Polytechnic Institute of Santarém, 2000-044 Santarem, Portugal;
| | - Manuel Gómez-López
- Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia, 30720 Murcia, Spain
- Campus of International Excellence “Mare Nostrum”, University of Murcia, 30720 Murcia, Spain
- Correspondence:
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Brevers D, Maurage P, Kohut T, Perales JC, Billieux J. On the pitfalls of conceptualizing excessive physical exercise as an addictive disorder: Commentary on Dinardi et al. (2021). J Behav Addict 2022; 11:234-239. [PMID: 35234660 PMCID: PMC9295221 DOI: 10.1556/2006.2022.00001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/27/2022] [Accepted: 01/30/2022] [Indexed: 11/27/2022] Open
Abstract
This commentary challenges some of the proposals made in the opinion paper entitled "The expanded interactional model of exercise addiction" by Dinardi, Egorov, and Szabo (2021). We first question the usefulness of the (expanded) interactional model of exercise addiction to determine the psychological processes underlying distress and functional impairment in excessive physical exercise. We then consider the authors' use of the Self-Determination Theory to model exercise addiction, which risks the misclassification of strenuous, but adaptive, patterns of physical exercise as exercise addiction. We finally address broader concerns regarding the idea that maladaptive exercising could be conceptualized as an addictive disorder.
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Affiliation(s)
- Damien Brevers
- Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
- Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Pierre Maurage
- Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Taylor Kohut
- Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - José C. Perales
- Mind, Brain, and Behavior Research Center (CIMCYC), Department of Experimental Psychology, University of Granada, Granada, Spain
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
- Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
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8
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Liu X, Cui L, Wu H, Liu B, Yang Y. Profiles and transition of mental health problems among Chinese adolescents: The predictive role of friendship quality, parental autonomy support, and psychological control. J Adolesc 2022; 94:19-33. [PMID: 35353407 DOI: 10.1002/jad.12002] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 11/30/2021] [Indexed: 11/07/2022]
Abstract
INTRODUCTION Mental health problems have become a global crisis of the 21st century, with adolescence being a typical period of the outbreak of these problems. However, the profiles and transition of mental health problems in Chinese adolescents remain unclear. In addition, protective and risk factors that shape mental health problems require further clarification. METHODS We measured depression, anxiety, and stress as indicators to identify the profiles and transition patterns of mental health problems among Chinese adolescents, as well as environment-related predictors (i.e., friendship quality, parental psychological control, and autonomy support). A total of 722 participants (376 females; Mage = 15.21, SDage = 0.74) completed a set of questionnaires at two time points with a 1-year interval (T1: November 2018; T2: November 2019). RESULTS The profile analysis revealed two groups: healthy and troubled. The development of mental health problems included four trajectories: steady low, steady high, increasing, and decreasing. Results indicated that parental autonomy support and friendship quality exerted protective and buffering effects, whereas parental psychological control acted as a risk factor for mental health problem profiles. Furthermore, friendship quality had a unique predictive effect on the decreasing trajectory. CONCLUSIONS The profiles of mental health problems showed high concurrency of depression, anxiety, and stress symptoms, and developmental trajectories were largely stable over time. Friendship quality, parental autonomy support, and psychological control predicted the profiles of the mental health problems of Chinese adolescents, and only friendship quality predicted the transition from a troubled to healthy profile over 1 year.
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Affiliation(s)
- Xinyi Liu
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Lijuan Cui
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Hang Wu
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Ben Liu
- MiZhi Middle School of Shaanxi Province, Shaanxi, China
| | - Ying Yang
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
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Golshani S, Najafpour A, Hashemian SS, Goudarzi N, Shahmari F, Golshani S, Babaei M, Firoozabadi K, Dürsteler KM, Brühl AB, Shakeri J, Brand S, Sadeghi-Bahmani D. When Much Is Too Much-Compared to Light Exercisers, Heavy Exercisers Report More Mental Health Issues and Stress, but Less Sleep Complaints. Healthcare (Basel) 2021; 9:1289. [PMID: 34682969 PMCID: PMC8535876 DOI: 10.3390/healthcare9101289] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 09/19/2021] [Accepted: 09/24/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Physical inactivity has become a global somatic and mental health issue. To counterbalance, promoting regular physical activity appears plausible, above all among adults, where physical inactivity is particularly high. However, some, but sparse, research also indicates that excessive exercising might be associated with unfavorable mental health dimensions. Here, we tested the hypothesis that excessive exercising was associated with more mental health issues. To this end, we assessed mental health issues, stress, mental toughness, and sleep disturbances among heavy and light adult exercisers. METHODS A total of 200 adults (mean age: 35 years; 62% females) took part in the study. Of those, 100 were heavy exercisers (18-22 h/week), and 100 were light exercisers (1-6 h/week). Participants completed questionnaires covering sociodemographic information, mental health issues, perceived stress, mental toughness, and sleep disturbances. RESULTS Compared with light exercisers, heavy exercisers reported higher mental health issues, more stress, but also higher mental toughness scores and less sleep disturbances. Higher age, lower mental toughness scores, heavy exerciser-status, and more sleep disturbances predicted higher mental health complaints. CONCLUSIONS Compared with light exercising, heavy exercising might be associated with more mental health issues. As such, it appears that the association between exercise frequency, intensity, and duration and psychological well-being might be related to an optimum point, but not to a maximum point. In a similar vein, heavily exercising athletes, their coaches, parents, and representatives of sports associations should get sensitized to possible adverse psychological effects of excessive physical activity patterns.
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Affiliation(s)
- Sanobar Golshani
- Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran; (S.G.); (F.S.); (J.S.)
| | - Ali Najafpour
- Student Research Committee, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran;
| | | | - Nasser Goudarzi
- Department of Psychiatry, AJA University of Medical Sciences, Tehran 1411718541, Iran;
| | - Fatemeh Shahmari
- Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran; (S.G.); (F.S.); (J.S.)
| | - Sanam Golshani
- Department of Cardiology, AJA General Hospital, Kermanshah 6714869914, Iran;
| | - Masthaneh Babaei
- School of Medicine, Urmia University of Medical Sciences, Urmia 5714783734, Iran; (M.B.); (K.F.)
| | - Kimia Firoozabadi
- School of Medicine, Urmia University of Medical Sciences, Urmia 5714783734, Iran; (M.B.); (K.F.)
| | - Kenneth M. Dürsteler
- Psychiatric Clinics, Division of Substance Use Disorders, University of Basel, 4002 Basel, Switzerland;
- Center for Addictive Disorders, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, 8001 Zurich, Switzerland
| | - Annette Beatrix Brühl
- Center for Affective-, Stress- and Sleep Disorders (ZASS), Psychiatric Clinics (UPK), University of Basel, 4002 Basel, Switzerland; (A.B.B.); (D.S.-B.)
| | - Jalal Shakeri
- Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran; (S.G.); (F.S.); (J.S.)
| | - Serge Brand
- Center for Affective-, Stress- and Sleep Disorders (ZASS), Psychiatric Clinics (UPK), University of Basel, 4002 Basel, Switzerland; (A.B.B.); (D.S.-B.)
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran
- Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran
- Department of Sport, Exercise, and Health, Division of Sport Science and Psychosocial Health, University of Basel, 4052 Basel, Switzerland
- Department of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Tehran 1417466191, Iran
| | - Dena Sadeghi-Bahmani
- Center for Affective-, Stress- and Sleep Disorders (ZASS), Psychiatric Clinics (UPK), University of Basel, 4002 Basel, Switzerland; (A.B.B.); (D.S.-B.)
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6714869914, Iran
- Department of Psychology, Stanford University, Stanford, CA 94305, USA
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Livinţi R, Iliescu D. Investigation of the psychometric properties of the Perceived Parental Autonomy Support Scale in the Southeastern European context. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-019-00317-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Wågan FA, Darvik MD, Pedersen AV. Associations between Self-Esteem, Psychological Stress, and the Risk of Exercise Dependence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115577. [PMID: 34071108 PMCID: PMC8197145 DOI: 10.3390/ijerph18115577] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 05/18/2021] [Accepted: 05/19/2021] [Indexed: 12/19/2022]
Abstract
Body concerns and stress-related disorders are increasing in the younger population in a wide range of nations. Studies find links between both self-worth, exercise dependence, and self-esteem in relation to stress, but few have considered all three variables in relation to one another. The present study explored whether the co-appearance of high levels of psychological distress, and low levels of self-esteem may be a vulnerability factor for developing exercise dependence by studying the links between self-esteem, psychological stress, and exercise dependence. A standardized cross-sectional questionnaire was completed by 203 regular exercisers attending two gyms (mean age: 35.9 years). The variables self-esteem, psychological distress, and exercise dependence were all significantly correlated with each other, even after weekly exercise amount, age, and gender had been accounted for. Those who exercised for more than 9 h per week had a significantly higher score on stress and exercise dependence symptoms, and a lower score on self-esteem compared with the remaining groups. One could hypothesize that low self-esteem is a vulnerability factor and high psychological stress a maintenance factor for an exercise-dependent person. It is argued that more focus should be directed toward the negative consequences of excessive exercise.
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Çakın G, Juwono ID, Potenza MN, Szabo A. Exercise Addiction and Perfectionism: A Systematic Review of the Literature. CURRENT ADDICTION REPORTS 2021. [DOI: 10.1007/s40429-021-00358-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Abstract
Background and aims
Exercise addiction may be conceptualized as a behavioral addiction in which a person develops an unhealthy obsession with exercise and physical activity. While exercise addiction is not a formally recognized disorder in the Diagnostic and Statistical Manual or the International Classification of Diseases, it has been studied and connected to both personal and situational factors. Perfectionism is a feature that has been strongly linked to exercise addiction. The objective of this systematic literature review, performed by following the PRISMA protocol, was to examine relationships between exercise addiction and perfectionism while also considering the subdimensions of perfectionism in different groups.
Methods
Three databases (PsycINFO, PubMed/Medline, and SPORTDiscus) were examined. Sixty relevant articles were identified, of which 22 met inclusion criteria.
Results
The findings substantiate that perfectionism and its dimensions are weakly or moderately related to exercise addiction. This relationship has been observed in adults, adolescents, athletes, and patients with eating disorders. Of the 22 studies examined, only one did not identify an association between perfectionism or its subdomain(s) and exercise addiction. However, in most studies, the common variance between perfectionism and exercise addiction is relatively small, raising questions regarding the clinical relevance of the relationship.
Conclusion
Perfectionism is related to exercise addiction, but the strength of the relationship varies in different circumstances, which should be examined in future research.
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Stapleton P, Spinks T, Carter B. Psychological Determinants of Continued Obesity One-Year Postbariatric Surgery. Psychol Rep 2020; 123:1044-1063. [PMID: 32659202 DOI: 10.1177/0033294119844983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Bariatric surgery is an effective treatment for obesity; however, an estimated 20% of patients do not experience significant weight loss postsurgery. This study examined the interaction of potential psychological factors and their mediating effects on the emotional eating of individuals one-year postbariatric surgery. METHOD Three-hundred and sixty-six obese individuals (348 females; 95.1%) with a body mass index greater than 30 kg/m2 (M = 39.14; SD = 7.67) completed the Patient Health Questionnaire, the Brief Cope, the Big-Five Mini-Marker of Personality, and the Three-Factor Eating Questionnaire R-18. RESULTS The variance accounted for in emotional eating by age and 12 psychological factors were assessed via a four-step hierarchical multiple regression. Avoidant coping and the personality traits of extraversion, agreeableness, and in contrast to that hypothesized, emotional stability were significant predictors of emotional eating. Avoidant coping partially mediated the relationships of extraversion and emotional stability with emotional eating and fully mediated the relationship of agreeableness. CONCLUSION Certain personality traits may influence the preferred coping style chosen by individuals who experience continued obesity after bariatric surgery. Additional supports and tailored interventions that are matched with the needs of this population may subsequently be necessary to overcome emotional eating and improve weight loss.
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Affiliation(s)
- Peta Stapleton
- School of Psychology, Bond University, Queensland, Australia
| | - Teagan Spinks
- School of Psychology, Bond University, Queensland, Australia
| | - Brett Carter
- School of Psychology, Bond University, Queensland, Australia
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Alcaraz-Ibáñez M, Paterna A, Sicilia Á, Griffiths MD. Morbid exercise behaviour and eating disorders: A meta-analysis. J Behav Addict 2020; 9:206-224. [PMID: 32644935 PMCID: PMC8939419 DOI: 10.1556/2006.2020.00027] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 03/17/2020] [Accepted: 04/04/2020] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND AND AIMS This study examined the relationship between self-reported symptoms of morbid exercise behaviour (MEB) and eating disorders (ED) using meta-analytic techniques. METHODS We systematically searched MEDLINE, PsycINFO, Web of Science, SciELO and Scopus. Random effects models were used to compute pooled effect sizes estimates (r). The robustness of the summarized estimates was examined through sensitivity analyses by removing studies one at a time. RESULTS Sixty-six studies comprising 135 effect-sizes (N = 21,816) were included. The results revealed: (a) small-sized relationship in the case of bulimic symptoms (r = 0.19), (b) small- (r = 0.28) to medium-sized relationships (r = 0.41) in the case of body/eating concerns, and (c) medium-sized relationships in the case of overall ED symptoms (r = 0.35) and dietary restraint (r = 0.42). Larger effect sizes were observed in the case of overall ED symptoms in clinical, younger, and thinner populations, as well as when employing a continuously-scored instrument for assessing ED or the Compulsive Exercise Test for assessing MEB. Larger effect sizes were also found in female samples when the ED outcome was dietary restraint. CONCLUSIONS The identified gaps in the literature suggest that future research on the topic may benefit from: (a) considering a range of clinical (in terms of diagnosed ED) and non-clinical populations from diverse exercise modalities, (b) addressing a wide range of ED symptomatology, and (c) employing longitudinal designs that clarify the temporal direction of the relationship under consideration.
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Affiliation(s)
- Manuel Alcaraz-Ibáñez
- Department of Education, University of Almería, Almería, Spain
- Health Research Centre, University of Almería, Almería, Spain
| | - Adrian Paterna
- Department of Education, University of Almería, Almería, Spain
- Health Research Centre, University of Almería, Almería, Spain
| | - Álvaro Sicilia
- Department of Education, University of Almería, Almería, Spain
- Health Research Centre, University of Almería, Almería, Spain
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Zarychta K, Chan CKY, Kruk M, Luszczynska A. Body satisfaction and body weight in under- and healthy-weight adolescents: mediating effects of restrictive dieting, healthy and unhealthy food intake. Eat Weight Disord 2020. [PMID: 29520585 PMCID: PMC6997259 DOI: 10.1007/s40519-018-0496-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE Theoretical models, such as the transdiagnostic model of eating disorders highlight the role of cognitive factors (e.g., the way people perceive their bodies) and their associations with maladaptive weight management behaviors resulting in underweight. This paper aims at testing the indirect association of adolescent's body satisfaction and body mass index (BMI) through restrictive dieting, healthy eating or unhealthy eating as well as moderating role of adolescent's weight status. METHODS The study was conducted in 16 public middle and high schools in Central and Eastern Poland. A sample of 1042 under- and healthy-weight white adolescents aged 13-20 (BMI: 12.63-24.89) completed two self-reported questionnaires (fruit, vegetable, and energy-dense food intake) with a 11-month interval. Weight and height were measured objectively. Multiple mediation analysis and moderated multiple mediation analysis were conducted to test the study hypotheses. RESULTS Adolescents less satisfied with their bodies were more likely to diet restrictively and at the same time ate more unhealthy energy-dense food rather than healthy food, which in turn predicted lower BMI. No moderating effects of weight status were found. CONCLUSIONS Low body satisfaction is a risk for restrictive diet and unhealthy food intake. Prevention programs may target under- and healthy-weight adolescents who are highly dissatisfied with their bodies, have a high intake of energy-dense food and apply a restrictive diet at the same time. LEVEL OF EVIDENCE Level III: longitudinal cohort study.
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Affiliation(s)
- Karolina Zarychta
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, 53-238, Wroclaw, Poland.
| | - Carina K Y Chan
- School of Psychology, Australian Catholic University, Banyo, QLD, 4014, Australia
| | - Magdalena Kruk
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, 53-238, Wroclaw, Poland
| | - Aleksandra Luszczynska
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, 53-238, Wroclaw, Poland.,University of Colorado at Colorado Springs, 1420 Austin Bluffs Pkwy, Colorado Springs, CO, 80933-7105, USA
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Freire GLM, da Silva Paulo JR, da Silva AA, Batista RPR, Alves JFN, do Nascimento Junior JRA. Body dissatisfaction, addiction to exercise and risk behaviour for eating disorders among exercise practitioners. J Eat Disord 2020; 8:23. [PMID: 32528680 PMCID: PMC7285560 DOI: 10.1186/s40337-020-00300-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Accepted: 05/18/2020] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE This study investigated the association between body dissatisfaction (BD), addiction to exercise and risk behaviors to eating disorders (EDs) among Brazilian exercise practitioners, besides comparing the variables according to sex, age group and modality. METHODS Participants were 60 exercice practitioners of fitness (n = 44) and crossfit (n = 16), with mean age of 26.58 ± 7.76 years. Data collection was conducted through Eating Attitudes Test-26 (EAT-26), Diagnosis of Orthorexia Questionnaire (ORTO-15), Body Shape Questionnaire (BSQ) and Scale of Dedication to Exercise (SDE). Data analysis was conducted through Kolmogorov-Smirnov and independent t tests, Pearson correlation, and Path Analysis (p < .05). RESULTS Main results showed the association between BD, addiction to exercise and risk behaviour for EDs. Further, individuals dissatisfied with their bodies showed higher level of addiction to exercise and risk behavior for EDs. Furthermore, women showed higher presence of BD than men, and fitness participants reported higher presence of addiction to exercise than crossfit practitioners. CONCLUSIONS This study revealed that BD seems to be a determinant factor for risk behavior for ED's and addiction to exercise among fitness and crossfit particpants.
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Affiliation(s)
- Gabriel Lucas Morais Freire
- postgraduate programme in physical education, University Federal do Vale do São Francisco, Petrolina, Brazil
| | | | - Adson Alves da Silva
- postgraduate programme in physical education, University Federal do Vale do São Francisco, Petrolina, Brazil
| | | | | | - José Roberto Andrade do Nascimento Junior
- postgraduate programme in physical education, University Federal do Vale do São Francisco, Petrolina, Brazil.,postgraduate programme in psychology, University Federal do Vale do São Francisco, Petrolina, Brazil
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Gugliandolo MC, Costa S, Kuss DJ, Cuzzocrea F, Verrastro V. Technological Addiction in Adolescents: the Interplay Between Parenting and Psychological Basic Needs. Int J Ment Health Addict 2019. [DOI: 10.1007/s11469-019-00156-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
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“Always do your best!”—The relationship between food addiction, exercise dependence, and perfectionism in amateur athletes. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2019. [DOI: 10.1007/s12662-019-00609-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Determining The Relationship of Over-Exercise to Smartphone Overuse and Emotional Intelligence Levels in Gym-Goers: the Example of Burdur, Turkey. Int J Ment Health Addict 2018. [DOI: 10.1007/s11469-018-9989-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Interactive Effects of Looming Cognitive Style and Maladaptive Perfectionism on Trait Anxiety. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2018. [DOI: 10.1007/s10942-018-0289-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Uccula A, Nuvoli G. Body perception and meal type across age and gender on a Mediterranean island (Sardinia). PSYCHOL HEALTH MED 2017; 22:1210-1216. [PMID: 28349732 DOI: 10.1080/13548506.2017.1307997] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Our aim was to describe the differences in consumption of types of meal (complete/incomplete) eaten at lunch and dinner by gender in people of different age groups (children, young adults and seniors). In particular, we wanted to investigate the differences in choice of meal based on perceived weight. The study involved 516 participants, of which 156 were children (8-12y), 187 were young adults (19-30y) and 173 were elderly (65-90y). A cross-sectional analysis was carried out into the choice of meal type based on the different age groups and genders, on the three Body Mass Index categories (under, normal, overweight), on the three levels of self-perception (slim, normal and heavy) and on the degrees of perception of one's body weight (underestimation, accurate estimation, overestimation). The food eaten was grouped into three types of daily meal: (a) incomplete, (b) complete lunch or dinner, (c) always complete. Differences emerged in the type of meal eaten according to age, gender and perceived weight. The results show gender differences in associations with meal type according to the way in which body mass is measured or perceived. The choice of complete/incomplete meal type changes according to whether real weight or perceived weight is considered.
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Affiliation(s)
- Arcangelo Uccula
- a Department of History, Human Sciences and Education , University of Sassari , Sassari , Italy
| | - Gianfranco Nuvoli
- a Department of History, Human Sciences and Education , University of Sassari , Sassari , Italy
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