Identifying the features of an exercise addiction: A Delphi study.

Identifying the features of an exercise addiction: A Delphi study.
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识别运动成瘾的特征:Delphi研究。

DOI:
10.1556/2006.5.2016.060
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发表时间:
2016-09
影响因子:
7.8
通讯作者:
Cruz Bdel P
Cruz Bdel P
中科院分区:
医学2区
文献类型:
--
作者:
Macfarlane L;Owens G;Cruz Bdel P

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关于运动成瘾的定义和概念基础的共识仍然有限。了解成瘾性运动行为维持的动机因素对于适当的针对性干预是重要的。本研究的目的是双重的:第一,建立共识的特点,运动成瘾使用德尔菲方法,第二,以确定这些功能是否是一致的概念模型的运动成瘾适应工作渴望模型。一个三轮的德尔菲过程探讨了参与者的意见,关于运动成瘾的特点。参与者选自体育和锻炼相关领域,包括医生,物理治疗师,教练,培训师和运动员。会议审议了关于拟议概念模型的协商一致意见。63个项目达成共识。一致的意见是,过度锻炼是一种成瘾,因此,根据基于成瘾的概念模型考虑这些建议是适当的。达成共识的陈述与模型的所有三个组成部分一致:学习(消极完美主义),行为(强迫驱动)和享乐(自我价值补偿和减少负面影响和退缩)。德尔菲法允许达成共识的特点,运动成瘾,这些功能是一致的,我们假设的概念模型的运动成瘾。这项研究是第一次将德尔菲方法应用于运动成瘾领域,因此介绍了一种新的方法,运动成瘾的研究,可以作为一个模板,以刺激未来的检查使用这种技术。
There remains limited consensus regarding the definition and conceptual basis of exercise addiction. An understanding of the factors motivating maintenance of addictive exercise behavior is important for appropriately targeting intervention. The aims of this study were twofold: first, to establish consensus on features of an exercise addiction using Delphi methodology and second, to identify whether these features are congruous with a conceptual model of exercise addiction adapted from the Work Craving Model. A three-round Delphi process explored the views of participants regarding the features of an exercise addiction. The participants were selected from sport and exercise relevant domains, including physicians, physiotherapists, coaches, trainers, and athletes. Suggestions meeting consensus were considered with regard to the proposed conceptual model. Sixty-three items reached consensus. There was concordance of opinion that exercising excessively is an addiction, and therefore it was appropriate to consider the suggestions in light of the addiction-based conceptual model. Statements reaching consensus were consistent with all three components of the model: learned (negative perfectionism), behavioral (obsessive–compulsive drive), and hedonic (self-worth compensation and reduction of negative affect and withdrawal). Delphi methodology allowed consensus to be reached regarding the features of an exercise addiction, and these features were consistent with our hypothesized conceptual model of exercise addiction. This study is the first to have applied Delphi methodology to the exercise addiction field, and therefore introduces a novel approach to exercise addiction research that can be used as a template to stimulate future examination using this technique.