Associations between fear of weight gain and exercise in binge-spectrum eating disorders.
Associations between fear of weight gain and exercise in binge-spectrum eating disorders.
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DOI：
10.1007/s40519-022-01361-2
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发表时间：
2022-08
影响因子：
2.9
通讯作者：
Manasse, Stephanie M.
中科院分区：
文献类型：
--
作者：
Lampe, Elizabeth W.;Wons, Olivia;Taylor, Lauren C.;Juarascio, Adrienne S.;Manasse, Stephanie M.
不适应运动(即驱动性或补偿性运动)被认为可以暂时降低对体重增加的恐惧(FOWG)。然而，很少有研究研究FOWG和运动之间的联系，也没有研究在瞬时水平或被认为是运动类型(即适应不良与适应)来衡量FOWG。因此，我们在患有跨诊断暴饮暴食的个体中检查了FOWG和运动之间的受试者内和受试者之间的关联。我们招募了寻求治疗的成年人(N=58，82.9%女性)来完成7-14天的生态瞬时评估方案，该方案评估了FOWG水平、运动参与度和类型。混合模型和广义估计方程评估了受试者内的关联，线性回归评估了受试者间的关联性。在下一次调查中，FOWG对运动投入没有主要影响。然而，出乎意料的是，运动类型缓和了这种关系，以至于FOWG和运动之间的关系在适应性运动的发作中最强。总体运动频率解释了FOWG变量的10.4%，运动类型解释了FOWG变量的1.7%。目前的研究结果表明，瞬时FOWG水平与随后的适应性运动事件相关，而总体水平较高的适应不良运动与较高水平的FOWG相关。未来的治疗应该更多地强调通过提供减少FOWG的策略来减少适应不良运动的频率。第四级：从案例研究等多重时间序列分析中获得的证据。
Maladaptive exercise (i.e., exercise that is either driven or compensatory) is thought to momentarily down-regulate elevated fear of weight gain (FOWG). However, little research has examined associations between FOWG and exercise, and no research has measured FOWG at a momentary level or considered exercise type (i.e., maladaptive vs. adaptive). Thus, we examined both within- and between-subject associations between FOWG and exercise among individuals with transdiagnostic binge eating. We recruited treatment-seeking adults (N = 58, 82.9% female) to complete a 7–14-day ecological momentary assessment protocol which assessed levels of FOWG and exercise engagement and type. Mixed models and generalized estimating equations assessed within-subject associations, and linear regression assessed between-subject associations. There was no main effect of FOWG on exercise engagement at the next survey. However, unexpectedly, exercise type moderated this relationship such that the relationship between FOWG and exercise was strongest for episodes of adaptive exercise. Overall exercise frequency accounted for 10.4% of the variance in FOWG and exercise type explained an additional 1.7% of the variance in FOWG. The findings of the current study indicate that momentary levels of FOWG are associated with subsequent adaptive exercise episodes, while higher overall levels of maladaptive exercise were associated with higher levels of FOWG. Future treatments should place a greater emphasis on reducing the frequency of maladaptive exercise by providing strategies for reducing FOWG. Level IV: Evidence obtained from multiple time series analysis such as case studies.
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影响因子：
5.5
作者：
Levinson, Cheri A.;Williams, Brenna M.
通讯作者：
Williams, Brenna M.
影响因子：
3.4
作者：
Scharmer, Christina;Gorrell, Sasha;Anderson, Drew
通讯作者：
Anderson, Drew
影响因子：
4.1
作者：
Stice, Eric;Bohon, Cara;Rohde, Paul
通讯作者：
Rohde, Paul
DOI：
10.1007/s40519-020-00849-z
发表时间：
2020-01-27
影响因子：
2.9
作者：
Srivastava, Paakhi;Michael, Megan L.;Juarascio, Adrienne S.
通讯作者：
Juarascio, Adrienne S.
影响因子：
2.8
作者：
Lampe EW;Trainor C;Presseller EK;Michael ML;Payne-Reichert A;Juarascio AS;Manasse SM
通讯作者：
Manasse SM