Does "excessive" or "compulsive" best describe exercise as a symptom of bulimia nervosa?

Does "excessive" or "compulsive" best describe exercise as a symptom of bulimia nervosa?
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DOI:
10.1002/eat.20140
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发表时间:
2005-07-01
影响因子:
5.5
通讯作者:
Keel, PK
Keel, PK
中科院分区:
医学2区
文献类型:
--
作者:
Adkins, EC;Keel, PK

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目的:《精神疾病诊断与统计手册》第4版(DSM-IV;华盛顿特区:美国精神病学协会)对神经性贪食症的标准包括“过度运动”作为一种不适当的代偿行为,这表明是身体活动的数量而不是其质量有症状。目前的研究评估了一种假设,即对运动的心理承诺(强迫性品质)比花在运动上的时间(过量)更能预测饮食态度和行为失调。方法:女生(162名)和男生(103名)分别完成进食障碍量表(EDI)、强制性运动问卷(OEQ)和运动持续时间和频率评估问题。结果:通过多变量分析,OEQ得分是饮食态度和行为紊乱的正向预测因子,运动时间是负向预测因子。讨论:在描述运动作为神经性贪食症的症状时,“强迫性”可能比“过度”更好。(c) 2005, Wiley期刊公司
Objective: The criteria in the 4th ed. of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; Washington, DC: American Psychiatric Association) for bulimia nervosa include "excessive exercise" as an inappropriate compensatory behavior, suggesting that it is the quantity of the physical activity that is symptomatic, rather than its quality. The current study evaluated the hypothesis that psychological commitment to exercise (compulsive quality) will he more predictive of disordered eating attitudes and behaviors than the amount of time devoted to exercise (excessive quantity).Method: Female (n = 162) and male (n = 103) undergraduates completed the Eating Disorder Inventory (EDI) subscales, the Obligatory Exercise Questionnaire (OEQ), and questions to assess the duration and frequency of exercise.Results: Using multivariate analysis, the OEQ score was a positive predictor of disordered eating attitudes and behaviors, and exercise time was a negative predictor.Discussion: "Compulsive" may be a better description than "excessive" in characterizing exercise as a symptom of bulimia nervosa. (c) 2005 by Wiley Periodicals, Inc.