The pathological status of exercise dependence

British Journal of Sports Medicine - Tập 34 Số 2 - Trang 125-132 - 2000
Diane Bamber1
1School of Sport and Exercise Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom

Tóm tắt

Objectives—This study was concerned with the concept of exercise dependence. Levels of psychological morbidity, personality profiles, and exercise beliefs were compared among subjects screened for exercise dependence and eating disorders.Method—Adult female exercisers were allocated on the basis of questionnaire screening to one of the following groups: primary exercise dependence (n = 43); secondary exercise dependence, where there was the coincidence of exercise dependence and an eating disorder (n = 27); eating disorder (n =14); control, where there was no evidence of either exercise dependence or eating disorder (n = 110). Questionnaire assessment was undertaken of psychological morbidity, self esteem, weight and body shape dissatisfaction, personality, and exercise beliefs.Results—Aside from a higher incidence of reported menstrual abnormalities, the primary exercise dependence group was largely indistinguishable from the controls. In stark contrast, the secondary exercise dependence group reported higher levels of psychological morbidity, neuroticism, dispositional addictiveness, and impulsiveness, lower self esteem, greater concern with body shape and weight, as well as with the social, psychological, and aesthetic costs of not exercising than the controls, but differed little from the eating disorder group.Conclusions—In the absence of an eating disorder, women identified as being exercise dependent do not exhibit the sorts of personality characteristics and levels of psychological distress that warrant the construction of primary exercise dependence as a widespread pathology.

Từ khóa


Tài liệu tham khảo

1979, Physician and Sports Medicine, 7, 57

1985, Journal of Sport Psychology, 7, 23, 10.1123/jsp.7.1.23

1983, N Engl J Med, 308, 251, 10.1056/NEJM198302033080504

10.1002/1098-108X(198811)7:6<759::AID-EAT2260070605>3.0.CO;2-G

10.1111/j.1360-0443.1987.tb01539.x

Veale DMW. Does primary exercise dependence really exist? In: Annett J, Cripps B, Steinberg H, eds. Exercise addiction: motivation for participation in sport and exercise. Leicester: The British Psychological Society, 1995:1–5.

10.1016/0022-3999(95)00064-X

1987, Handbook of Eating Disorders, 1, 143

1995, Int J Eat Disord, 17, 413, 10.1002/1098-108X(199505)17:4<413::AID-EAT2260170414>3.0.CO;2-0

1994, Psychol Med, 24, 957, 10.1017/S0033291700029044

Cripps B. Exercise addiction and chronic fatigue syndrome: case study of a mountain biker. In: Annett J, Cripps B, Steinberg H, eds. Exercise addiction: motivation for participation in sport and exercise. Leicester: The British Psychological Society, 1995:22–33.

1997, Addiction Research, 5, 161, 10.3109/16066359709005257

1993, Percept Mot Skills, 77, 192, 10.2466/pms.1993.77.1.192

1997, Sports Med, 4, 6

10.1002/(SICI)1098-108X(199804)23:3<267::AID-EAT4>3.0.CO;2-H

10.1093/heapro/10.3.177

1997, Addiction Research, 5, 343, 10.3109/16066359709004348

10.1016/0306-4603(93)90011-W

1998, Psychiatr Serv, 49, 1434, 10.1176/ps.49.11.1434

10.1016/S0376-8716(97)00117-8

10.1111/j.1360-0443.1985.tb02545.x

10.1111/j.1559-1816.1994.tb02374.x

10.1111/j.1360-0443.1980.tb01384.x

10.1007/BF00844722

1992, Int J Eat Disord, 11, 305, 10.1002/1098-108X(199205)11:4<305::AID-EAT2260110403>3.0.CO;2-2

10.1016/0191-8869(87)90077-8

Cooper Z. Development and maintenance of eating disorders. In: Brownell KD, Fairburn CG, eds. Eating disorders and obesity: a comprehensive handbook. London: The Guildford Press, 1995:199–207.

10.1002/1098-108X(199412)16:4&lt;363::AID-EAT2260160405&gt;3.0.CO;2-#

10.1002/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M

Goldberg D, Williams P. A user's guide to the General Health Questionnaire. Berkshire: NFER-Nelson, 1988.

Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press, 1965.

Wylie RC. Measures of self-concept. Lincoln: University of Nebraska Press; 1989.

Eysenck HJ, Eysenck BG. Manual of the Eysenck Personality Scales. London: Hodder & Stoughton, 1991.

1987, Int J Eat Disord, 6, 485, 10.1002/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O

10.1002/(SICI)1098-108X(199807)24:1<91::AID-EAT8>3.0.CO;2-W

10.1016/S0191-8869(98)00103-2

10.1016/0191-8869(90)90191-S

10.1016/S0033-3182(92)71994-X

10.1016/0022-3999(80)90027-6

1994, Sports Med, 17, 213, 10.2165/00007256-199417040-00002

1995, Sports Med, 19, 278, 10.2165/00007256-199519040-00005

10.1249/00005768-199307000-00003