Diagnostic criteria for exercise dependence in women

British Journal of Sports Medicine - Tập 37 Số 5 - Trang 393-400 - 2003
Diane Bamber1, Ian M. Cockerill, Stephanie Rodgers, Douglas Carroll
1University of Cambridge, UK. [email protected]

Tóm tắt

Objective:To formulate diagnostic criteria for exercise dependence.Method:Fifty six adult female exercisers were interviewed about their exercise behaviour and attitudes. The eating disorders examination, a semistructured clinical interview, was used to diagnose eating disorders. Interviews were taped, transcribed verbatim, and analysed from a social constructionist perspective using QSR NUD*IST. Participants also completed the exercise dependence questionnaire.Results:Two diagnostic criteria emerged from analysis of the interview data: impaired functioning and withdrawal. Impaired functioning was manifest in four areas: psychological, social and occupational, physical, and behavioural. Impairment in at least two areas was considered necessary for diagnosis. Withdrawal was evident as either an adverse reaction to the interruption of exercise or unsuccessful attempts at exercise control. Either sufficed for diagnosis. The absence or presence of an eating disorder was used to distinguish between primary and secondary exercise dependence. Ten women met these criteria for exercise dependence. All 10 also exhibited eating disorders and, accordingly, should be regarded as showing secondary, rather than primary, exercise dependence. Exercise dependent women had significantly higher scores on the exercise dependence questionnaire than non-dependent women.Conclusion:These new diagnostic criteria should now be adopted and explored further, particularly among men and individuals with possible primary exercise dependence.

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Tài liệu tham khảo

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

10.1016/0022-3999(95)00064-X

Touyz SW, Beumont PJV, Hook S. Exercise anorexia: a new dimension in anorexia nervosa? In: Beaumont PJV, Burrows GD, Casper RC, eds. Handbook of eating disorders, part 1 Amsterdam: Elsevier Science Publishers, 1987:143–57.

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

1992, Journal of Sport Behaviour, 14, 145

1995, Int J Sport Psychol, 26, 233

1979, Physician and Sports Medicine, 7, 57

10.1111/j.1360-0443.1987.tb01539.x

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

10.1001/jama.1984.03350040050022

10.1136/bjsm.34.2.125

10.1111/j.1360-0443.1985.tb02545.x

10.1111/j.1559-1816.1994.tb02374.x

10.1111/j.1360-0443.1980.tb01384.x

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

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association, 1994.

Cripps B. Exercise addiction and chronic fatigue syndrome: case study of a mountain biker. In: Annett J, Cripps B, Steinberg H, eds. Proceedings of Warwick University workshop: 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

Sachs ML, Pargman D. Running addiction: a depth interview examination. Journal of Sport Behaviour 1979:143–55.

Seheult C. Hooked on the “buzz”: history of a bodybuilding addict. In: Annett J, Cripps B, Steinberg H, eds. Proceedings of Warwick University workshop: exercise addiction: motivation for participation in sport and exercise. Leicester: The British Psychological Society, 1995:40–44.

1990, Soc Sci Med, 30, 1161, 10.1016/0277-9536(90)90256-R

1995, The Psychologist, Mar, 115

1985, Physician and Sports Medicine, 13, 76

Fairburn CG, Cooper Z. The eating disorder examination. 12th ed. In: Fairburn CG, Wilson GT, eds. Binge eating: nature, assessment and treatment. New York: Guilford Press, 1993:317–60.

Miles MB, Huberman AM. Qualitative data analysis. London: Sage, 1994.

Qualitative Solutions and Research Pty Ltd. QSR NUD*IST 4 user guide. 2nd ed. London: Sage, 1997.

Strauss A, Corbin J. Basics of qualitative research: grounded theory procedures and techniques. London: Sage, 1990.

1991, Int J Sports Med, 12, S19, 10.1055/s-2007-1024745

1997, Sports Med, 4, 6

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

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British Journal of Sports Medicine

Tập 37 Số 5

393-400

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