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- W834082669 abstract "Compulsive exercise has been observed as a significant feature of theeating disorders throughout their history. It has variously been conceptualised as primarilyan analogue of purgation, an emotion regulation strategy, an addiction, or an obsessivecompulsivebehaviour, with evidence supporting each to varying degrees. The importanceof compulsive exercise is underlined by the finding that it often precedes the onset of aneating disorder and is one of the last symptoms to subside. In addition, it is associatedwith a longer length of hospitalisation and higher rates of relapse. As a result, compulsiveexercise is now recognised as a significant factor in the aetiology, development andmaintenance of the eating disorders across diagnoses. Yet despite the importance ofcompulsive exercise and previous recommendations to target it, no clear conceptualmodel of compulsive exercise exists upon which an intervention could be based. This thesis has three broad aims: (1) critically review the evidence for andagainst factors implicated in the maintenance of compulsive exercise and propose a newtheoretically coherent and empirically derived model of compulsive exercise that could beused to inform future cognitive-behavioural interventions; (2) develop and providepreliminary validation for a new measure of compulsive exercise; and (3) present sixstudies utilising the new measure of compulsive exercise to empirically test some of therelationships suggested by the proposed model. Main findings: The resulting CompulsiveExercise Test (CET) is a new multidimensional measure of compulsive exercise,consistent with the proposed cognitive-behavioural conceptualisation, and demonstratinggood psychometric properties. Utilising the CET, the empirical chapters demonstrate thatcompulsive exercise was associated with (a) elevated levels of eating-disorderedcognitions and increased frequency of eating-disordered behaviours, (b) avoidanceorientedcoping and a range of difficulties in regulating emotions, and (c) perfectionism(particularly the self-critical dimension). Implications: The current findings providepreliminary support for the proposed cognitive-behavioural maintenance model ofcompulsive exercise. This may inform clinical interventions and prevention programsdesigned to address compulsive exercise, as well as enhancing current treatment efficacyby providing specific targets for intervention. In addition, the new measure of compulsiveexercise is potentially a useful screening tool in formulating the maintenance of anindividual’s exercise behaviour, and is further a potentially useful research and outcometool." @default.
- W834082669 created "2016-06-24" @default.
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- W834082669 date "2010-01-01" @default.
- W834082669 modified "2023-09-24" @default.
- W834082669 title "Compulsive exercise and eating disorder related pathology" @default.
- W834082669 hasPublicationYear "2010" @default.
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