Exercise Dependency Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is exercise dependency? (ED) Give reference

A

A multidimensional maladaptive pattern of physical activity that leads to signficiant impairment or distress (Hausenblaus and Symons-Downs 2002)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the diagnostic criteria for ED according to Hausenblaus and Symons-Downs 2002?

A
  • Increased tolerance to PA
  • Withdrawal effects
  • Intention effects: over-exercising
  • Lack of control
  • Time effects
  • Reduction in social and vocational activities
  • Continuance despite illness/injury
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the warning signs for ED according to Hausenblaus and Symons-Downs 2002?

A
  • Significant weight loss
  • Marked increases in exercise behaviour
  • Preoccupation with exercise and diet
  • Calorie counting
  • Exercise more after eating more
  • Can’t sit still or relax
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the physical risks of ED?

A
  • Muscle and joint damage
  • Muscle retardation
  • Dehydration or exhaustion
  • Stroke
  • Immunodeficiency
  • Amenorrhea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the characteristics of Primary ED/ED1? give reference

A

Bamber et al 2000:

  • Exercise for intrinsic reasons
  • Preoccupation with exercise not accounted for by mental disorder
  • Preoccupation causes physical social or vocational impairment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the characteristics of Secondary ED/ED2? give reference

A

Bamber et al 2002

  • Exercise is secondary to pathological preoccupation with body, eating disorder or athletic performance
  • Exercise used to control weight, punish or enhance performance
  • Exercise behaviour/effects are extremely salient
  • Low physical concept and self esteem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is ‘Bigorexia’?

A

Another form of ED2

  • Preoccupation with improving appearance through gains in muscle mass
  • Inability to control behaviour even when injured
  • Frequent steroid/supplement use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do sufferers of ‘bigorexia’ type ED2 typically have? give reference

A

Olivardia et al 2000

  • Low self esteem, low body satisfaction; body dysmorphia
  • Eating disorders; anxiety, mood disturbances
  • Experienced father-mother violence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What did Hausenblaus and Symons-Downs 2002 find about the prevalence of ED in college campuses?

A
  • 3-13% at risk of ED
  • 40% symptomatic non-ED
  • Actual prevalence of at risk ED in gen pop is less than 1-2%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What did McNamara and McCabe 2012 find about the prevalence of ED in elite australian athletes?

A

34% at risk for ED. Those at risk had higher BMI, maladaptive exercise beliefs, reported high pressure and lower social support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the proposed explanations for ED and who proposed them?

A

Hamer et al 2007:

  • Personality traits
  • Anorexia analogue
  • Affect-regulation
  • Psychobiological mechanisms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the predisposing traits in the personality trait theory of ED? (Hausenblaus et al 2004 ) (Costa and Oliva 2012 **) (Costa et al 2016 **)

A
  • Neuroticism/Trait Anxiety *, **
  • Extroversion *, **
  • Agreeableness *,**
  • Low Self esteem
  • Maladaptive perfectionism/obsessive-compulsiveness ***
  • Preference for intense activitiies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the relationship between ED and internet use? Reference

A

Quesnel et al 2017 found ‘Problematic Internet Use’ to predict low body satisfaction, appearance comparison, drive for thinness. College girls at risk for ED present higher PUI scores and negative affect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What did Magee et al 2016 find about ED in iron man athletes?

A

30% at risk or symptomatic, scoring higher in psychological stress, lack of control, tolerance, withdrawal, intention and time effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the difference between ED1 and ED2 in practice according to Bamber et al 2000?

A

ED2 reported higher levels of psychological morbidity, neuroticism, dispositional addictiveness, impulsiveness, social dysfunction, but lower self esteem, while ED1 indistinguishable from control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the anorexia analogue hypothesis of ED?

A

ED is a variant of anorexia

17
Q

What is the Affective regulation hypothesis of ED?

A

Exercise is required to manage affect

18
Q

What is the Obligatory male runner’s profile? give reference

A
  • Introversion
  • Anger-inhibition
  • Tolerance for pain
  • High expectations/perfectionism
  • Depression
  • Denial of Risks
19
Q

What is a key symptom of ED according to the affective regulation theory of ED? give reference

A

Hausenblau and Symons-Downs 2002: Abstinence from exercise results in marked increase in depression, anxiety, guilt, irritability and sluggishnes

20
Q

What are the proposed mechanisms of psychobiological ED?

A
  • Beta-endorphin dependence
  • Overtraining supresses SNS activity, ED’s require exercise to feel alert
  • Addiction theory
21
Q

What are some proposed intervention strategies for ED? Reference

A

-Rest and recovery
-Education on ED risks
-Substitute high with low intensity exercise
-Monitor compliance and symptoms
-Psychiatric referral
(Adams and Kirkby 1997)

22
Q

What is the advice for parents in preventing ED in their children? May Gavin MD 2007

A
  • Involve kids in food preparation
  • Make activity fun and family oriented
  • Be a good role model
  • Never criticise body characteristics
  • Never pressurize kids into sport
23
Q

What is an effective treatment for ED?

A

CBT for obligatory and non obligatory exercisers. Post treatment, both groups improved body image, body satisfaction, less fat anxiety, but OEs di not change in physical activity (Smith et al 2001)