secondary exercise addiction p2

Question 1

measuring compulsive exercise/ secondary ea

Answer 1

the compulsive exercise test-Developed in accordance with the multi-dimensional
model (Taranis, Touyz & Meyer, 2011).
* 24 item measure with five subscales:
* Avoidance and rule driven behaviour
* Mood improvement
* Lack of exercise enjoyment
* Exercise rigidity
* Weight control exercise
* CET scores elevated in clinical groups
* Scoring above 15 indicative of problematic exercise in
clinical samples (Meyer et al., 2016).

Question 2

how compulsive exercise can lead to a more severe ED

Answer 2

Compulsive exercise is linked to more severe eating disorder psychopathology and
poorer outcomes in therapy (Monell et al., 2018).
 Longer hospitalisation (Solenberger, 2001)
 Higher rates of relapse (Carter et al., 2004).
 Impact on remission & treatment outcome (Dalle Grave et al., 2008; Levallius et al., 2017)
 Increase in psychiatric co-morbidity (e.g., self-critical perfectionism, suicidality, self-harm;
QoL)

Question 3

treating compulsive exercise

Answer 3

Largely conducted within ED settings
* “LEAP” – CompuLsive Exercise Activity Therapy.
* 8x50min sessions embedded within CBT-AN (Hay et al., 2018).
* Structured, supervised and progressive exercise may be positive adjunct to therapy (Cook et al.,
2016).
Noetel et al., (2017).
* Challenges in treating CE.
* Lack of evidence-based interventions
* Using exercise as a ‘reward’ during treatment, while avoiding colluding with the ED
* Managing the distress that results from reducing exercise
* Treating exercise behaviours for those who are competitive athletes.

Paslakis et al., (2017).
* 30 ED patients wore VR goggles and watched a jogger’s
running track from the first-person perspective (as if they
were jogging).
* Rated urge to be active at regular intervals.
* A reduction in urge to be active from baseline to post
exposure was observed