@misc{SchleglDittmerHoffmannetal.2018,
  author    = {Schlegl, Sandra and Dittmer, Nina and Hoffmann, Svenja and Voderholzer, Ulrich},
  title     = {Self-reported quantity, compulsiveness and motives of exercise in patients with eating disorders and healthy controls},
  series = {Postprints der Universit{\"a}t Potsdam Mathematisch-Naturwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam Mathematisch-Naturwissenschaftliche Reihe},
  number    = {687},
  issn      = {1866-8372},
  doi       = {10.25932/publishup-42683},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-426831},
  pages     = {10},
  year      = {2018},
  abstract  = {Background: Compulsive exercise (CE) is a frequent symptom in patients with eating disorders (EDs). It includes, in addition to quantitatively excessive exercise behaviour, a driven aspect and specific motives of exercise. CE is generally associated with worse therapy outcomes. The aims of the study were to compare self-reported quantity of exercise, compulsiveness of exercise as well as motives for exercise between patients with anorexia nervosa (AN), bulimia nervosa (BN) and healthy controls (HC). Additionally, we wanted to explore predictors of compulsive exercise (CE) in each group. Methods: We investigated 335 female participants (n = 226 inpatients, n = 109 HC) and assessed self-reported quantity of exercise, compulsiveness of exercise (Compulsive Exercise Test), motives for exercise (Exercise Motivations Inventory-2), ED symptoms (Eating Disorder Inventory-2), obsessive-compulsiveness (Obsessive-Compulsive Inventory-Revised), general psychopathology (Brief Symptom Inventory-18) and depression (Beck Depression Inventory-2). Results: Both patients with AN and BN exercised significantly more hours per week and showed significantly higher CE than HC; no differences were found between patients with AN and BN. Patients with EDs and HC also partly varied in motives for exercise. Specific motives were enjoyment, challenge, recognition and weight management in patients with EDs in contrast to ill-health avoidance and affiliation in HC. Patients with AN and BN only differed in regard to exercise for appearance reasons in which patients with BN scored higher. The most relevant predictor of CE across groups was exercise for weight and shape reasons. Conclusions: Exercise behaviours and motives differ between patients with EDs and HC. CE was pronounced in both patients with AN and BN. Therefore, future research should focus not only on CE in patients with AN, but also on CE in patients with BN. Similarities in CE in patients with AN and BN support a transdiagnostic approach during the development of interventions specifically targeting CE in patients with EDs.},
  language  = {en}
}
@article{SarrarHolzhausenWarschburgeretal.2016,
  author    = {Sarrar, Lea and Holzhausen, Martin and Warschburger, Petra and Pfeiffer, Ernst and Lehmkuhl, Ulrike and Schneider, Nora},
  title     = {Cognitive Function in Adolescent Patients with Anorexia Nervosa and Unipolar Affective Disorders},
  series = {European eating disorders review : the professional journal of the Eating Disorders Associatio},
  volume    = {24},
  journal   = {European eating disorders review : the professional journal of the Eating Disorders Associatio},
  publisher = {Wiley-Blackwell},
  address   = {Hoboken},
  issn      = {1072-4133},
  doi       = {10.1002/erv.2425},
  pages     = {232 -- 240},
  year      = {2016},
  abstract  = {Studies have shown impairments in cognitive function among adult patients with anorexia nervosa (AN) and affective disorders (AD). The association between cognitive dysfunctions, AN and AD as well as the specificity for these psychiatric diagnoses remains unclear. Therefore, we examined cognitive flexibility and processing speed in 47 female adolescent patients with AN, 21 female adolescent patients with unipolar affective disorders and 48 female healthy adolescents. All participants completed a neuropsychological test battery. There were no significant group differences regarding cognitive function, except for psychomotor processing speed with poorer performance in patients with AN. A further analysis revealed that all groups performed with the normal range, although patients with AN were over represented in the poorest performing quartile. We found no severe cognitive impairments in either patient group. Nevertheless, belonging to the AN group contributed significantly to poor performances in neuropsychological tasks. Therefore, we conclude that the risk for cognitive impairments is slightly higher for patients with AN. Copyright (c) 2015 John Wiley \& Sons, Ltd and Eating Disorders Association.},
  language  = {en}
}