TY - JOUR A1 - Schlegl, Sandra A1 - Dittmer, Nina A1 - Hoffmann, Svenja A1 - Voderholzer, Ulrich T1 - Self-reported quantity, compulsiveness and motives of exercise in patients with eating disorders and healthy controls BT - differences and similarities JF - Journal of eating disorders N2 - 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. KW - Anorexia nervosa KW - Bulimia nervosa KW - Eating disorders KW - Compulsive exercise KW - Motives for exercise KW - Inpatient KW - Predictor KW - Healthy controls Y1 - 2018 U6 - https://doi.org/10.1186/s40337-018-0202-6 SN - 2050-2974 VL - 6 PB - BMC CY - London ER - TY - JOUR A1 - Hoffmann, Svenja A1 - Warschburger, Petra T1 - Patterns of body image concerns in adolescence and early adulthood BT - a latent profile analysis JF - Eating Behaviors N2 - The present study aimed at identifying latent profiles of body image concerns in adolescents and young adults. Subsequently, associations between these profiles and potentially harmful behaviors are examined. Self-report data of 758 male and female adolescents, aged 14 to 22 years, were analyzed. Participants provided demographic and anthropometric data and completed surveys on weight/shape and muscularity concern as well as on disturbed eating behaviors and dysfunctional exercise. Latent profile analyses of weight/shape concern and muscularity concern were performed separately for each gender. The analyses indicated three-class solutions in men and women. In both genders, the inconspicuous class, characterized by small amounts of weight/shape and muscularity concerns, was the largest one (86% in men, 68% in women). Whereas 10% of the men and 23% of the women were assigned to the borderline class, 4% of the men and 8% of the women formed the conspicuous class (marked weight/shape and muscularity concerns). Between genders, the degrees of muscularity concern differed in the borderline and inconspicuous classes, while the degrees of weight/shape concern differed in the inconspicuous class only. The comparable degrees of weight/shape and muscularity concerns in men and women in the affected classes underline the relevance of both aspects in both genders. Classes could be distinguished by harmful behaviors, like restrained eating or emotional exercise, proving the clinical significance of body image concerns. KW - Weight concern KW - Shape concern KW - Muscularity concern KW - Adolescent KW - Young adult KW - Latent profile analysis Y1 - 2018 U6 - https://doi.org/10.1016/j.eatbeh.2018.02.002 SN - 1471-0153 SN - 1873-7358 VL - 29 SP - 28 EP - 34 PB - Elsevier CY - Amsterdam ER -