ABSTRACT

Individuals with eating disorders often experience compulsive exercise which, if left untreated, can lead to longer treatment and worsened symptoms. Compulsive exercise must be addressed within eating disorder treatment to help individuals establish a healthy relationship with exercise. However, there are currently no standardized guidelines for treating compulsive exercise or a consensus on which forms of treatment are most effective. Therefore, the purpose of this review was to examine interventions that address compulsive exercise and their impact on treating compulsive exercise among individuals with eating disorders. A systematic review of the literature was conducted. Eleven studies testing treatments for compulsive exercise were included in this review. Participants were diagnosed with anorexia nervosa, bulimia nervosa, or EDNOS, and a small portion had BED. Improvements in compulsive exercise and eating psychopathology were observed across all studies. The interventions focused on exercise psychoeducation and often incorporated exercise sessions. The findings highlight the positive impact of treating compulsive exercise, suggesting it should be a standard component of eating disorder treatment. Future studies should examine differences in treatment approaches and outcomes specific to each eating disorder, and specific to males. More consistency across studies in the conceptualization and measurement of compulsive exercises is also needed.

摘要

患有饮食失调症的人经常会经历强迫性运动，如果不及时治疗，可能会导致治疗时间延长和症状恶化。强迫性运动必须在饮食失调治疗中加以解决，以帮助个人与运动建立健康的关系。然而，目前还没有治疗强迫性运动的标准化指南，也没有关于哪种治疗形式最有效的共识。因此，本综述的目的是研究解决强迫性运动的干预措施及其对治疗饮食失调患者强迫性运动的影响。对文献进行了系统回顾。本综述纳入了 11 项测试强迫性运动治疗的研究。参与者被诊断出患有神经性厌食症、神经性贪食症或 EDNOS，一小部分有床。在所有研究中都观察到强迫运动和饮食精神病理学的改善。干预措施侧重于运动心理教育，通常包括运动课程。研究结果强调了治疗强迫性运动的积极影响，表明它应该是饮食失调治疗的标准组成部分。未来的研究应该检查每种饮食失调和男性特有的治疗方法和结果的差异。还需要在强迫性练习的概念化和测量方面的研究更加一致。研究结果强调了治疗强迫性运动的积极影响，表明它应该是饮食失调治疗的标准组成部分。未来的研究应该检查每种饮食失调和男性特有的治疗方法和结果的差异。还需要在强迫性练习的概念化和测量方面的研究更加一致。研究结果强调了治疗强迫性运动的积极影响，表明它应该是饮食失调治疗的标准组成部分。未来的研究应该检查每种饮食失调和男性特有的治疗方法和结果的差异。还需要在强迫性练习的概念化和测量方面的研究更加一致。