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澄清运动成瘾:鉴别诊断、共病障碍和成瘾阶段。

Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction.

机构信息

School of Psychology, Fielding Graduate University, Santa Barbara, CA 93105, USA.

出版信息

Int J Environ Res Public Health. 2011 Oct;8(10):4069-81. doi: 10.3390/ijerph8104069. Epub 2011 Oct 21.

DOI:10.3390/ijerph8104069
PMID:22073029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3210598/
Abstract

This paper sets out to clarify the unique features of exercise addiction. It begins by examining how this addiction can be distinguished from compulsions and impulse control disorders both of which, like an addiction, involve excessive behavior that creates adverse effects. Assessment of exercise addiction also requires that clinicians be attuned to other forms of excessive behavior, especially eating disorders that can co-occur with exercise. Finally in an effort to clarify exercise addiction, this paper uses the four phases of addiction to examine the attributes of exercise that define it as a healthy habit distinct from an addiction. The paper ends with a discussion of the implications of these topics for effective assessment and treatment.

摘要

本文旨在阐明运动成瘾的独特特征。它首先研究了这种成瘾如何与强迫症和冲动控制障碍区分开来,这两种障碍都涉及到会产生不良影响的过度行为。对运动成瘾的评估还要求临床医生注意其他形式的过度行为,特别是与运动同时发生的饮食障碍。最后,为了澄清运动成瘾,本文使用成瘾的四个阶段来检查定义运动作为一种不同于成瘾的健康习惯的属性。本文最后讨论了这些主题对有效评估和治疗的影响。

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本文引用的文献

1
Excessive exercise: from quantitative categorisation to a qualitative continuum approach.过度运动:从定量分类到定性连续体方法。
Eur Eat Disord Rev. 2011 May-Jun;19(3):237-48. doi: 10.1002/erv.970.
2
Eating disorders and exercise: a structural equation modelling analysis of a conceptual model.进食障碍与运动:概念模型的结构方程建模分析。
Eur Eat Disord Rev. 2011 May-Jun;19(3):216-25. doi: 10.1002/erv.1111.
3
Compulsive exercise and eating disorders.强迫性运动与进食障碍。
Eur Eat Disord Rev. 2011 May-Jun;19(3):174-89. doi: 10.1002/erv.1122.
4
Prevalence of the addictions: a problem of the majority or the minority?成瘾的流行:是多数人的问题还是少数人的问题?
Eval Health Prof. 2011 Mar;34(1):3-56. doi: 10.1177/0163278710380124. Epub 2010 Sep 27.
5
The effect of exercise training on anxiety symptoms among patients: a systematic review.运动训练对患者焦虑症状的影响:一项系统综述。
Arch Intern Med. 2010 Feb 22;170(4):321-31. doi: 10.1001/archinternmed.2009.530.
6
Multiple addictive behaviors in young adults: student norms for the Shorter PROMIS Questionnaire.年轻人的多种成瘾行为:更简短的 PROMIS 问卷的学生规范。
Addict Behav. 2010 Mar;35(3):252-5. doi: 10.1016/j.addbeh.2009.09.023. Epub 2009 Sep 26.
7
Prevalence of exercise dependence and other behavioral addictions among clients of a Parisian fitness room.巴黎一家健身俱乐部会员中运动依赖及其他行为成瘾的患病率。
Compr Psychiatry. 2008 Jul-Aug;49(4):353-8. doi: 10.1016/j.comppsych.2007.12.005. Epub 2008 Mar 20.
8
The neurobiology and genetics of impulse control disorders: relationships to drug addictions.冲动控制障碍的神经生物学与遗传学:与药物成瘾的关系。
Biochem Pharmacol. 2008 Jan 1;75(1):63-75. doi: 10.1016/j.bcp.2007.06.043. Epub 2007 Jul 3.
9
Compulsive aspects of impulse-control disorders.冲动控制障碍的强迫性方面。
Psychiatr Clin North Am. 2006 Jun;29(2):539-51, x. doi: 10.1016/j.psc.2006.02.002.
10
Mood changes after maximal exercise testing in subjects with symptoms of exercise dependence.
Percept Mot Skills. 2004 Aug;99(1):341-53. doi: 10.2466/pms.99.1.341-353.