Serier Kelsey N, Smith Jane Ellen, Lash Denise N, Gianini Loren M, Harriger Jennifer A, Sarafin Ruth E, Wolfe Brenda L
Department of Psychology, University of New Mexico, MSCO3 2220, Albuquerque, NM, 87131, USA.
Intermountain Health Care, 3903 Harrison Blvd Suite 300, Ogden, UT, 84403, USA.
Eat Weight Disord. 2018 Jun;23(3):331-338. doi: 10.1007/s40519-018-0504-3. Epub 2018 Apr 10.
Obligatory exercise is characterized by continued exercise despite negative consequences, and intense negative affect when unable to exercise. Research suggests psychosocial differences between individuals that exercise in an obligatory manner and those that do not. It also has been speculated that obligatory exercise may serve coping and affect regulation functions, yet these factors have not been routinely examined in community women with poor body image. The purpose of the current study was to investigate psychosocial differences between obligatory and non-obligatory exercisers, and to examine the use of obligatory exercise as an avoidant coping strategy in a sample of women with poor body image.
Women (n = 70) seeking treatment for body dissatisfaction were divided into obligatory and non-obligatory exercise groups based on their scores on the Obligatory Exercise Questionnaire. Participants then completed an assessment battery about eating pathology, body image, reasons for exercise, coping strategies, and negative affect.
Independent t test analyses indicated that obligatory exercisers had significantly greater eating disorder symptomatology, avoidant coping, and appearance- and mood-related reasons for exercise than non-obligatory exercisers. Multiple regression analyses revealed that eating disorder symptomatology and avoidant coping were significant predictors of obligatory exercise.
There are distinct psychosocial differences between women with poor body image who exercise in an obligatory fashion and those who do not. The current study suggests that obligatory exercise may serve as an avoidant coping strategy for women with poor body image. Enhancing healthy coping strategies may be an important addition to body image improvement programs.
V, cross-sectional descriptive study.
强迫性运动的特点是尽管有负面后果仍持续运动，且在无法运动时会产生强烈的负面影响。研究表明，强迫性运动者和非强迫性运动者在心理社会方面存在差异。也有人推测，强迫性运动可能具有应对和情绪调节功能，但这些因素在身体意象较差的社区女性中尚未得到常规研究。本研究的目的是调查强迫性运动者和非强迫性运动者在心理社会方面的差异，并在身体意象较差的女性样本中检验强迫性运动作为一种回避应对策略的使用情况。
因身体不满意而寻求治疗的女性（n = 70）根据她们在《强迫性运动问卷》上的得分被分为强迫性运动组和非强迫性运动组。参与者随后完成了一系列关于饮食病理学、身体意象、运动原因、应对策略和负面影响的评估。
独立t检验分析表明，与非强迫性运动者相比，强迫性运动者有更明显的饮食失调症状、回避应对方式，以及与外表和情绪相关的运动原因。多元回归分析显示，饮食失调症状和回避应对是强迫性运动的显著预测因素。
身体意象较差的女性中，强迫性运动者和非强迫性运动者在心理社会方面存在明显差异。当前研究表明，强迫性运动可能是身体意象较差的女性的一种回避应对策略。加强健康的应对策略可能是身体意象改善项目的一个重要补充。
V，横断面描述性研究。
