Harris Astrid, Hay Phillipa, Touyz Stephen
School of Psychology, University of Sydney, Sydney, Australia.
Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith, Australia.
J Eat Disord. 2020 Sep 2;8:45. doi: 10.1186/s40337-020-00315-2. eCollection 2020.
Research has identified factors specific to exercise in eating disorder patients such as affect regulation and compulsivity. Existing measures of exercise behaviour which were not originally designed for eating disorder patients may not adequately assess these factors. The aim of this systematic review is to identify and assess the psychometric properties of all self-report measures of exercise designed to be used with eating disorder patients.
A systematic review was conducted following the PRISMA guidelines. MedLine, Scopus and PsycINFO were systematically searched. A total of 12 studies examining two measures, the Exercise and Eating Disorders and the Compulsive Exercise Test, met inclusion criteria.
Validation studies showed promising results for both tests and established internal consistency, concurrent and convergent validity, and construct validity. The factor structure of the Compulsive Exercise Test was not confirmed in the majority of the studies included in this review, while there are only two studies conducting factor analysis on the Exercise and Eating Disorders.
The two measures identified by this systematic review represent the current research on measures of compulsive exercise for eating disorder patients. Further research is needed to confirm a factor structure and validate both the Compulsive Exercise Test and the Exercise and Eating Disorders in more diverse clinical samples.
研究已确定饮食失调患者运动的特定因素，如情绪调节和强迫性。最初并非为饮食失调患者设计的现有运动行为测量方法可能无法充分评估这些因素。本系统评价的目的是识别和评估所有旨在用于饮食失调患者的运动自我报告测量方法的心理测量特性。
按照PRISMA指南进行系统评价。对MedLine、Scopus和PsycINFO进行了系统检索。共有12项研究考察了两种测量方法，即《运动与饮食失调》和《强迫性运动测试》，符合纳入标准。
验证研究表明这两种测试都有不错的结果，并确立了内部一致性、同时效度和收敛效度以及结构效度。在本评价纳入的大多数研究中，未证实《强迫性运动测试》的因子结构，而对《运动与饮食失调》进行因子分析的研究仅有两项。
本系统评价确定的这两种测量方法代表了目前对饮食失调患者强迫性运动测量方法的研究。需要进一步研究以确认因子结构，并在更多样化的临床样本中验证《强迫性运动测试》和《运动与饮食失调》。
