Disordered eating, compulsive exercise and sport participation in a UK adolescent sample

The sport literature has produced equivocal results as to whether sport participation is a protective or risk factor for disordered eating. One mechanism by which it could be a risk factor is the increased drive or compulsion to exercise. This study compared the levels of disordered eating and compulsive exercise between adolescent sport and non-sport participants. A sample of 417 male and female adolescents, aged 14-16 years old, was recruited from UK secondary schools. Participants completed questionnaire packs that included the Eating Disorder Inventory (EDI), a measure of exercise behaviour, and the Compulsive Exercise Test (CET). Non-sport participants reported significantly greater body dissatisfaction than sport participants, and this was true for boys and girls. Significant group differences were also reported for many of the CET scales, with sport participants generally reporting greater levels of compulsive exercise than non-sport participants. Implications of these results are discussed

Psychological risk factors for compulsive exercise: a longitudinal investigation of adolescent boys and girls

Compulsive exercise is associated with unhealthy outcomes and is common among eating disorder populations. This study aimed to replicate previous cross-sectional work by considering psychological characteristics as longitudinal predictors of compulsive exercise. A sample of 369 adolescents (n= 221 female, n= 148 male) completed measures of compulsive exercise, eating disorder psychopathology, obsessive-compulsiveness, perfectionism, anxiety, and depression at baseline, and a measure of compulsive exercise two. years later. For boys, greater obsessive-compulsiveness and self-oriented perfectionism predicted compulsive exercise, whilst among girls only baseline compulsive exercise was a significant predictor. Compulsive exercise prevention work among boys may benefit from targeting their levels of obsessive-compulsiveness and self-perfectionism. For girls, further risk factor research into compulsive exercise is required. © 2014 Elsevier Ltd

Emotion regulation styles as longitudinal predictors of compulsive exercise: a twelve month prospective study

Exercise can be used as a mood regulator but, in the eating disorder literature, exercise has sometimes been found to be compulsive, detrimental to physical health, and regarded as one maladaptive strategy used to regulate emotions. This study examined longitudinal associations between emotion regulation styles and this compulsive exercise in 572 adolescents who completed measures of compulsive exercise and emotion regulation. Twelve months later they completed measures of compulsive exercise. Compulsive exercise was predicted by Internal Dysfunctional emotion regulation in girls and boys, even after controlling for initial levels of compulsive exercise. Adolescents displaying compulsivity to exercise may require intervention programmes to alter their emotion regulation strategies

Sociocultural risk factors for compulsive exercise: a prospective study of adolescents

The risk factors for compulsive exercise are unknown. This study aims to explore longitudinal sociocultural risk factors for compulsive exercise, using a 12-month prospective design. A sample of 332 male and female adolescents (aged 13–15 years at baseline) completed self-report measures of sociocultural risk factors and compulsive exercise at baseline and eating disorder psychopathology and compulsive exercise at 12-month follow-up assessment. Hierarchical regressions found that family and peer messages to become more muscular predicted compulsive exercise in boys, whereas feeling pressure from the media to be thin was a significant predictor of compulsive exercise in girls. These relationships remained significant when controlling for eating disorder psychopathology but became nonsignificant when initial levels of compulsive exercise were entered into the model. The findings suggest that sociocultural risk factors may contribute to the development of compulsive exercise but future research should utilise a younger sample and employ a longer follow-up period to identify true longitudinal effects. Copyright © 2014 John Wiley & Sons, Ltd and Eating Disorders Association

Adolescents' level of eating psychopathology is related to perceptions of their parents' current feeding practices

Purpose: This study aimed to examine the relationships between adolescents' eating disorder attitudes and their perceptions of the feeding practices that their parents/caregivers currently use. Methods: Boys and girls (N = 528) aged 13-15 completed self-report measures of their levels of eating psychopathology and their parents' current feeding practices and reported their own height and weight. Results: For girls, greater perceived pressure from parents to eat food and lower perceived parental responsibility for food were significantly related to more unhealthy eating-related attitudes. Similar to girls, lower perceived parental responsibility for food was significantly related to greater levels of eating psychopathology in boys. Greater perceived parental restriction of foods was also significantly related to greater eating psychopathology in boys. Conclusions: These results suggest that adolescents' perceptions of their parents' use of more controlling feeding practices are related to greater prevalence of unhealthy eating-related attitudes. Such findings have potentially important implications for the prevention of disordered eating in adolescents

Maternal and paternal controlling feeding practices with male and female children

This study aimed to compare maternal and paternal feeding practices with male and female children and examine the influence of the gender of both the parent and child on the relationship between parental unhealthy eating attitudes and controlling feeding practices. One hundred and eighty-eight participants (94 co-habiting mother–father dyads, mean age 36.4 years, SD=4.9), who were the parents of 46 male and 48 female children (mean age 37.7 months, SD=12.7) completed measures of unhealthy eating attitudes and feeding practices. Mothers and fathers differed significantly in their reports of unhealthy eating attitudes but not in their restrictive or pressurising feeding practices. Mothers reported greater perceived feeding responsibility and greater monitoring of their children's food intake than fathers. Bulimia scores were correlated with controlling feeding practices in mothers of girls but not boys. Fathers’ body dissatisfaction was correlated with monitoring of sons’ but not daughters’ food intake. These findings suggest that parental extrapolation of weight concerns may be more likely to occur within mother–daughter and father–son relationships

Family mealtimes and eating psychopathology: the role of anxiety and depression among adolescent girls and boys

Characteristics of family mealtimes are associated with disordered eating behaviours. However, little is known about the relationships between characteristics of family mealtimes and disordered eating attitudes, or how symptoms of anxiety or depression may contribute to these relationships. This study therefore aimed to examine differences between adolescent girls and boys in the relationship between family mealtime characteristics and eating psychopathology, and to explore the influence of anxiety and depression on this relationship. Adolescents (N = 535; 286 girls and 249 boys) aged 14 to 18 years completed self-report measures of family mealtime characteristics, eating psychopathology, anxiety and depression. Reports of more frequent family mealtimes, a more positive mealtime atmosphere and a high level of priority placed on mealtimes were all associated with significantly lower levels of eating-disordered attitudes among girls only. For boys, all four mealtime measures (higher mealtime frequency, more positive mealtime atmosphere, greater priority of mealtimes and higher levels of mealtime structure) were associated with lower levels of depression. Among girls, several of the family mealtime and eating psychopathology relationships were partially or fully mediated by either anxiety or depression. While these findings require longitudinal replication, family mealtimes are likely to be important in promoting psychological well-being among both girls and boys. Families should be encouraged to think beyond the frequency of mealtimes and to foster a positive mealtime environment which may help to promote adolescent psychological wellbeing, and might even protect young females against the development of eating psychopathology

Activity-related parenting practices: development of the parenting related to activity measure (PRAM) and links with mothers' eating psychopathology and compulsive exercise beliefs

This is a two-study paper that developed a measure to assess parenting practices related to children's physical activity and explored maternal predictors of such parenting practices. Study 1: A self-report measure of parents' activity-related practices (the Parenting Related to Activity Measure) was developed, and a principal component analysis was carried out using data from 233 mothers of 4.5- to 9-year-old children. The results supported a six-factor model and yielded the following subscales: Responsibility/monitoring; Activity regulation; Control of active behaviours; Overweight concern; Rewarding parenting; and Pressure to exercise. Study 2: Mothers (N = 170) completed the Parenting Related to Activity Measure, alongside measures of eating psychopathology and compulsive exercise, to identify predictors of activity-related parenting practices. Mothers' eating psychopathology and exercise beliefs predicted activity parenting practices with their sons and daughters, but different predictors were seen for mothers of daughters versus sons. Mothers' eating and exercise attitudes are important predictors of their activity-related parenting practices, particularly with girls. Identifying early interactions around activity/exercise could be important in preventing the development of problematic beliefs about exercise, which are often a key symptom of eating disorders

Sociocultural correlates of compulsive exercise: Is the environment important in fostering a compulsivity towards exercise among adolescents?

Sociocultural factors hypothesised to be influential in eating disorders were assessed for their relationship with compulsive exercise. A sample of 828 adolescent boys and girls completed measures assessing sociocultural messages to change body shape as well as pressure to be thin, and also measures of compulsive exercise and disordered eating. Results showed that the sociocultural influences differed slightly between boys and girls. Hierarchical regressions showed that, after controlling for disordered eating and BMI, messages to become more muscular and media pressure to be thin significantly predicted compulsive exercise in boys, while the same regression in girls reported only media pressure to be thin as a significant predictor of compulsive exercise. These findings demonstrate the influence of the media in boys’ and girls’ compulsive exercising, as well as highlight the influence of body shape messages to become more muscular on boys’ compulsive exercise

Seeking relational information sources in the digital age: a study into information source preferences amongst family and friends of those with dementia

Despite an increasing number of sources providing information and advice about dementia, those living with the condition feel inadequately informed. The reasons for this remain unclear. This study has three aims: to identify where people with dementia and their carers currently access dementia-related information from; to determine how accessible, credible and comprehensible people with dementia and their carers consider the available sources of information; and to determine how people with dementia and their carers would like to receive information. An online or postal survey was completed by 171 female and 41 male participants with a close family member or friend with dementia. Accessibility above quality held the greatest influence over an individual’s use of an information source. Participants preferred relational sources such as healthcare professionals as these were able to give individualised information, yet these were poorly accessible and lacked dementia specific knowledge. Therefore, individuals used non-relational sources such as the internet. However, increased use of the internet was linked to feeling overwhelmed by information. It was not the end result of the information search but the effort taken to reach the information that influenced participant’s perception of information gathering. Future research should look at ways of designing and providing accessible information sources that act and feel like relational contact