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Kolar, David R. ; Ralph-Nearman, Christina ; Swanson, Trevor ; Levinson, Cheri A.

Exercise moderates longitudinal group psychopathology networks in individuals with eating disorders

Kolar, David R. , Ralph-Nearman, Christina, Swanson, Trevor and Levinson, Cheri A. (2024) Exercise moderates longitudinal group psychopathology networks in individuals with eating disorders. Comprehensive Psychiatry 136, p. 152543.

Date of publication of this fulltext: 12 Nov 2024 06:20
Article
DOI to cite this document: 10.5283/epub.59544


Abstract

Individuals with eating disorders (EDs) often engage in exercise no matter potential negative long-term outcomes (e.g., weight loss, injury). Yet exercising may temporarily attenuate ED symptoms, but whether exercise also affects network structure and pairwise associations of ED symptoms remained unclear. We used a novel approach called Moderated Multilevel Graphical Vector Autoregression to ...

Individuals with eating disorders (EDs) often engage in exercise no matter potential negative long-term outcomes (e.g., weight loss, injury). Yet exercising may temporarily attenuate ED symptoms, but whether exercise also affects network structure and pairwise associations of ED symptoms remained unclear. We used a novel approach called Moderated Multilevel Graphical Vector Autoregression to estimate changes in psychopathology networks from before to after exercising in ecological momentary assessment data from 102 individuals with EDs across multiple days (M = 22.14, SD = 5.40; range: 6–22 days) at 4 times daily. Between-person and within-person temporal networks were computed, obtaining stable centrality coefficients for temporal networks only. In those, autoregressive effects of several symptoms, including binge-eating, overeating, or weighing oneself, were attenuated when participants previously exercised. Exercise mostly downregulated temporal effects of ED symptoms on other symptoms, including effects of binge eating and other compensatory behaviors on feeling guilty after the most recent meal, vomiting on weighing oneself, and overeating on fear of weight gain. Our study highlights the complex dynamic effects of exercise on ED symptoms in daily life and calls for novel studies investigating mechanisms of exercise to inform treatments targeting detrimental long-term effects of exercise in EDs.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleComprehensive Psychiatry
Publisher:Elsevier
Volume:136
Page Range:p. 152543
Date3 November 2024
InstitutionsHuman Sciences > Institut für Psychologie > Clinical Child and Adolescent Psychology and Psychotherapy – Prof. Dr. David Kolar
Identification Number
ValueType
10.1016/j.comppsych.2024.152543DOI
KeywordsMaladaptive exercise, driven exercise, anorexia nervosa, bulimia nervosa, binge-eating disorder, idiographic network analysis
Dewey Decimal Classification100 Philosophy & psychology > 150 Psychology
600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-595447
Item ID59544

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