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Fabry, Fiona M. ; Schlegl, Sandra ; Dittmer, Nina ; Voderholzer, Ulrich ; Kolar, David R. ; Meule, Adrian

Psychometric Properties of the Commitment to Exercise Scale in Inpatients With Anorexia Nervosa and Bulimia Nervosa

Fabry, Fiona M., Schlegl, Sandra, Dittmer, Nina, Voderholzer, Ulrich, Kolar, David R. and Meule, Adrian (2026) Psychometric Properties of the Commitment to Exercise Scale in Inpatients With Anorexia Nervosa and Bulimia Nervosa. European Eating Disorders Review.

Date of publication of this fulltext: 16 Mar 2026 09:59
Article
DOI to cite this document: 10.5283/epub.78958


Abstract

Objective: Compulsive exercise is a common behaviour among persons with eating disorders, particularly in those with anorexia nervosa (AN) and bulimia nervosa (BN). In the current study, we examined psychometric properties of a German version of the eight-item Commitment to Exercise Scale (CES) with a four-point scale response format. Method: Data of N = 2424 persons with AN and BN who ...

Objective:
Compulsive exercise is a common behaviour among persons with eating disorders, particularly in those with anorexia nervosa (AN) and bulimia nervosa (BN). In the current study, we examined psychometric properties of a German version of the eight-item Commitment to Exercise Scale (CES) with a four-point scale response format.

Method:
Data of N = 2424 persons with AN and BN who completed the CES among other measures as part of the routine diagnostic assessment at admission to and discharge from inpatient treatment were analysed based on a preregistered protocol (https://doi.org/10.17605/OSF.IO/Z2RYW [Titel anhand dieser DOI in Citavi-Projekt übernehmen] ).

Results:
The CES had high internal consistency and a one-factor structure with measurement invariance across age and diagnostic groups. Large correlations with other measures of compulsive exercise supported convergent validity and small-to-moderate correlations with other measures supported divergent validity. Scores on the CES were sensitive to change as they moderately decreased during inpatient treatment, with changes in compulsive exercise being larger in males and persons with AN that in females and persons with BN.

Conclusions:
The CES has sound psychometric properties in persons with AN and BN. Given its brevity, it may be favoured over lengthier instruments for assessing compulsive exercise in research and clinical practice.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleEuropean Eating Disorders Review
Publisher:Wiley
Date12 March 2026
InstitutionsHuman Sciences > Institut für Psychologie
Human Sciences > Institut für Psychologie > Clinical Child and Adolescent Psychology and Psychotherapy – Prof. Dr. David Kolar
Identification Number
ValueType
10.1002/erv.70099DOI
Keywordsassessment | compulsive exercise | driven exercise | eating disorders | excessive exercise
Dewey Decimal Classification100 Philosophy & psychology > 150 Psychology
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-789585
Item ID78958

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