Classifying excessive exercise : examining the relationship between compulsive exercise with obsessive-compulsive disorder symptoms and disordered eating symptoms
- Cosh, Suzanne, Eshkevari, Ertimiss, McNeil, Dominic, Tully, Phillip
- Authors: Cosh, Suzanne , Eshkevari, Ertimiss , McNeil, Dominic , Tully, Phillip
- Date: 2023
- Type: Text , Journal article
- Relation: European Eating Disorders Review Vol. 31, no. 6 (2023), p. 769-780
- Full Text:
- Reviewed:
- Description: Objective: There remains a lack of consensus around nosology for compulsive exercise (CE). Although widely observed in eating disorders (ED), CE shares theoretical overlap with obsessive-compulsive disorder (OCD), where exercise compulsions occur in response to obsessions. Yet, there is limited and mixed evidence of a relationship between CE with OCD. This study aims to explore the appropriate diagnostic classification of CE through examination of CE in relation to OCD, obsessional thinking, and ED symptoms. Method: Two hundred and eighty one adults with mental health symptoms, dieting, and exercise behaviour completed measures of OCD, CE, and disordered eating symptoms. Regression and Receiver Operating Characteristic analyses examined relationships between dimensions of CE with OCD and ED symptoms, and the predictive ability of CE assessment for detecting threshold OCD and ED symptoms. Results: CE assessment was poor at predicting threshold OCD symptoms, probable Anorexia Nervosa, and Binge Eating Disorder and moderate at detecting probable disordered eating and Bulimia Nervosa. Associations between CE and OCD symptoms were not significant after adjustment for ED symptoms. Obsessional thinking was associated only with lack of exercise enjoyment. Conclusions: Results indicate that excessive exercise might represent a distinct disorder, with some shared traits across CE, OCD and ED symptoms. Findings question the utility of adaptation of OCD diagnostic criteria for CE. Assessment and treatment implications are considered. © 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.
- Authors: Cosh, Suzanne , Eshkevari, Ertimiss , McNeil, Dominic , Tully, Phillip
- Date: 2023
- Type: Text , Journal article
- Relation: European Eating Disorders Review Vol. 31, no. 6 (2023), p. 769-780
- Full Text:
- Reviewed:
- Description: Objective: There remains a lack of consensus around nosology for compulsive exercise (CE). Although widely observed in eating disorders (ED), CE shares theoretical overlap with obsessive-compulsive disorder (OCD), where exercise compulsions occur in response to obsessions. Yet, there is limited and mixed evidence of a relationship between CE with OCD. This study aims to explore the appropriate diagnostic classification of CE through examination of CE in relation to OCD, obsessional thinking, and ED symptoms. Method: Two hundred and eighty one adults with mental health symptoms, dieting, and exercise behaviour completed measures of OCD, CE, and disordered eating symptoms. Regression and Receiver Operating Characteristic analyses examined relationships between dimensions of CE with OCD and ED symptoms, and the predictive ability of CE assessment for detecting threshold OCD and ED symptoms. Results: CE assessment was poor at predicting threshold OCD symptoms, probable Anorexia Nervosa, and Binge Eating Disorder and moderate at detecting probable disordered eating and Bulimia Nervosa. Associations between CE and OCD symptoms were not significant after adjustment for ED symptoms. Obsessional thinking was associated only with lack of exercise enjoyment. Conclusions: Results indicate that excessive exercise might represent a distinct disorder, with some shared traits across CE, OCD and ED symptoms. Findings question the utility of adaptation of OCD diagnostic criteria for CE. Assessment and treatment implications are considered. © 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.
Compulsive exercise and its relationship with mental health and psychosocial wellbeing in recreational exercisers and athletes
- Cosh, Suzanne, McNeil, Dominic, Tully, Phillip
- Authors: Cosh, Suzanne , McNeil, Dominic , Tully, Phillip
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 26, no. 7 (2023), p. 338-344
- Full Text:
- Reviewed:
- Description: Objectives: Better understanding of compulsive exercise is needed in sports medicine. Whilst compulsive exercise may impact mental health, the limited research exploring the relationship between compulsive exercise and psychosocial outcomes is equivocal. The majority of studies have examined eating disorder populations where the eating disorder pathology might account for distress. This study explores relationships between compulsive exercise and mental health. Design: Cross-sectional observational study. Methods: Australian recreational exercisers and athletes (N = 1157; Mage 36.4, standard deviation = 12.9, 77 % female) recruited through sporting organisations, clubs, and gyms, completed measures of compulsive exercise, depression, anxiety, stress, life satisfaction, social physique anxiety, and self-esteem. Regression analyses examined relationships between dimensions of compulsive exercise and wellbeing. Results: After adjustment for eating disorder symptoms and sporting level, compulsive exercise was associated with increased risk of clinically-significant anxiety, depression, and stress symptoms. Compulsive exercise was also associated with lower life satisfaction and self-esteem, and higher social physique anxiety. Notably, different dimensions of compulsive exercise had varying relationships with outcomes, and avoidance and rule-driven behaviour and lack of exercise enjoyment were associated with poorer mental health and wellbeing. Conclusions: Results suggest that compulsive exercise is uniquely associated with a range of psychosocial and mental health outcomes. Results support the need to improve identification and treatment of compulsive exercise in sport and exercise settings. Results highlight that mental health intervention is an important component of treatment, and treatments targeting symptoms related to avoidance and rule-driven behaviour, and anhedonia may be valuable treatment components for those with compulsive exercise. © 2023 The Author(s)
- Authors: Cosh, Suzanne , McNeil, Dominic , Tully, Phillip
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 26, no. 7 (2023), p. 338-344
- Full Text:
- Reviewed:
- Description: Objectives: Better understanding of compulsive exercise is needed in sports medicine. Whilst compulsive exercise may impact mental health, the limited research exploring the relationship between compulsive exercise and psychosocial outcomes is equivocal. The majority of studies have examined eating disorder populations where the eating disorder pathology might account for distress. This study explores relationships between compulsive exercise and mental health. Design: Cross-sectional observational study. Methods: Australian recreational exercisers and athletes (N = 1157; Mage 36.4, standard deviation = 12.9, 77 % female) recruited through sporting organisations, clubs, and gyms, completed measures of compulsive exercise, depression, anxiety, stress, life satisfaction, social physique anxiety, and self-esteem. Regression analyses examined relationships between dimensions of compulsive exercise and wellbeing. Results: After adjustment for eating disorder symptoms and sporting level, compulsive exercise was associated with increased risk of clinically-significant anxiety, depression, and stress symptoms. Compulsive exercise was also associated with lower life satisfaction and self-esteem, and higher social physique anxiety. Notably, different dimensions of compulsive exercise had varying relationships with outcomes, and avoidance and rule-driven behaviour and lack of exercise enjoyment were associated with poorer mental health and wellbeing. Conclusions: Results suggest that compulsive exercise is uniquely associated with a range of psychosocial and mental health outcomes. Results support the need to improve identification and treatment of compulsive exercise in sport and exercise settings. Results highlight that mental health intervention is an important component of treatment, and treatments targeting symptoms related to avoidance and rule-driven behaviour, and anhedonia may be valuable treatment components for those with compulsive exercise. © 2023 The Author(s)
Constructions of athlete mental health post-retirement: a discursive analysis of stigmatising and legitimising versions of transition distress in the Australian broadcast media
- Cosh, Suzanne, Crabb, Shona, McNeil, Dominic, Tully, Phillip
- Authors: Cosh, Suzanne , Crabb, Shona , McNeil, Dominic , Tully, Phillip
- Date: 2022
- Type: Text , Journal article
- Relation: Qualitative Research in Sport, Exercise and Health Vol. 14, no. 7 (2022), p. 1045-1069
- Full Text:
- Reviewed:
- Description: Athletes are vulnerable to experiencing mental health disorders, yet, disclosure and help-seeking around mental health remains low, with stigma the most widely reported barrier. However, the ways in which stigma around mental health may be produced (or resisted) in dominant constructions of athlete mental health remain under examined. This study explores constructions of athlete mental health into retirement in an example of Australian broadcast media, with consideration of the ways in which these representations might function to reproduce and perpetuate (or not) stigmatising versions of athlete mental health. Data from a two-part special of a current affairs programme focusing on transition difficulties and poor mental health of nine retired athletes were analysed using Discursive Psychology. Analysis focused on identifying the constructions of mental health and recovery produced in this broadcast, with consideration as to how these depictions might function to perpetuate and/or resist stigma. Mental health was constructed in two key ways–biomedical and life-stress–which externalised mental health. Recovery was, conversely, located as solely the individual’s responsibility and was depicted as achieved through self-awareness and engaging in new pursuits. Thus, individual experiences of mental health disorders were partially legitimised through externalising blame and presenting a plurality of depictions, yet did not redress stigma around transition distress more broadly by overlooking contextual factors. Depictions trivialised recovery, potentially functioning to stigmatise long-term or chronic mental health experiences as well as help-seeking. These results inform ways in which stigma around athlete mental health may be challenged, and implications for practice are discussed. © 2022 Informa UK Limited, trading as Taylor & Francis Group.
- Authors: Cosh, Suzanne , Crabb, Shona , McNeil, Dominic , Tully, Phillip
- Date: 2022
- Type: Text , Journal article
- Relation: Qualitative Research in Sport, Exercise and Health Vol. 14, no. 7 (2022), p. 1045-1069
- Full Text:
- Reviewed:
- Description: Athletes are vulnerable to experiencing mental health disorders, yet, disclosure and help-seeking around mental health remains low, with stigma the most widely reported barrier. However, the ways in which stigma around mental health may be produced (or resisted) in dominant constructions of athlete mental health remain under examined. This study explores constructions of athlete mental health into retirement in an example of Australian broadcast media, with consideration of the ways in which these representations might function to reproduce and perpetuate (or not) stigmatising versions of athlete mental health. Data from a two-part special of a current affairs programme focusing on transition difficulties and poor mental health of nine retired athletes were analysed using Discursive Psychology. Analysis focused on identifying the constructions of mental health and recovery produced in this broadcast, with consideration as to how these depictions might function to perpetuate and/or resist stigma. Mental health was constructed in two key ways–biomedical and life-stress–which externalised mental health. Recovery was, conversely, located as solely the individual’s responsibility and was depicted as achieved through self-awareness and engaging in new pursuits. Thus, individual experiences of mental health disorders were partially legitimised through externalising blame and presenting a plurality of depictions, yet did not redress stigma around transition distress more broadly by overlooking contextual factors. Depictions trivialised recovery, potentially functioning to stigmatise long-term or chronic mental health experiences as well as help-seeking. These results inform ways in which stigma around athlete mental health may be challenged, and implications for practice are discussed. © 2022 Informa UK Limited, trading as Taylor & Francis Group.
Exploring nature-and social-connectedness as mediators of the relationship between nature-based exercise and subjective wellbeing
- McNeil, Dominic, Singh, Ashumeet, Chambers, Timothy
- Authors: McNeil, Dominic , Singh, Ashumeet , Chambers, Timothy
- Date: 2022
- Type: Text , Journal article
- Relation: Ecopsychology Vol. 14, no. 4 (2022), p. 226-234
- Full Text:
- Reviewed:
- Description: Background and Objectives: Underlying mechanisms behind the benefits of nature-based exercise (NBE) for subjective wellbeing (SWB) remain largely unknown. Nature-and social-connectedness may be the factors that contribute to better subjective welling. This study explores whether nature connectedness and social connectedness mediate the relationship between NBE and SWB. Method: Participants (N = 359 Australian citizens; Female = 229 (63.8%); Mage = 40.15, SD = 16.23) recruited through social media responded to an online survey focused on NBE, SWB, social connectedness, and nature connectedness. Results: Correlations revealed positive associations between variables. The relationship between NBE and SWB was significantly serially mediated by nature connectedness and social connectedness. Yet, at an individual level, social connectedness mediated the relationship, but nature connectedness was not significant. Conclusion: It is important that researchers better understand potential mechanisms associated with increased perception of happiness and life satisfaction through nature. Individuals who exercise in nature, with stronger connections to nature, perceive a stronger bond to the social world, and are more likely to have greater wellbeing. The importance of social connectedness identified further supports that more research is needed to better understand the role of connection to humanity regarding exercise in nature. © Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.
- Authors: McNeil, Dominic , Singh, Ashumeet , Chambers, Timothy
- Date: 2022
- Type: Text , Journal article
- Relation: Ecopsychology Vol. 14, no. 4 (2022), p. 226-234
- Full Text:
- Reviewed:
- Description: Background and Objectives: Underlying mechanisms behind the benefits of nature-based exercise (NBE) for subjective wellbeing (SWB) remain largely unknown. Nature-and social-connectedness may be the factors that contribute to better subjective welling. This study explores whether nature connectedness and social connectedness mediate the relationship between NBE and SWB. Method: Participants (N = 359 Australian citizens; Female = 229 (63.8%); Mage = 40.15, SD = 16.23) recruited through social media responded to an online survey focused on NBE, SWB, social connectedness, and nature connectedness. Results: Correlations revealed positive associations between variables. The relationship between NBE and SWB was significantly serially mediated by nature connectedness and social connectedness. Yet, at an individual level, social connectedness mediated the relationship, but nature connectedness was not significant. Conclusion: It is important that researchers better understand potential mechanisms associated with increased perception of happiness and life satisfaction through nature. Individuals who exercise in nature, with stronger connections to nature, perceive a stronger bond to the social world, and are more likely to have greater wellbeing. The importance of social connectedness identified further supports that more research is needed to better understand the role of connection to humanity regarding exercise in nature. © Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.
Health empowerment scripts : simplifying social/green prescriptions
- Lawson, Justin, Wissing, Ross, Henderson-Wilson, Claire, Snell, Tristan, Chambers, Timothy, McNeil, Dominic, Nuttman, Sonia
- Authors: Lawson, Justin , Wissing, Ross , Henderson-Wilson, Claire , Snell, Tristan , Chambers, Timothy , McNeil, Dominic , Nuttman, Sonia
- Date: 2022
- Type: Text , Journal article
- Relation: Frontiers in Psychology Vol. 13, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Social prescriptions are one term commonly used to describe non-pharmaceutical approaches to healthcare and are gaining popularity in the community, with evidence highlighting psychological benefits of reduced anxiety, depression and improved mood and physiological benefits of reduced risk of cardiovascular disease and reduced hypertension. The relationship between human health benefits and planetary health benefits is also noted. There are, however, numerous barriers, such as duration and frequencies to participate in activities, access, suitability, volition and a range of unpredictable variables (such as inclement weather, shifting interests and relocating home amongst others) impeding a comprehensive approach to their use on a wider scale. From a multidisciplinary perspective, this commentary incorporates a salutogenic and nature-based approach to health, we also provide a range of recommendations that can be undertaken at the patient level to assist in shifting the acknowledged systemic barriers currently occurring. These include using simple language to explain the purpose of health empowerment scripts, ensuing personal commitment to a minimum timeframe, enabling ease of access, co-designing a script program, providing ongoing motivational support and incorporating mindfulness to counter unexpected disruptions. Copyright © 2022 Lawson, Wissing, Henderson-Wilson, Snell, Chambers, McNeil and Nuttman.
- Authors: Lawson, Justin , Wissing, Ross , Henderson-Wilson, Claire , Snell, Tristan , Chambers, Timothy , McNeil, Dominic , Nuttman, Sonia
- Date: 2022
- Type: Text , Journal article
- Relation: Frontiers in Psychology Vol. 13, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Social prescriptions are one term commonly used to describe non-pharmaceutical approaches to healthcare and are gaining popularity in the community, with evidence highlighting psychological benefits of reduced anxiety, depression and improved mood and physiological benefits of reduced risk of cardiovascular disease and reduced hypertension. The relationship between human health benefits and planetary health benefits is also noted. There are, however, numerous barriers, such as duration and frequencies to participate in activities, access, suitability, volition and a range of unpredictable variables (such as inclement weather, shifting interests and relocating home amongst others) impeding a comprehensive approach to their use on a wider scale. From a multidisciplinary perspective, this commentary incorporates a salutogenic and nature-based approach to health, we also provide a range of recommendations that can be undertaken at the patient level to assist in shifting the acknowledged systemic barriers currently occurring. These include using simple language to explain the purpose of health empowerment scripts, ensuing personal commitment to a minimum timeframe, enabling ease of access, co-designing a script program, providing ongoing motivational support and incorporating mindfulness to counter unexpected disruptions. Copyright © 2022 Lawson, Wissing, Henderson-Wilson, Snell, Chambers, McNeil and Nuttman.
Imagery training for reactive agility : performance improvements for decision time but not overall reactive agility
- McNeil, Dominic, Spittle, Michael, Mesagno, Christopher
- Authors: McNeil, Dominic , Spittle, Michael , Mesagno, Christopher
- Date: 2019
- Type: Text , Journal article
- Relation: International Journal of Sport and Exercise Psychology Vol. , no. (2019), p. 1-17
- Full Text:
- Reviewed:
- Description: This study investigated the effects of imagery training on reactive agility and whether reacting to unpredictable stimuli could be improved using imagery. Forty-seven female athletes (Mage = 21.51, SD = 2.32) were randomly assigned to either a three-week physical training, imagery training, or control condition. Physical training condition involved physically rehearsing the reactive agility task, whereas the imagery training condition involved imagining the presenting stimulus and performing the reactive agility task. The control condition did no reactive agility training. A 3 (training conditions) x 7 (reactive agility performance components) mixed-model MANOVA was conducted to examine changes in reactive agility performance from the training interventions. Physical training improved decision time components and overall reactive agility performance. Imagery training improved Stimulus-Decision Time and Stimulus-Foot performance, but not overall reactive agility performance. No performance improvements occurred for the control condition. Findings support imagery use for the decision time variables associated with lightstimulus reactive agility performance. The lack of overall reactive performance improvement may indicate that imagery training is not effective for all components of perceptual-motor performance. Performance change inconsistencies appear to indicate that participants may not have generated unpredictable stimuli during imagery. Future investigation as to whether imagery improvements translate to sport-specific reactive tasks is needed.
- Authors: McNeil, Dominic , Spittle, Michael , Mesagno, Christopher
- Date: 2019
- Type: Text , Journal article
- Relation: International Journal of Sport and Exercise Psychology Vol. , no. (2019), p. 1-17
- Full Text:
- Reviewed:
- Description: This study investigated the effects of imagery training on reactive agility and whether reacting to unpredictable stimuli could be improved using imagery. Forty-seven female athletes (Mage = 21.51, SD = 2.32) were randomly assigned to either a three-week physical training, imagery training, or control condition. Physical training condition involved physically rehearsing the reactive agility task, whereas the imagery training condition involved imagining the presenting stimulus and performing the reactive agility task. The control condition did no reactive agility training. A 3 (training conditions) x 7 (reactive agility performance components) mixed-model MANOVA was conducted to examine changes in reactive agility performance from the training interventions. Physical training improved decision time components and overall reactive agility performance. Imagery training improved Stimulus-Decision Time and Stimulus-Foot performance, but not overall reactive agility performance. No performance improvements occurred for the control condition. Findings support imagery use for the decision time variables associated with lightstimulus reactive agility performance. The lack of overall reactive performance improvement may indicate that imagery training is not effective for all components of perceptual-motor performance. Performance change inconsistencies appear to indicate that participants may not have generated unpredictable stimuli during imagery. Future investigation as to whether imagery improvements translate to sport-specific reactive tasks is needed.
Investigating the moderating role of coping style on music performance anxiety and perfectionism
- McNeil, Dominic, Loi, Natasha, Bullen, Rachel
- Authors: McNeil, Dominic , Loi, Natasha , Bullen, Rachel
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Music Education Vol. 40, no. 4 (2022), p. 587-597
- Full Text:
- Reviewed:
- Description: Classical musicians are under constant pressure to perform at near perfect levels, and are highly vulnerable to the negative effects of music performance anxiety. This study aimed to examine the mechanisms by which two types of perfectionism (personal standards and evaluative concerns) relate to music performance anxiety, and to explore the moderating roles of active and avoidant coping on the relationship between these perfectionism types and music performance anxiety. A sample of 118 classical performing musicians (35 males, 82 females, 1 other; Mage = 42.00, SD = 14.68) were recruited to participate in an anonymous online questionnaire assessing music performance anxiety, coping and perfectionism. Results indicated that the two dimensions of perfectionism were positively associated with music performance anxiety. Personal standards perfectionism was associated with active coping, and evaluative concerns perfectionism with avoidant coping. Active coping moderated the relationship between personal standards perfectionism and performance anxiety, but only at high and medium levels. Contrary to the prediction, avoidant coping did not moderate the relationship between evaluative concerns perfectionism and performance anxiety. These findings highlight key relationships between music performance anxiety and the interaction of personal standards perfectionism and active coping. © The Author(s) 2022.
- Authors: McNeil, Dominic , Loi, Natasha , Bullen, Rachel
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Music Education Vol. 40, no. 4 (2022), p. 587-597
- Full Text:
- Reviewed:
- Description: Classical musicians are under constant pressure to perform at near perfect levels, and are highly vulnerable to the negative effects of music performance anxiety. This study aimed to examine the mechanisms by which two types of perfectionism (personal standards and evaluative concerns) relate to music performance anxiety, and to explore the moderating roles of active and avoidant coping on the relationship between these perfectionism types and music performance anxiety. A sample of 118 classical performing musicians (35 males, 82 females, 1 other; Mage = 42.00, SD = 14.68) were recruited to participate in an anonymous online questionnaire assessing music performance anxiety, coping and perfectionism. Results indicated that the two dimensions of perfectionism were positively associated with music performance anxiety. Personal standards perfectionism was associated with active coping, and evaluative concerns perfectionism with avoidant coping. Active coping moderated the relationship between personal standards perfectionism and performance anxiety, but only at high and medium levels. Contrary to the prediction, avoidant coping did not moderate the relationship between evaluative concerns perfectionism and performance anxiety. These findings highlight key relationships between music performance anxiety and the interaction of personal standards perfectionism and active coping. © The Author(s) 2022.
- «
- ‹
- 1
- ›
- »