Evidence map›Paper›PMID 36719039›Full record

ArticleThe International journal of eating disorders2023

Divergent trajectories of positive affect following maladaptive and non-maladaptive exercise among individuals with binge-spectrum eating disorders.

Elizabeth W Lampe, Sasha Gorrell, Kathryn Smith, Adam M Payne-Reichert, Adrienne S Juarascio, Stephanie M Manasse

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Identification of Affective- and Social-Reinforcement Functions of Driven Exercise: Evidence From Three Samples.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  5. Review
  6. Article
  7. Adaptive and Maladaptive Exercise in Eating Disorders.Current topics in behavioral neurosciences · 2024
    Review
  8. Affective profiles of exercise episodes are associated with maladaptive and adaptive motivations for exercise.European eating disorders review : the journal of the Eating Disorders Association · 2023
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Elizabeth W LampeDepartment of Psychology, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6737-7027
Sasha GorrellDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-8861-8547
Kathryn SmithDepartment of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Adam M Payne-ReichertCenter for Weight Eating and Lifestyle Science (WELL Center), Drexel University, Philadelphia, Pennsylvania, USA.
Adrienne S JuarascioDepartment of Psychology, Drexel University, Philadelphia, Pennsylvania, USA.
Stephanie M ManasseCenter for Weight Eating and Lifestyle Science (WELL Center), Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4666-588X
Drexel University · USUniversity of California, San Francisco · USUniversity of Southern California · US

Funding

Biobehavioral self-regulatory processes underlying real-time binge eating symptoms and obesity riskK23DK128568 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SMITH, KATHRYN ELIZABETH · 2021 to 2025
$957k
Does aberrant decision-making prevent success in adolescent behavioral weight loss treatment?K23DK124514 · NIDDK · DREXEL UNIVERSITY · PI MANASSE, STEPHANIE · 2020 to 2024
$897k
Neural Correlates of Reinforcement Learning Specific to Hyperactivityin Adolescent Anorexia NervosaK23MH126201 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GORRELL, SASHA CATHERINE · 2021 to 2025
$848k
Augmenting cognitive behavioral therapy with inhibitory control trainingR34MH118353 · NIMH · DREXEL UNIVERSITY · PI MANASSE, STEPHANIE · 2019 to 2021
$704k
NIDDK NIH HHS K23 DK124514NIDDK NIH HHS K23 DK128568NIDDK NIH HHS K23DK128568NIH HHS K23DK124514NIMH NIH HHS K23 MH126201NIMH NIH HHS K23MH126201NIMH NIH HHS R34 MH118353
6 · The paper itself

Abstract

objectiveIndividuals with eating disorders (EDs) often engage in maladaptive exercise (e.g., feeling driven, or to "compensate" for eating) which maintains eating pathology. Maladaptive exercise has been theorized to help individuals with EDs regulate emotions by enhancing positive affect (PA) and reducing negative affect (NA) associated with binge episodes and poor body image. However, no research has considered the presence of non-maladaptive exercise or evaluated this theory in binge-spectrum EDs.

methodsThis study evaluated affective trajectories pre- and post-exercise and examined exercise type (maladaptive or non-maladaptive) as a moderator. We recruited adults with binge-spectrum EDs (N = 107; n = 84 endorsed exercise) to complete a 7- to 14-day ecological momentary assessment protocol assessing NA (anxiety, guilt, and sadness), PA (excitement and cheerfulness), and exercise.

resultsThere was a significant quadratic trajectory of PA pre-exercise, suggesting that the upward trajectory of PA leveled out as it moved closer to an exercise episode. Exercise type significantly moderated the cubic trajectory of PA post-exercise, such that the upward trajectory of PA accelerated in the hours following non-maladaptive exercise episodes while the downward trajectory of PA accelerated in the hours following maladaptive exercise episodes. No trajectories of NA demonstrated significant effects.

conclusionsPre-exercise trajectories of PA may reflect positive expectancies around exercise. Post-exercise trajectories of PA suggest that non-maladaptive exercise promotes increased PA. Future research should evaluate when, and for whom, exercise serves to regulate affect and examine other momentary risk factors of exercise in EDs. PUBLIC SIGNIFICANCE: Individuals with EDs often engage in maladaptive exercise (e.g., feeling driven, or to "compensate" for eating). Maladaptive exercise has been theorized to help individuals with EDs regulate emotions. This study evaluated affective trajectories pre- and post-exercise and examined whether exercise type (maladaptive or non-maladaptive) changed these trajectories. Pre-exercise trajectories of PA may reflect positive expectancies around exercise. Post-exercise trajectories of PA suggest that non-maladaptive exercise promotes increased PA.

Indexed as

Binge-Eating DisorderFeeding and Eating DisordersAdultAnxietyEcological Momentary AssessmentExerciseHumansSadnessbinge-eating disorderbulimia nervosaexercisenegative affectpositive affect

Identifiers

PMID36719039
PMCPMC10286557
OpenAlexW4318618570

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.