ArticleThe International journal of eating disorders2026
Feeling Better Before, Not After: An Ecological Momentary Assessment of Affect Around Exercise in Women With Eating Disorders.
Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Update of
Authors and funding
5 authors.
Funding
Abstract
objectiveMaladaptive exercise includes excessive, compulsive, or compensatory exercise and is a common eating-disorder (ED) symptom associated with increased severity, slower rates-of-recovery, and faster rates-of-relapse. Affect-regulation theories posit that maladaptive exercise functions to reduce high negative affect (NA), although support for this model is mixed. Previous studies have not integrated ecological momentary assessment (EMA) with accelerometry or examined the affect-regulation model in individuals with EDs who frequently engage in maladaptive exercise. The objective of this study was to examine trajectories of NA and positive affect (PA) through a 7-day EMA study combined with accelerometry in women with EDs (N = 84).
methodPiecewise generalized mixed-effects regression models evaluated the trajectories of PA and NA in the hours leading up to and following self-reported exercise and exercise identified via accelerometry.
resultsNA was increasing before self-reported exercise, although NA did not meaningfully change relative to objectively measured exercise. PA was increasing prior to exercise and decreasing after exercise, and this pattern was consistent for both self-reported and objectively measured exercise. Rates of rising PA were steeper in the hours leading up to higher intensity exercise episodes. DISCUSSION: Though inconsistent with affect-regulation models, the current study offers preliminary evidence that exercise is associated with disrupted affective responses among women with EDs who regularly engage in maladaptive exercise. Results suggest that the hours prior to high-intensity exercise are associated with increasing PA, perhaps due to planning or anticipating exercise, for a considerable proportion of people with EDs. If replicated, treatments may consider decreasing the reward value placed on intense exercise and increasing value placed on low-intensity or non-exercise activities.
Indexed as
Identifiers
42345609What OpenQuestion holds
Registered trials
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.