Journal article
Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders
European eating disorders review, v 34(4), pp 960-970
06 Feb 2026
PMID: 41646029
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective
Individuals with binge-spectrum eating disorders (EDs) engage in varying degrees of maladaptive and adaptive exercise. Elevated shape/weight concern is associated with engagement in maladaptive and adaptive exercise. No research has examined whether specific facets of shape/weight concern (e.g., fear of weight gain) are associated with degree of maladaptive versus adaptive exercise engagement.
Method
Participants were 124 adults with binge-spectrum EDs enroled in outpatient trials of Enhanced Cognitive Behaviour Therapy. Linear regression models examined associations between each facet of shape and weight concern concurrently at pre-treatment and degree of maladaptive versus adaptive exercise at pre-treatment (i.e., percentage maladaptive exercise episodes of total exercise episodes). We explored these relationships across treatment and diagnostic groups.
Results
Greater pre-treatment fear of weight gain was associated with a greater degree of pre-treatment maladaptive exercise (p = 0.027). This pattern was marginally significant in the longitudinal model (p = 0.057) and was upheld within the BN-spectrum (p's < 0.041) but not the BED-spectrum group.
Discussion
Accounting for all other facets, fear of weight gain may function as a risk factor for engagement in a greater degree of maladaptive exercise pre- and post-treatment. Future research should examine the mechanisms underlying associations between fear of weight gain and maladaptive exercise engagement.
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Details
- Title
- Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders
- Creators
- Naomi G. Hill - Ohio UniversityElizabeth W. Lampe - Dartmouth CollegeAdrienne Juarascio - Oregon Research InstituteStephanie M. Manasse - Nemours Children's Health System
- Publication Details
- European eating disorders review, v 34(4), pp 960-970
- Publisher
- Wiley
- Number of pages
- 11
- Grant note
- R43MH121205 / National Institute of Mental Health (100000025) National Institutes of Health (http://data.elsevier.com/vocabulary/SciValFunders/100000002) R01MH122392 / National Institute of Mental Health (100000025) R34MH118353 / National Institute of Mental Health (100000025) R34MH116021 / National Institute of Mental Health (100000025) R34MH118353; R43MH121205; R01MH122392; R34MH116021 / National Institutes of Health (http://data.elsevier.com/vocabulary/SciValFunders/100000002)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:001682289600001
- Scopus ID
- 2-s2.0-105029477188
- Other Identifier
- 991022162826904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry
- Psychology, Clinical