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Chapter 12 - Reducing Excessive Exercise Behaviour Using Online Cognitive–Behavioural Therapy

The Case of a Middle-Aged Adult

from Section 2 - Reaching the Extreme with Exercise: A Collection of Clinical Case Studies

Published online by Cambridge University Press:  30 March 2023

By
Merve Denizci Nazlıgül
Edited by
Ornella Corazza  and
Artemisa Rocha Dores
Ornella Corazza
Affiliation:
University of Hertfordshire and University of Trento, Italy
Artemisa Rocha Dores
Affiliation:
Polytechnic Institute of Porto and University of Porto, Portugal
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Summary

One of the most challenging aspects of exercise addiction (EA) is that it is a behaviour that is positively reinforced in the community. Moreover, accompanying non-adaptive eating behaviours make this problem more complicated. Evidence has shown that people with EA are mostly ambivalent and can be resistant to change. Therefore an understanding of individual differences and comorbidity factors may be important when choosing the most appropriate disorder-specific treatment. This chapter presents the case of a 38-year-old woman who exhibited excessive exercise and binge-eating behaviours. In addition to 12 sessions of online cognitive–behavioural therapy, some mindfulness-based techniques were used to elicit emotional awareness in this patient throughout her treatment. At the end of the intervention, her mood was improved, and she began to use more effective ways of coping with negative emotions. This case may also shed light on the importance of limitations and barriers to treatment adherence.

Keywords

binge eatingcase studycognitive–behavioural therapyexercise addictionmindfulness-based practices
Type
Chapter
Information
The Body in the Mind
Exercise Addiction, Body Image and the Use of Enhancement Drugs
 , pp. 171 - 176
Publisher: Cambridge University Press
Print publication year: 2023

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References

Beck, AT, Rush, AJ, Shaw, BF, Emery, G. Cognitive Therapy of Depression. The Guilford Press, 1979.Google Scholar
Beck, A, Epstein, N, Brown, G, Steer, RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988; 56: 893–7.Google Scholar
Hausenblas, H, Downs, DS. How much is too much? The development and validation of the Exercise Dependence Scale. Psychol Health 2002; 17: 387–404.CrossRefGoogle Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
Wilhelm, S, Phillips, K, Steketee, G. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder: A Treatment Manual. The Guilford Press, 2013.Google Scholar
Egorov, A, Szabo, A. The exercise paradox: an interactional model for a clearer conceptualization of exercise addiction. J Behav Addict 2013; 2: 199–208.CrossRefGoogle ScholarPubMed
Starcevic, V, Khazaal, Y. Relationships between behavioural addictions and psychiatric disorders: what is known and what is yet to be learned? Front Psychiatry 2017; 8: 53.Google Scholar
Berczik, K, Griffiths, MD, Szabó, A et al. Exercise addiction. In: Rosenberg, KP, Feder, LC, eds. Behavioral Addictions. Academic Press, 2014: 317–42.Google Scholar
Petry, N. Behavioral Addictions: DSM-5® and Beyond. Oxford University Press, 2015.CrossRefGoogle Scholar
Gooding, P, Tarrier, N. A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: hedging our bets? Behav Res Ther 2009; 47: 592–607.Google Scholar
Young, K. Treatment outcomes using CBT-IA with Internet-addicted patients. J Behav Addict 2013; 2: 209–15.Google Scholar
Witkiewitz, K, Bowen, S, Harrop, E et al. Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Subst Use Misuse 2014; 49: 513–24.Google Scholar
Hayes, S, Hofmann, S. The third wave of cognitive behavioral therapy and the rise of process-based care. World Psychiatry 2017; 16: 245–46.Google Scholar
Barlow, DH, Farchione, TJ, Sauer-Zavala, S et al. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide. Oxford University Press, 2017.Google Scholar
Hagan, AL, Hausenblas, HA. The relationship between exercise dependence symptoms and perfectionism. Am J Health Stud 2003; 18: 133–7.Google Scholar
Ruwaard, J, Lange, A, Schrieken, B, Dolan, CV, Emmelkamp, P. The effectiveness of online cognitive behavioral treatment in routine clinical practice. PLoS ONE 2012; 7: e40089.CrossRefGoogle ScholarPubMed
Cavanagh, K, Strauss, C, Cicconi, F et al. A randomised controlled trial of a brief online mindfulness-based intervention. Behav Res Ther 2013; 51: 573–8.Google Scholar

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