Identification of Affective- and Social-Reinforcement Functions of Driven Exercise: Evidence From Three Samples

Kolar, David R. and Haynos, Ann F. and Wang, Shirley B. and Lask, Theresa and Murray, Stuart B. and Voderholzer, Ulrich and Gorrell, Sasha (2025) Identification of Affective- and Social-Reinforcement Functions of Driven Exercise: Evidence From Three Samples. CLINICAL PSYCHOLOGICAL SCIENCE, 13 (3). pp. 582-597. ISSN 2167-7026, 2167-7034

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Abstract

Driven exercise is a transdiagnostic maladaptive behavior, especially common in eating disorders (EDs); however, its maintenance mechanisms remain poorly understood. To address this gap, we examined the applicability of previously empirically derived and validated reinforcement-function models in explaining driven-exercise maintenance in studies varying across developmental stages and clinical presentations (Study 1: N = 279 adolescents/adults oversampled for EDs; Study 2: N = 118 adolescent/adult inpatients with severe EDs; Study 3: N = 52 adults oversampled for athletes and/or EDs). Results supported the utility of a four-function model (automatic positive reinforcement [APR]/automatic negative reinforcement [ANR; increase positive/decrease negative affect], social positive reinforcement [SPR]/social negative reinforcement [SNR; engage in/avoid interpersonal situations]) in explaining driven exercise. APR was most frequently endorsed, followed by ANR, SNR, and SPR in all studies. APR correlated with last-month driven-exercise episodes across studies; associations between other functions and ED psychopathology varied between studies. Furthermore, results suggested a separate control function could be considered in samples with more severe EDs.

Item Type: Article
Uncontrolled Keywords: DISORDER EXAMINATION-QUESTIONNAIRE; COMPULSIVE EXERCISE; EMOTION REGULATION; ANOREXIA-NERVOSA; PSYCHOMETRIC PROPERTIES; PHYSICAL-ACTIVITY; ADOLESCENTS; DEPRESSION; VALIDATION; BEHAVIORS; eating disorders; compulsive exercise; exercise; athletes; social function
Subjects: 100 Philosophy & psychology > 150 Psychology
Divisions: Human Sciences > Institut für Psychologie > Clinical Child and Adolescent Psychology and Psychotherapy – Prof. Dr. David Kolar
Depositing User: Dr. Gernot Deinzer
Date Deposited: 17 Mar 2026 10:36
Last Modified: 17 Mar 2026 10:36
URI: https://pred.uni-regensburg.de/id/eprint/64606

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