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Examining the Relationship Between Dysfunctional Exercise and Eating Disorder Pathology During and After Treatment
Madeline Palermo1, Roxanne Rockwell1, Christina E Wierenga1
1Department of Psychiatry, Eating Disorders Treatment and Research Program, University of California, San Diego, USA.
The International Journal of Eating Disorders
|July 28, 2025
Summary
Dysfunctional exercise and eating disorder pathology have a reciprocal relationship in adolescents during and after treatment. Addressing exercise issues is crucial for improving eating disorder recovery outcomes.
Area of Science:
- Psychiatry
- Clinical Psychology
- Adolescent Health
Background:
- Dysfunctional exercise is linked to prolonged eating disorder treatment and poorer health outcomes.
- A longitudinal understanding of dysfunctional exercise and eating disorder pathology during and after treatment is lacking.
Purpose of the Study:
- To investigate the longitudinal relationship between dysfunctional exercise and global eating disorder pathology in adolescents undergoing partial hospitalization/intensive outpatient treatment.
Main Methods:
- A transdiagnostic sample of 359 adolescents completed assessments across five time points.
- A bivariate latent change score model analyzed bidirectional associations between dysfunctional exercise and eating disorder pathology.
Main Results:
- The relationship between global eating disorder pathology and dysfunctional exercise is bidirectional.
- Higher levels of one variable at earlier time points predicted less improvement in the other over time.
Conclusions:
- A reciprocal relationship exists between dysfunctional exercise and eating disorder pathology in adolescents during and post-treatment.
- Shared severity may influence this relationship, warranting further research.
- Integrating assessment and treatment of dysfunctional exercise is vital for adolescent eating disorder recovery.
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