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Section 1 - From Exercise to Addiction: An Introduction to the Phenomenon

Published online by Cambridge University Press:  30 March 2023

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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The Body in the Mind
Exercise Addiction, Body Image and the Use of Enhancement Drugs
, pp. 1 - 162
Publisher: Cambridge University Press
Print publication year: 2023

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References

References

Ashdown-Franks, G, Firth, J, Carney, R et al. Exercise as medicine for mental and substance use disorders: a meta-review of the benefits for neuropsychiatric and cognitive outcomes. Sports Med 2020; 50: 151–70.CrossRefGoogle ScholarPubMed
Davis, C. Exercise abuse. Int J Sport Psychol 2000; 31: 278–89.Google Scholar
Szabo, A, Demetrovics, Z, Griffiths, MD. Morbid exercise behavior: addiction or psychological escape? In: Budde, H, Wegner, M, eds. The Exercise Effect on Mental Health: Neurobiological Mechanisms. Routledge, 2018: 277311.CrossRefGoogle Scholar
Baekeland, F. Exercise deprivation: sleep and psychological reactions. Arch Gen Psychiatry 1970; 22: 365–9.Google Scholar
Little, JC. Athletic neurosis: a deprivation crisis. Acta Psychiatr Scand 1969; 45: 187–97.Google Scholar
Morgan, WP. Negative addiction in runners. Phys Sportsmed 1979; 7: 5670.CrossRefGoogle ScholarPubMed
Fernandez, DP, Kuss, DJ, Griffiths, MD. Short-term abstinence effects across potential behavioral addictions: a systematic review. Clin Psychol Rev 2020; 76: 101828.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
World Health Organization. ICD-11 for Mortality and Morbidity Statistics. World Health Organization, 2019.Google Scholar
Grant, JE, Potenza, MN, Weinstein, A, Gorelick, DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse 2010; 36: 233–41.Google Scholar
Griffiths, MD. Behavioural addiction: an issue for everybody? Empl Couns Today 1996; 8: 1925.CrossRefGoogle Scholar
Sussman, S, Sussman, AN. Considering the definition of addiction. Int J Environ Res Public Health 2011; 8: 4025–38.CrossRefGoogle ScholarPubMed
Spada, MM. Commentary on: are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. Problems with atheoretical and confirmatory research approaches in the study of behavioral addictions. J Behav Addict 2015; 4: 124–5.Google Scholar
Grant, JE, Chamberlain, SR. Expanding the definition of addiction: DSM-5 vs. ICD-11. CNS Spectr 2016; 21: 300–3.Google Scholar
Harvey, J, Beamish, R, Defrance, J. Physical exercise policy and the welfare state: a framework for comparative analysis. Int Rev Sociol Sport 1993; 28: 5364.Google Scholar
Plymire, DC. Positive addiction: running and human potential in the 1970s. J Sport Hist 2004; 31: 297315.Google Scholar
Maslow, AH. The Power of Self-Actualization. Sounds True, 1992.Google Scholar
Kimiecik, JC, Jackson, SA. Optimal experience in sport: a flow perspective. In: Horn, TS, ed. Advances in Sport Psychology. Human Kinetics, 2002: 501–27.Google Scholar
McInman, AD, Grove, JR. Peak moments in sport: a literature review. Quest 1991; 43: 333–51.Google Scholar
Glasser, W. Positive Addiction. Harper & Row, 1976.Google Scholar
Adams, J. Understanding exercise dependence. J Contemp Psychother 2009; 39: 231–40.CrossRefGoogle Scholar
Allegre, B, Souville, M, Therme, P, Griffiths, MD. Definitions and measures of exercise dependence. Addict Res Theory 2006; 14: 631–46.CrossRefGoogle Scholar
Estok, PJ, Rudy, EB. Physical, psychosocial, menstrual changes/risks, and addiction in the female marathon and nonmarathon runner. Health Care Women Int 1986; 7: 187202.Google Scholar
Hausenblas, HA, Symons-Downs, D. How much is too much? The development and validation of the exercise dependence scale. Psychol Health 2002; 17: 387404.CrossRefGoogle Scholar
Hausenblas, HA, Symons-Downs, D. Exercise dependence: a systematic review. Psychol Sport Exerc 2002; 3: 89123.Google Scholar
Chapman, CL, De Castro, JM. Running addiction: measurement and associated psychological characteristics. J Sports Med Phys Fitness 1990; 30: 283–90.Google Scholar
Bamber, DJ, Cockerill, IM, Rodgers, S, Carroll, D. Diagnostic criteria for exercise dependence in women. Br J Sports Med 2003; 37: 393400.CrossRefGoogle ScholarPubMed
Billieux, J, Schimmenti, A, Khazaal, Y, Maurage, P, Heeren, A. Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. J Behav Addict 2015; 4: 119–23.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. American Psychiatric Association, 2000.Google Scholar
Brown, R. Some contributions of the study of gambling to the study of other addictions. In: Eadington, WR, Cornelius, JA, eds. Gambling Behavior and Problem Gambling. University of Nevada Press, 1993: 241–72.Google Scholar
Griffiths, MD. Exercise addiction: a case study. Addict Res 1997; 5: 161–8.Google Scholar
Griffiths, MD. The evolution of the ‘components model of addiction’ and the need for a confirmatory approach in conceptualizing behavioral addictions. Düşünen Adam J Psychiatry Neurol Sci 2019; 32: 179–84.Google Scholar
Griffiths, MD. A ‘components’ model of addiction within a biopsychosocial framework. J Subst Use 2005; 10: 191–7.Google Scholar
Terry, A, Szabo, A, Griffiths, MD. The Exercise Addiction Inventory: a new brief screening tool. Addict Res Theory 2004; 12: 489–99.Google Scholar
Griffiths, MD, Szabo, A, Terry, A. The Exercise Addiction Inventory: a quick and easy screening tool for health practitioners. Br J Sports Med 2005; 39: e30.Google Scholar
Meyer, C, Taranis, L, Goodwin, H, Haycraft, E. Compulsive exercise and eating disorders. Eur Eat Disord Rev 2011; 19: 174–89.Google Scholar
Taranis, L, Touyz, S, Meyer, C. Disordered eating and exercise: development and preliminary validation of the Compulsive Exercise Test (CET). Eur Eat Disord Rev 2011; 19: 256–68.Google Scholar
Yates, A, Leehey, K, Shisslak, CM. Running—an analogue of anorexia? N Engl J Med 1983; 308: 251–5.Google Scholar
McCabe, MP, Vincent, MA. Development of body modification and excessive exercise scales for adolescents. Assessment 2002; 9: 131–41.Google Scholar
Veale, D. Does primary exercise dependence really exist? In: Annett, J, Cripps, B, Steinberg, H, eds. Exercise Addiction: Motivation for Participation in Sport and Exercise: Proceedings of British Psychological Society, Division of Sport and Exercise Psychology. British Psychological Society, 1995: 7175.Google Scholar
Yates, A, Leehey, K, Shisslak, CM. Running—an analogue of anorexia? N Engl J Med 1983; 308: 251–5.Google Scholar
Veale, D. Exercise dependence. Br J Addict 1987; 82: 735–40.Google Scholar
Blaydon, MJ, Lindner, KJ, Kerr, JH. Metamotivational characteristics of eating-disordered and exercise-dependent triathletes: an application of reversal theory. Psychol Sport Exerc 2002; 3: 223–36.Google Scholar
Blaydon, MJ, Lindner, KJ. Eating disorders and exercise dependence in triathletes. Eat Disord 2002; 10: 4960.CrossRefGoogle ScholarPubMed
Johnston, O, Reilly, J, Kremer, J. Excessive exercise: from quantitative categorisation to a qualitative continuum approach. Eur Eat Disord Rev 2011; 19: 237–48.CrossRefGoogle ScholarPubMed
Alcaraz-Ibáñez, M, Paterna, A, Sicilia, A, Griffiths, MD. Morbid exercise behaviour and eating disorders: a meta-analysis. J Behav Addict 2020; 9: 206–24.CrossRefGoogle ScholarPubMed
Bamber, DJ, Cockerill, IM, Rodgers, S, Carroll, D. “It’s exercise or nothing”: a qualitative analysis of exercise dependence. Br J Sports Med 2000; 34: 423–30.CrossRefGoogle ScholarPubMed
Cook, B, Hausenblas, HA. The role of exercise dependence for the relationship between exercise behavior and eating pathology: mediator or moderator? J Health Psychol 2008; 13: 495502.Google Scholar
Trott, M, Jackson, SE, Firth, J et al. A comparative meta-analysis of the prevalence of exercise addiction in adults with and without indicated eating disorders. Eat Weight Disord 2021; 26: 3746.CrossRefGoogle ScholarPubMed
Shroff, H, Reba, L, Thornton, LM et al. Features associated with excessive exercise in women with eating disorders. Int J Eat Disord 2006; 39: 454–61.CrossRefGoogle ScholarPubMed
Klein, DA, Bennett, AS, Schebendach, J et al. Exercise ‘addiction’ in anorexia nervosa: model development and pilot data. CNS Spectr 2004; 9: 531–7.CrossRefGoogle ScholarPubMed
Zmijewski, CF. Howard, MO. Exercise dependence and attitudes toward eating among young adults. Eat Behav 2003; 4: 181–95.CrossRefGoogle ScholarPubMed
Maselli, M, Gobbi, E, Probst, M, Carraro, A. Prevalence of primary and secondary exercise dependence and its correlation with drive for thinness in practitioners of different sports and physical activities. Int J Ment Health Addict 2019; 17: 89101.CrossRefGoogle Scholar
Blaydon, MJ, Lindner, KJ, Kerr, JH. Metamotivational characteristics of exercise dependence and eating disorders in highly active amateur sport participants. Pers Individ Dif 2004; 36: 1419–32.Google Scholar
Tod, D, Edwards, C. A meta-analysis of the drive for muscularity’s relationships with exercise behaviour, disordered eating, supplement consumption, and exercise dependence. Int Rev Sport Exerc Psychol 2015; 8: 185203.Google Scholar
Tod, D, Edwards, C, Hall, G. Drive for leanness and health-related behavior within a social/cultural perspective. Body Image 2013; 10: 640–3.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of exercise addiction, body dysmorphic disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.CrossRefGoogle ScholarPubMed
Foster, AC, Shorter, GW, Griffiths, MD. Muscle dysmorphia: could it be classified as an addiction to body image? J Behav Addict 2015; 4: 15.CrossRefGoogle ScholarPubMed
Oberle, CD, Watkins, RS, Burkot, AJ. Orthorexic eating behaviors related to exercise addiction and internal motivations in a sample of university students. Eat Weight Disord 2018; 23: 6774.Google Scholar
Cena, H, Barthels, F, Cuzzolaro, M et al. Definition and diagnostic criteria for orthorexia nervosa: a narrative review of the literature. Eat Weight Disord 2019; 24: 209–46.CrossRefGoogle ScholarPubMed
Di Nicola, M, Tedeschi, D, Mazza, M et al. Behavioural addictions in bipolar disorder patients: role of impulsivity and personality dimensions. J Affect Disord 2010; 125: 82–8.Google Scholar
Di Nicola, M, Martinotti, G, Mazza, M et al. Quetiapine as add-on treatment for bipolar I disorder with comorbid compulsive buying and physical exercise addiction. Prog Neuropsychopharmacol Biol Psychiatry 2010; 34: 713–14.CrossRefGoogle ScholarPubMed
Carmack, MA, Martens, R. Measuring commitment to running: a survey of runners’ attitudes and mental states. J Sport Psychol 1979; 1: 2542.Google Scholar
Corbin, CB, Nielsen, AB, Borsdorf, LL, Laurie, DR. Commitment to physical activity. Int J Sport Psychol 1987; 18: 215–22.Google Scholar
Blumenthal, JA, Toole, LCO, Jonathan, L. Is running an analogue of anorexia nervosa? An empirical study of obligatory running and anorexia nervosa. JAMA 1984; 27: 520–3.Google Scholar
Pasman, LN, Thompson, JK. Body image and eating disturbance in obligatory runners, obligatory weightlifters, and sedentary individuals. Int J Eat Disord 1988; 7: 759–69.3.0.CO;2-G>CrossRefGoogle Scholar
Hailey, BJ, Bailey, LA. Negative addiction in runners: a quantitative approach. J Sport Behav 1982; 5: 150–4.Google Scholar
Freimuth, M, Moniz, S, Kim, SR. Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. Int J Environ Res Public Health 2011; 8: 4069–81.Google Scholar
Davis, C, Brewer, H, Ratusny, D. Behavioral frequency and psychological commitment: necessary concepts in the study of excessive exercising. J Behav Med 1993; 16: 611–28.Google Scholar
Ogden, J, Veale, D, Summers, Z. The development and validation of the Exercise Dependence Questionnaire. Addict Res 1997; 5: 343–56.CrossRefGoogle Scholar
Colledge, F, Buchner, U, Schmidt, A, Walter, M. Does exercise addiction exist? A brief review on current measurement tools and future directions. Ment Health Addict Res 2019; 4: 14.CrossRefGoogle Scholar
Marques, A, Peralta, M, Sarmento, H et al. Prevalence of risk for exercise dependence: a systematic review. Sports Med 2019; 49: 319–30.CrossRefGoogle ScholarPubMed
Symons-Downs, D, Hausenblas, HA, Nigg, CR. Factorial validity and psychometric examination of the Exercise Dependence Scale-Revised. Meas Phys Educ Exerc Sci 2004; 8: 183201.CrossRefGoogle Scholar
Lindwall, M, Palmeira, A. Factorial validity and invariance testing of the Exercise Dependence Scale-Revised in Swedish and Portuguese exercisers. Meas Phys Educ Exerc Sci 2009; 13: 166–79.Google Scholar
Sicilia, A, González-Cutre, D. Dependence and physical exercise: Spanish validation of the Exercise Dependence Scale-Revised (EDS-R). Span J Psychol 2011; 14: 421–31.CrossRefGoogle ScholarPubMed
Müller, A, Claes, L, Smits, D et al. Validation of the German version of the Exercise Dependence Scale. Eur J Psychol Assess 2013; 29: 213–19.CrossRefGoogle Scholar
Costa, S. Psychometric examination and factorial validity of the Exercise Dependence Scale-Revised in Italian exercisers. J Behav Addict 2012; 1: 186–90.CrossRefGoogle ScholarPubMed
Szabo, A, Pinto, A, Griffiths, MD, Kovácsik, R, Demetrovics, Z. The psychometric evaluation of the Revised Exercise Addiction Inventory: improved psychometric properties by changing item response rating. J Behav Addict 2019; 8: 157–61.Google Scholar
Meyer, C, Plateau, CR, Taranis, L et al. The Compulsive Exercise Test: confirmatory factor analysis and links with eating psychopathology among women with clinical eating disorders. J Eat Disord 2016; 4: 19.Google Scholar
Plateau, CR, Shanmugam, V, Duckham, RL et al. Use of the Compulsive Exercise Test with athletes: norms and links with eating psychopathology. J Appl Sport Psychol 2014; 26: 287301.CrossRefGoogle Scholar
Griffiths, MD, Urbán, R, Demetrovics, Z et al. A cross-cultural re-evaluation of the Exercise Addiction Inventory (EAI) in five countries. Sports Med Open 2015; 1: 17.Google Scholar
Mónok, K, Berczik, K, Urbán, R et al. Psychometric properties and concurrent validity of two exercise addiction measures: a population wide study. Psychol Sport Exerc 2012; 13: 739–46.Google Scholar
Lejoyeux, M, Avril, M, Richoux, C, Embouazza, H, Nivoli, F. Prevalence of exercise dependence and other behavioral addictions among clients of a Parisian fitness room. Compr Psychiatry 2008; 49: 353–8.Google Scholar
Serier, KN, Smith, JE, Lash, DN et al. Obligatory exercise and coping in treatment-seeking women with poor body image. Eat Weight Disord 2018; 23: 331–8.CrossRefGoogle ScholarPubMed
Sicilia, A, Paterna, A, Alcaraz-Ibáñez, M, Griffiths, MD. Theoretical conceptualizations of problematic exercise in psychometric assessment instruments: a systematic review. J Behav Addict 2021; 10: 420.Google Scholar
Szabo, A, Frenkl, R, Caputo, A. Relationship between addiction to running, commitment to running, and deprivation from running: a study on the Internet. In: European Yearbook of Sport Psychology, Vol. 1. European Federation of Sport Psychology, 1997: 130–47.Google Scholar
Weik, M, Hale, BD. Contrasting gender differences on two measures of exercise dependence. Br J Sports Med 2009; 43: 204–7.CrossRefGoogle ScholarPubMed
Hausenblas, HA, Giacobbi, PR. Relationship between exercise dependence symptoms and personality. Pers Individ Dif 2004; 36: 1265–73.Google Scholar
Szabo, A, Griffiths, MD, de La Vega, R, Mervó, B, Demetrovics, Z. Methodological and conceptual limitations in exercise addiction research. Yale J Biol Med 2015; 88: 303–8.Google Scholar
Chamberlain, SR, Grant, JE. Is problematic exercise really problematic? A dimensional approach. CNS Spectr 2020; 25: 6470.Google Scholar
Adams, J, Kirkby, R. Exercise dependence: a problem for sports physiotherapists. Aust J Physiother 1997; 43: 53–8.Google Scholar
Weinstein, AA, Koehmstedt, C, Kop, WJ. Mental health consequences of exercise withdrawal: a systematic review. Gen Hosp Psychiatry 2017; 49: 1118.Google Scholar
Colledge, F, Cody, R, Pühse, U, Gerber, M. Responses of fitness center employees to cases of suspected eating disorders or excessive exercise. J Eat Disord 2020; 8: 19.Google Scholar
Prochaska, JO, Redding, CA, Evers, KE. The transtheoretical model and stages of change. In: Glanz, K, Rimer, BK, Viswanath, K, eds. Health Behavior. Theory, Research, and Practice. Jossey-Bass, 2015: 125–48.Google Scholar
Petry, NM. Pathological Gambling: Etiology, Comorbidity, and Treatment. American Psychological Association, 2005.CrossRefGoogle Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of exercise addiction, body dysmorphic disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: 117.Google Scholar
Shaffer, HJ, LaPlante, DA, LaBrie, RA et al. Toward a syndrome model of addiction: multiple expressions, common etiology. Harv Rev Psychiatry 2004; 12: 367–74.CrossRefGoogle Scholar
Egorov, AY, Szabo, A. The exercise paradox: an interactional model for a clearer conceptualization of exercise addiction. J Behav Addict 2013; 2: 199208.Google Scholar
Kardefelt-Winther, D, Heeren, A, Schimmenti, A et al. How can we conceptualize behavioural addiction without pathologizing common behaviours? Addiction 2017; 112: 1709–15.Google Scholar

References

Wegner, DM. The Illusion of Conscious Will. MIT Press, 2002.Google Scholar
Vallerand, RJ. On the psychology of passion: in search of what makes people’s lives most worth living. Can Psychol 2008, 49: 113.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
Archer, T, Josefsson, T, Lindwall, M. Effects of physical exercise on depressive symptoms and biomarkers in depression. CNS Neurol Disord Drug Targets 2014; 13: 1640–53.Google Scholar
Sharman, JE, La Gerche, A, Coombes, JS. Exercise and cardiovascular risk in patients with hypertension. Am J Hypertens 2015; 28: 147–58.CrossRefGoogle ScholarPubMed
Kandola, A, Stubbs, B. Exercise and anxiety. Adv Exp Med Biol 2020; 1228: 345–52.CrossRefGoogle ScholarPubMed
Ross, A, Thomas, S. The health benefits of yoga and exercise: a review of comparison studies. J Altern Complement Med 2010; 16: 312.Google Scholar
Ströhle, A. Physical activity, exercise, depression, and anxiety disorders. J Neural Transm (Vienna) 2009; 116: 777–84.Google Scholar
Paolucci, EM, Loukov, D, Bowdish, DME, Heisz, JJ. Exercise reduces depression and inflammation but intensity matters. Biol Psychol 2018; 133: 7984.Google Scholar
Strawbridge, WJ, Deleger, S, Roberts, RE, Kaplan, GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002; 156: 328–34.CrossRefGoogle ScholarPubMed
Ma, CL, Ma, XT, Wang, JJ et al. Physical exercise induces hippocampal neurogenesis and prevents cognitive decline. Behav Brain Res 2017; 317: 332–9.Google Scholar
Bjørnebekk, A, Mathé, AA, Brené, S. The antidepressant effect of running is associated with increased hippocampal cell proliferation. Int J Neuropsychopharmacol 2005; 8: 357–68.CrossRefGoogle ScholarPubMed
Holland, G, Tiggemann, M. A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image 2016; 17: 100–10.Google Scholar
Tiggemann, M, Hayden, S, Brown, Z, Veldhuis, J. The effect of Instagram “likes” on women’s social comparison and body dissatisfaction. Body Image 2018; 26: 90–7.Google Scholar
Polivy, J, Herman, CP. Causes of eating disorders. Annu Rev Psychol 2002; 53: 187213.CrossRefGoogle ScholarPubMed
Aparicio-Martinez, P, Perea-Moreno, AJ, Martinez-Jimenez, MP et al. Social media, thin-ideal, body dissatisfaction and disordered eating attitudes: an exploratory analysis. Int J Environ Res Public Health 2019; 16: 4177.Google Scholar
McLean, SA, Paxton, SJ. Body image in the context of eating disorders. Psychiatr Clin North Am 2019; 42: 145–56.Google Scholar
Freire, GLM, da Silva Paulo, JR, da Silva, AA et al. Body dissatisfaction, addiction to exercise, and risk behaviour for eating disorders among exercise practitioners. J Eat Disord 2020; 8: 23.Google Scholar
Keski-Rahkonen, A, Mustelin, L. Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Curr Opin Psychiatry 2016; 29: 340–5.Google Scholar
Galmiche, M, Déchelotte, P, Lambert, G, Tavolacci, MP. Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. Am J Clin Nutr 2019; 109: 1402–13.Google Scholar
Peñas-Lledó, E, Vaz Leal, FJ, Waller, G. Excessive exercise in anorexia nervosa and bulimia nervosa: relation to eating characteristics and general psychopathology. Int J Eat Disord 2002; 31: 370–5.Google Scholar
Shroff, H, Reba, L, Thornton, LM et al. Features associated with excessive exercise in women with eating disorders. Int J Eat Disord 2006; 39: 454–61.Google Scholar
Davis, C, Katzman, DK, Kaptein, S et al. The prevalence of high-level exercise in the eating disorders: etiological implications. Compr Psychiatry 1997; 38: 321–6.Google Scholar
Rizk, M, Mattar, L, Kern, L et al. Physical activity in eating disorders: a systematic review. Nutrients 2020; 12: 183.Google Scholar
El Ghoch, M, Calugi, S, Pellegrini, M et al. Measured physical activity in anorexia nervosa: features and treatment outcome. Int J Eat Disord 2013; 46: 709–12.CrossRefGoogle ScholarPubMed
Davis, C, Kaptein, S, Kaplan, AS, Olmsted, MP, Woodside, DB. Obsessionality in anorexia nervosa: the moderating influence of exercise. Psychosom Med 1998; 60: 192–7.CrossRefGoogle ScholarPubMed
Davis, C, Kaptein, S. Anorexia nervosa with excessive exercise: a phenotype with close links to obsessive-compulsive disorder. Psychiatry Res 2006; 142: 209–17.Google Scholar
Noetel, M, Dawson, L, Hay, P, Touyz, S. The assessment and treatment of unhealthy exercise in adolescents with anorexia nervosa: a Delphi study to synthesize clinical knowledge. Int J Eat Disord 2017; 50: 378–88.CrossRefGoogle ScholarPubMed
Dittmer, N, Jacobi, C, Voderholzer, U. Compulsive exercise in eating disorders: proposal for a definition and a clinical assessment. J Eat Disord 2018; 6: Article 42.CrossRefGoogle Scholar
Kristjánsdóttir, H, Sigurðardóttir, P, Jónsdóttir, S, Þorsteinsdóttir, G, Saavedra, J. Body image concern and eating disorder symptoms among elite Icelandic athletes. Int J Environ Res Public Health 2019; 16: 2728.Google Scholar
Goltz, FR, Stenzel, LM, Schneider, CD. Disordered eating behaviors and body image in male athletes. Braz J Psychiatry 2013; 35: 237–42.Google Scholar
de la Vega, R, Parastatidou, IS, Ruíz-Barquín, R, Szabo, A. Exercise addiction in athletes and leisure exercisers: the moderating role of passion. J Behav Addict 2016; 5: 325–31.Google Scholar
Hallett, M. Physiology of free will. Ann Neurol 2016; 80: 512.Google Scholar
Hallett, M. Volitional control of movement: the physiology of free will. Clin Neurophysiol 2007; 118: 1179–92.CrossRefGoogle ScholarPubMed
Ariani, G, Wurm, MF, Lingnau, A. Decoding internally and externally driven movement plans. J Neurosci 2015; 35: 14160–71.Google Scholar
Yip, DW, Lui, F. Physiology, Motor Cortical. StatPearls Publishing, 2021.Google Scholar
Balestrino, R, Schapira, AHV. Parkinson disease. Eur J Neurol 2020; 27: 2742.Google Scholar
Sacheli, MA, Neva, JL, Lakhani, B et al. Exercise increases caudate dopamine release and ventral striatal activation in Parkinson’s disease. Mov Disord 2019; 34: 1891–900.Google Scholar
Feng, YS, Yang, SD, Tan, ZX et al. The benefits and mechanisms of exercise training for Parkinson’s disease. Life Sci 2020; 245: 117345.Google Scholar
Boecker, H, Sprenger, T, Spilker, ME et al. The runner’s high: opioidergic mechanisms in the human brain. Cereb Cortex 2008; 18: 2523–31.Google Scholar
Lin, K, Stubbs, B, Zou, W et al. Aerobic exercise impacts the anterior cingulate cortex in adolescents with subthreshold mood syndromes: a randomized controlled trial study. Transl Psychiatry 2020; 10: 155.CrossRefGoogle ScholarPubMed
Azevedo, KPM, de Oliveira, VH, Medeiros, GCBS et al. The effects of exercise on BDNF levels in adolescents: a systematic review with meta-analysis. Int J Environ Res Public Health 2020; 17: 6056.Google Scholar
Rehfeld, K, Lüders, A, Hökelmann, A et al. Dance training is superior to repetitive physical exercise in inducing brain plasticity in the elderly. PLoS ONE 2018; 13: e 0196636.Google Scholar
Damm, L, Varoqui, D, De Cock, VC, Dalla Bella, S, Bardy, B. Why do we move to the beat? A multi-scale approach, from physical principles to brain dynamics. Neurosci Biobehav Rev 2020; 112: 553–84.Google Scholar
Bood, RJ, Nijssen, M, van der Kamp, J, Roerdink, M. The power of auditory-motor synchronization in sports: enhancing running performance by coupling cadence with the right beats. PLoS ONE 2013; 8: e70758.Google Scholar
Koob, G, Volkow, N. Neurocircuitry of addiction. Neuropsychopharmacology 2010; 35: 217–38.Google Scholar
Leeman, RF, Potenza, MN. A targeted review of the neurobiology and genetics of behavioural addictions: an emerging area of research. Can J Psychiatry 2013; 58: 260–73.CrossRefGoogle ScholarPubMed
Morgan, WP. Negative addiction in runners. Phys Sportsmed 1979; 7: 5577.Google Scholar
Hurst, R, Hale, B, Smith, D, Collins, D. Exercise dependence, social physique anxiety, and social support in experienced and inexperienced bodybuilders and weightlifters. Br J Sports Med 2000; 34: 431–5.CrossRefGoogle ScholarPubMed
Griffiths, MD. Exercise addiction: a case study. Addict Res 1997; 5: 161–8.Google Scholar
Colledge, F, Sattler, I, Schilling, H et al. Mental disorders in individuals at risk for exercise addiction–a systematic review. Addict Behav Rep 2020; 12: 100314.Google ScholarPubMed
Alcaraz-Ibáñez, M, Paterna, A, Sicilia, Á, Griffiths, MD. A systematic review and meta-analysis on the relationship between body dissatisfaction and morbid exercise behaviour. Int J Environ Res Public Health 2021; 18: 585.CrossRefGoogle ScholarPubMed
Huang, Q, Huang, J, Chen, Y et al. Overactivation of the reward system and deficient inhibition in exercise addiction. Med Sci Sports Exerc 2019; 51: 1918–27.Google Scholar
Griffiths, MD. Is “loss of control” always a consequence of addiction? Front Psychiatry 2013; 4: 36.Google Scholar
Brand, M, Wegmann, E, Stark, R et al. The Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors: update, generalization to addictive behaviors beyond internet-use disorders, and specification of the process character of addictive behaviors. Neurosci Biobehav Rev 2019; 104: 110.Google Scholar
Liu, L, Yip, SW, Zhang, JT et al. Activation of the ventral and dorsal striatum during cue reactivity in Internet gaming disorder. Addict Biol 2017; 22: 791801.Google Scholar
Insel, TR. The NIMH Research Domain Criteria (RDoC) Project: precision medicine for psychiatry. Am J Psychiatry 2014; 171: 395–7.Google Scholar
Marras, A, Makris, N. A Research Domain Criteria (RDoC) approach to Gambling Disorder: focus on preference-based decision-making and response inhibition. Arch Behav Addict 2019; 1. DOI: https://doi.org/10.30435/ABA.01.2019.06.Google Scholar
Macfarlane, L, Owens, G, Cruz, Bdel P. Identifying the features of an exercise addiction: a Delphi study. J Behav Addict 2016; 5: 474–84.Google Scholar
Niederberger, M, Spranger, J. Delphi technique in health sciences: a map. Front Public Health 2020; 8: 457.Google Scholar
Lichtenstein, MB, Griffiths, MD, Hemmingsen, SD, Støving, RK. Exercise addiction in adolescents and emerging adults – validation of a youth version of the Exercise Addiction Inventory. J Behav Addict 2018; 7: 117–25.Google Scholar
Márquez, S, de la Vega, R. La adicción al ejercicio: un trastorno emergente de la conducta [Exercise addiction: an emergent behavioral disorder.] Nutr Hosp 2015; 31: 2384–91.Google Scholar
Lukács, A, Sasvári, P, Varga, B, Mayer, K. Exercise addiction and its related factors in amateur runners. J Behav Addict 2019; 8: 343–9.CrossRefGoogle ScholarPubMed
de la Vega, R, Almendros, LJ, Barquín, RR et al. Exercise addiction during the COVID-19 pandemic: an international study confirming the need for considering passion and perfectionism. Int J Ment Health Addict 2022; 20: 1159–70.Google Scholar
Hausenblas, HA, Downs, DS. How much is too much? The development and validation of the Exercise Dependence Scale. Psychol Health 2002; 17: 387404.Google Scholar
Terry, A, Szabo, A, Griffiths, M. The Exercise Addiction Inventory: a new brief screening tool. Addict Res Theory 2004; 12: 489–99.Google Scholar
Thompson, JK, Blanton, P. Energy conservation and exercise dependence: a sympathetic arousal hypothesis. Med Sci Sports Exerc 1987; 19: 91–9.CrossRefGoogle ScholarPubMed
Szabo, A. The impact of exercise deprivation on well-being of habitual exercises. Aust J Sci Med Sport 1995; 27: 6875.Google ScholarPubMed
Freimuth, M, Moniz, S, Kim, SR. Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. Int J Environ Res Public Health 2011; 8: 4069–81.Google Scholar
Egorov, AY, Szabo, A. The exercise paradox: an interactional model for a clearer conceptualization of exercise addiction. J Behav Addict 2013; 2: 199208.CrossRefGoogle ScholarPubMed
Weinstein, A, Weinstein, Y. Exercise addiction – diagnosis, bio-psychological mechanisms and treatment issues. Curr Pharm Des 2014; 20: 4062–9.Google Scholar
Potenza, MN, Sofuoglu, M, Carroll, KM, Rounsaville, BJ. Neuroscience of behavioral and pharmacological treatments for addictions. Neuron 2011; 69: 695712.Google Scholar
Mouaffak, F, Leite, C, Hamzaoui, S et al. Naltrexone in the treatment of broadly defined behavioral addictions: a review and meta-analysis of randomized controlled trials. Eur Addict Res 2017; 23: 204–10.Google Scholar
Kim, SW, Grant, JE, Adson, DE, Shin, YC. Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biol Psychiatry 2001; 49: 914–21.Google Scholar
Yip, SW, Potenza, MN. Treatment of gambling disorders. Curr Treat Options Psychiatry 2014; 1: 189203.Google Scholar
Hollander, E, DeCaria, CM, Mari, E et al. Short-term single-blind fluvoxamine treatment of pathological gambling. Am J Psychiatry 1998; 155: 1781–3.Google Scholar
Berlin, HA, Braun, A, Simeon, D et al. A double-blind, placebo-controlled trial of topiramate for pathological gambling. World J Biol Psychiatry 2013; 14: 121–8.Google Scholar
Han, DH, Hwang, JW, Renshaw, PF. Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Exp Clin Psychopharmacol 2010; 18: 297304.CrossRefGoogle ScholarPubMed
Nam, B, Bae, S, Kim, SM, Hong, JS, Han, DH. Comparing the effects of bupropion and escitalopram on excessive internet game play in patients with major depressive disorder. Clin Psychopharmacol Neurosci 2017; 15: 361–8.Google Scholar
Wainberg, ML, Muench, F, Morgenstern, J et al. A double-blind study of citalopram versus placebo in the treatment of compulsive sexual behaviors in gay and bisexual men. J Clin Psychiatry 2006; 67: 1968–73.Google Scholar
Han, DH, Lee, YS, Na, C et al. The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry 2009; 50: 251–6.Google Scholar
Przepiorka, AM, Blachnio, A, Miziak, B, Czuczwar, SJ. Clinical approaches to treatment of Internet addiction. Pharmacol Rep 2014; 66: 187–91.Google Scholar
McHugh, RK, Hearon, BA, Otto, MW. Cognitive behavioral therapy for substance use disorders. Psychiatr Clin North Am 2010; 33: 511–25.Google Scholar
Hendershot, CS, Witkiewitz, K, George, WH, Marlatt, GA. Relapse prevention for addictive behaviors. Subst Abuse Treat Prev Policy 2011; 6: 17.Google Scholar
Petry, NM, Ammerman, Y, Bohl, J et al. Cognitive-behavioral therapy for pathological gamblers. J Consult Clin Psychol 2006; 74: 555–67.Google Scholar
Young, KS. Cognitive behavior therapy with Internet addicts: treatment outcomes and implications. Cyberpsychol Behav 2007; 10: 671–9.Google Scholar
Newman, MG, Szkodny, LE, Llera, SJ, Przeworski, A. A review of technology-assisted self-help and minimal contact therapies for drug and alcohol abuse and smoking addiction: is human contact necessary for therapeutic efficacy? Clin Psychol Rev 2011; 31: 178–86.Google Scholar
Boudreault, C, Giroux, I, Jacques, C et al. Efficacy of a self-help treatment for at-risk and pathological gamblers. J Gambl Stud 2018; 34: 561–80.Google Scholar
Oei, TPS, Raylu, N, Lai, WW. Effectiveness of a self help cognitive behavioural treatment program for problem gamblers: a randomised controlled trial. J Gambl Stud 2018; 34: 581–95.Google Scholar
Petry, NM. Gamblers Anonymous and cognitive–behavioral therapies for pathological gamblers. J Gambl Stud 2005; 21: 2733.Google Scholar
Rodrigues, MF, Nardi, AE, Levitan, M. Mindfulness in mood and anxiety disorders: a review of the literature. Trends Psychiatry Psychother 2017; 39: 207–15.Google Scholar
Sancho, M, De Gracia, M, Rodríguez, RC et al. Mindfulness-based interventions for the treatment of substance and behavioral addictions: a systematic review. Front Psychiatry 2018; 9: 95.Google Scholar
Duan, X, Yao, G, Liu, Z, Cui, R, Yang, W. Mechanisms of transcranial magnetic stimulation treating on post-stroke depression. Front Hum Neurosci 2018; 12: 215.Google Scholar
Rizvi, S, Khan, AM. Use of transcranial magnetic stimulation for depression. Cureus 2019; 11: e4736.Google Scholar
Gorelick, DA, Zangen, A, George, MS. Transcranial magnetic stimulation in the treatment of substance addiction. Ann N Y Acad Sci 2014; 1327: 7993.CrossRefGoogle ScholarPubMed
Zack, M, Cho, SS, Parlee, J et al. Effects of high frequency repeated transcranial magnetic stimulation and continuous theta burst stimulation on gambling reinforcement, delay discounting, and Stroop interference in men with pathological gambling. Brain Stimul 2016; 9: 867–75.Google Scholar
Gay, A, Boutet, C, Sigaud, T et al. A single session of repetitive transcranial magnetic stimulation of the prefrontal cortex reduces cue-induced craving in patients with gambling disorder. Eur Psychiatry 2017; 41: 6874.Google Scholar
Pettorruso, M, Martinotti, G, Montemitro, C et al. Multiple sessions of high-frequency repetitive transcranial magnetic stimulation as a potential treatment for gambling addiction: a 3-month, feasibility study. Eur Addict Res 2020; 26: 52–6.Google Scholar
Martinotti, G, Chillemi, E, Lupi, M et al. Gambling disorder and bilateral transcranial direct current stimulation: a case report. J Behav Addict 2018; 7: 834–7.Google Scholar
Soyata, AZ, Aksu, S, Woods, AJ et al. Effect of transcranial direct current stimulation on decision making and cognitive flexibility in gambling disorder. Eur Arch Psychiatry Clin Neurosci 2019; 269: 275–84.Google Scholar
Martinotti, G, Lupi, M, Montemitro, C et al. Transcranial direct current stimulation reduces craving in substance use disorders: a double-blind, placebo-controlled study. J ECT 2019; 35: 207–11.Google Scholar
Zuboff, S. The Age of Surveillance Capitalism. Profile Books, 2019.Google Scholar
Lake, A, Townshend, T. Obesogenic environments: exploring the built and food environments. J R Soc Promot Health 2006; 126: 262–7.Google Scholar

References

Waddington, I. Sport, Health and Drugs: A Critical Sociological Perspective. Spoon Press, 2000.Google Scholar
Peluso, MAM, Guerra de Andrade, LHS. Physical activity and mental health: the association between exercise and mood. Clinics 2005; 60: 6170.Google Scholar
Biddle, SJH, Asare, M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 2011; 45: 886–95.Google Scholar
Morgan, WP. Negative addiction in runners. Phys Sportsmed 1979; 7: 5670.Google Scholar
Griffiths, M. Behavioural addiction: an issue for everybody? Empl Couns Today 1996; 8: 1925.Google Scholar
Szabo, A. Addiction to Exercise: A Symptom or a Disorder? Nova Science Publishers, 2010.Google Scholar
Thaxton, L. Physiological and psychological effects of short-term addiction on habitual runners. J Sport Psychol 1982; 4: 7380.Google Scholar
Hausenblas, HA, Symons Downs, D. How much is too much? The development and validation of the Exercise Addiction Scale. Psychol Heal 2002; 17: 387404.Google Scholar
Symons Downs, D, Hausenblas, HA, Nigg, CR. Factorial validity and psychometric examination of the Exercise Dependence Scale-Revised. Meas Phys Educ Exerc Sci 2004; 8: 183201.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. American Psychiatric Association, 2000.Google Scholar
Albrecht, U, Kirschner, NE, Grüsser, SM. Diagnostic instruments for behavioural addiction: an overview. Psychosoc Med 2007; 4: 111.Google Scholar
Di Forti, M, Marconi, A, Carra, E et al. Proportion of patients in south London with first-episode psychosis attributable to use of high potency cannabis: a case-control study. Lancet Psychiatry 2015; 2: 233–8.Google Scholar
Grant, JE, Potenza, MN, Weinstein, A, Gorelick, DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse 2010; 36: 233–41.Google Scholar
Bamber, D, Carroll, D, Cockerill, IM, Rodgers, S. “It’s exercise or nothing”: a qualitative analysis of exercise dependence. Br J Sports Med 2000; 34: 423–30.CrossRefGoogle ScholarPubMed
Blaydon, MJ, Lindner, KJ. Eating disorders and exercise dependence in triathletes. Eat Disord 2002; 10: 4960.Google Scholar
De Coverley Veale, DMW. Exercise dependence. Br J Addict 1987; 82: 735–40.CrossRefGoogle ScholarPubMed
Berczik, K, Szabó, A, Griffiths, MD et al. Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Subst Use Misuse 2012; 47: 403–17.Google Scholar
Slay, HA, Hayaki, J, Napolitano, MA, Brownell, KD. Motivations for running and eating attitudes in obligatory versus nonobligatory runners. Int J Eat Disord 1998; 23: 267–75.3.0.CO;2-H>CrossRefGoogle ScholarPubMed
Lejoyeux, M, Avril, M, Richoux, C, Embouazza, H, Nivoli, F. Prevalence of exercise dependence and other behavioral addictions among clients of a Parisian fitness room. Compr Psychiatry 2008; 49: 353–8.Google Scholar
Allegre, B, Therme, P, Griffiths, M. Individual factors and the context of physical activity in exercise dependence: a prospective study of “ultra-marathoners.” Int J Ment Health Addict 2007; 5: 233–43.Google Scholar
Schipfer, M, Stoll, O. OR-77: Exercise-Addiction/Exercise-Commitment-Model (EACOM). J Behav Addict 2015; 4: 35–7.Google Scholar
Terry, A, Szabo, A, Griffiths, M. The Exercise Addiction Inventory: a new brief screening tool. Addict Res Theory 2004; 12: 489–99.Google Scholar
Hausenblas, HA, Fallon, EA. Relationship among body image, exercise behavior, and exercise dependence symptoms. Int J Eat Disord 2002; 32: 179–85.CrossRefGoogle ScholarPubMed
Griffiths, M. A “components” model of addiction within a biopsychosocial framework. J Subst Use 2005; 10: 191–7.Google Scholar
Szabo, A, Griffiths, MD. Exercise addiction in British sport science students. Int J Ment Health Addict 2007; 5: 25–8.Google Scholar
Mónok, K, Berczik, K, Urbán, R et al. Psychometric properties and concurrent validity of two exercise addiction measures: a population wide study. Psychol Sport Exerc 2012; 13: 739–46.Google Scholar
Griffiths, MD, Urbán, R, Demetrovics, Z et al. A cross-cultural re-evaluation of the Exercise Addiction Inventory (EAI) in five countries. Sport Med Open 2015; 1: 17.CrossRefGoogle ScholarPubMed
Goldberg, A. The Sports Mind: A Workbook of Mental Skills for Athletes. Competitive Advantage, 1988.Google Scholar
Farrell, PA, Gates, WK, Maksud, MG, Morgan, WP. Increases in plasma β-endorphin/β-lipotropin immunoreactivity after treadmill running in humans. J Appl Physiol Respir Environ Exerc Physiol 1982; 52: 1245–9.Google Scholar
Thompson, JK, Blanton, P. Energy conservation and exercise dependence: a sympathetic arousal hypothesis. Med Sci Sports Exerc 1987; 19: 91–9.Google Scholar
DeVries, HA. Tranquilizer effect of exercise: a critical review. Phys Sportsmed 1981; 9: 4755.Google Scholar
Morgan, WP, O’Connor, PJ. Exercise and mental health. In: Dishman, RK, ed. Exercise Adherence: Its Impact on Public Health. Human Kinetics, 1988: 91121.Google Scholar
Cousineau, D, Ferguson, RJ, de Champlain, J et al. Catecholamines in coronary sinus during exercise in man before and after training. J Appl Physiol Respir Environ Exerc Physiol 1977; 43: 801–6.Google Scholar
Szabo, A. The impact of exercise deprivation on well-being of habitual exercises. Aust J Sci Med Sport 1995; 27: 6875.Google Scholar
Hamer, M, Karageorghis, CI. Psychobiological mechanisms of exercise dependence. Sports Med 2007; 37: 477–84.CrossRefGoogle ScholarPubMed
Freimuth, M, Moniz, S, Kim, SR. Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. Int J Environ Res Public Health 2011; 8: 4069–81.Google Scholar
Huang, QIN, Huang, J, Chen, Y et al. Overactivation of the reward system and deficient inhibition in exercise addiction. Med Sci Sports Exerc 2019; 51: 1918–27.Google Scholar
Sussman, S, Lisha, N, Griffiths, M. Prevalence of the addictions: a problem of the majority or the minority? Eval Heal Prof 2011; 34: 356.CrossRefGoogle ScholarPubMed
Aidman, EV, Woollard, S. The influence of self-reported exercise addiction on acute emotional and physiological responses to brief exercise deprivation. Psychol Sport Exerc 2003; 4: 225–36.Google Scholar
Allegre, B, Souville, M, Therme, P, Griffiths, M. Definitions and measures of exercise dependence. Addict Res Theory 2006; 14: 631–46.Google Scholar
Di Nicola, M, Tedeschi, D, De Risio, L et al. Co-occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving. Drug Alcohol Depend 2015; 148: 118–25.Google Scholar
Müller, A, Loeber, S, Söchtig, J, Te Wildt, B, De Zwaan, M. Risk for exercise dependence, eating disorder pathology, alcohol use disorder and addictive behaviors among clients of fitness centers. J Behav Addict 2015; 4: 273–80.Google Scholar
Carnes, PJ, Murray, RE, Charpentier, L. Bargains with chaos: sex addicts and addiction interaction disorder. Sex Addict Compulsivity 2005; 12: 79120.Google Scholar
Klein, DA, Bennett, AS, Schebendach, J et al. Exercise “addiction” in anorexia nervosa: model development and pilot data. CNS Spectr 2004; 9: 531–7.Google Scholar
Lyons, HA, Cromey, R. Compulsive jogging: exercise dependence and associated disorder of eating. Ulster Med J 1989; 58: 100–2.Google Scholar
Sundgot-Borgen, J. Eating disorders in female athletes. Sports Med 1994; 17: 176–88.Google Scholar
Bamber, DJ, Cockerill, IM, Rodgers, S, Carroll, D. Diagnostic criteria for exercise dependence in women. Br J Sports Med 2003; 37: 393400.Google Scholar
Bruno, A, Quattrone, D, Scimeca, G et al. Unraveling exercise addiction: the role of narcissism and self-esteem. J Addict 2014; 2014: 16.Google Scholar
Hausenblas, HA, Giacobbi, PR. Relationship between exercise dependence symptoms and personality. Pers Individ Dif 2004; 36: 1265–73.Google Scholar
Cunningham, HE, Pearman, S, Brewerton, TD. Conceptualizing primary and secondary pathological exercise using available measures of excessive exercise. Int J Eat Disord 2016; 49: 778–92.Google Scholar
Mooney, R, Simonato, P, Ruparelia, R et al. The use of supplements and performance and image enhancing drugs in fitness settings: an exploratory cross-sectional investigation in the United Kingdom. Hum Psychopharmacol 2017; 32: e2619.Google Scholar
Al-Sarraf, A, Khatib, Y, Corazza, O. The interaction between skin and mind: the case of body dysmorphic disorder. Res Adv Psychiatry 2018; 5: 3842.Google Scholar
Buhlmann, U, Glaesmer, H, Mewes, R et al. Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiatry Res 2010; 178: 171–5.Google Scholar
Sandgren, SS, Lavallee, D. Muscle dysmorphia research neglects DSM-5 diagnostic criteria. J Loss Trauma 2018; 23: 211–43.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
Altamura, C, Paluello, MM, Mundo, E, Medda, S, Mannu, P. Clinical and subclinical body dysmorphic disorder. Eur Arch Psychiatry Clin Neurosci 2001; 251: 105–8.Google Scholar
Beucke, JC, Sepulcre, J, Buhlmann, U et al. Degree connectivity in body dysmorphic disorder and relationships with obsessive and compulsive symptoms. Eur Neuropsychopharmacol 2016; 26: 1657–66.Google Scholar
Leone, JE, Sedory, EJ, Gray, KA. Recognition and treatment of muscle dysmorphia and related body image disorders. J Athl Train 2005; 40: 352–9.Google ScholarPubMed
Murray, SB, Rieger, E, Hildebrandt, T et al. A comparison of eating, exercise, shape, and weight related symptomatology in males with muscle dysmorphia and anorexia nervosa. Body Image 2012; 9: 193200.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of exercise addiction, body dysmorphic disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.Google Scholar
Silver, J, Farrants, J. ‘I once stared at myself in the mirror for eleven hours.’ Exploring mirror gazing in participants with body dysmorphic disorder. J Health Psychol 2016; 21: 2647–57.Google Scholar
Bewley, A. The neglected psychological aspects of skin disease. BMJ 2017; 6: j3208.Google Scholar
Veale, D, Riley, S. Mirror, mirror on the wall, who is the ugliest of them all? The psychopathology of mirror gazing in body dysmorphic disorder. Behav Res Ther 2001; 39: 1381–93.Google Scholar
Soler, PT, Ferreira, CMH, Novaes, J da S, Fernandes, HM. Body dysmorphic disorder: characteristics, psychopathology, clinical associations, and influencing factors. In: Gaze, DC, ed. Pathophysiology: Altered Physiological States. IntechOpen, 2018: 322.Google Scholar
Veale, D, Bewley, A. Body dysmorphic disorder. BMJ 2015; 350: h2278.CrossRefGoogle ScholarPubMed
Corazza, O, Roman-Urrestarazu, A. Novel Psychoactive Substances: Policy, Economics and Drug. Regulation. Springer, 2017.Google Scholar
Reuter, P, Pardo, B. Can new psychoactive substances be regulated effectively? An assessment of the British Psychoactive Substances Bill. Addiction 2017; 112: 2531.Google Scholar
Heinrich, J. Dietary Supplements For Weight Loss: Limited Federal Oversight Has Focused More on Marketing than on Safety. GAO-02-985T, 2002. www.gao.gov/products/GAO-02-985TGoogle Scholar
Graham, MR, Ryan, P, Baker, JS et al. Counterfeiting in performance- and image-enhancing drugs. Drug Test Anal 2009; 1: 135–42.Google Scholar
Thevis, M, Schrader, Y, Thomas, A et al. Analysis of confiscated black market drugs using chromatographic and mass spectrometric approaches. J Anal Toxicol 2008; 32: 232–40.Google Scholar
Van de Ven, K, Maher, L, Wand, H et al. Health risk and health seeking behaviours among people who inject performance and image enhancing drugs who access needle syringe programs in Australia. Drug Alcohol Rev 2018; 37: 837–46.CrossRefGoogle ScholarPubMed
Barry, CT, Doucette, H, Loflin, DC, Rivera-Hudson, N, Herrington, LL. “Let me take a selfie”: associations between self-photography, narcissism, and self-esteem. Psychol Pop Media Cult 2017; 6: 4860.CrossRefGoogle Scholar
Mabe, AG, Forney, KJ, Keel, PK. Do you “like” my photo? Facebook use maintains eating disorder risk. Int J Eat Disord 2014; 47: 516–23.Google Scholar
Meier, EP, Gray, J. Facebook photo activity associated with body image disturbance in adolescent girls. Cyberpsychol Behav Soc Netw 2014; 17: 199206.Google Scholar
Simpson, CC, Mazzeo, SE. Skinny is not enough: a content analysis of fitspiration on Pinterest. Health Commun 2017; 32: 560–7.Google Scholar
Dores, AR, Carvalho, IP, Burkauskas, J et al. Exercise and use of enhancement drugs at the time of the COVID-19 pandemic: a multicultural study on coping strategies during self-isolation and related risks. Front Psychiatry 2021; 12: 648501.Google Scholar
World Health Organization (WHO). Archived: WHO Timeline - COVID-19. World Health Organization, 2020. www.who.int/news/item/27-04-2020-who-timeline---covid-19Google Scholar
Xu, Z, Li, S, Tian, S, Li, H, Kong, LQ. Full spectrum of COVID-19 severity still being depicted. Lancet 2020; 395: 947–8.CrossRefGoogle ScholarPubMed
Cothran, TP, Kellman, S, Singh, S et al. A brewing storm: the neuropsychological sequelae of hyperinflammation due to COVID-19. Brain Behav Immun 2020; 88: 957-8.Google Scholar
Ellul, MA, Benjamin, L, Singh, B et al. Neurological associations of COVID-19. Lancet Neurol 2020; 19: 767–83.Google Scholar
Ferguson, NM, Laydon, D, Nedjati-Gilani, G et al. Impact of Non-Pharmaceutical Interventions (NPIs) to Reduce COVID-19 Mortality and Healthcare Demand. Imperial College London, 2020. www.imperial.ac.uk/mrc-global-infectious-disease-analysis/covid-19/report-9-impact-of-npis-on-covid-19/Google Scholar
Mendes-Santos, C, Andersson, G, Weiderpass, E, Santana, R. Mitigating COVID-19 impact on the Portuguese population mental health: the opportunity that lies in digital mental health. Front Public Heal 2020; 8: 553345.Google Scholar
Wise, T, Zbozinek, TD, Michelini, G, Hagan, CC, Mobbs, D. Changes in risk perception and self-reported protective behaviour during the first week of the COVID-19 pandemic in the United States. R Soc Open Sci 2020; 7: 200742.CrossRefGoogle ScholarPubMed
Santana, R, Rocha, J, Soares, P, Sousa, J. Os Momentos das Políticas de Saúde no Combate ao COVID-19. Escola Nacional de Saúde Publica (ENSP), 2020. https://barometro-covid-19.ensp.unl.pt/wp-content/uploads/2020/04/osmomentosdaspoliticasdesaudenocombateaocovid19–26.03.2020.pdfGoogle Scholar
Ammar, A, Trabelsi, K, Brach, M et al. Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: insights from the ECLB-COVID19 multicentre study. Biol Sport 2021; 38: 921.Google Scholar
Dores, AR, Geraldo, A, Carvalho, IP, Barbosa, F. The use of new digital information and communication technologies in psychological counseling during the COVID-19 pandemic. Int J Environ Res Public Health 2020; 17: 7663.Google Scholar
Prime, H, Wade, M, Browne, DT. Risk and resilience in family well-being during the COVID-19 pandemic. Am Psychol 2020; 75: 631–43.Google Scholar
Bluedorn, J, Gopinath, GSD. An early view of the economic impact of the pandemic in 5 charts. IMFBlog, International Monetary Fund, 2020. https://blogs.imf.org/2020/04/06/an-early-view-of-the-economic-impact-of-the-pandemic-in-5-charts/Google Scholar
Maital, S, Barzani, E. The Global Economic Impact of COVID-19: A Summary of Research. Samuel Neaman Institute, 2020. www.neaman.org.il/EN/The-Global-Economic-Impact-of-COVID-19-A-Summary-of-ResearchGoogle Scholar
Stiglitz, JE, Shiller, RJ, Gopinath, G et al. How the Economy Will Look After the Coronavirus Pandemic. Foreign Policy, 2020. https://foreignpolicy.com/2020/04/15/how-the-economy-will-look-after-the-coronavirus-pandemicGoogle Scholar
Alzueta, E, Perrin, P, Baker, FC et al. How the COVID-19 pandemic has changed our lives: a study of psychological correlates across 59 countries. J Clin Psychol 2021; 77: 556–70.Google Scholar
Jeong, H, Yim, HW, Song, YJ et al. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health 2016; 38: e2016048.Google Scholar
Brooks, SK, Webster, RK, Smith, LE et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 345: 912–20.Google Scholar
Horesh, D, Brown, AD. Traumatic stress in the age of COVID-19: a call to close critical gaps and adapt to new realities. Psychol Trauma 2020; 12: 331–5.Google Scholar
Holmes, EA, O’Connor, RC, Perry, VH et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry 2020; 7: 547–60.Google Scholar
Ammar, A, Brach, M, Trabelsi, K et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients 2020; 12: 1583.Google Scholar
Pfund, GN, Hill, PL, Harriger, J. Video chatting and appearance satisfaction during COVID-19: appearance comparisons and self-objectification as moderators. Int J Eat Disord 2020; 53: 2038–43.Google Scholar
Zamboni, L, Carli, S, Marika, B et al. COVID-19 lockdown: impact on online gambling, online shopping, web navigation and online pornography. J Public Health Res 2021; 10: 97102.CrossRefGoogle ScholarPubMed
Czeisler, , Ma, RIL, Petrosky, E et al. Mental health, substance use, and suicidal ideation during the COVID-19 pandemic — United States, June 24–30, 2020. Morb Mortal Wkly Rep 2020; 69: 1049–57.Google Scholar
Martinotti, G, Alessi, MC, Di Natale, C et al. Psychopathological burden and quality of life in substance users during the COVID-19 lockdown period in Italy. Front Psychiatry 2020; 11:18.Google Scholar
De la Vega, R, Almendros, LJ, Barquín, RR et al. Exercise addiction during the COVID-19 pandemic: an international study confirming the need for considering passion and perfectionism. Int J Ment Health Addict 2022; 20: 1159–70.Google Scholar
Szabo, A, Kovacsik, R. When passion appears, exercise addiction disappears: should hundreds of studies not considering passion be revisited? Swiss J Psychol 2019; 78: 137–42.Google Scholar
Egorov, AY, Szabo, A. The exercise paradox: an interactional model for a clearer conceptualization of exercise addiction. J Behav Addict 2013; 2: 199208.Google Scholar
Campbell, JP, Turner, JE. Debunking the myth of exercise-induced immune suppression: redefining the impact of exercise on immunological health across the lifespan. Front Immunology 2018; 9: 648.Google Scholar
Chamorro-Viña, C, Fernandez-Del-Valle, M, Tacón, AM. Excessive exercise and immunity: the J-shaped curve. In: McComb, JJ, Norman, R, Zumwalt, M, eds. The Active Female: Health Issues Throughout the Lifespan, 2nd ed. Springer, 2014: 357–72.Google Scholar
Lim, MA. Exercise addiction and COVID-19-associated restrictions. J Ment Health 2021; 30: 135-7.Google Scholar
Molinero, O, Marquez, S. Use of nutritional supplements in sports: risks, knowledge, and behavioural-related factors. Nutr Hosp 2009; 24: 128–34.Google ScholarPubMed
Müller, RK. History of doping and doping control. In: Thieme, D, Hemmersbach, P, eds. Doping in Sports: Biochemical Principles, Effects and Analysis. Springer, 2010: 123.Google Scholar
Kamber, M, Mullis, PE. The worldwide fight against doping: from the beginning to the world anti-doping agency. Endocrinol Metab Clin North Am 2010; 39: 19.Google Scholar
Scharmer, C, Martinez, K, Gorrell, S et al. Eating disorder pathology and compulsive exercise during the COVID-19 public health emergency: examining risk associated with COVID-19 anxiety and intolerance of uncertainty. Int J Eat Disord 2020; 53: 2049–54.Google Scholar
Mahoney, AEJ, McEvoy, PM. Trait versus situation-specific intolerance of uncertainty in a clinical sample with anxiety and depressive disorders. Cogn Behav Ther 2012; 41: 2639.Google Scholar
Boswell, JF, Thompson-Hollands, J, Farchione, TJ, Barlow, DH. Intolerance of uncertainty: a common factor in the treatment of emotional disorders. J Clin Psychol 2013; 69: 630–45.Google Scholar
Holaway, RM, Heimberg, RG, Coles, ME. A comparison of intolerance of uncertainty in analogue obsessive-compulsive disorder and generalized anxiety disorder. J Anxiety Disord 2006; 20: 158–74.CrossRefGoogle ScholarPubMed
Brown, M, Robinson, L, Campione, GC et al. Intolerance of uncertainty in eating disorders: a systematic review and meta-analysis. Eur Eat Disord Rev 2017; 25: 329–43.Google Scholar
Kesby, A, Maguire, S, Brownlow, R, Grisham, JR. Intolerance of uncertainty in eating disorders: an update on the field. Clin Psychol Rev 2017; 56: 94105.Google Scholar
Scharmer, C, Reilly, EE, Gorrell, S, Anderson, DA. Establishing a link between compulsive exercise and intolerance of uncertainty to inform intervention development. Paper presented at the University of California San Diego 4th Annual Eating Disorders Conference, 27–28 February 2020, San Diego.Google Scholar
Juwono, ID, Szabo, A. 100 cases of exercise addiction: more evidence for a widely researched but rarely identified dysfunction. Int J Ment Health Addict 2021; 19: 1799–811.Google Scholar
Marsh, HW, Vallerand, RJ, Lafreniére, MAK et al. Passion: does one scale fit all? Construct validity of two-factor passion scale and psychometric invariance over different activities and languages. Psychol Assess 2013; 25: 796809.Google Scholar
Frost, RO, Marten, PA. Perfectionism and evaluative threat. Cogn Ther Res 1990; 14: 559–72.Google Scholar
Rosenstock, IM. Historical origins of the health belief model. Health Educ Behav 1974; 2: 328–35.Google Scholar
Kovacsik, R, Griffiths, MD, Pontes, HM et al. The role of passion in exercise addiction, exercise volume, and exercise intensity in long-term exercisers. Int J Ment Health Addict 2019; 17: 1389–400.Google Scholar
Kovacsik, R, Soós, I, De la Vega, R, Ruíz-Barquín, R, Szabo, A. Passion and exercise addiction: healthier profiles in team than in individual sports. Int J Sport Exerc Psychol 2020; 18: 176–86.Google Scholar
Birche, J, Griffiths, MD, Kasos, K, Demetrovics, Z, Szabo, A. Exercise addiction and personality: a two-decade systematic review of the empirical literature (1995–2016). Balt J Sport Heal Sci 2017; 3: 1933.Google Scholar
Curran, T, Hill, AP, Jowett, GE, Mallinson, SH. The relationship between multidimensional perfectionism and passion in junior athletes. Int J Sport Psychol 2014; 45: 369–84.Google Scholar
Veale, D, Eshkevari, E, Kanakam, N et al. The Appearance Anxiety Inventory: validation of a process measure in the treatment of body dysmorphic disorder. Behav Cogn Psychother 2014; 42: 605–16.Google Scholar
Neff, KD. The development and validation of a scale to measure self-compassion. Neuropsychopharmacology 2003; 2: 223–50.Google Scholar
Castilho, P, Gouveia, JP. Auto-Compaixão: estudo da validação da versão portuguesa da Escala da Auto-Compaixão e da sua relação com as experiências adversas na infância, a comparação social e a psicopatologia [Self-Compassion: study of the validation of the Portuguese version of the Self-Compassion Scale and its relationship with adverse childhood experiences, social comparison and psychopathology]. Psychologica 2011; 54: 203–30.Google Scholar
Ceci, F, Di Carlo, F, Burkauskas, J et al. Physical activity and exercise addiction during the Covid-19 pandemic in Italy. Int J Ment Health Addict 2022. DOI: https://doi.org/10.1007/s11469-022-00815-zGoogle Scholar

References

Japanese Association of Occupational Therapists. eSports Offer a New “Participation” Opportunity for People with Disabilities. Japanese Association of Occupational Therapists, 2020. www.jaot.or.jp/en/Google Scholar
Ashcraft, B. Korean eSports Player Passes Away at 25 Years Old. Kotaku, 2013. https://kotaku.com/korean-esports-player-passes-away-at-25-years-old-493447342Google Scholar
Shimbun, A. Citizen’s groups in Saitama are working to bring e-sports to senior citizens to prevent dementia and promote health, and to interact with people of all ages. Asahi Shimbun, 2020. www.saitama-np.co.jp/news/2020/07/26/10.htmlGoogle Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of Exercise Addiction, Body Dysmorphic Disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.CrossRefGoogle ScholarPubMed
Terry, A, Szabo, A, Griffiths, MD. The Exercise Addiction Inventory: a new brief screening tool. Addict Res Theory 2004; 12: 489–99.Google Scholar
Banz, BC, Yip, SW, Yau, YH, Potenza, MN. Behavioral addictions in addiction medicine: from mechanisms to practical considerations. Prog Brain Res 2016; 223: 311–28.CrossRefGoogle ScholarPubMed
Fineberg, NA, Demetrovics, Z, Stein, DJ et al. Manifesto for a European research network into problematic usage of the Internet. Eur Neuropsychopharmacol 2018; 28: 1232–46.Google Scholar
Lichtenstein, MB, Griffiths, MD, Hemmingsen, SD, Støving, RK. Exercise addiction in adolescents and emerging adults – validation of a youth version of the Exercise Addiction Inventory. J Behav Addict 2018; 7: 117–25.Google Scholar
Petry, NM., Zajac, K, Ginley, MK. Behavioral addictions as mental disorders: to be or not to be? Annu Rev Clin Psychol 2018; 14: 399423.CrossRefGoogle ScholarPubMed
Shibata, M, Burkauskas, J, Dores, AR et al. Exploring the relationship between mental well-being, exercise routines, and the intake of image and performance enhancing drugs during the coronavirus disease 2019 pandemic: a comparison across sport disciplines. Front Psychol 2021; 12: 689058.CrossRefGoogle ScholarPubMed
Di Lodovico, L, Poulnais, S, Gorwood, P. Which sports are more at risk of physical exercise addiction: a systematic review. Addict Behav 2019; 93: 257–62.Google Scholar
Trott, M, Yang, L, Jackson, SE et al. Prevalence and correlates of exercise addiction in the presence vs. absence of indicated eating disorders. Front Sports Act Living 2020; 2: 84.Google Scholar
Neff, KD. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity 2003; 2: 85101.CrossRefGoogle Scholar
Maida, D, Armstrong, S. The classification of muscle dysmorphia. Int J Men’s Health 2005; 4: 7391.Google Scholar
Mosley, PE. Bigorexia: bodybuilding and muscle dysmorphia. Eur Eat Disord Rev 2009; 17: 191–8.Google Scholar
Claudino, JG, Gabbett, TJ, Bourgeois, F et al. CrossFit overview: systematic review and meta-analysis. Sports Med Open 2018; 4: 11.Google Scholar
Lichtenstein, MB, Jensen, TT. Exercise addiction in CrossFit: prevalence and psychometric properties of the Exercise Addiction Inventory. Addict Behav Rep 2016; 3: 33–7.Google Scholar
Hassmén, P, Koivula, N, Uutela, A. Physical exercise and psychological well-being: a population study in Finland. Prev Med 2000; 30: 1725.Google Scholar
Neff, KD. The development and validation of a scale to measure self-compassion. Self Identity 2003; 2: 223–50.Google Scholar
Barczak, N, Eklund, RC. The moderating effect of self-compassion on relationships between performance and subsequent coping and motivation. Int J Sport Exerc Psychol 2020; 18: 256–68.Google Scholar
Phelps, CL, Paniagua, SM, Willcockson, IU, Potter, JS. The relationship between self-compassion and the risk for substance use disorder. Drug Alcohol Depend 2018; 183: 7881.Google Scholar
Wisner, M, Khoury, B. Is self-compassion negatively associated with alcohol and marijuana-related problems via coping motives? Addict Behav 2020; 111: 106554.Google Scholar
Nakao, M, Ohara, C. The perspective of psychosomatic medicine on the effect of religion on the mind–body relationship in Japan. J Relig Health 2014; 53: 4655.Google Scholar
Bond, AR, Mason, HF, Lemaster, CM et al. Embodied health: the effects of a mind–body course for medical students. Med Educ Online 2013; 18: 18.Google Scholar
Fujiwara, H, Ueno, T, Yoshimura, S et al. Martial arts “Kendo” and the motivation network during attention processing: an fMRI study. Front Hum Neurosci 2019; 13: 170.Google Scholar
Morisawa, T, Watanabe, M, Mori, H et al. Can traditional breathing methods reduce stress? Health 2020; 12: 923–31.Google Scholar
Mooventhan, A, Nivethitha, L. Evidence based effects of yoga in neurological disorders. J Clin Neurosci 2017; 43: 61–7.Google Scholar
Hofmann, SG, Andreoli, G, Carpenter, JK, Curtiss, J. Effect of Hatha yoga on anxiety: a meta-analysis. J Evid Based Med 2016; 9: 116–24.Google Scholar
De Manincor, M, Bensoussan, A, Smith, CA et al. Individualized yoga for reducing depression and anxiety, and improving well-being: a randomized controlled trial. Depress Anxiety 2016; 33: 816–28.Google Scholar
Falsafi, N. A randomized controlled trial of mindfulness versus yoga: effects on depression and/or anxiety in college students. J Am Psychiatr Nurses Assoc 2016; 22: 483–97.Google Scholar
Suino, N. Training the mind. In: Budo Mind and Body: Training Secrets of the Japanese Martial Arts. Shambhala Publications Inc., 2006: 2940.Google Scholar
Nakamura, S. Zen Practice and Self-Control. Komazawa University, 1995.Google Scholar

References

Schilder, P. The Image and Appearance of the Human Body. Kegan Paul, 1935.Google Scholar
Head, H, Holmes, G. Les Sensations et el Córtex Cerebral [The Sensations and the Cerebral Cortex]. Privat, 1973.Google Scholar
Schilder, P. A Imagem do Corpo. As Energias Construtivas da Psique [The Body Image. The Constructive Energies of the Psyche]. Martins Fontes, 1980.Google Scholar
Fraser, M, Greco, M. Introduction. In: Fraser, M, Greco, M, eds. The Body: A Reader. Routledge, 2005: 2641.Google Scholar
Turner, B. The Body and Society. Sage, 1996.Google Scholar
Shorter, E. From Paralysis to Fatigue: A History of Psychosomatic Illness in the Modern Era. Free Press, 1992.Google Scholar
Eco, U. Storia della Bruttezza [On Uglyness]. RCS Libri S.p.A. Bompiani, 2007.Google Scholar
Eco, U, de Michele, G. Storia della Bellezza [On Beauty]. RCS Libri S.p.A. Bompiani, 2002.Google Scholar
Foucault, M. The Use of Pleasure: The History of Sexuality, Vol. 2. Penguin, 1986.Google Scholar
Foucault, M. Technologies of the self. In: Martin, LM, Gutman, H, Hutton, PH, eds. Technologies of the Self: A Seminar with Michel Foucault. Tavistock, 1988: 1649.Google Scholar
Featherstone, M. The body in consumer culture. Theory Cult Soc 1982; 1: 1833.Google Scholar
Lipovetsky, G. L’Ère du Vide [The Era of the Void]. Gallimard, 1983.Google Scholar
van den Berg, P, Thompson, JK, Obremski-Brandon, K, Coovert, M. The Tripartite Influence model of body image and eating disturbance: a covariance structure modeling investigation testing the mediational role of appearance comparison. J Psychosom Res 2002; 53: 1007–20.Google Scholar
Swami, V, Frederick, DA, Aavik, T et al. The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the International Body Project I. Pers Soc Psychol Bull 2010; 36: 309–25.Google Scholar
Canguilhem, G. The Normal and the Pathological. Zone, 1989.Google Scholar
Behar, AR. La construcción cultural del cuerpo: el paradigma de los trastornos de la conducta alimentaria [The cultural construction of the body: the paradigm of eating disorders]. Rev Chil Neuro-Psiquiatr 2010; 48: 319–34.Google Scholar
Burnette, CB, Kwitowski, MA, Mazzeo, SE. “I don’t need people to tell me I’m pretty on social media:” a qualitative study of social media and body image in early adolescent girls. Body Image 2017; 23: 114–25.Google Scholar
Fardouly, J, Vartanian, LR. Social media and body image concerns: current research and future directions. Curr Opin Psychol 2016; 9: 15.Google Scholar
Barry, CT, Doucette, H, Loflin, DC, Rivera-Hudson, N, Herrington, L. “Let me take a selfie”: associations between self-photography, narcissism, and self-esteem. Psychol Pop Media Cult 2017; 6: 4860.Google Scholar
Grogan, S. Body Image: Understanding Body Dissatisfaction in Men, Women and Children, 3rd ed. Routledge, 2016.CrossRefGoogle Scholar
Mabe, AG, Forney, KJ, Keel, PK. Do you “like” my photo? Facebook use maintains eating disorder risk. Int J Eat Disord 2014; 47: 516–23.Google Scholar
Dores, AR, Carvalho, IP, Burkauskas, J et al. Exercise and use of enhancement drugs at the time of the COVID-19 pandemic: a multicultural study on coping strategies during self-isolation and related risks. Front Psychiatry 2021; 12: 648501.CrossRefGoogle Scholar
Cataldo, I, De Luca, I, Giorgetti, V et al. Fitspiration on social media: body-image and other psychopathological risks among young adults. A narrative review. Emerg Trends Drugs Addict Health 2021; 1: 100010.Google Scholar
Sylvia, Z, King, TK, Morse, BJ. Virtual ideals: the effect of video game play on male body image. Comput Hum Behav 2014; 37: 183–8.Google Scholar
Tiggemann, M, Zaccardo, M. “Exercise to be fit, not skinny”: the effect of fitspiration imagery on women’s body image. Body Image 2015; 15: 61–7.Google Scholar
Tiggemann, M, Zaccardo, M. ‘Strong is the new skinny’: a content analysis of# fitspiration images on Instagram. J Health Psychol 2016; 23: 1003–11.Google Scholar
Prichard, I, Kavanagh, E, Mulgrew, KE, Lim, MS, Tiggemann, M. The effect of Instagram #fitspiration images on young women’s mood, body image, and exercise behaviour. Body Image 2020; 33: 16.Google Scholar
Ghaznavi, J, Taylor, LD. Bones, body parts, and sex appeal: an analysis of #thinspiration images on popular social media. Body Image 2015; 14: 5461.Google Scholar
Tiggemann, M, Slater, A. NetGirls: the Internet, Facebook, and body image concern in adolescent girls. Int J Eat Disord 2013; 46: 630–3.Google Scholar
Fardouly, J, Diedrichs, PC, Vartanian, LR, Halliwell, E. Social comparisons on social media: the impact of Facebook on young women’s body image concerns and mood. Body Image 2015; 13: 3845.CrossRefGoogle Scholar
Griffiths, S, Murray, SB, Krug, I, McLean, SA. The contribution of social media to body dissatisfaction, eating disorder symptoms, and anabolic steroid use among sexual minority men. Cyberpsychol Behav Soc Netw 2018; 21: 149–56.Google Scholar
Zamani Sani, SH, Fathirezaie, Z, Brand, S et al. Physical activity and self-esteem: testing direct and indirect relationships associated with psychological and physical mechanisms. Neuropsychiatr Dis Treat 2016; 12: 2617–25.Google Scholar
Puhl, RM, Latner, JD. Stigma, obesity, and the health of the nation’s children. Psychol Bull 2007; 133: 557–80.Google Scholar
Franko, DL, Fuller-Tyszkiewicz, M, Rodgers, RF et al. Internalization as a mediator of the relationship between conformity to masculine norms and body image attitudes and behaviors among young men in Sweden, US, UK, and Australia. Body Image 2015;15: 5460.CrossRefGoogle ScholarPubMed
Grogan, S, Richards, H. Body image: focus groups with boys and men. Men Masculinities 2002; 4: 219–32.Google Scholar
Jankowski, GS, Gough, B, Fawkner, H, Halliwell, E, Diedrichs, PC. Young men’s minimisation of their body dissatisfaction. Psychol Health 2018; 33: 1343–63.Google Scholar
Pope, HG Jr, Gruber, AJ, Mangweth, B et al. Body image perception among men in three countries. Am J Psychiatry 2000; 157: 1297–301.Google Scholar
Pope, HG Jr, Phillips, KA, Olivardia, R. The Adonis Complex: The Secret Crisis of Male Body Obsession. The Free Press, 2000.Google Scholar
Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2006.Google Scholar
McCreary, DR, Saucier, DM. Drive for muscularity, body comparison, and social physique anxiety in men and women. Body Image 2009; 6: 2430.Google Scholar
Gough, B, Seymour-Smith, S, Matthews, CR. Body dissatisfaction, appearance investment, and wellbeing: how older obese men orient to ‘aesthetic health’. Psychol Men Masc 2016; 17: 8491.CrossRefGoogle Scholar
Bordo, S. Feminism, Foucault and the politics of the body. In: Ramazanoglu, C, ed. Up Against Foucault: Explorations of Some Tensions Between Foucault and Feminism. Routledge, 1993: 179202.Google Scholar
Dion, K, Berscheid, E, Walster, E. What is beautiful is good. J Pers Soc Psychol 1972; 24: 285–90.Google Scholar
Al-Raqqad, HK, Al-Bourini, ES, Al Talahin, FM, Aranki, RME. The impact of school bullying on students’ academic achievement from teachers’ point of view. Int Educ Stud 2017; 10: 4450.Google Scholar
Darling-Wolf, F. Texts in context: intertextuality, hybridity, and the negotiation of cultural identity in Japan. J Commun Inq 2000; 24: 134–55.Google Scholar
Kaewpradub, N, Kiatrungrit, K, Hongsanguansri, S, Pavasuthipaisit, C. Association among Internet usage, body image and eating behaviors of secondary school students. Shanghai Arch Psychiatry 2017;29: 208–17.Google Scholar
Duarte, C, Pinto-Gouveia, J. Body image flexibility mediates the effect of body image-related victimization experiences and shame on binge eating and weight. Eat Behav 2016; 23: 1318.Google Scholar
Cash, TF, Smolak, L. Understanding body images: historical and contemporary perspectives. In: Cash, TF, Smolak, L, eds. Body Image: A Handbook of Science, Practice, and Prevention. Guilford Press, 2011: 311.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of Exercise Addiction, Body Dysmorphic Disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.CrossRefGoogle ScholarPubMed
Beucke, JC, Sepulcre, J, Buhlmann, U et al. Degree connectivity in body dysmorphic disorder and relationships with obsessive and compulsive symptoms. Eur Neuropsychopharmacol 2016; 26: 1657–66.CrossRefGoogle ScholarPubMed
Bewley, A. The neglected psychological aspects of skin disease. BMJ 2017; 358: j3208.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour. World Health Organization, 2020. https://apps.who.int/iris/handle/10665/336656Google Scholar
Sanchis-Soler, G, Tortosa-Martínez, J, Manchado-Lopez, C, Cortell-Tormo, JM. The effects of stress on cardiovascular disease and Alzheimer’s disease: physical exercise as a counteract measure. Int Rev Neurobiol 2020; 152: 157–93.Google Scholar
Lichtenstein, MB, Nielsen, RO, Gudex, C, Hinze, CJ, Jørgensen, U. Exercise addiction is associated with emotional distress in injured and non-injured regular exercisers. Addict Behav Rep 2018; 8: 33–9.Google ScholarPubMed
Soundy, A, Roskell, C, Stubbs, B, Probst, M, Vancampfort, D. Investigating the benefits of sport participation for individuals with schizophrenia: a systematic review. Psychiatr Danub 2015; 27: 213.Google ScholarPubMed
Berczik, K, Szabó, A, Griffiths, MD et al. Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Subst Use Misuse 2012; 47: 403–17.Google Scholar
Ekelund, U, Steene-Johannessen, J, Brown, WJ et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet 2016; 388: 1302–10.Google Scholar
Furnham, A, Greaves, N. Gender and locus of control correlates of body image dissatisfaction. Eur J Pers 1994; 8: 183200.Google Scholar
Grogan, S, Conner, M, Smithson, H. Sexuality and exercise motivations: are gay men and heterosexual women most likely to be motivated by concern about weight and appearance? Sex Roles 2006; 55: 567–72.Google Scholar
Kyrejto, JW, Mosewich, AD, Kowalski, KC, Mack, DE, Crocker, PRE. Men’s and women’s drive for muscularity: gender differences and cognitive and behavioral correlates. Int J Sport Exerc Psychol 2008; 6: 6984.Google Scholar
Mutrie, N, Choi, PYL. III. Is ‘fit’ a feminist issue? Dilemmas for exercise psychology. Fem Psychol 2000; 10: 544–51.Google Scholar
Ginis, KAG, Bassett, RL. Exercise: effects on body image. In: Cash, T, ed. Encyclopedia of Body Image and Human Appearance. Academic Press, 2012: 412–17.Google Scholar
Mooney, R, Simonato, P, Ruparelia, R et al. The use of supplements and performance and image enhancing drugs in fitness settings: an exploratory cross-sectional investigation in the United Kingdom. Hum Psychopharmacol 2017; 32. e2619.Google Scholar
Laus, MF, Costa, TMB, Almeida, SS. Body image dissatisfaction and aesthetic exercise in adolescents: are they related? Estud Psicol 2013; 18: 63171.Google Scholar
de Coverley Veale, DM. Exercise dependence. Br J Addict 1987; 82: 735–40.Google Scholar
Griffiths, MD. Behavioural addiction: an issue for everybody? J Workplace Learn 1996; 8: 1925.Google Scholar
Griffiths, MD. Exercise addiction: a case study. Addict Res 1997; 5: 161–8.Google Scholar
Cockerill, IM, Riddington, ME. Exercise dependence and associated disorders: a review. Couns Psychol Q 1996; 9: 119–29.Google Scholar
World Health Organization. ICD-11 for Mortality and Morbidity Statistics. World Health Organization, 2019.Google Scholar
Corazza, O, Bersani, FS, Brunoro, R et al. The diffusion of performance and image-enhancing drugs (PIEDs) on the Internet: the abuse of the cognitive enhancer piracetam. Subst Use Misuse 2014; 49: 1849–56.Google Scholar
Bates, G, McVeigh, J. Image and Performance Enhancing Drugs: 2015 Survey Results. Centre for Public Health, Liverpool John Moores University, 2016. www.ipedinfo.co.uk/resources/downloads/2015%20National%20IPED%20Info%20Survey%20report.pdfGoogle Scholar
Di Benedetto, G, Pierangeli, M, Scalise, A, Bertani, A. Paraffin oil injection in the body: an obsolete and destructive procedure. Ann Plast Surg 2002; 49: 391–6.Google Scholar
Banke, IJ, Prodinger, PM, Waldt, S et al. Irreversible muscle damage in bodybuilding due to long-term intramuscular oil injection. Int J Sports Med 2012; 33: 829–34.Google Scholar
Smith, D, Rutty, MC, Olrich, TW. Muscle dysmorphia and anabolic-androgenic steroid use. In: Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2016: 3150.Google Scholar
Hildebrandt, T, Alfano, L. Drug use, appearance- and performance-enhancing. In: Cash, T, ed. Encyclopedia of Body Image and Human Appearance. Academic Press, 2012: 392–8.Google Scholar
Sagoe, D, Andreassen, CS, Pallesen, S. The aetiology and trajectory of anabolic–androgenic steroid use initiation: a systematic review and synthesis of qualitative research. Subst Abuse Treat Prev Policy 2014; 9: 27.Google Scholar
Strauss, RH, Yesalis, CE. Anabolic steroids in the athlete. Annu Rev Med 1991; 42: 449–57.Google Scholar
Grogan, S, Shepherd, S, Evans, R, Wright, S, Hunter, G. Experiences of anabolic steroid use: in-depth interviews with men and women body builders. J Health Psychol 2006; 11: 845–56.CrossRefGoogle ScholarPubMed
Hall, M, Grogan, S, Gough, B. Bodybuilders’ accounts of synthol use: the construction of lay expertise. In: Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2016: 127–45.CrossRefGoogle Scholar
Eisenberg, ME, Wall, M, Neumark-Sztainer, D. Muscle-enhancing behaviors among adolescent girls and boys. Pediatrics 2012; 130: 1019–26.Google Scholar
O’Dea, J, Cinelli, RL. Use of drugs to change appearance in girls and female adolescents. In: Hall, M, Grogan, S, Gough, B, eds. Chemically Modified Bodies: The Use of Diverse Substances for Appearance Enhancement. Palgrave Macmillan, 2016: 5176.CrossRefGoogle Scholar
Mental Health Foundation. Body Image: How We Think and Feel About Our Bodies. Mental Health Foundation, 2019. www.mentalhealth.org.uk/publications/body-image-report.Google Scholar

References

Vaterlaus, JM, Patten, EV, Roche, C, Young, JA. #Gettinghealthy: the perceived influence of social media on young adult health behaviors. Comput Human Behav 2015; 45: 151–7.CrossRefGoogle Scholar
Pew Research Center. Social Media Fact Sheet. Pew Research Center, 2018. www.pewresearch.org/internet/fact-sheet/social-media/Google Scholar
Holland, G, Tiggemann, M. A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image 2016; 17: 100–10.Google Scholar
Ratwatte, P, Mattacola, E. An exploration of ‘fitspiration’ content on YouTube and its impacts on consumers. J Health Psychol 2021; 26: 935–46.Google Scholar
Tiggemann, M. Sociocultural perspectives on body image. In: Cash, T, ed. Encyclopedia of Body Image and Human Appearance. Academic Press, 2012: 758–65.Google Scholar
Tiggemann, M, Zaccardo, M. ‘Strong is the new skinny’: a content analysis of #fitspiration images on Instagram. J Health Psychol 2018; 23: 1003–11.CrossRefGoogle ScholarPubMed
Tiggemann, M, Zaccardo, M. “Exercise to be fit, not skinny”: the effect of fitspiration imagery on women’s body image. Body Image 2015; 15: 61–7.Google Scholar
Instagram.com. #fitspiration. www.instagram.com/explore/tags/fitspiration/ (accessed 20 May 2020).Google Scholar
DiBisceglie, S, Arigo, D. Perceptions of #fitspiration activity on Instagram: patterns of use, response, and preferences among fitstagrammers and followers. J Health Psychol 2021; 26: 1233–42.Google Scholar
Pilgrim, K, Bohnet-Joschko, S. Selling health and happiness how influencers communicate on Instagram about dieting and exercise: mixed methods research. BMC Public Health 2019; 19: 1054.CrossRefGoogle ScholarPubMed
Tiggemann, M, Martins, Y, Kirkbride, A. Oh to be lean and muscular: body image ideals in gay and heterosexual men. Psychol Men Masc 2007; 8: 1524.Google Scholar
Carrotte, ER, Prichard, I, Lim, MSC. “Fitspiration” on social media: a content analysis of gendered images. J Med Internet Res 2017; 19: e95.CrossRefGoogle ScholarPubMed
Tiggemann, M, Slater, A. NetTweens: the Internet and body image concerns in preteenage girls. J Early Adolesc 2014; 34: 606–20.Google Scholar
Simpson, CC, Mazzeo, SE. Skinny is not enough: a content analysis of fitspiration on Pinterest. Health Commun 2017; 32: 560–7.Google Scholar
Griffiths, S, Castle, D, Cunningham, M et al. How does exposure to thinspiration and fitspiration relate to symptom severity among individuals with eating disorders? Evaluation of a proposed model. Body Image 2018; 27: 187–95.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of Exercise Addiction, Body Dysmorphic Disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.Google Scholar
Prichard, I, Kavanagh, E, Mulgrew, KE, Lim, MS, Tiggemann, M. The effect of Instagram #fitspiration images on young women’s mood, body image, and exercise behaviour. Body Image 2020; 33: 16.Google Scholar
Corazza, O, Bersani, FS, Brunoro, R et al. The diffusion of performance and image-enhancing drugs (PIEDs) on the Internet: the abuse of the cognitive enhancer piracetam. Subst Use Misuse 2014; 49: 1849–56.Google Scholar
Blackstone, SR, Herrmann, LK. Extreme body messages: themes from Facebook posts in extreme fitness and nutrition online support groups. mHealth 2018; 4: 33.Google Scholar
Raggatt, M, Wright, CJ, Carrotte, E et al. “I aspire to look and feel healthy like the posts convey”: engagement with fitness inspiration on social media and perceptions of its influence on health and wellbeing. BMC Public Health 2018; 18: 1002.Google Scholar
Cataldo, I, De Luca, I, Giorgetti, V et al. Fitspiration on social media: body-image and other psychopathological risks among young adults. A narrative review. Emerg Trends Drugs Addict Health 2021; 1: 100010.Google Scholar
Deighton-Smith, N, Bell, BT. Objectifying fitness: a content and thematic analysis of #fitspiration images on social media. Psychol Pop Media Cult 2018; 7: 467–83.Google Scholar
Loughnan, S, Haslam, N, Murnane, T et al. Objectification leads to depersonalization: the denial of mind and moral concern to objectified others. Eur J Soc Psychol 2010; 40: 709–17.Google Scholar
Mooney, R, Simonato, P, Ruparelia, R et al. The use of supplements and performance and image enhancing drugs in fitness settings: an exploratory cross-sectional investigation in the United Kingdom. Hum Psychopharmacol 2017; 32: e2619.Google Scholar
Alberga, AS, Withnell, SJ, von Ranson, KM. Fitspiration and thinspiration: a comparison across three social networking sites. J Eat Disord 2018; 6: 39.Google Scholar
Boepple, L, Thompson, JK. An exploration of appearance and health messages present in pregnancy magazines. J Health Psychol 2017; 22: 1862–8.Google Scholar
Easton, S, Morton, K, Tappy, Z, Francis, D, Dennison, L. Young people’s experiences of viewing the fitspiration social media trend: qualitative study. J Med Internet Res 2018; 20: e219.Google Scholar
Rosen, JC. Body image disorder: definition, development, and contribution to eating disorders. In: Crowther, JH, Tennenbaum, DL, Hobfoll, SE, Stephens, MA, eds. The Etiology of Bulimia: The Individual and Familial Context. Hemisphere Publishing Corporation, 2013: 157–77.Google Scholar
Puhl, RM, Heuer, CA. Obesity stigma: important considerations for public health. Am J Public Health 2010; 100: 1019–28.Google Scholar
Stice, E, Telch, CF, Rizvi, SL. Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychol Assess 2000; 12: 123–31.Google Scholar
Bennett, K, Stevens, R. Weight anxiety in older women. Eur Eat Disord Rev 1996; 4: 32–9.Google Scholar
Ganem, PA, de Heer, H, Morera, OF. Does body dissatisfaction predict mental health outcomes in a sample of predominantly Hispanic college students? Pers Individ Differ 2009; 46: 557–61.Google Scholar
Olivardia, R, Pope, HG Jr, Borowiecki, JJ III, Cohane, GH. Biceps and body image: the relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychol Men Masc 2004; 5: 112–20.Google Scholar
Bassett-Gunter, R, McEwan, D, Kamarhie, A. Physical activity and body image among men and boys: a meta-analysis. Body Image 2017; 22: 114–28.Google Scholar
Metastasio, A, Negri, A, Martinotti, G, Corazza, O. Transitioning bodies. The case of self-prescribing sexual hormones in gender affirmation in individuals attending psychiatric services. Brain Sci 2018; 8: 88.Google Scholar
Cuzzolaro, M. Body dysmorphic disorder and muscle dysmorphia. In: Cuzzolaro, M, Fassino, S, eds. Body Image, Eating, and Weight: A Guide to Assessment, Treatment, and Prevention. Springer, 2018: 6784.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Association, 2013.Google Scholar
Weingarden, H, Renshaw, KD, Tangney, JP, Wilhelm, S. Development and validation of the Body-Focused Shame and Guilt scale. J Obsessive Compuls Relat Disord 2016; 8: 920.Google Scholar
Freimuth, M, Moniz, S, Kim, SR. Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. Int J Environ Res Public Health 2011; 8: 4069–81.Google Scholar
Berczik, K, Szabó, A, Griffiths, MD et al. Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Subst Use Misuse 2012; 47: 403–17.Google Scholar
Landolfi, E. Exercise addiction. Sports Med 2013; 43: 111–19.Google Scholar
De Luca, I, Simonato, P, Mooney, R, Bersani, G, Corazza, O, Can exercise be an addiction? The evolution of ‘fitspiration’ in society. Res Adv Psychiatry 2017; 4: 2734.Google Scholar
De Coverley Veale, DM. Exercise addiction. Br J Addict 1987; 82: 735–40.Google Scholar
Veale, D. Does primary exercise dependence really exist? In: Annett, J, Cripps, B, Steinberg, H, eds. Exercise Addiction: Motivation for Participation in Sport and Exercise. British Psychological Society, 1995: 71–5.Google Scholar
Holland, G, Tiggemann, M. “Strong beats skinny every time”: disordered eating and compulsive exercise in women who post fitspiration on Instagram. Int J Eat Disord 2017; 50: 76–9.CrossRefGoogle ScholarPubMed
Bratman, S. The health food eating disorder. Yoga J 1997; 8: 4250.Google Scholar
Turner, PG, Lefevre, CE. Instagram use is linked to increased symptoms of orthorexia nervosa. Eat Weight Disord 2017; 22: 277–84.Google Scholar
Andreasson, J, Johansson, T. (Un)Becoming a fitness doper: negotiating the meaning of illicit drug use in a gym and fitness context. J Sport Soc Issues 2020; 44: 93109.Google Scholar
Martínez-Sanz, JM, Sospedra, I, Ortiz, CM et al. Intended or unintended doping? A review of the presence of doping substances in dietary supplements used in sports. Nutrients 2017; 9: 1093.Google Scholar

References

Austin, SB. A public health approach to eating disorders prevention: it’s time for public health professionals to take a seat at the table. BMC Public Health 2012; 12: 854.CrossRefGoogle Scholar
Erskine, HE, Whiteford, HA, Pike, KM. The global burden of eating disorders. Curr Opin Psychiatry 2016; 29: 346–53.Google Scholar
Arcelus, J, Mitchell, AJ, Wales, J, Nielsen, S. Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry 2011; 68: 724–31.CrossRefGoogle ScholarPubMed
Smink, FRE, Van Hoeken, D, Hoek, HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep 2012; 14: 406–14.Google Scholar
Treasure, J, Zipfel, S, Micali, N et al. Anorexia nervosa. Nat Rev Dis Primers 2015; 1: 15074.Google Scholar
Scharmer, C, Gorrell, S, Schaumberg, K, Anderson, D. Compulsive exercise or exercise dependence? Clarifying conceptualizations of exercise in the context of eating disorder pathology. Psychol Sport Exerc 2020; 46: 101586.Google Scholar
Meyer, C, Taranis, L, Goodwin, H, Haycraft, E. Compulsive exercise and eating disorders. Eur Eat Disord Rev 2011; 19: 174–89.Google ScholarPubMed
El Ghoch, M, Calugi, S, Dalle Grave, R. Management of severe rhabdomyolysis and exercise-associated hyponatremia in a female with anorexia nervosa and excessive compulsive exercising. Case Rep Med 2016; 2016: 8194160.CrossRefGoogle Scholar
Peñas-Lledó, E, Vaz Leal, FJ, Waller, G. Excessive exercise in anorexia nervosa and bulimia nervosa: relation to eating characteristics and general psychopathology. Int J Eat Disord 2002; 31: 370–5.Google Scholar
Delimaris, I. Potential adverse biological effects of excessive exercise and overtraining among healthy individuals. Acta Medica Martiniana 2014; 14: 512.CrossRefGoogle Scholar
Mitchison, D, Mond, J. Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: a narrative review. J Eat Disord 2015; 3: 19.Google Scholar
Rizk, M, Lalanne, C, Berthoz, S, Kern, L, Godart, N. Problematic exercise in anorexia nervosa: testing potential risk factors against different definitions. PLoS ONE 2015; 10: e0143352.Google Scholar
Strober, M, Freeman, R, Morrell, W. The long-term course of severe anorexia nervosa in adolescents: survival analysis of recovery, relapse, and outcome predictors over 10–15 years in a prospective study. Int J Eat Disord 1997; 22: 339–60.Google Scholar
Tsai, G. Eating disorders in the Far East. Eat Weight Disord 2000; 5: 183–97.CrossRefGoogle ScholarPubMed
Miller, MN, Pumariega, AJ. Culture and eating disorders: a historical and cross-cultural review. Psychiatry 2001; 64: 93110.CrossRefGoogle ScholarPubMed
Holderness, C, Brooks-Gunn, J, Warren, M. Eating disorders and substance use. Med Sci Sport Exerc 1994; 26: 297302.Google Scholar
Garner, DM, Garfinkel, PE. Socio-cultural factors in the development of anorexia nervosa. Psychol Med 1980; 10: 647–56.Google Scholar
Mond, JM, Hay, PJ, Rodgers, B, Owen, C. An update on the definition of “excessive exercise” in eating disorders research. Int J Eat Disord 2006; 39: 147–53.Google Scholar
Mountjoy, M, Sundgot-Borgen, J, Burke, L et al. The IOC consensus statement: beyond the Female Athlete Triad—Relative Energy Deficiency in Sport (RED-S). Br J Sports Med 2014; 48: 491–7.Google Scholar
Guisinger, S. Adapted to flee famine: adding an evolutionary perspective on anorexia nervosa. Psychol Rev 2003; 110: 745–61.Google Scholar
Dietrich, A, Audiffren, M. The reticular-activating hypofrontality (RAH) model of acute exercise. Neurosci Biobehav Rev 2011; 35: 1305–25.Google Scholar
Egorov, AY, Szabo, A. The exercise paradox: an interactional model for a clearer conceptualization of exercise addiction. J Behav Addict 2013; 2: 199208.Google Scholar
Klump, KL, Strober, M, Bulik, CM et al. Personality characteristics of women before and after recovery from an eating disorder. Psychol Med 2004; 34: 1407–18.CrossRefGoogle ScholarPubMed
Adams, J, Kirkby, RJ. Exercise dependence and overtraining: the physiological and psychological consequences of excessive exercise. Sports Med Train Rehabil 2010; 10: 199222.CrossRefGoogle Scholar
Fessler, DMT. The implications of starvation induced psychological changes for the ethical treatment of hunger strikers. J Med Ethics 2003; 29: 243–7.Google Scholar
Griffiths, S, Mond, JM, Murray, SB, Touyz, S. Positive beliefs about anorexia nervosa and muscle dysmorphia are associated with eating disorder symptomatology. Aust N Z J Psychiatry 2015; 49: 812–20.Google Scholar
Waller, G, Cordery, H, Corstorphine, E et al. Case formulation. In: Cognitive Behavioral Therapy for Eating Disorders: A Comprehensive Treatment Guide. Cambridge University Press, 2013: 96113.Google Scholar
Fairburn, CG, Cooper, Z, Shafran, R. Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behav Res Ther 2003; 41: 509–28.Google Scholar
Leuenberger, A. Endorphins, exercise, and addictions: a review of exercise dependence. Impulse 2006; 3: 19.Google Scholar
Riley, AL. The paradox of drug taking: the role of the aversive effects of drugs. Physiol Behav 2011; 103: 6978.CrossRefGoogle ScholarPubMed
Giuliano, C, Cottone, P. The role of the opioid system in binge eating disorder. CNS Spectr 2015; 20: 537–45.Google Scholar
Weinstein, A, Weinstein, Y. Exercise addiction - diagnosis, bio-psychological mechanisms and treatment issues. Curr Pharm Des 2014; 20: 4062–9.Google Scholar
Everitt, BJ, Robbins, TW. Neural systems of reinforcement for drug addiction: from actions to habits to compulsion. Nat Neurosci 2005; 8: 1481–9.Google Scholar
Brand, M, Wegmann, E, Stark, R et al. The Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors: update, generalization to addictive behaviors beyond internet-use disorders, and specification of the process character of addictive behaviors. Neurosci Biobehav Rev 2019; 104; 110.CrossRefGoogle ScholarPubMed
Ioannidis, K, Chamberlain, SR. Digital hazards for feeding and eating: what we know and what we don’t. Curr Psychiatry Rep 2021; 23: 18.Google Scholar
Carrotte, ER, Vella, AM, Lim, MSC. Predictors of “liking” three types of health and fitness-related content on social media: a cross-sectional study. J Med Internet Res 2015; 17: e205.Google Scholar
Quesnel, DA, Cook, B, Murray, K, Zamudio, J. Inspiration or thinspiration: the association among problematic internet use, exercise dependence, and eating disorder risk. Int J Ment Health Addict 2018; 16: 1113–24.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of Exercise Addiction, Body Dysmorphic Disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.Google Scholar
Almenara, CA, Machackova, H, Smahel, D. Sociodemographic, attitudinal, and behavioral correlates of using nutrition, weight loss, and fitness websites: an online survey. J Med Internet Res 2019; 21: e10189.Google Scholar
Embacher Martin, K, McGloin, R, Atkin, D. Body dissatisfaction, neuroticism, and female sex as predictors of calorie-tracking app use amongst college students. J Am Coll Health 2018; 66: 608–16.Google Scholar
Levinson, CA, Fewell, L, Brosof, LC. My Fitness Pal calorie tracker usage in the eating disorders. Eat Behav 2017; 27: 1416.Google Scholar
Linardon, J, Messer, M. My Fitness Pal usage in men: associations with eating disorder symptoms and psychosocial impairment. Eat Behav 2019; 33: 1317.Google Scholar
Simpson, CC, Mazzeo, SE. Calorie counting and fitness tracking technology: associations with eating disorder symptomatology. Eat Behav 2017; 26: 8992.Google Scholar
Ioannidis, K, Taylor, C, Holt, L et al. Problematic usage of the internet and eating disorder and related psychopathology: a multifaceted, systematic review and meta-analysis. Neurosci Biobehav Rev 2021; 125: 569–81.Google Scholar
Catalani, V, Negri, A, Townshend, H et al. The market of sport supplement in the digital era: a netnographic analysis of perceived risks, side-effects and other safety issues. Emerg Trends Drugs Addict Health 2021; 1; 100014.CrossRefGoogle Scholar
Cataldo, I, De Luca, I, Giorgetti, V et al. Fitspiration on social media: body-image and other psychopathological risks among young adults. A narrative review. Emerg Trends Drugs Addict Health 2021; 1; 100010.Google Scholar
Rodgers, RF, Slater, A, Gordon, CS et al. A biopsychosocial model of social media use and body image concerns, disordered eating, and muscle-building behaviors among adolescent girls and boys. J Youth Adolesc 2020; 49: 399409.Google Scholar
Mooney, R, Simonato, P, Ruparelia, R et al. The use of supplements and performance and image enhancing drugs in fitness settings: an exploratory cross-sectional investigation in the United Kingdom. Hum Psychopharmacol 2017; 32: e2619.Google Scholar
Corazza, O, Roman-Urrestarazu, A. Handbook of Novel Psychoactive Substances: What Clinicians Should Know about NPS. Routledge, 2019.Google Scholar
Dores, AR, Carvalho, IP, Burkauskas, J et al. Exercise and use of enhancement drugs at the time of the COVID-19 pandemic: a multicultural study on coping strategies during self-isolation and related risks. Front Psychiatry 2021; 12: 648501.Google Scholar
Hampshire, A, Hellyer, PJ, Soreq, E et al. Associations between dimensions of behaviour, personality traits, and mental-health during the COVID-19 pandemic in the United Kingdom. Nat Commun 2021; 12: 4111.Google Scholar
Ioannidis, K, Hook, RW, Wiedemann, A et al. Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: a longitudinal UK-based study. Compr Psychiatry 2022; 115: 152304.Google Scholar
Ioannidis, K, Hook, RW, Grant, JE et al. Eating disorders with over-exercise: a cross-sectional analysis of the mediational role of problematic usage of the internet in young people. J Psychiatr Res 2021; 132: 215–22.Google Scholar
Bardone-Cone, AM, Higgins, MK, St George, SM et al. Behavioral and psychological aspects of exercise across stages of eating disorder recovery. Eat Disord 2016; 24: 424–39.Google Scholar
Bratland-Sanda, S, Sundgot-Borgen, J, , Ø et al. Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: an exploratory study of excessive and non-excessive exercisers. Int J Eat Disord 2010; 43: 266–73.Google Scholar
National Institute for Health and Care Excellence. Eating Disorders: Recognition and Treatment. NICE guideline [NG69]. National Institute for Health and Care Excellence, 2020. www.nice.org.uk/guidance/ng69Google Scholar
Hay, P. A systematic review of evidence for psychological treatments in eating disorders: 2005–2012. Int J Eat Disord 2013; 46: 462–9.Google Scholar
De Jong, M, Schoorl, M, Hoek, HW. Enhanced cognitive behavioural therapy for patients with eating disorders: a systematic review. Curr Opin Psychiatry 2018; 31: 436–44.Google Scholar
Dalle Grave, R, Calugi, S, Sartirana, M, Sermattei, S, Conti, M. Enhanced cognitive behaviour therapy for adolescents with eating disorders: a systematic review of current status and future perspectives. IJEDO 2021; 3; 111.Google Scholar
Atwood, ME, Friedman, A. A systematic review of enhanced cognitive behavioral therapy (CBT-E) for eating disorders. Int J Eat Disord 2020; 53: 311–30.Google Scholar
Richard, M, Bauer, S, Kordy, H. Relapse in anorexia and bulimia nervosa—a 2.5-year follow-up study. Eur Eat Disord Rev 2005; 13: 180–90.CrossRefGoogle Scholar
Vancampfort, D, Vanderlinden, J, De Hert, M et al. A systematic review of physical therapy interventions for patients with anorexia and bulimia nervosa. Disabil Rehabil 2014; 36: 628–34.Google Scholar
Ng, LWC, Ng, DP, Wong, WP. Is supervised exercise training safe in patients with anorexia nervosa? A meta-analysis. Physiotherapy 2013; 99: 111.Google Scholar
Quesnel, DA, Libben, M, Oelke, ND et al. Is abstinence really the best option? Exploring the role of exercise in the treatment and management of eating disorders. Eat Disord 2018; 26: 290310.Google Scholar
Davis, C, Kennedy, SH, Ravelski, E, Dionne, M. The role of physical activity in the development and maintenance of eating disorders. Psychol Med 1994; 24: 957–67.Google Scholar
Carter, JC, Blackmore, E, Sutandar-Pinnock, K, Woodside, DB. Relapse in anorexia nervosa: a survival analysis. Psychol Med 2004; 34: 671–9.Google Scholar
Cook, BJ, Wonderlich, SA, Mitchell, JE et al. Exercise in eating disorders treatment: systematic review and proposal of guidelines. Med Sci Sports Exerc 2016; 48: 1408–14.Google Scholar
Scottish Intercollegiate Guidelines Network. SIGN164: Eating Disorders. A National Clinical Guideline. NHS Scotland., 2022. www.sign.ac.uk/media/1920/sign-164-eating-disorders.pdfGoogle Scholar
Dobinson, A, Cooper, M, Quesnel, D. Safe Exercise at Every Stage (SEES) Guideline: A Clinical Tool for Treating and Managing Dysfunctional Exercise in Eating Disorders. SEES, 2020.Google Scholar
Calogero, RM, Pedrotty-Stump, KN. Incorporating exercise into eating disorder treatment and recovery: cultivating a mindful approach. In: Maine, M, Hartman McGilley, B, Bunnell, D, eds. Treatment of Eating Disorders: Bridging the Research-Practice Gap. Academic Press, 2010: 425–41.Google Scholar

References

Evans-Brown, M, McVeigh, J, Perkins, C, Bellis, M. Human Enhancement Drugs: The Emerging Challenges to Public Health. North West Public Health Observatory, 2012.Google Scholar
Van de Ven, K, Mulrooney, K, McVeigh, J. An introduction to human enhancement drugs. In: van de Ven, K, Mulrooney, K, McVeigh, J, eds. Human Enhancement Drugs. Routledge, 2020: 110.Google Scholar
Elliott, C. Better Than Well: American Medicine Meets the American Dream. W. W. Norton & Company, 2004.Google Scholar
McVeigh, J, Begley, E. Anabolic steroids in the UK: an increasing issue for public health. Drugs Educ Prev Pol 2017; 24: 278–85.Google Scholar
Sagoe, D, Molde, H, Andreassen, CS, Torsheim, T, Pallesen, S. The global epidemiology of anabolic-androgenic steroid use: a meta-analysis and meta-regression analysis. Ann Epidemiol 2014; 24: 383–98.Google Scholar
Kanayama, G, Kaufman, MJ, Pope, HG. Public health impact of androgens. Curr Opin Endocrinol Diabetes Obes 2018; 25: 218–23.Google Scholar
McVeigh, J, Evans-Brown, M, Bellis, MA. Human enhancement drugs and the pursuit of perfection. Adicciones 2012; 24: 185–90.Google Scholar
Llewellyn, W. Anabolics, 11th ed. Molecular Nutrition, 2017.Google Scholar
Taylor, WN. Macho Medicine. McFarland and Company, 1991.Google Scholar
De Kruif, P. The Male Hormone. Brace and Company, 1945.Google Scholar
Koch, FC. The chemistry and biology of male sex hormones. Bull N Y Acad Med 1938; 14: 655–80.Google Scholar
Kicman, AT. Pharmacology of anabolic steroids. Br J Pharmacol 2008; 154: 502–21.CrossRefGoogle ScholarPubMed
Havnes, IA, Jorstad, ML, Innerdal, I, Bjornebekk, A. Anabolic-androgenic steroid use among women – a qualitative study on experiences of masculinizing, gonadal and sexual effects. Int J Drug Policy 2021; 95: 102876.Google Scholar
Friedl, KE, Yesalis, CE. Self-treatment of gynecomastia in bodybuilders who use anabolic steroids. Phys Sportsmed 1989; 17: 6779.Google Scholar
Kicman, AT. Pharmacology of anabolic steroids. Br J Pharmacol 2008; 154: 502–21.Google Scholar
Hope, VD, McVeigh, J, Marongiu, A et al. Prevalence of, and risk factors for, HIV, hepatitis B and C infections among men who inject image and performance enhancing drugs: a cross-sectional study. BMJ Open 2013; 3: e003207.Google Scholar
Evans-Brown, M, McVeigh, J. Anabolic steroid use in the general population of the United Kingdom. In: Moller, V, McNamee, M, Dimeo, P, eds. Elite Sport, Doping and Public Health. University Press of Southern Denmark, 2010: 7597.Google Scholar
Begley, E, McVeigh, J, Hope, V et al. Image and Performance Enhancing Drugs 2016 National Survey Results. Public Health Institute, Liverpool John Moores University, 2017.Google Scholar
Korkia, P, Stimson, GV. Anabolic Steroid Use in Great Britain: An Exploratory Investigation. Final Report to the Departments of Health for England, Scotland and Wales. Centre for Research on Drugs and Health Behaviour, 1993.Google Scholar
Lenehan, P, Bellis, MA, McVeigh, J. A study of anabolic steroid use in the North West of England. J Perform Enhanc Drugs 1996; 1: 5770.Google Scholar
Evans-Brown, M, McVeigh, J. Injecting human growth hormone as a performance-enhancing drug—perspectives from the United Kingdom. J Subst Use 2009; 14: 267–88.Google Scholar
Teichman, SL, Neale, A, Lawrence, B et al. Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295, a long-acting analog of GH-releasing hormone, in healthy adults. J Clin Endocrinol Metab 2006; 91: 799805.Google Scholar
Matheny, RW Jr, Nindl, BC, Adamo, ML. Minireview: Mechano-growth factor: a putative product of IGF-I gene expression involved in tissue repair and regeneration. Endocrinology 2010; 151: 865–75.Google Scholar
Kimergard, A, McVeigh, J, Knutsson, S, Breindahl, T, Stensballe, A. Online marketing of synthetic peptide hormones: poor manufacturing, user safety, and challenges to public health. Drug Test Anal 2014; 6: 396–8.Google Scholar
Holt, RIG, Sonksen, PH. Growth hormone, IGF-I and insulin and their abuse in sport. Br J Pharmacol 2008; 154: 542–56.Google Scholar
Brennan, R, Wells, JG, Van Hout, MC. An unhealthy glow? A review of melanotan use and associated clinical outcomes. Perform Enhanc Health 2014; 3: 7892.Google Scholar
Evans-Brown, M, Dawson, R, Chandler, M, McVeigh, J. Use of melanotan I and II in the general population. BMJ 2009; 338: b566.Google Scholar
Duchaine, D. Underground Steroid Handbook II. HLR Technical Books, 1989.Google Scholar
Phillips, WN. Anabolic Reference Guide. Mile High Publishing, 1991.Google Scholar
Sagoe, D, McVeigh, J, Bjornebekk, A et al. Polypharmacy among anabolic-androgenic steroid users: a descriptive metasynthesis. Subst Abuse Treat Prev Policy 2015; 10: 12.Google Scholar
Kanayama, G, Hudson, JI, DeLuca, J et al. Prolonged hypogonadism in males following withdrawal from anabolic–androgenic steroids: an under‐recognized problem. Addiction 2015; 110: 823–31.Google Scholar
Ainsworth, NP, Vargo, EJ, Petroczi, A. Being in control? A thematic content analysis of 14 in-depth interviews with 2,4-dinitrophenol users. Int J Drug Policy 2018; 52: 106–14.Google Scholar
Spiller, HA, James, KJ, Scholzen, S, Borys, DJ. A descriptive study of adverse events from clenbuterol misuse and abuse for weight loss and bodybuilding. Subst Abuse 2013; 34: 306–12.Google Scholar
McVeigh, J, Germain, J, Van Hout, MC. 2,4-Dinitrophenol, the inferno drug: a netnographic study of user experiences in the quest for leanness. J Subst Use 2017; 22: 131–8.CrossRefGoogle Scholar
Milano, G, Chiappini, S, Mattioli, F, Martelli, A, Schifano, F. β-2 Agonists as misusing drugs? Assessment of both clenbuterol- and salbutamol-related European Medicines Agency Pharmacovigilance Database Reports. Basic Clin Pharmacol Toxicol 2018; 123: 182–7.Google Scholar
Ip, EJ, Yadao, MA, Shah, BM et al. Polypharmacy, infectious diseases, sexual behavior, and psychophysical health among anabolic steroid-using homosexual and heterosexual gym patrons in San Francisco’s Castro District. Subst Use Misuse 2017; 52: 959–68.Google Scholar
Pope, HG Jr, Kanayama, G, Athey, A et al. The lifetime prevalence of anabolic–androgenic steroid use and dependence in Americans: current best estimates. Am J Addict 2014; 23: 371–7.CrossRefGoogle ScholarPubMed
Sagoe, D, Pallesen, S. Androgen abuse epidemiology. Curr Opin Endocrinol Diabetes Obes 2018; 25: 185–94.Google Scholar
Home Office. Drugs Misuse: Findings from the 2018/19 Crime Survey for England and Wales. Office for National Statistics, 2019. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/832533/drug-misuse-2019-hosb2119.pdfGoogle Scholar
Advisory Council on the Misuse of Drugs. Consideration of the Anabolic Steroids. Advisory Council on the Misuse of Drugs, 2010. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/119132/anabolic-steroids.pdfGoogle Scholar
McVeigh, J, Beynon, C, Bellis, MA. New challenges for agency based syringe exchange schemes: analysis of 11 years of data (1991–2001) in Merseyside and Cheshire, United Kingdom. Int J Drug Policy 2003; 14: 399405.Google Scholar
Kimergard, A, McVeigh, J. Variability and dilemmas in harm reduction for anabolic steroid users in the UK: a multi-area interview study. Harm Reduct J 2014; 11: 19.Google Scholar
Christiansen, AV, Vinther, AS, Liokaftos, D. Outline of a typology of men’s use of anabolic androgenic steroids in fitness and strength training environments. Drugs Educ Prev Pol 2016; 24: 295305.Google Scholar
Christiansen, AV. Gym Culture, Identity and Performance-Enhancing Drugs: Tracing a Typology of Steroid Use. Routledge, 2020.Google Scholar
Zahnow, R, McVeigh, J, Bates, G et al. Identifying a typology of men who use anabolic androgenic steroids (AAS). Int J Drug Policy 2018; 55: 105–12.Google Scholar
Ip, EJ, Barnett, MJ, Tenerowicz, MJ et al. Women and anabolic steroids: an analysis of a dozen users. Clin J Sport Med 2010; 20: 475–81.Google Scholar
Evans-Brown, M, Kimergard, A, McVeigh, J. Elephant in the room? The methodological implications for public health research of performance-enhancing drugs derived from the illicit market. Drug Test Anal 2009; 1: 323–6.Google Scholar
Pope, HG, Wood, RI, Rogol, A et al. Adverse health consequences of performance-enhancing drugs: an Endocrine Society scientific statement. Endocr Rev 2014; 35: 341–75.Google Scholar
Heffernan, TM, Battersby, L, Bishop, P, O’Neill, TS. Everyday memory deficits associated with anabolic-androgenic steroid use in regular gymnasium users. Open Psychiatry J 2015; 9: 16.Google Scholar
Bjornebekk, A, Walhovd, KB, Jorstad, ML et al. Structural brain imaging of long-term anabolic-androgenic steroid users and nonusing weightlifters. Biol Psychiatry 2017; 82: 294302.Google Scholar
Hauger, LE, Westlye, LT, Fjell, AM, Walhovd, KB, Bjornebekk, A. Structural brain characteristics of anabolic-androgenic steroid dependence in men. Addiction 2019; 114: 1405–15.Google Scholar
Bjornebekk, A, Westlye, LT, Walhovd, KB et al. Cognitive performance and structural brain correlates in long-term anabolic-androgenic steroid exposed and nonexposed weightlifters. Neuropsychology 2019; 33: 547–59.Google Scholar
Ip, EJ, Barnett, MJ, Tenerowicz, MJ, Perry, PJ. Weightlifting’s risky new trend: a case series of 41 insulin users. Curr Sports Med Rep 2012; 11: 176–9.Google Scholar
Cutting, WC, Mehrtens, HG, Tainter, ML. Actions and uses of dinitrophenol: promising metabolic applications. JAMA 1933; 101: 193–5.Google Scholar
Dufayet, L, Gorgiard, C, Vayssette, F et al. Death of an apprentice bodybuilder following 2,4-dinitrophenol and clenbuterol intake. Int J Legal Med 2020; 134: 1003–6.CrossRefGoogle ScholarPubMed
Grundlingh, J, Dargan, PI, El-Zanfaly, M, Wood, DM. 2,4-Dinitrophenol (DNP): a weight loss agent with significant acute toxicity and risk of death. J Med Toxicol 2011; 7: 205–12.Google Scholar
Hope, V, Iversen, J. Infections and risk among people who use image and performance enhancing drugs. In: van de Ven, K, Mulrooney, K, McVeigh, J, eds. Human Enhancement Drugs. Routledge, 2020: 85100.Google Scholar
Hope, VD, McVeigh, J, Smith, J et al. Low levels of hepatitis C diagnosis and testing uptake among people who inject image and performance enhancing drugs in England and Wales, 2012–15. Drug Alcohol Depend 2017; 179: 83–6.CrossRefGoogle ScholarPubMed
Iversen, J, Hope, VD, McVeigh, J. Access to needle and syringe programs by people who inject image and performance enhancing drugs. Int J Drug Policy 2016; 31: 199200.Google Scholar
Coomber, R, Salinas, M. The supply of Image and Performance Enhancing Drugs (IPED) to local non-elite users in England: resilient traditional and newly emergent methods. In: van de Ven, K, Mulrooney, K, McVeigh, J, eds. Human Enhancement Drugs. Routledge, 2020: 230–46.Google Scholar
Salinas, M, Floodgate, W, Ralphs, R. Polydrug use and polydrug markets amongst image and performance enhancing drug users: implications for harm reduction interventions and drug policy. Int J Drug Policy 2019; 67: 4351.CrossRefGoogle ScholarPubMed
Forrest, A. London man convicted over role in £40m international steroid smuggling gang. The Independent, 2019. www.independent.co.uk/news/uk/crime/steroid-smuggling-gang-gurjaipal-dhillon-london-guilty-a8946356.htmlGoogle Scholar
Coomber, R, Moyle, L, Belackov, V et al. The burgeoning recognition and accommodation of the social supply of drugs in international criminal justice systems: an eleven-nation comparative overview. Int J Drug Policy 2018; 58: 93103.Google Scholar
Turnock, LA. Inside a steroid ‘brewing’ and supply operation in South-West England: an ‘ethnographic narrative case study’. Perform Enhanc Health 2019; 7: 100152.Google Scholar
Hall, A, Antonopoulos, GA. The (online) supply of illicit lifestyle medicines: a criminological study. In: van de Ven, K, Mulrooney, K, McVeigh, J, eds. Human Enhancement Drugs. Routledge, 2020: 173–87.Google Scholar
Corazza, O, Parrott, AC, Demetrovics, Z. Novel psychoactive substances: shedding new lights on the ever-changing drug scenario and the associated health risks. Hum Psychopharmacol 2017; 32: e2616.Google Scholar
Stensballe, A, McVeigh, J, Breindahl, T, Kimergard, A. Synthetic growth hormone releasers detected in seized drugs: new trends in the use of drugs for performance enhancement. Addiction 2015; 110: 368–9.Google Scholar
Evans-Brown, M, Kimergård, A, McVeigh, J, Chandler, M, Brandt, SD. Is the breast cancer drug tamoxifen being sold as a bodybuilding dietary supplement? BMJ 2014; 348: g1476.Google Scholar
Abbate, V, Kicman, AT, Evans-Brown, M et al. Anabolic steroids detected in bodybuilding dietary supplements – a significant risk to public health. Drug Test Anal 2015; 7: 609–18.Google Scholar
Thomas, A, Kohler, M, Mester, J et al. Identification of the growth-hormone-releasing peptide-2 (GHRP-2) in a nutritional supplement. Drug Test Anal 2010; 2: 144–8.Google Scholar
Kimergard, A, McVeigh, J. Environments, risk and health harms: a qualitative investigation into the illicit use of anabolic steroids among people using harm reduction services in the UK. BMJ Open 2014; 4: e005275.Google Scholar
Van de Ven, K. ‘Blurred lines’: anti-doping, national policies, and the performance and image enhancing drug (PIED) market in Belgium and The Netherlands. Perform Enhanc Health 2016; 4: 94102.CrossRefGoogle Scholar
Havnes, IA, Jorstad, ML, McVeigh, J, Van Hout, MC, Bjornebekk, A. The anabolic androgenic steroid treatment gap: a national study of substance use disorder treatment. Subst Abuse 2020; 14: 1178221820904150.Google Scholar
European Commission. Study on Doping Prevention: A Map of Legal, Regulatory and Prevention Practice Provisions in EU 28. Publications Office of the European Union, 2014. https://ec.europa.eu/assets/eac/sport/news/2014/docs/doping-prevention-report_en.pdfGoogle Scholar
Kleinman, CC, Petit, CE. Legal aspects of anabolic steroid use and abuse. In: Yesalis, CE, ed. Anabolic Steroids in Sport and Exercise, 2nd ed. Human Kinetics Publishers, 2000: 333–59.Google Scholar
Mulrooney, KJD, van de Ven, K, McVeigh, J, Collins, R. Commentary: Steroid madness – has the dark side of anabolic-androgenic steroids (AAS) been over-stated? Perform Enhanc Health 2019; 6: 98102.Google Scholar
Bates, G, Begley, E, Tod, D et al. A systematic review investigating the behaviour change strategies in interventions to prevent misuse of anabolic steroids. J Health Psychol 2019; 24: 1595–612.CrossRefGoogle ScholarPubMed
Christiansen, AV. Doping in fitness and strength training environments – politics, motives and masculinities. In: Moller, V, McNamee, M, Dimeo, P, eds. Elite Sport, Doping and Public Health. University Press of Southern Denmark, 2010: 99118.Google Scholar
Havnes, IA, Jorstad, ML, Wisloff, C. Anabolic-androgenic steroid users receiving health-related information: health problems, motivations to quit and treatment desires. Subst Abuse Treat Prev Policy 2019; 14: 20.Google Scholar
Backhouse, SH, Griffiths, C, McKenna, J. Tackling doping in sport: a call to take action on the dopogenic environment. Br J Sports Med 2018; 52: 1485–6.Google Scholar
Bates, G, Tod, D, Leavey, C, McVeigh, J. An evidence-based socioecological framework to understand men’s use of anabolic androgenic steroids and inform interventions in this area. Drugs Educ Prev Pol 2018; 26: 484–92.Google Scholar
Bates, G, Van Hout, MC, Teck, JTW, McVeigh, J. Treatments for people who use anabolic androgenic steroids: a scoping review. Harm Reduct J 2019; 16: 75.Google Scholar
Harvey, OA, Keem, S, Parriosh, M, van Teijlingen, E. Support for people who use anabolic androgenic steroids: a systematic scoping review into what they want and what they access. BMC Public Health 2019; 19: 1024.Google Scholar
National Institute for Health and Care Excellence (NICE). Needle and Syringe Programmes. Public health guideline [PH52]. National Institute for Health and Care Excellence, 2014. www.nice.org.uk/guidance/ph52Google Scholar
Harvey, O, Keen, S, Parrish, M, van Teijlingen, E, Trenoweth, S. Support for non-prescribed anabolic androgenic steroids users: a qualitative exploration of their needs. Drugs Educ Prev Pol 2019; 27: 377–86.Google Scholar
McVeigh, J, Salinas, M, Ralphs, R. A sentinel population: the public health benefits of monitoring enhanced body builders. Int J Drug Policy, 2021; 95: 102890.Google Scholar

References

Kaur, H, Singh, T, Arya, YK, Mittal, S. Physical fitness and exercise during the COVID-19 pandemic: a qualitative enquiry. Front Psychol 2020; 11: 2943.Google Scholar
Zoob Carter, BN, Boardley, ID, Van de Ven, K. The impact of the COVID-19 pandemic on male strength athletes who use non-prescribed anabolic-androgenic steroids. Front Psychiatry 2021; 12: 636706.Google Scholar
Hayes, M. Social media and inspiring physical activity during COVID-19 and beyond. Manag Sport Leis 2022; 27: 1421.Google Scholar
Chao, M, Chen, X, Liu, T, Yang, H, Hall, BJ. Psychological distress and state boredom during the COVID-19 outbreak in China: the role of meaning in life and media use. Eur J Psychotraumatol 2020; 11: 1769379.Google Scholar
Goel, A, Gupta, L. Social media in the times of COVID-19. J Clin Rheumatol 2020; 26: 220–23.CrossRefGoogle ScholarPubMed
Begley, E, McVeigh, J, Hope, V. Image and Performance Enhancing Drugs: 2016 National Survey Results. Public Health Institute, Liverpool John Moores University, 2017. Available at: www.ipedinfo.co.uk/resources/downloads/2016%20National%20IPED%20Info%20Survey%20report%20FINAL.pdfGoogle Scholar
Cordaro, FG, Lombardo, S, Cosentino, M. Selling androgenic anabolic steroids by the pound: identification and analysis of popular websites on the Internet. Scand J Med Sci Sports 2011; 21: e247–59.Google Scholar
Hall, A, Antonopoulos, G. License to pill: illegal entrepreneurs’ tactics in the online trade of medicines. In: The Relativity of Wrongdoing: Corruption, Organised Crime, Fraud and Money Laundering in Perspective. Wolf Legal Publishers, 2015: 229–52.Google Scholar
van de Ven, K, Koenraadt, R. Exploring the relationship between online buyers and sellers of image and performance enhancing drugs (IPEDs): quality issues, trust and self-regulation. Int J Drug Policy 2017; 50: 4855.Google Scholar
Coomber, R, Salinas, M. The supply of Image and Performance Enhancing Drugs (IPED) to local non-elite users in England: resilient traditional and newly emergent methods. In: van de Ven, K, Mulrooney, KJD, McVeigh, J, eds. Human Enhancement Drugs. Routledge, 2019: 230–46.Google Scholar
Kozinets, RV. Netnography: Redefined, 2nd ed. Sage, 2015.Google Scholar
Dores, AR, Carvalho, IP, Burkauskas, J et al. Exercise and use of enhancement drugs at the time of the COVID-19 pandemic: a multicultural study on coping strategies during self-isolation and related risks. Front Psychiatry 2021; 12: 648501.Google Scholar
Brooks, SK, Webster, RK, Smith, LE et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 395: 912–20.Google Scholar
Lippi, G, Henry, BM, Sanchis-Gomar, F. Physical inactivity and cardiovascular disease at the time of coronavirus disease 2019 (COVID-19). Eur J Prev Cardiol 2020; 27: 906–8.Google Scholar
Mutz, M, Gerke, M. Sport and exercise in times of self-quarantine: how Germans changed their behaviour at the beginning of the Covid-19 pandemic. Int Rev Sociol Sport 2021; 56: 305–16.CrossRefGoogle Scholar
Sell, A, Hone, LS, Pound, N. The importance of physical strength to human males. Hum Nat 2012; 23: 3044.Google Scholar
Hausenblas, HA, Schreiber, K, Smoliga, JM. Addiction to exercise. BMJ 2017; 357: j1745.Google Scholar
Wang, M, Baker, JS, Quan, W, Shen, S, Fekete, G, Gu, Y. A preventive role of exercise across the coronavirus 2 (SARS-CoV-2) pandemic. Front Physiol 2020: 11: 572718.Google Scholar
Brennan, R, Wells, JS, Van Hout, MC. “Raw juicing” – an online study of the home manufacture of anabolic androgenic steroids (AAS) for injection in contemporary performance and image enhancement (PIED) culture. Perform Enhanc Health 2018; 6: 21–7.Google Scholar

References

Bouchard, C, Shephard, RJ, Stephens, T. Physical Activity, Fitness, and Health: International Proceedings and Consensus Statement. Human Kinetics Publishers, 1994.Google Scholar
Szabo, A. The impact of exercise deprivation on well-being of habitual exercisers. Aust J Sci Med Sport 1995; 27: 6875.Google Scholar
Szabo, A. Studying the psychological impact of exercise deprivation: are experimental studies hopeless? J Sport Behav 1998; 21: 139–47.Google Scholar
Szabo, A. Physical activity as a source of psychological dysfunction. In: Biddle, SJ, Fox, KR, Boutcher, SH, eds. Physical Activity and Psychological Well-Being. Routledge, 2000: 130–53.Google Scholar
Smith, LL. Overtraining, excessive exercise, and altered immunity. Sports Med 2003; 33: 347–64.Google Scholar
Morgan, WP. Negative addiction in runners. Phys Sportsmed 1979; 7: 5770.Google Scholar
Hailey, BJ, Bailey, LA. Negative addiction in runners: a quantitative approach. J Sport Behav 1982; 5:150–4.Google Scholar
Hausenblas, HA, Downs, DS. Relationship among sex, imagery, and exercise dependence symptoms. Psychol Addict Behav 2002; 16: 169–72.Google Scholar
Veale, DMW. Exercise dependence. Br J Addict 1987; 82: 735–40.Google Scholar
Hausenblas, HA, Downs, DS. How much is too much? The development and validation of the Exercise Dependence Scale. Psychol Health 2002; 17: 387404.Google Scholar
Downs, DS, Hausenblas, HA, Nigg, CR. Factorial validity and psychometric examination of the Exercise Dependence Scale-Revised. Meas Phys Educ Exerc Sci 2004; 8: 183201.CrossRefGoogle Scholar
Haasova, M, Warren, FC, Ussher, M et al. The acute effects of physical activity on cigarette cravings: systematic review and meta-analysis with individual participant data. Addiction 2013; 108: 2637.Google Scholar
Read, JP, Brown, R. The role of physical exercise in alcoholism treatment and recovery. Prof Psychol Res Pr 2003; 34: 4956.Google Scholar
Manthou, E, Georgakouli, K, Fatouros, I et al. Role of exercise in the treatment of alcohol use disorders. Biomed Rep 2016; 4: 535–45.Google Scholar
Lichtenstein, MB, Emborg, B, Hemmingsen, SD, Hansen, NB. Is exercise addiction in fitness centers a socially accepted behavior? Addict Behav Rep 2017; 6: 102–5.Google Scholar
Mabe, AG, Forney, KJ, Keel, PK. Do you like my photo? Facebook use maintains eating disorder risk. Int J Eat Disord 2014; 47: 516–23.Google Scholar
Meier, EP, Gray, J. Facebook photo activity associated with body image disturbance in adolescent girls. Cyberpsychol Behav Soc Netw 2014; 17: 199206.Google Scholar
Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of exercise addiction, body dysmorphic disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.Google Scholar
Holland, G, Tiggemann, M. A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image 2016; 17: 100–10.Google Scholar
Holland, G, Tiggemann, M. “Strong beats skinny every time”: disordered eating and compulsive exercise in women who post fitspiration on Instagram. Int J Eat Disord 2017; 50: 76–9.Google Scholar
Brown, I. A theoretical model of the behavioural addictions—applied to offending. In: Hodge, JE, McMurran, M, Hollins, CR, eds. Addicted to Crime? John Wiley & Sons, 1997: 1365.Google Scholar
Andreassen, CS, Griffiths, MD, Gjertsen, SR et al. The relationships between behavioral addictions and the five-factor model of personality. J Behav Addict 2013; 2: 90–9.Google Scholar
Griffiths, MD, Szabo, A, Terry, A. The Exercise Addiction Inventory: a quick and easy screening tool for health practitioners. Br J Sports Med 2005; 39: e30.Google Scholar
Lichtenstein, MB, Emborg, B, Daugaard Hemmingsen, S, Hansen, NB. Is exercise addiction in fitness centers a socially accepted behavior? Addict Behav Rep 2017; 6: 102–5.Google Scholar
Lichtenstein, MB, Christiansen, E, Elklit, A, Bilenberg, N, Støving, RK. Exercise addiction: a study of eating disorder symptoms, quality of life, personality traits and attachment styles. Psychiatry Res 2014; 357: 410–16.Google Scholar
Anandkumar, S, Manivasagam, M, Kee, VTS, Meyding-Lamade, U. Effect of physical therapy management of nonspecific low back pain with exercise addiction behaviors: a case series. Physiother Theory Pract 2018; 34: 316–28.CrossRefGoogle ScholarPubMed
Schwellnus, M, Soligard, T, Alonso, JM et al. How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. Br J Sports Med 2016; 357: 1043–52.Google Scholar
De Souza, MJ, Nattiv, A, Joy, E et al. 2014 Female Athlete Triad Coalition Consensus Statement on Treatment and Return to Play of the Female Athlete Triad: 1st International Conference held in San Francisco, California, May 2012 and 2nd International Conference held in Indianapolis, Indiana, May 2013. Br J Sports Med 2014; 48: 289.Google Scholar
Meeusen, R, Duclos, M, Foster, C et al. Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine. Med Sci Sports Exerc 2013; 45: 186205.Google Scholar
Hausenblas, HA, Schreiber, K, Smoliga, JM, Addiction to exercise. BMJ 2017; 357: j1745.Google Scholar
Weinstein, A, Maayan, G, Weinstein, Y. A study on the relationship between compulsive exercise, depression and anxiety. J Behav Addict 2015; 4: 315–18.Google Scholar
Antunes, HK, Leite, GS, Lee, KS et al. Exercise deprivation increases negative mood in exercise-addicted subjects and modifies their biochemical markers. Physiol Behav 2016; 357: 182–90.Google Scholar
Pope Jnr, HG, Katz, DL, Champoux, R. Anabolic-androgenic steroid use among 1,010 college men. Phys Sportsmed 1988; 16: 7581.Google Scholar
Corazza, O, Demetrovics, Z, van den Brink, W, Schifano, F. ‘Legal highs’ an inappropriate term for ‘Novel Psychoactive Drugs’ in drug prevention and scientific debate. Int J Drug Policy 2013; 24: 82–3.Google Scholar
Van Hout, MC. SMART: an Internet study of users’ experiences of synthetic tanning. Perform Enhanc Health 2014; 3: 314.Google Scholar
Mooney, R, R Simonato, P, Ruparelia, R et al. The use of supplements and performance and image enhancing drugs in fitness settings: an exploratory cross-sectional investigation in the United Kingdom. Hum Psychopharmacol 2017; 32: e2619.Google Scholar
Freimuth, M, Moniz, S, Kim, SR. Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. Int J Environ Res Public Health 2011; 8: 4069–81.Google Scholar
Bruno, A, Quattrone, D, Scimeca, G et al. Unraveling exercise addiction: the role of narcissism and self-esteem. J Addict 2014; 2014: 987841.CrossRefGoogle ScholarPubMed
Levallius, J, Collin, C, Birgegård, A. Now you see it, now you don’t: compulsive exercise in adolescents with an eating disorder. J Eat Disord 2017; 5: 9.Google Scholar
Rocks, T, Pelly, F, Slater, G, Martin, LA. Prevalence of exercise addiction symptomology and disordered eating in Australian students studying nutrition and dietetics. J Acad Nutr Diet 2017; 117: 1628–36.Google Scholar
Klein, DA, Bennett, AS, Schebendach, J et al. Exercise “addiction” in anorexia nervosa: model development and pilot data. CNS Spectr 2004, 9: 531–7.Google Scholar
Veale, DMW. Does primary exercise dependence really exist? In: Annet, J, Cripps, B, Steinberg, H, eds. Exercise Addiction: Motivation for Participation in Sport and Exercise. British Psychological Society, 1995: 71–5.Google Scholar
Adams, J, Kirkby, RJ. Exercise dependence and overtraining: the psychological and physiological consequences of excessive exercise. Res Sports Med 2001; 10: 199222.Google Scholar
Adams, JM, Miller, TW, Kraus, RF. Exercise dependence: diagnostic and therapeutic issues for patients in psychotherapy. J Contemp Psychother 2003; 33: 93107.Google Scholar
Blaydon, MJ, Lindner, KJ, Kerr, JH. Metamotivational characteristics of eating-disordered and exercise-dependent triathletes: an application of reversal theory. Psychol Sport Exerc 2004; 3: 223–36.Google Scholar
Berczik, K, Szabó, A, Griffiths, MD et al. Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Subst Use Misuse 2002; 47: 403–17.Google Scholar
Adams, J, Kirkby, RJ. Excessive exercise as an addiction: a review. Addict Res Theory 2002; 10: 415–37.Google Scholar
Canadian Society for Exercise Physiology. Make Your Whole Day Matter: The Canadian 24-Hour Movement Guidelines for Adults (18-64 years). Canadian Society for Exercise Physiology, 2016. www.csepguidelines.ca/adults-18-64Google Scholar
Bogers, RP, van Assema, P, Brug, J, Kester, ADM, Dagnelie, PC. Psychosocial predictors of increases in fruit and vegetable consumption. Am J Health Behav 2007; 31: 135–45.Google Scholar
Seligman, HK, Wallace, AS, DeWalt, DA et al. Facilitating behavior change with low-literacy patient education materials. Am J Health Behav 2007; 31: S69–78.Google Scholar
Miller, WR, Rollnick, S. Motivational Interviewing: Preparing People for Change, 2nd ed. The Guilford Press, 2002.Google Scholar
Miller, WR, Rollnick, S. Motivational Interviewing: Preparing People to Change Addictive Behavior. The Guilford Press, 1991.Google Scholar
Dunn, C, Deroo, L, Rivara, FP. The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction 2001; 96: 1725–42.CrossRefGoogle ScholarPubMed
Beck, JS. Cognitive Behavior Therapy: Basics and Beyond, 2nd ed. The Guilford Press, 2011.Google Scholar
Field, TA, Beeson, ET, Jones, LK. The new ABCs: a practitioner’s guide to neuroscience-informed cognitive-behavior therapy. J Ment Health Couns 2015; 37: 206–20.Google Scholar
Benjamin, CL, Puleo, CM, Settipani, CA et al. History of cognitive-behavioral therapy (CBT) in youth. Child Adolesc Psychiatr Clin N Am 2011; 20: 179–89.Google Scholar
Cowlishaw, S, Merkouris, S, Dowling, N et al. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev 2012; 11: CD008937.Google ScholarPubMed
Hook, JN, Reid, RC, Penberthy, JK, Davis, DE, Jennings, DJ 2nd. Methodological review of treatments for nonparaphilic hypersexual behavior. J Sex Marital Ther 2014; 40: 294308.Google Scholar
Christianini, AR, Conti, MA, Hearst, N et al. Treating kleptomania: cross-cultural adaptation of the Kleptomania Symptom Assessment Scale and assessment of an outpatient program. Compr Psychiatry 2015; 56: 289–94.Google Scholar
Lourenço Leite, P, Pereira, VM, Nardi, AE, Silva, AC. Psychotherapy for compulsive buying disorder: a systematic review. Psychiatry Res 2014; 219: 411–19.CrossRefGoogle ScholarPubMed
Wichmann, S, Martin, DR. Exercise excess: treating patients addicted to fitness. Phys Sportsmed 1992; 20: 193200.Google Scholar
Fisher, LA, Wrisberg, CA. A “positive psychology” of athletic training. Athl Ther Today 2004; 9: 58–9.Google Scholar
Cumella, E. The heavy weight of exercise addiction. Behav Health Manag 2005; 25: 2631.Google Scholar
Moeller, FG, Schmitz, JM, Steinberg, JL et al. Citalopram combined with behavioral therapy reduces cocaine use: a double-blind, placebo-controlled trial. Am J Drug Alcohol Abuse 2007; 33: 367–78.Google Scholar
Adams, J. Understanding exercise dependence. J Contemp Psychother 2009, 39: 231–40.Google Scholar
Manicavasgar, V, Parker, G, Perich, T. Mindfulness-based cognitive therapy vs. cognitive behaviour therapy as a treatment for non-melancholic depression. J Affect Disord 2011; 130: 138–44.Google Scholar
Hofmann, SG, Sawyer, AT, Fang, A. The empirical status of the “new wave” of cognitive behavioral therapy. Psychiatr Clin N Am 2010; 33: 701–10.CrossRefGoogle ScholarPubMed
Hayes, SC, Villatte, M, Levin, M, Hildebrandt, M. Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annu Rev Clin Psychol 2011; 7: 141–68.Google Scholar
Zgierska, A, Rabago, D, Chawla, N et al. Mindfulness meditation for substance use disorders: a systematic review. Subst Abus 2009; 30: 266–94.Google Scholar
Shonin, E, Van Gordon, W, Griffiths, MD. Buddhist philosophy for the treatment of problem gambling. J Behav Addict 2013; 2: 6371.Google Scholar
Marazziti, D. Farmacoterapia Clinica, 5th ed. Fioriti, 2013.Google Scholar
Goldstein, RZ, Volkow, ND. Drug addiction and its underlying neurobiological basis: neuroimaging evidence for the involvement of the frontal cortex. Am J Psychiatry 2002; 159: 1642–52.Google Scholar
Marazziti, D, Presta, S, Baroni, S, Silvestri, S, Dell’Osso, L. Behavioral addictions: a novel challenge for psychopharmacology. CNS Spectr 2014; 19: 486–95.Google Scholar
Hollander, E, DeCaria, CM, Mari, E. Short-term single-blind fluvoxamine treatment of pathological gambling. Am J Psychiatry 1998; 155: 1781–3.Google Scholar
Hollander, E, DeCaria, CM, Finkell, JN et al. A randomized double-blind fluvoxamine/placebo crossover trial in pathologic gambling. Biol Psychiatry 2000; 47: 813–17.CrossRefGoogle ScholarPubMed
Blanco, C, Petkova, E, Ibanez, A, Saiz-Ruiz, J. A pilot placebo-controlled study of fluvoxamine for pathological gambling. Ann Clin Psychiatry 2002; 14: 915.Google Scholar
Kim, SW, Grant, JE, Adson, DE, Shin, YC, Zaninelli, R. A double-blind placebo-controlled study of the efficacy and safety of paroxetine in the treatment of pathological gambling. J Clin Psychiatry 2002; 63: 501–7.CrossRefGoogle ScholarPubMed
Zimmerman, M, Breen, RB, Posternak, MA. An open-label study of citalopram in the treatment of pathological gambling. J Clin Psychiatry 2002; 63: 44–8.Google Scholar
Black, DW, Shaw, M, Forbush, KT, Allen, J. An open-label trial of escitalopram in the treatment of pathological gambling. Clin Neuropharmacol 2007; 30: 206–12.Google Scholar
McElroy, SL, Satlin, A, Pope, HG, Keck, PE, Hudson, J. Treatment of compulsive shopping with antidepressants: a report of three cases. Ann Clin Psychiatry 1991; 3: 199204.Google Scholar
McElroy, SL, Keck, PE Jr, Pope, HG Jr, Smith, JM, Strakowski, SM. Compulsive buying: a report on 20 cases. J Clin Psychiatry 1994; 55: 242–8.Google Scholar
Emmanuel, NP, Lydiard, RB, Ballenger, JC. Fluoxetine treatment of voyeurism. Am J Psychiatry 1991; 148: 950.Google ScholarPubMed
Stein, DJ, Hollander, E, Anthony, DT et al. Serotonergic medications for sexual obsessions, sexual addiction, and paraphilias. J Clin Psychiatry 1992; 53: 267–71.Google ScholarPubMed
Fedoroff, JP. Serotonergic drug treatment of deviant sexual interests. Ann Sex Res 1993; 6: 105–21.Google Scholar
Sattar, P, Ramaswamy, S. Internet gaming addiction. Can J Psychiatry 2004; 49: 869–70.Google Scholar
Dell’Osso, B, Altamura, AC, Hadley, SJ, Baker, BR, Hollander, E. An open-label trial of escitalopram in the treatment of impulsive-compulsive internet usage disorder. Eur Neuropsychopharmacol 2006; 16: S82–3.Google Scholar
American Society of Health-System Pharmacists. Naltrexone. Drugs.com, 2017. www.drugs.com/monograph/naltrexone.htmlGoogle Scholar
Kim, SW, Grant, JE, Adson, DE, Shin, YC. Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biol Psychiatry 2001; 49: 914–21.Google Scholar
Grant, JE, Potenza, MN, Hollander, E et al. Multicenter investigation of the opioid antagonist nalmefene in the treatment of pathological gambling. Am J Psychiatry 2006; 163: 303–12.Google Scholar
Bullock, K, Koran, L. Psychopharmacology of compulsive buying. Drugs Today (Barc) 2003; 39: 695700.Google Scholar
Guzman, CS, Filomensky, T, Tavares, H. Compulsive buying treatment with topiramate: a case report. Braz J Psychiatry 2007; 29: 383–4.Google Scholar
Bostwick, JM, Bucci, A. Internet sex addiction treated with naltrexone. Mayo Clin Proc 2008; 83: 226–30.Google Scholar
Pittenger, C. Glutamate modulators in the treatment of obsessive-compulsive disorder. Psychiatr Ann 2015; 45: 308–15.Google Scholar
Grant, JE, Kim, SW, Odlaug, BL. N-acetyl cysteine, a glutamate modulating agent, in the treatment of pathological gambling: a pilot study. Biol Psychiatry 2007; 62: 652–7.Google Scholar
Grant, JE, Odlaug, BL, Mooney, M, O’Brien, R, Kim, SW. Open-label pilot study of memantine in the treatment of compulsive buying. Ann Clin Psychiatry 2012; 24: 119–26.Google Scholar
McElroy, SL, Pope, HG, Keck, PE et al. Are impulse control disorders related to bipolar disorder? Compr Psychiatry 1996; 37: 229–40.Google Scholar
Pallanti, S, Quercioli, L, Sood, E, Hollander, E. Lithium and valproate treatment of pathological gambling: a randomized single-blind study. J Clin Psychiatry 2002; 63: 559–66.Google Scholar
Dannon, PN, Lowengrub, K, Gonopolski, Y, Musin, E, Kotler, M. Topiramate versus fluvoxamine in the treatment of pathological gambling: a randomized, blind-rater, comparison study. Clin Neuropharmacol 2005; 28: 610.CrossRefGoogle ScholarPubMed
Fong, T, Kalechstein, A, Bernhard, B, Rosenthal, R, Rugle, LA. A double-blind, placebo-controlled trial of olanzapine for the treatment of video poker pathological gamblers. Pharmacol Biochem Behav 2008; 89: 298303.Google Scholar
Di Nicola, M, Martinotti, G, Mazza, M et al. Quetiapine as add-on treatment for bipolar I disorder with comorbid compulsive buying and physical exercise addiction. Prog Neuropsychopharmacol Biol Psychiatry 2010; 34: 713–14.CrossRefGoogle ScholarPubMed

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