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The usefulness of experience sampling in understanding the urge to move in anorexia nervosa

Published online by Cambridge University Press:  24 June 2014

G. Pieters ,
K. Vansteelandt ,
L. Claes ,
M. Probst ,
I. Van Mechelen  and
W. Vandereycken
G. Pieters*
Affiliation:
University Center St. Jozef, Kortenberg, Belgium
K. Vansteelandt
Affiliation:
University Center St. Jozef, Kortenberg, Belgium Department of Psychology, Catholic University Leuven, Leuven, Belgium
L. Claes
Affiliation:
Department of Psychology, Catholic University Leuven, Leuven, Belgium
M. Probst
Affiliation:
University Center St. Jozef, Kortenberg, Belgium
I. Van Mechelen
Affiliation:
Department of Psychology, Catholic University Leuven, Leuven, Belgium
W. Vandereycken
Affiliation:
University Center St. Jozef, Kortenberg, Belgium Department of Psychology, Catholic University Leuven, Leuven, Belgium
*
Dr Guido Pieters, University Center St. Jozef, Leuvensesteenweg 517, B3070 Kortenberg, Belgium. Tel: +32 2 7580518; Fax: +32 2 7595380; E-mail: [email protected]
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Abstract

Background:

Physical hyperactivity has often been described in anorexia nervosa (AN) patients but up until now in-depth research has been scarce. Experience sampling methodology (ESM), a structured diary technique assessing momentary mental state at random times during the day, may be useful in studying hyperactivity in AN.

Methods:

In two single case reports, ESM was used to investigate the variation across time of the urge to move in relation to potentially relevant eliciting conditions such as positive and negative emotions, weight preoccupation and attractiveness.

Results:

Frequency distribution of the involved variables indicated substantial individual differences between patients. While both patients' tendency to be hyperactive was positively related to their weight preoccupation and negative emotions, in only one patient, the urge to move turned out to be significantly related to (the absence of) positive emotions.

Conclusions:

ESM can be useful to test whether general theories of psychopathology apply to specific patients, and it may be conceived as an individually tailored approach to self-monitoring. As such, it may guide the clinician to devise therapeutic interventions in particular patients.

Keywords

anorexia nervosaexperience sampling methodologyhyperactivity
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 18 , Issue 1 , February 2006 , pp. 30 - 37
Copyright
Copyright © 2006 Blackwell Munksgaard

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References

Beumont, PJV, Arthur, B, Russell, JDet al. Excessive physical activity in dieting disorder patients: proposal for a supervised exercise program. Int J Eat Disord 1994;15: 21–36. 3.0.CO;2-K>CrossRefGoogle ScholarPubMed
Solenberger, SE.Exercise and eating disorders: a 3-year inpatient hospital record analysis. Eat Behav 2001;2: 151–168. CrossRefGoogle ScholarPubMed
Pirke, KM, Trimborn, P, Platte, Pet al. Average total energy expenditure in anorexia nervosa, bulimia nervosa, and healthy young women. Biol Psychiatry 1991;30: 711–718. CrossRefGoogle ScholarPubMed
Casper, RC.Behavioral activation and lack of concern, core symptoms of anorexia nervosa? Int J Eat Disord 1998;24: 381–393. 3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Davis, C, Katzman, DK, Kirsh, C.Compulsive physical activity in adolescents with anorexia nervosa: a psychobehavioral spiral of pathology. J Nerv Ment Dis 1999;187: 336–342. CrossRefGoogle ScholarPubMed
Pinkston, M, Martz, D, Domer, Fet al. Psychological, nutritional, and energy expenditure differences in college females with anorexia nervosa vs. comparable-mass controls. Eat Behav 2001;2: 169–181. CrossRefGoogle ScholarPubMed
Peñas-Lledo, E, Vaz Leal, FJet al. Excessive exercise in anorexia nervosa and bulimia nervosa: relation to eating characteristics and general psychopathology. Int J Eat Disord 2002;31: 370–375. CrossRefGoogle ScholarPubMed
Davis, C.Eating disorders and hyperactivity: a psychobiological perspective. Can J Psychiatry 1997;42: 168–175. CrossRefGoogle ScholarPubMed
Davis, C, Kennedy, SH, Ravelski, Eet al. The role of physical activity in the development and maintenance of eating disorders. Psychol Med 1994;24: 957–967. CrossRefGoogle ScholarPubMed
Epling, WF, Pierce, WD.An overview of activity anorexia. In: Epling, WF, Pierce, WD, eds. Activity Anorexia: Theory, Research and Treatment. Hillsdale, NJ: Erlbaum, 1996: 3–12. Google Scholar
Markland, D, Ingledew, DK.The measurement of exercise motives: Factorial validity and invariance across gender of a revised Exercise Motivations Inventory. Br J Health Psychol 1997;2: 361–376. CrossRefGoogle Scholar
Davis, C, Fox, J.Excessive exercise and weight preoccupation in women. Addict Behav 1993;18: 201–211. CrossRefGoogle ScholarPubMed
Blinder, BJ, Freeman, DM, Stunkard, AJ.Behavior therapy of anorexia nervosa: effectiveness of activity as a reinforcer of weight gain. Am J Psychiatry 1970;126: 1093–1098. CrossRefGoogle ScholarPubMed
Foster, FG, Kupfer, DJ.Anorexia nervosa: telemetric assessment of family interaction and hospital events. J Psychiatr Res 1975;12: 19–35. CrossRefGoogle ScholarPubMed
Falk, JR, Halmi, KA, Tryon, WW.Activity measures in anorexia nervosa. Arch Gen Psychiatry 1985;42: 811–814. CrossRefGoogle ScholarPubMed
Bouten, CV, Van Marken Lichtenbelt, WD, Westerterp, KR.Body mass index and daily physical activity in anorexia nervosa. Med Sci Sports Exerc 1996;28: 967–973. CrossRefGoogle ScholarPubMed
Tryon, WW.Activity and Eating disorders. In: Tryon, WW ed. Activity Measurement in Psychology and Medicine. New York and London: Plenum Press, 1991: 123–147.CrossRefGoogle Scholar
Davis, D, Kennedy, SH, Ralevski, Eet al. Obsessive compulsiveness and physical activity in anorexia nervosa and high-level exercising. J Psychosom Res 1995;39: 967–976. CrossRefGoogle ScholarPubMed
Andreasen, NC.Negative symptoms in schizophrenia. Definition reliability. Arch Gen Psychiatry 1982;39: 784–788. CrossRefGoogle Scholar
Silk, KR, Tandon, R.Negative symptom rating scales. In: Greden, JF, Tandon, R, eds. Negative Schizophrenic Symptoms. Pathophysiology and Clinical Implications. Washington DC: American Psychiatric Press, 1991: 63–77. Google Scholar
Shiffman, S, Stone, AA.Introduction to the special section: Ecological momentary assessment in health psychology. Health Psychol 1998;17: 3–5. CrossRefGoogle Scholar
Csikszentmihali, M, Larson, R.Validity and reliability of the experience-sampling method. J Nerv Ment Dis 1987;175: 526–536. CrossRefGoogle Scholar
Van den Bosch, RJ.Inner and outside worlds [comment]. Tijdschrift Voor Psychiatrie. 2003;45: 159–160. Google Scholar
Stone, AA, Shiffman, S.Ecological momentary assessment (EMA) in behavioral medicine. Ann Behav Med 1994;16: 199–202. CrossRefGoogle Scholar
Norton, M, Wonderlich, SA, Meyers, Tet al. The use of palmtop computers in the treatment of bulimia nervosa. Europ Eating Dis Rev 2003;11: 231–242. CrossRefGoogle Scholar
De Vries, MW, ed. The Experience of Psychopathology: Investigating Mental Disorders in Their Natural Settings. Cambridge: Cambridge University Press, 1992. CrossRefGoogle Scholar
Delespaul, P.Assessing schizophrenia in daily life: the experience sampling method. Maastricht, the Netherlands: Maastricht University Press, 1995. Google Scholar
Stone, AA, Schwartz, JE, Neale, JMet al. A comparison of coping assessed by ecological momentary assessment and retrospective recall. J Pers Soc Psychol 1998;74: 1670–1680. CrossRefGoogle ScholarPubMed
Dijkman-Caes, CIM, De Vries, MW.Daily life situations and anxiety in panic disorder and agoraphobia. J Anxiety Disord 1991;5: 343–357. CrossRefGoogle Scholar
Stader, SR, Hokanson, JE.Psychosocial antecedents of depressive symptoms: an evaluation using daily experiences methodology. J Abnorm Psychol 1998;107: 17–26. CrossRefGoogle ScholarPubMed
Barge-Schaapveld, DQ, Nicolson, NA.Effects of antidepressant treatment on the quality of daily life: an experience sampling study. J Clin Psychiatry 2002;6: 477–485. CrossRefGoogle Scholar
Myin-Germeys, I, Peeters, F, Havermans, Ret al. Emotional reactivity to daily life stress in psychosis and affective disorder: an experience sampling study. Acta Psychiatr Scand 2003;107: 124–131. CrossRefGoogle ScholarPubMed
Peeters, F, Nicolson, N, Berkhof, Jet al. Effects of daily events on mood states in major depressive disorder. J Abnorm Psychol 2003;112: 203–211. CrossRefGoogle ScholarPubMed
Larson, R, Asmussen, L.Bulimia in daily life: a context–bound syndrome. In: De Vries, MW, ed. The Experience of Psychopathology: Investigating Mental Disorders in Their Natural Settings. Cambridge: Cambridge University Press, 1992: 167–179. CrossRefGoogle Scholar
Smyth, J, Wonderlich, S, Crosby, Ret al. The use of ecological momentary assessment approaches in eating disorder research. Int J Eat Disord 2001;30: 83–95. CrossRefGoogle ScholarPubMed
Alpers, GW, Tuschen-Caffier, B.Negative feelings and the desire to eat in bulimia nervosa. Eat Behav 2001;2: 339–352. CrossRefGoogle ScholarPubMed
Wegner, KE, Smyth, JM, Crosby, RDet al. An evaluation of the relationship between mood and binge eating in the natural environment using ecological momentary assessment. Int J Eat Disord 2002;32: 352–361. CrossRefGoogle ScholarPubMed
Vansteelandt, K, Pieters, G, Claes, Let al. Hyperactivity in anorexia nervosa. A case study using Experience Sampling Methodology. Eat Behav 2004;5: 67–74. CrossRefGoogle ScholarPubMed
Garner, DM. Eating Disorder Inventory-2 Manual. Odessa: Psychological Assessment Resources, 1991. Google Scholar
Van Strien, T.Eating Disorder Inventory-II Nederlandse Versie (EDI-II-NL). Amsterdam: Swets Test Publishers, 2002. Google Scholar
Diener, E, Smith, H, Fujita, F.The personality structure of affect. J Pers Soc Psychol 1995;69: 130–140. CrossRefGoogle Scholar