Abstract
Previous research suggests that psychological inflexibility may play an important role in the development of both substance and behavioral addictions. However, the influence that psychological inflexibility might exert on exercise addiction has still to be investigated. The objective of this study was to look at the influence of psychological inflexibility on exercise addiction. Three hundred and ninety-eight recreational endurance exercisers (381 men and 17 women) aged between 18 and 60 years (M = 35.62, SD = 9.43) completed a self-reported questionnaire. A structural equation model was tested. After controlling for the effects of age (β = − .34, p < .001), frequency (β = .24, p < .01), and the number of hours of practice (β = .09, p = .17), psychological inflexibility contributed to explaining exercise addiction (β = .26, p < .001). The model explained 30% of the variance in exercise addiction. Some preliminary evidence is provided suggesting that psychological inflexibility could condition the potential benefits of practising physical exercise; in particular, by favoring the acquisition of an addictive pattern when carrying out such activity.
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Allegre, B., Therme, P., & Griffiths, M. D. (2007). Individual factors and the context of physical activity in exercise dependence: a prospective study of “ultra-marathoners”. International Journal of Mental Health and Addiction, 5(3), 233–243. https://doi.org/10.1007/s11469-007-9081-9.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. DSM-IV (4th ed.). Washington: American Psychiatric Association.
Bircher, J., Griffiths, M. D., Kasos, K., Demetrovics, Z., & Szabo, A. (2017). Exercise addiction and personality: a two-decade systematic review of the empirical literature (1995-2015). Baltic Journal of Sports and Health Sciences, 3(106), 19–33.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007.
Chou, W.-P., Lee, K.-H., Ko, C.-H., Liu, T.-L., Hsiao, R. C., Lin, H.-F., & Yen, C.-F. (2017). Relationship between psychological inflexibility and experiential avoidance and internet addiction: mediating effects of mental health problems. Psychiatry Research, 257, 40–44. https://doi.org/10.1016/j.psychres.2017.07.021.
Costa, S., Hausenblas, H. A., Oliva, P., Cuzzocrea, F., & Larcan, R. (2013). The role of age, gender, mood states and exercise frequency on exercise dependence. Journal of Behavioral Addictions, 2(4), 216–223. https://doi.org/10.1556/JBA.2.2013.014.
Egorov, A. Y., & Szabo, A. (2013). The exercise paradox: An interactional model for a clearer conceptualization of exercise addiction. Journal of Behavioral Addictions, 2(4), 199–208. https://doi.org/10.1556/JBA.2.2013.4.2.
Freimuth, M., Moniz, S., & Kim, S. R. (2011). Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. International Journal of Environmental Research and Public Health, 8(10), 4069–4081. https://doi.org/10.3390/ijerph8104069.
Griffiths, M. D. (1996). Behavioural addiction: an issue for everybody? Employee Councelling Today, 8(3), 19–25.
Griffiths, M. D. (2005). A “components” model of addiction within a biopsychosocial framework. Journal of Substance Use, 10(4), 191–197. https://doi.org/10.1080/14659890500114359.
Griffiths, M. D., Urbán, R., Demetrovics, Z., Lichtenstein, M. B., de la Vega, R., Kun, B., … Szabo, A. (2015). A cross-cultural re-evaluation of the Exercise Addiction Inventory (EAI) in five countries. Sports Medicine - Open, 1(5), 1–7. https://doi.org/10.1186/s40798-014-0005-5.
Hair, J. F. J., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Englewood Cliffs: Pearson Prentice Hall.
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: a post-Skinnerian account of human language and cognition. New York: Plenum.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: the process and practice of mindful change. New York: Guilford Press.
Hormes, J. M., Kearns, B., & Timko, C. A. (2014). Craving Facebook? Behavioral addiction to online social networking and its association with emotion regulation deficits. Addiction, 109(12), 2079–2088. https://doi.org/10.1111/add.12713.
Kingston, J., Clarke, S., & Remington, B. (2010). Experiential avoidance and problem behavior: a mediational analysis. Behavior Modification, 34(2), 145–163. https://doi.org/10.1177/0145445510362575.
Levin, M. E., Lillis, J., Seeley, J., Hayes, S. C., Pistorello, J., & Biglan, A. (2012). Exploring the relationship between experiential avoidance, alcohol use disorders, and alcohol-related problems among first-year college students. Journal of American College Health, 60(6), 443–448. https://doi.org/10.1080/07448481.2012.673522.
Lichtenstein, M. B., Christiansen, E., Elklit, A., Bilenberg, N., & Støving, R. K. (2014). Exercise addiction: a study of eating disorder symptoms, quality of life, personality traits and attachment styles. Psychiatry Research, 215(2), 410–416. https://doi.org/10.1016/j.psychres.2013.11.010.
Luoma, J., Drake, C. E., Kohlenberg, B. S., & Hayes, S. C. (2011). Substance abuse and psychological flexibility: the development of a new measure. Addiction Research & Theory, 19(1), 3–13. https://doi.org/10.3109/16066359.2010.524956.
Mónok, K., Berczik, K., Urbán, R., Szabo, A., Griffiths, M. D., Farkas, J., … Demetrovics, Z. (2012). Psychometric properties and concurrent validity of two exercise addiction measures: a population wide study. Psychology of Sport and Exercise, 13(6), 739–746. https://doi.org/10.1016/j.psychsport.2012.06.003.
Muthén, L. K., & Muthén, B. O. (1998–2015). Mplus Version 7: User’s guide (7th ed.). Los Angeles: Muthén & Muthén.
Raykov, T. (2004). Behavioral scale reliability and measurement invariance evaluation using latent variable modeling. Behavior Therapy, 35, 299–331. https://doi.org/10.1016/S0005-7894(04)80041-8.
Ruiz, F. J., Langer Herrera, A. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: the Spanish version of the Acceptance and Action Questionnaire - II. Psicothema, 25(1), 123–129. https://doi.org/10.7334/psicothema2011.239.
Sicilia, A., Alías-García, A., Ferriz, R., & Moreno-Murcia, J. A. (2013). Spanish adaptation and validation of the Exercise Addiction Inventory (EAI). Psicothema, 25(3), 377–383. https://doi.org/10.7334/psicothema2013.21.
Sussman, S., Lisha, N., & Griffiths, M. D. (2011). Prevalence of the addictions: a problem of the majority or the minority? Evaluation & the Health Professions, 34(1), 3–56.
Symons Downs, D., Hausenblas, H. A., & Nigg, C. R. (2004). Factorial validity and psychometric examination of the Exercise Dependence Scale-Revised. Measurement in Physical Education and Exercise Science, 8(4), 183–201. https://doi.org/10.1207/s15327841mpee0804_1.
Szabo, A., Griffiths, M. D., de La Vega Marcos, R., Mervó, B., & Demetrovics, Z. (2015). Methodological and conceptual limitations in exercise addiction research. Yale Journal of Biology and Medicine, 88, 303–308.
Terry, A., Szabo, A., & Griffiths, M. D. (2004). The exercise addiction inventory: a new brief screening tool. Addiction Research and Theory, 12(5), 489–499. https://doi.org/10.1080/16066350310001637363.
Weinstein, A., & Weinstein, Y. (2014). Exercise addiction-diagnosis, bio-psychological mechanisms and treatment issues. Current Pharmaceutical Design, 20(25), 4062–4069.
World Health Organization. (2010). Global recommendations on physical activity for health. Geneva: WHO Library Cataloguin Publication.
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Alcaraz-Ibáñez, M., Aguilar-Parra, J.M. & Álvarez-Hernández, J.F. Exercise Addiction: Preliminary Evidence on the Role of Psychological Inflexibility. Int J Ment Health Addiction 16, 199–206 (2018). https://doi.org/10.1007/s11469-018-9875-y
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DOI: https://doi.org/10.1007/s11469-018-9875-y