Abstract
Exercise addiction is a complex construct that examines maladaptive patterns relative to exercise behavior. This phenomenon, though not clinically recognized as a disorder, describes a condition where an individual has a compulsion to exercise excessively, often causing detriments to his or her physical and psychological wellbeing. The purpose of this study was to identify which psychosocial and behavioral factors are best able to predict exercise addiction in long-distance runners. Two hundred forty-eight self-identified runners at least 18 years of age participated in the study. Each subject completed an online survey that included questions referring to demographics, training history, the 10-item Athletic Identity Measurement Scale (AIMS), and the 11-item Running Addiction Scale (RAS). Multiple linear regression was used to predict the relationship between several variables to the overall RAS score. The significant predictor variables were the AIMS score (p < 0.01), the number of runs taken per week (p < 0.001), and the number of injuries in the previous 2 years (p < 0.05). The best prediction equation was RAS = 36.99 + (0.13 × AIMS score) + (1.14 × runs per week) − (0.17 × body mass index) − (0.21 × number of years running) + (0.93 × number of injuries). This study shows that higher scores on the RAS were associated with a greater identity as an athlete, more injuries and runs per week. Although not statistically significant, body mass index (p = 0.084) and the number of years running (p = 0.098) were both negatively related to the RAS score, indicating the need for a larger and more diverse sample of self-identified runners to explore the relationship between running addiction and other participant characteristics.
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References
Aidman, E., & Woollard, S. (2003). The influence of self-reported exercise addiction on acute emotional and physiological responses to brief exercise deprivation. Psychology of Sport and Exercise, 4, 225–236.
Allegre, B., Souville, M., Therme, P., & Griffiths, M. (2006). Definitions and measures of exercise dependence. Addiction Research and Theory, 14(6), 631–646.
Allegre, B., Therme, P., & Griffiths, M. (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, 233–243.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Bahr, R. (2008). No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. British Journal of Sports Medicine, 43, 956–972.
Bamber, D., Cockerill, I., Rogers, S., & Carroll, D. (2000). It’s exercise or nothing: A qualitative analysis of exercise dependence. British Journal of Sports Medicine, 34, 423–430.
Berczik, K., Szabo, A., Griffiths, M., Kurimay, T., Kun, B., Urban, R., & Demetrovics, Z. (2012). Exercise addiction: Symptoms, diagnosis, epidemiology, and etiology. Substance Use and Misuse, 47, 403–417.
Brewer, B., Raalte, J., & Linder, D. (1993). Athletic identity: Hercules’ muscles of Achilles heel? International Journal of Sport Psychology, 24, 237–254.
Buist, I., Bredeweg, S., van Mechelen, W., Lemmink, K., Pepping, G., & Diercks, R. (2008). No effect of a graded training program on the number of running-related injuries in novice runners: a randomized controlled trial. The American Journal of Sports Medicine, 36(1), 33–39.
Chapman, C., & Castro, J. (1990). Running addiction: Measurement and associated psychological characteristics. Journal of Sports Medicine and Physical Fitness, 30, 283–290.
Cohen, R. (1995). Video interviews: “Hooked” on exercise. In J. Annet, B. Cripps, & H. Steinberg (Eds.), Exercise addiction: Motivation for participation in sport and exercise (pp. 54–59). Leicester: British Psychological Society.
Conboy, J. (1994). The effects of exercise withdrawal on mood states in runners. Journal of Sport Behavior, 17(3), 188–203.
Deci, E., & Ryan, N. D. (2008). Self-determination theory: A macrotheory of human motivation, development and health. Canadian Psychology, 49(3), 182–185.
Egorov, A., & Szabo, A. (2013). The exercise paradox: An interactional model for a clearer conceptualization of exercise addiction. Journal of Behavioral Addictions, 2(4), 199–208.
Fields, K., Sykes, J., Walker, K., & Jackson, J. (2010). Prevention of running injuries. Current Sports Medicine Reports, 9(3), 176–182.
Furst, D., & Gerome, K. (1993). Negative addiction in male and female runners and exercisers. Perceptual and Motor Skills, 77(1), 192–194.
Gallo, R., Plakke, M., & Silvis, M. (2012). Common leg injuries of long-distance runners: Anatomical and biomechanical approach. Sports Health, 4(6), 485–495.
Gayton, W., Loignon, A., & Porta, W. (2016). Exercise dependence: The dark side of exercise. Journal of SciMed Central, 3(7), 1085.
Hamer, M., Karageorghis, C., & Vlachopoulous. (2002). Motives for exercise prescription as predictors of exercise dependence among endurance athletes. Journal of Sports Medicine and Physical Fitness, 42(2), 233–238.
Hausenblas, H., & Downs, D. (2002a). Exercise dependence: A systematic review. Psychology of Sport and Exercise, 3, 89–123.
Hausenblas, H., & Downs, D. (2002b). How much is too much? The development and validation of the Exercise Dependence Scale. Psychology and Health, 17(4), 387–404.
Hausenblas, H., & Giacobbi, P. (2004). Relationship between exercise dependence symptoms and personality. Personality and Individual Differences, 36, 1265–1273.
Hreljac, A. (2005). Etiology, prevention, and early intervention of overuse injuries in runners: a biomechanical perspective. Physical Medicine and Rehabilitation Clinics of North America, 16(3), 651–667
Jones, J., Bennett, S., Olmsted, M., Lawson, M., & Rodin, G. (2001). Disordered eating attitudes and behaviours in teenaged girls: A school-based study. Canadian Medical Association Journal, 165, 547–552.
Junior, L., Pillay, J., van Mechelen, W., & Verhagen, E. (2015). Meta-analyses of the effects of habitual running on indices of health in physically inactive adults. Sports Medicine, 45, 1455–1468.
Lichtenstein, M., Hinze, C., Emborg, B., Thomsen, F., & Hemmingsen, S. (2017). Compulsive exercise: Links, risks and challenges faced. Psychology Research and Behavior Management, 10, 85–95.
Lindolfi, E. (2013). Exercise Addiction. Sports Medicine, 43(2), 111–119.
Lopes, A., Junior, L., Yeung, S., & Pena Costa, L. (2012). What are the main running-related musculoskeletal injuries? Sports Medicine, 42(10), 891–905.
Maraz, A., Kiraly, O., & Demetrovics, Z. (2015). Commentary on: Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction in research. Journal of Behavioral Addictions, 4(3), 151–154.
McNamara, J., & McCabe, M. (2012). Striving for success or addiction? Exercise dependence among elite Australian athletes. Journal of Sports Sciences, 30(8), 755–766.
Meeuwisse, W. (1994). Assessing causation in sport injury: A multifactorial model. Clinical Journal of Sport Medicine, 4, 166–170.
Miller, K., & Mesagno, C. (2014). Personality traits and exercise dependence: Exploring the role of narcissism and perfectionism. International Journal of Sport and Exercise Psychology, 12(4), 368–381.
Monok, K., Berczik, K., Urbán, R., Szabo, A., Griffiths, M., Farkas, J., Magi, A., Esinger, A., Kurimay, T., Kökönyei, G., Kun, B., Paksi, B., & Demetrovics, Z. (2012). Psychometric properties and concurrent validity of two exercise addiction measures: A population wide study. Psychology of Sport and Exercise, 13, 739–746.
Morgan, W. (1979). Negative addiction in runners. The Physician and Sports Medicine, 7, 57–70.
Morris, M. (1989). Running round the clock. Running, 104, 44–45.
Moyolas-Pi, C., Grima, J., Penarrubia-Lozano, C., Munguia-Izquierdo, D., Moliner-Urdiales, M., & Legaz-Arrese, A. (2017). Exercise addiction risk and health in male and female amateur endurance cyclists. Journal of Behavioral Addictions, 6(1), 74–83.
Pierce, E. (1994). Exercise dependence syndrome in runners. Sports Medicine, 18(3), 149–155.
Rosenthal, J., Foraker, R., Collins, C., & Comstock, D. (2014). National high school athlete concussion rates from 2005–2006 to 2011–2012. The American Journal of Sports Medicine, 42(7), 1710–1750.
Sachs, M., & Pargman, D. (1984). Running addiction. In M. L. Sachs & G. W. Buffone (Eds.), Running as therapy: An integrated approach (pp. 231–252). Lincoln: University of Nebraska Press.
Smith, D., Hale, B., & Collins, D. (1998). Measurement of exercise dependence in body builders. Journal of Sports Medicine and Physical Fitness, 38, 66–74.
Szabo, A., Frenkl, R., & Caputo, A. (1997). Relationship between addiction to running, commitment to running, and deprivation from running: A study on the internet. Journal of Sport and Exercise Psychology, 20(4), 438.
Turton, R., Goodwin, H., & Meyer, C. (2017). Athletic identity, compulsive exercise and eating psychopathology in long-distance runners. Eating Behaviors, 26, 129–132.
van der Worp, M., ten Haaf, D., van Cingel, R., Wijer, A., Nijhuis-van der Sanden, M., & Stall, J. (2015). Injuries in runners; A systematic review on risk factors and sex differences. PLoS One, 10(2), e0114937. https://doi.org/10.1371/journal.pone.0114937.
van Gent, R., van Middelkoop, M., van Os, A., Bierma-Zeinstra, M., & Koes, B. (2007). Incidence and determinants of lower extremity running injuries in long distance runners: A systematic review. British Journal of Sports Medicine, 41, 469–480.
van Middelkoop, M., Kolkman, J., Ochten, J., Bierma-Zeinstra, M., & Koes, B. (2008). Risk factors for lower extremity injuries among male marathon runners. Medicine and Science in Sports, 18, 691–697.
Veale, D. (1995). Does primary exercise dependence really exist? In J. Ammett, B. Cripps, & H. Steinberg (Eds.), Exercise addiction: Motivation for participation in sport and exercise (pp. 1–5). Leicester: British Psychological Society.
Wen, D. (2007). Risk factors for overuse injuries in runners. Current Sports Medicine Reports, 6, 307–313.
Yates, A., Leehey, K., & Shisslak, C. (1983). Running—An analogue of anorexia? The New England Journal of Medicine, 308(5), 251–255.
Yates, A., Shisslak, C., Crago, M., & Allender, J. (1994). Overcommitment to sport: Is there a relationship to the eating disorders? Clinical Journal of Sport Medicine, 4(1), 39–46.
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Maceri, R.M., Cherup, N.P., Buckworth, J. et al. Exercise Addiction in Long Distance Runners. Int J Ment Health Addiction 19, 62–71 (2021). https://doi.org/10.1007/s11469-019-00122-0
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DOI: https://doi.org/10.1007/s11469-019-00122-0