Effects of a self-regulation intervention on exercise are moderated by depressive symptoms: A quasi-experimental study

This study investigated whether a computer-based self-regulation intervention increases physical exercise in individuals with or without depressive symptoms. A total of 361 individuals in orthopedic rehabilitation, 36 of them with depressive symptoms, were recruited in Germany. In a quasi-experimental study, individuals were allocated to either a computer-based self-regulation intervention or an online questionnaire. Exercise was measured at the beginning of rehabilitation and six weeks after rehabilitation. Depressive symptoms were assessed at the end of rehabilitation. An analysis of covariance was conducted, controlling for exercise baseline, sex, and phase of assessment. A main effect for depressive symptoms (p = .005) and intervention group (p = .011), as well as a marginal interaction of intervention x depressive symptoms were found (p = .076). Results indicate that the self-regulation exercise intervention in an orthopedic rehabilitation setting seem to be only effective in non-depressed individuals. Future research should examine how health behavior change programs can be designed more effectively for individuals with depressive symptoms.     

Generalization of theory-based predictions for improved nutrition to adults with morbid obesity: Implications of initiating exercise

Exercise is a robust predictor of long-term success with weight loss, and research based on social cognitive theory suggests that exercise program-induced changes in self-regulation, mood, and self-efficacy transfer to improved eating. These relationships were tested in adults with morbid obesity (overall M_age = 43 years; 86% female; M_{body mass index} = 45 kg/m²) participating in a 6-month treatment of cognitive-behaviorally supported exercise paired with either standard nutrition education (n = 87) or cognitive-behavioral methods for controlled eating (n = 89). Based on multiple mediation analyses, improvements in self-regulation and self-efficacy were significantly associated with increased fruit and vegetable intake and reduced body mass index (BMI). The cognitive-behavioral nutrition methods were associated with greater improvements in fruit and vegetable intake and BMI, however, within both models, complete mediation was found after simultaneous entry of changes in self-regulation, mood, and self-efficacy, and exercise volume as mediators. Only the indirect effect of change in self-regulation was a significant (or marginally significant) independent mediator. Generalization of previously identified relationships between exercise program-induced improvements in psychosocial variables and improvements in nutrition and BMI were supported for individuals with morbid obesity. Based on these relationships, implications for behavioral treatments were discussed.     

Differential association between food craving,food addiction and eating-related characteristics in persons at risk for eating disorders

IntroductionFood craving is a key feature of eating disorders, but its association with medical and psychological outcome might depend on the type of eating disorder.ObjectivesThis study investigated the factors associated with food craving in individuals at risk for DSM-5 eating disorder.MethodSeventy-six women were recruited from a non-clinical population (n = 372) based on their positive screening (EDDS, QEWP-R) for binge eating disorder (BED; n = 29), anorexia nervosa (AN; n = 28) or bulimia nervosa (BN; n = 19). They completed self-administered questionnaires assessing food craving (FCQ- T-r), Body Mass Index (BMI), eating behaviour (DEBQ), food addiction (YFAS 2.0), and anxiety and depressive symptoms (HADS).ResultsIndividuals at risk for BED or BN had higher food craving than those at risk for AN. Food craving was associated with BMI only in the BED group. Food craving was positively correlated with external eating in all groups, and with emotional eating in the AN and BED groups and correlated with anxiety only in BN. Food addiction prevalence was higher in the BN group than in the AN or BED groups (respectively 94.7%, 46.4% and 65.5%; p < 0.01). In this non-clinical population, we demonstrated that food craving was differentially associated with BMI and eating-related characteristics according to the type of eating disorder.ConclusionThis suggests that food craving is a transdiagnostic dimension that should be differentially targeted depending on the type of eating disorder; future studies should test this hypothesis in clinical populations.     

Epistemic curiosity and self-regulation

Relationships between Interest (I) and Deprivation (D) type epistemic curiosity (EC) and self-regulation were evaluated in two studies. In Study 1 (Italians, N = 151), I-type EC correlated positively with positive outcome-expectancies and risk-taking, but negatively with thinking about negative outcomes. D-type EC correlated positively with emotional restraint, thoughtful evaluation, and concern over negative outcomes and potential risks. In Study 2 (Americans, N = 218; Germans, N = 56), I-type EC correlated positively with behavioral activation, especially fun seeking, whereas D-type correlated negatively with fun seeking. Neither EC scale correlated significantly with behavioral inhibition. These findings suggest that I-type EC corresponds to fun, carefree and optimistic approaches to learning, while D-type EC reflects greater thoughtfulness and caution regarding knowledge-search.     

Goal orientations at the global level of generality and in physical education: Their association with self-regulation,affect, beliefs and behaviours

ObjectiveLife skills programs should ensure that their effects generalize across contexts and activities. Three studies are presented examining the construct validity of an instrument assessing global goal orientations in life in conjunction with a measure of goal orientations in physical education. It was also investigated whether the effects of global goal orientations generalize across contexts.MethodParticipants were middle school students (N = 351, N = 580 and N = 658) who completed the two goal orientations instruments, measures of self-regulation, affect and beliefs at the global level of generality and specific to the physical education domain and measures of exercise and academic behaviours.ResultsMulti-sample factor analysis established the factorial validity of the global goal orientations' instrument and the distinctiveness of global goals from achievement goals in physical education. Controlling for social desirability effects, the partial correlations of goal orientations in life with global intrinsic–extrinsic motivation, life satisfaction, pleasant and unpleasant affect in life, purposes of life and perceived purposes of physical education, locomotion and assessment, metacognition in physical education, exercise and academic behaviours, were in the expected direction. In general, global goals made a significant contribution to the explanation of variance of global constructs, while achievement goals in physical education made a unique contribution to the explanation of variance of physical education specific constructs.DiscussionThe results support the construct validity of the instrument assessing global goal orientations in life. They also indicate that global goal orientations are distinct constructs from goal orientations in physical education. The global goal orientations' measure can be particularly useful for practitioners teaching interdisciplinary and life skills.     

Effect of an intensified training period on well-being indices,recovery and psychological aspects in professional soccer players

IntroductionIntensified training periods (IT) are associated with fatigue increase and psychological variations.ObjectiveThis investigation aimed to examine the perceived well-being, recovery quality and psychological responses during an IT.MethodsFifteen professional soccer players (mean ± SD: age: 24 ± 1 years, body mass: 71.3 ± 15.1 kg, height: 178.0 ± 6.1 cm) completed a 6-week training program consisting of 2 weeks of basic training (BT) and 4 weeks of IT. They were tested before (T1) and after (T2) the IT. Training load (TL) perception, strain and monotony were measured by the session-RPE method. Well-being indices (sleep quality, fatigue level, stress and delayed-onset muscular soreness [DOMS]) and total quality recovery (TQR) were recorded before each training session. The profile of mood states (POMS) and the Ottowa mental skills assessment tool (OMSAT)-3 were conducted before and after IT.ResultsNo significant difference was found after IT in OMSAT-3 scores (p > 0.05). TL, monotony and strain increased during IT (p < 0.001). Moreover, well-being indices (stress, sleep quality, fatigue level and DOMS) increased (p < 0.001) and TQR decreased (p < 0.001) during IT. The IT increased total mood disturbance (TMD, p < 0.001), tension (p < 0.05) and fatigue (p < 0.01) and decreased vigor (p < 0.001). Significant relationships were found between TL and Hooper Index (HI), TQR and TMD (r = 0.58, 0.65, −0.57, respectively; all p < 0.05).ConclusionThe findings of this investigation suggested that mental ability was not sensitive to fatigue caused by training load intensification. However, perceived well-being, recovery state and mood were found to be sensitive measures and may provide coaches with information about wellness and psychological state of soccer players during IT.     

Validation française du questionnaire de dépendance de l’exercice physique (Exercise Dependence Questionnaire)

IntroductionThe Exercise Dependence Questionnaire (EDQ) conceptualises exercise dependence (ED) within both traditional biomedical and psychosocial perspectives. This tool is a valid and reliable multidimensional measure of ED.ObjectiveThe aim of the present study was to examine the internal consistency, test-retest reliability and factorial validity of the EDQ, in a French language version. In comparison to other existing scales like the EDS (Exercise Dependance Scale), the EDQ emphases not only the symptoms of addiction but also the motivations to exercise.MethodThe French language version of the EDQ was completed by 160 participants (60% male, students and practitioners leisures of sports activities). Participants completed the EDS and measures of exercise behavior.ResultsAdequate internal consistency and test-retest reliability for the scale were obtained. Confirmatory analysis (SPSS 16) supported a correlated eight-factor model, as suggested by Ogden, Veale and Summers (1997). The model fit indices were satisfying, RMSEA = 0.048; CFI = 0.90; IFI = 0.91; Chi²/dll = 1.38. This study provides evidence for the reliability and validity of the French language version of the EDQ. The convergent validity of this scale with the Exercise Dependence Scale was r = 0.52. These two scales appear more complementary than redundant. The EDS focuses more on the strict definition of the dependence whereas the EDQ adds a motivational perspective often link to eating disorders.ConclusionThe EDQ can be thus used in the clinical and studies framework on the exercise dependence.     

An Open Trial of an Acceptance-Based Behavioral Intervention for Weight Loss

Innovative approaches are urgently needed to improve behavioral treatment for weight loss. The weight regain that is so common after treatment may be a result of an environment that makes it challenging to adhere, long-term, to a dietary and physical activity regimen. This study was designed to test, via a 12-week open trial, the preliminary feasibility, acceptability, effectiveness, and possible mechanisms of action of a behavioral treatment that was modified to incorporate acceptance-based therapy components designed to (a) bolster participants’ commitment to behavior change, (b) build distress-tolerance skills, and (c) promote mindful awareness of eating behaviors and goals. Participants (n = 29) were overweight or obese women. Among completers (n = 19; 34% attrition), weight loss averaged 6.6% of body weight at posttreatment and 9.6% at 6-month follow-up (n = 14; 52% attrition). Intention-to-treat weight losses were 4.5% at posttreatment and 6.6% at 6-month follow-up. Psychological variables targeted by the intervention (e.g., cognitive restraint, disinhibition, urge-related eating behavior, emotional eating, eating-related experiential acceptance, mindfulness and motivation) changed in the expected directions, and many of these changes were consistent with decreases in weight loss. Moreover, despite the limitations of the single-group design, this pilot study demonstrated the preliminary feasibility, acceptability, and effectiveness of a novel, acceptance-based behavioral treatment for obesity. One potential implication is that behaviorally based weight loss interventions might be improved by overlaying an acceptance-based framework.     

Impact of the telephone motivational interviewing on the colorectal cancer screening participation. A randomized controlled study

IntroductionWhile high participation rates ensure the cost-effectiveness of colorectal cancer screening programs, it is well known that postal requests do not achieve acceptable levels of participation.ObjectiveThis randomized controlled study aimed to test the impact of individualized phone counseling to prompt people aged 50 to 74 to take a colorectal cancer test.MethodTwo phone strategies were compared. The first involved computer-aided individualized counseling while the second was based on motivational interviewing. A total of 49,972 people were randomly assigned to a control group (CG) and to the individualized counseling (IC) and motivational interviewing (MI) telephone groups.ResultsA simple call doubled the participation rate per protocol (19.2% > 9.2%; p < .001; r = .131; OR = 2.374), and tripled it when the interview was conducted (30.4% > 9.2%; p < .001; r = .219; OR = 4.321). In an intention-to-treat analysis, the benefit of calling by phone remained even higher than postal requests (10% > 9.2%; p < .01; r = .014; OR = 1.103). However, there was no impact of the type of interview on participation rates.ConclusionThe results are discussed for future research.     

The effects of aerobic- versus strength-training on body image among young women with pre-existing body image concerns

This experiment compared the effects of aerobic-training (AT) versus strength-training (ST) on body image among young women with pre-existing body image concerns. Theory-based correlates of body image change were also examined. Participants were 46 women (M age = 21.5 years), randomly assigned to an 8-week AT or ST intervention consisting of supervised exercise 3 days/week. Multidimensional measures of body image were administered pre- and post-intervention, along with measures of physical fitness, perceived fitness, and exercise self-efficacy. Women in the AT condition reported greater reductions in social physique anxiety (p = .001) and tended to report greater improvements in appearance evaluation (p = .06) than women in the ST condition. Changes in perceived fatness, perceived aerobic endurance and aerobic self-efficacy were significantly correlated with body image change (ps < .003). Results provide direction for prescribing exercise to improve body image and advancing theory to account for the effects of exercise.     

The dopamine D4 receptor gene,birth weight,maternal depression,maternal attention,and the prediction of disorganized attachment at 36 months of age: A prospective gene × environment analysis

BackgroundEfforts to understand the developmental pathways for disorganized attachment reflect the importance of disorganized attachment on the prediction of future psychopathology. The inconsistent findings on the prediction of disorganized attachment from the dopamine D4 receptor (DRD4) gene, birth weight, and maternal depression as well as the evidence supporting the contribution of early maternal care, suggest the importance of exploring a gene by environment model.MethodsOur sample is from the Maternal Adversity, Vulnerability, and Neurodevelopment project; consisting of 655 mother–child dyads. Birth weight was cross-referenced with normative data to calculate birth weight percentile. Infant DRD4 genotype was obtained with buccal swabs and categorized according to the presence of the 7-repeat allele. Maternal depression was assessed with the Center for Epidemiologic Studies Depression Scale at the prenatal, 6-, 12-, and 24-month assessments. Maternal attention was measured at 6-months using a videotaped session of a 20-min non-feeding interaction. Attachment was assessed at 36-months using the Strange Situation Procedure.ResultsThe presence of the DRD4 7-repeat allele was associated with less disorganized attachment, β = −1.11, OR = 0.33, p = 0.0008. Maternal looking away frequency showed significant interactions with maternal depression at the prenatal assessment, β = 0.003, OR = 1.003, p = 0.023, and at 24 months, β = 0.004, OR = 1.004, p = 0.021, as at both time points, women suffering from depression and with frequent looking away behavior had an increased probability of disorganized attachment in their child, while those with less looking away behavior had a decreased probability of disorganized attachment in their child at 36 months.ConclusionsOur models support the contribution of biological and multiple environmental factors in the complex prediction of disorganized attachment at 36 months.     

Relative effects of reduced weight and increased physical activity on hemoglobin A1c: Suggestions for behavioral treatments

Behavioral treatments for diabetes have often been unsuccessful and may benefit from a better understanding of the relative effects of two common treatment foci – decreased weight and increased volume of physical activity – on blood glucose. Overweight and obese adults (N = 59; M_age = 60 years) with hemoglobin A1c (HbA1c) values consistent with diabetes participated in a 6-month community-based behavioral treatment based on tenets of self-efficacy theory and social cognitive theory. The treatment was associated with significantly increased physical activity, reduced body mass index (BMI), and reduced HbA1c levels (ps < .001). Changes in BMI and physical activity accounted for a significant portion of the variance in change in HbA1c, R² = .13, p = .023. Change in volume of physical activity, β = ?.36, p = .007, but not change in BMI, β = ?.03, p = .792, significantly contributed to the variance in HbA1c change that was accounted for. There was no effect based on the sex of participants. Discussion focused on how findings might impact the efficacy, efficiency, and application of behavioral treatments for diabetes management.     

Real-time kinematic biofeedback improves scapulothoracic control and performance during scapular-focused exercises: A single-blind randomized controlled laboratory study

Emerging evidence suggests that scapular-focused therapeutic exercises hold promise for shoulder dynamic stability retraining. While recent findings show that therapeutic exercises can alter scapular neuromuscular function measured with muscle electromyography, no study has yet addressed the effects of kinematic biofeedback for improving scapulothoracic control and performance. The aim of this study was to assess the effectiveness of kinematic biofeedback on motor relearning transfer during shoulder flexion and a daily activity, on the quality of scapular-focused exercise performance, and on execution time. Thirty healthy young adults were randomly distributed into two groups. Skin mounted electromagnetic sensors were used to collect kinematic data of the thorax, scapula and humerus while subjects performed a shoulder flexion and a daily activity, prior to and after scapular-focused exercises. For both groups, the exercise execution error and the execution time determined the scapulothoracic control and performance. Significant statistical differences were found in the exercise execution error results within the experimental group (z = 5.313; p = 0.037) and between groups (u = 37.00; p = 0.001; u = 64.00; p = 0.024). This study’s results demonstrate that real-time kinematic biofeedback improves scapulothoracic control and performance during scapular-focused exercise execution.     

Predictors of aerobic physical activity and resistance training among Canadian adults with type 2 diabetes: An application of the Protection Motivation Theory

BackgroundIt is well established that both aerobic physical activity (PA) and resistance training are essential in the treatment and management of type 2 diabetes (T2D), but few studies have examined the determinants of both modes of PA in the same sample.PurposeThe main objective was to investigate the utility of the Protection Motivation Theory (PMT) in predicting aerobic PA and resistance training in a population sample of T2D adults.MethodsA total of 244 individuals completed self-report PMT constructs of vulnerability, severity, fear, response efficacy, self-efficacy and intention, and a 3-month follow-up that assessed aerobic PA and resistance training.ResultsPMT explained 19% (p < .001) and 20% (p < .001) of the variance respectively for aerobic PA and resistance training behaviour. Significant associations were found between self-efficacy (β = 0.45, p < .001) and gender (β = 0.15, p < .05) for aerobic PA, and self-efficacy (β = 0.48, p < .001) and age (β = 0.17, p < .05) for resistance training. PMT accounted for 43% (p < .001) and 56% (p < .001) of the variance respectively for aerobic PA and resistance training intentions. For aerobic PA, response efficacy (β = 0.14, p < .05) and self-efficacy (β = 0.59, p < .001) were significantly associated with intention, while response efficacy (β = 0.23, p < .001), self-efficacy (β = 0.64, p < .001) and age (β = 0.10, p < .05) were significantly related with resistance training intention.ConclusionsNone of the unique constructs of the PMT (i.e., perceived vulnerability, severity and fear) were significant with either aerobic and resistance training intention. These results may guide the development of effective PA interventions in people with T2D.     

Self-regulation foci and mood affect healthy and unhealthy eating behaviours differently in successful weight-loss treatment participants

An increased understanding of how self-regulation and mood affects both healthy and unhealthy eating behaviours is required to improve weight-loss intervention architectures. Women with obesity (N = 54, M_BMI = 34.80 kg/m²), who obtained ≥5% weight loss over 12 months (M = −9.01 kg) within a community-based behavioural weight-loss treatment, were assessed. Improvements in exercise- and eating-focused self-regulation (over 3 and 6 months), and the consumption of fruits/vegetables and sweets (over 6 and 12 months), were each significant. Multiple regression analyses indicated that changes in (a) aggregated (exercise-focused + eating-focused) self-regulation, (b) eating-focused self-regulation alone and (c) eating self-regulation that carried over from exercise-focused self-regulation, each significantly predicted fruit/vegetable consumption changes (R² = .15–.28). Entry of overall mood did not significantly increase those models' predictive strength. Conversely, mood was the most salient predictor of change in sweets intake. There were significant inverse relationships between changes in fruits/vegetables and sweets consumption. Implications for self-regulation theory and treatment improvements were suggested.     

Reduced cortical voluntary activation during bilateral knee extension

IntroductionReduced neural drive is mainly thought to explain the bilateral deficit phenomenon, i.e. the difference in maximal isometric voluntary contraction (MVC) between unilateral and bilateral contractions. The aim of the present study was to further document if bilateral knee extension is associated with changes in voluntary activation level assessed by both peripheral nerve electrical stimulation and transcranial magnetic stimulation.MethodsFourteen subjects performed unilateral and bilateral knee extensions with both superimposed femoral electrical nerve stimulation and transcranial magnetic stimulation in order to assess voluntary activation (VA_FNES) and cortical voluntary activation (VA_TMS), respectively.ResultsThere was no difference in MVC force of the tested leg when involved in unilateral and bilateral knee extensions (p = 0.87). However, a significantly reduced VA_FNES (−2.1 ± 2.4%; p = 0.01) and VA_TMS (−1.6 ± 2.7%; p = 0.04) have been evidenced during bilateral knee extension.DiscussionIt is hypothesized that counterbalances could have masked the decrease of voluntary activation during bilateral contraction.     

Weight stigmatization and disordered eating in obese women: The mediating effects of self-esteem and fear of negative appearance evaluation

ObjectiveThe aim of this study is to examine whether self-esteem and fear of negative appearance evaluation are significant mediators in the association between weight-related self-devaluation and disordered eating.MethodA sample of obese Canadian women (N = 111, M age = 40.9, SD = 10.2) completed the Weight Self-Stigma Questionnaire (WSSQ), the Rosenberg Self-Esteem Scale (RSES), the Fear of Negative Appearance Evaluation Scale (FNAES), and the Eating Disorder Examination Questionnaire (EDE-Q).ResultsSelf-esteem mediated the relationship between weight-related self-devaluation and restraint and weight concerns, whereas fear of negative appearance evaluation mediated the relationship with weight, shape and eating concerns.ConclusionSince, for obese women, self-esteem and fear of negative appearance evaluation are likely to maintain disordered eating, they should be more frequently taken into consideration by researchers, health professionals and public policy stakeholders.     

Integrative Response Therapy for Binge Eating Disorder

Binge eating disorder (BED), a chronic condition characterized by eating disorder psychopathology and physical and social disability, represents a significant public health problem. Guided self-help (GSH) treatments for BED appear promising and may be more readily disseminable to mental health care providers, accessible to patients, and cost-effective than existing, efficacious BED specialty treatments, which are limited in public health utility and impact given their time and expense demands. No existing BED GSH treatment has incorporated affect regulation models of binge eating, which appears warranted given research linking negative affect and binge eating. This article describes Integrative Response Therapy (IRT), a new group-based guided self-help treatment based on the affect regulation model of binge eating, which has shown initial promise in a pilot sample of adults meeting DSM-IV criteria for BED. Fifty-four percent and 67% of participants were abstinent at posttreatment and 3-month follow-up, respectively. There was a significant reduction in the number of binge days over the previous 28 days from baseline to posttreatment [14.44 (± 7.16) to 3.15 (± 5.70); t = 7.71, p < .001; d = 2.2] and from baseline to follow-up [14.44 (± 7.16) to 1.50 (± 2.88); t = 5.64, p < .001; d = 1.7]. All subscales from both the Eating Disorder Examination–Questionnaire and Emotional Eating Scale were significantly lower at posttreatment compared to baseline. One hundred percent of IRT participants would recommend the program to a friend or family member in need. IRT's longer-term efficacy and acceptability are presently being tested in a NIMH-funded randomized controlled trial.     

Athletes trained using stable compared to unstable surfaces exhibit distinct postural control profiles when assessed by traditional and nonlinear measures

Athletes are assumed to exhibit better balance than non-athletes; however, few studies have examined the role of different types of sports on balance measures. Two athlete groups that experience divergent sport-specific balance training are stable- (i.e. basketball) and unstable-surface athletes (i.e. surfers). The purpose of this study was to quantify the effect of stable- compared to unstable-surface sports on postural stability.MethodsEight non-athletes (NON), eight stable-surface athletes (SSA) and eight unstable-surface athletes (USA) performed five 20-s quiet standing trials while ground reaction forces were recorded. Approximate entropy (ApEn), total excursion and root mean square distances (RMS) of the center of pressure position were calculated. Univariate ANOVAs with post hoc tests were conducted for each variable.ResultsApEn values were lower in SSA compared to NON in the ML direction (p = 0.012) and USA had lower ApEn values compared to SSA in the AP direction (p = 0.036). The USA had smaller AP RMS compared to SSA (p = 0.002) while the USA had greater ML RMS (p = 0.008) and resultant RMS values compared to SSA (p = 0.025).DiscussionThese data suggest that USA and SSA may exhibit direction-specific differences in balance strategy due to feedback paradigm.