Does the German version of the Exercise Dependence Scale measure exercise dependence?

ObjectiveTo examine the concordance of a questionnaire-based categorization as ‘at-risk for exercise dependence’ and an interview-based diagnosis of exercise dependence.DesignOne hundred thirty four subjects answered the German version of the Exercise Dependence Scale-21 (EDS-G). They were also assessed with a structured clinical interview for exercise dependence.MethodThe congruence between the questionnaire-based categorizations of ‘at-risk for exercise dependence’ and the diagnosis of exercise dependence based on the interview was examined using κ-coefficients.ResultThe agreement between questionnaire-based and interview-based diagnoses was fair to moderate with more false positive categorization based on the EDS-G.ConclusionAssuming that a structured clinical interview allows a more accurate diagnostic categorization, the EDS-G might overestimate the prevalence of exercise dependence.     

Gender-related differences in self-reported problematic exercise symptoms: A systematic review and meta-analysis

AimsTo provide quantitative summarized evidence on gender-related differences in self-reported problematic exercise (PE) symptoms.MethodsEligible studies were searched up to December 31, 2021 in the databases MEDLINE, Current Contents Connect, PsycINFO, Web of Science, SciELO, and Dissertations & Theses Global. Studies were considered eligible if they included information that allowed the calculation of the differences of interest as expressed by either the aggregate or subscales scores of the main self-reported instruments of PE identified by previous research (i.e., Commitment to Exercise Scale, Compulsive Exercise Test, Exercise Addiction Inventory, Exercise Dependence Questionnaire, Exercise Dependence Scale-Revised, and Obligatory Exercise Questionnaire). Data were analysed using three-level meta-analytic models. Potential moderator variables were examined using meta-regressions.ResultsA total of 168 effect-sizes from 117 studies (N = 65,718) were retrieved. Results showed (i) small overall differences favouring males for the aggregate scores of the instruments (g = 0.105), (ii) small-to-moderate differences favouring females for symptoms involving withdrawal (g = 0.169 and 0.118), lack of exercise enjoyment (g = 0.226), and the employment of exercise as a means to ends such as health improvement (g = 0.222), mood management (g = 0.158 and 0.226), and body weight control (g = 0.453 and 0.465); and (iii) small differences favouring males for symptoms involving spending considerable amount of time in the activity (g = 0.250), exercising with greater volume/intensity than planned (g = 0.254), a need for increased amounts of exercise to achieve the desired effect (g = 0.291), loss of control over the behaviour (g = 0.101), reduction or cessation of other activities because of exercise (g = 0.323), and continue to exercise despite physical and/or psychological issues being caused or exacerbated by this behaviour (g = 0.243).ConclusionsAdopting a gender-informed perspective may be needed both in the professional praxis of exercise and health practitioners prescribing and guiding exercise practice and in the design of prevention and treatment efforts aimed at avoiding the occurrence of PE.     

医师职业素养评测体系构建的研究进展

随着我国社会经济的发展,医疗体制的改革,医师职业素养的培养成为当今医疗体制下医学在校教育、住院医生培养、医疗卫生管理中必须关注的内容。目前国外对医师职业素养的培养做了大量的工作,也取得了较好的效果,但是对于职业素养的培养不仅需要理论教学的改革,更需要相应评估机制的建立。本文对国外医师执业素养评估的最新进展进行介绍,分析各种方法的优劣,以期为国内医学教育建立统一的、具有广泛公认度的测评体系提供参考。     

返回抑制时程的三因素理论及其发展

综述了返回抑制(Inhibition of return,IOR)出现时程机制的三因素理论内容,支持该理论的实验证据,以及对理论的质疑和发展。该理论认为空间定向收益、出现检测缺失和空间选择收益三个因素共同决定了IOR出现的时程及机制。研究者通过操控任务加工水平或将实验范式相结合的方式对三因素理论提出了质疑和发展。许多关键问题如三个因素存在的认知神经科学证据、出现检测缺失和空间选择收益发挥作用的方式等是未来研究的重点和方向。     

BEHAVIORAL MANAGEMENT OF EXERCISE TRAINING IN VASCULAR HEADACHE PATIENTS: AN INVESTIGATION OF EXERCISE ADHERENCE AND HEADACHE ACTIVITY

A behavioral package was used to shape and maintain the adherence of 5 subjects with vascular headache to a program of aerobic exercise training. Repeated measures of exercise behavior were examined through the use of a bidirectional changing criterion design. Repeated measures of headache activity were also collected. Results demonstrated a functional relationship between the behavioral package and exercise adherence, because all 5 subjects showed exercise behavior that matched bidirectional changing exercise criteria. The results also indicated clinically significant collateral reductions in vascular headache activity in 4 subjects. Subjects whose aerobic fitness levels were not masked by vasoactive medication also showed measurable increases in aerobic fitness. The results are discussed in terms of the methodology used to demonstrate a functional relationship between the adherence package and exercise behavior and the possible mechanism(s) by which aerobic exercise activity might affect vascular headache activity.     

Principles of good clinical practice (GCP) in clinical research

Good Clinical Practice is an international quality standard for conducting trials that involve participation of human subjects. Currently, the most widely accepted international document forming the base for GCP is the ICH Harmonised Tripartite Guideline for GCP, which defines in detail the responsibilities and obligations of parties engaged in clinical research. The purpose of this paper is to analyse how compliance with GCP provides protection of the trial subjects and assures quality and credibility of the data obtained. An earlier version of this paper was presented at a symposium, Scientific Misconduct: An International Perspective, organised by The Medical University of Warsaw, 16 November, 1998.     

Exercise Stage of Change and Self-Efficacy in Primary Care: Implications for Intervention

Multiple chronic diseases are caused or complicated by a sedentary lifestyle. Thus, an important and challenging application of psychology in clinical settings is changing the behavior of sedentary primary care patients. This study focused on exercise stage of change and self-efficacy in a sample of adult family practice patients recruited while waiting for their scheduled physician appointment. Regarding exercise stage of change, 15% of respondents were in the Precontemplation stage, 26% in the Contemplation stage, 50% in the Preparation stage, 7% in the Action stage, and 13% in the Maintenance stage. Mean self-efficacy scores for exercise were significantly higher among respondents in the Action and Maintenance stages of change. These cross-sectional data are consistent with the hypothesis that movement through the exercise stages of change could be encouraged by clinical interventions that increase exercise self-efficacy. The identification of multiple personal opportunities for increasing exercise self-efficacy may be clinically useful in this context. Recommendations for psychologists in primary care settings in their work with physicians are offered.     

Moderate Aerobic Exercise, T'ai Chi, and Social Problem-Solving Ability in Relation to Psychological Stress

This study evaluated the importance of exercise mode, social problem-solving ability, gender, and age in relation to anxiety and perceived daily hassles. Adult participants were classified as moderate aerobic exercisers, T'ai Chi exercisers, or sedentary via completion of a questionnaire. Social problem-solving ability, state and trait anxiety, and frequency and severity of daily hassles were measured. As predicted, scores indicating effective social problem-solving ability were associated with fewer reported severe daily hassles and with lower scores on state and trait anxiety. For state and trait anxiety, a main effect of exercise mode emerged after age and gender were controlled. A 3-way interaction involving age, gender, and exercise mode suggested that age and gender moderate the effects of exercise on anxiety, that is, the stress-reducing efficacy of different exercise modes may be dependent on a person's age and/or gender. Implications for theory, research, and practice are discussed.     

不同强度短时有氧运动对执行功能的影响

探讨短时有氧运动对执行功能的影响是否与运动强度和性别有关, 为从运动强度和性别角度选择合理的有氧运动干预方案改善执行功能提供基础。研究采用混合设计, 选取30名大学生(男女人数各半), 使用功率自行车实施30分钟的不同强度有氧运动, 使用Flanker任务、2-back任务和数字More-odd shifting任务分别测查被试基线、小强度短时有氧运动、中强度短时有氧运动和大强度短时有氧运动后执行功能的抑制、刷新和转换三个子功能的变化, 结果表明：不同强度的短时有氧运动对执行功能产生选择性的积极影响, 且不随性别变化而改变。