title: Driven exercise among treatment-seeking youth with eating disorders.
abstract: OBJECTIVE
  This study evaluated the prevalence and clinical significance of driven exercise (DE) in treatment-seeking youth.
  
  
  METHODS
  Participants were 380 consecutive referrals to a pediatric eating disorder program (90.8% female; M age=14.9±2.2). Spearman's rho correlations examined the relation between DE frequency, and Beck Depression Inventory (BDI) and Eating Disorders Examination (EDE) Global Severity scores. ANOVA compared those reporting only DE, only vomiting, or both DE and vomiting on the aforementioned measures.
  
  
  RESULTS
  51.3% of participants (n=193) reported DE in the past 3 months, with an average of 21.8 (SD=32.6) episodes. Frequency of DE was related to EDE global severity score (Spearman's rho=.46; p<.001) and BDI Total Score (Spearman's rho=.33; p<.001). Participants reporting both vomiting and DE had the highest EDE global severity and BDI total scores.
  
  
  CONCLUSIONS
  DE is associated with greater eating disorder and depressive symptomatology, especially when paired with vomiting. The findings highlight the importance of assessing for DE in youth presenting for eating disorder treatment.
authors: The University of Chicago, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL 60637, United States. cshields@yoda.bsd.uchicago.edu
authors: E Colleen
authors: EC
authors: Stiles-Shields
authors: Andrea B
authors: AB
authors: Goldschmidt
authors: Leah
authors: L
authors: Boepple
authors: Catherine
authors: C
authors: Glunz
authors: Daniel
authors: D
authors: Le Grange
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002641:Chicago; D002648:Child; D003192:Compulsive Behavior / Q000175:diagnosis / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D004328:Drive; D015444:Exercise / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D017678:Sex Distribution; D018709:Statistics, Nonparametric; D014839:Vomiting