Document Detail


Behavioral assessment of the reinforcing effect of exercise in women with anorexia nervosa: further paradigm development and data.
MedLine Citation:
PMID:  19806608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To use a Progressive Ratio (PR) computerized "work" paradigm to measure course and correlates of exercise motivation in in-patients with Anorexia Nervosa (AN).
METHOD: Sixteen inpatients with AN participated in a PR task assessing the relative reinforcing effect of two different increments of cash versus the opportunity to exercise for upto 30 min, twice; at low weight, and, for n = 10 participants, after weight restoration.
RESULTS: There was a trend toward a higher work for exercise with 2 versus 5 increments of cash as the alternative reinforcer. Exercise breakpoint did not differ between low and normal-weight states. Exercise breakpoint at each time point was correlated with prehospitalization exercise "commitment" (Commitment to Exercise Scale, r = .613, p = .012 at T1; r = .634, p = .049 at T2).
DISCUSSION: Patients with AN will work at a PR task for access to even a small amount of exercise. Exercise motivation during hospitalization is correlated with prehospital exercise commitment and does not appear to change consistently with weight restoration.
Authors:
Diane A Klein; Janet E Schebendach; Marina Gershkovich; Lindsay P Bodell; Richard W Foltin; B Timothy Walsh
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  43     ISSN:  1098-108X     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-11     Completed Date:  2011-02-04     Revised Date:  2011-11-10    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  611-8     Citation Subset:  IM    
Copyright Information:
© 2009 by Wiley Periodicals, Inc.
Affiliation:
Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, New York, New York 10032, USA. dk2127@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anorexia Nervosa / diagnosis,  psychology*
Body Mass Index
Body Weight
Exercise / psychology*
Female
Hospitalization
Humans
Middle Aged
Motivation*
New York
Psychometrics
Reinforcement (Psychology)*
Token Economy
Young Adult
Grant Support
ID/Acronym/Agency:
K23 MH071285-05/MH/NIMH NIH HHS; MH083795/MH/NIMH NIH HHS; MH65024/MH/NIMH NIH HHS; MH71285/MH/NIMH NIH HHS; R01 MH083795-01A1/MH/NIMH NIH HHS; R01 MH083795-04/MH/NIMH NIH HHS

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