2026-04-13T04:40:11Zhttps://recercat.cat/oai/request

oai:recercat.cat:2072/4770722025-10-05T12:58:35Zcom_2072_98col_2072_378192

00925njm 22002777a 4500 dc Camacho-Barcia, Lucía author Sánchez, Isabel author Ibañez Caparros, Ana Isabel author Ohsako, Noriaki author Granero, Roser author Artero, Cristina author Crespo, José Manuel author Paslakis, Georgios author Jiménez-Murcia, Susana author Fernández Aranda, Fernando author 2024 Bulimia nervosa (BN) and other specific feeding or eating disorders with subthreshold BN symptoms (OSFED-BN) are characterized by recurrent binge eating episodes accompanied by compensatory behaviors, including excessive exercise. We aimed to examine the role of compensatory exercise on several clinical disorder-related variables and the treatment outcomes. The sample included 478 patients diagnosed with either BN or OSFED-BN admittd for a 16-week eating disorder-specific treatment program. A battery of questionnaires was administered to evaluate eating and general psychopathology, and personality traits. Other clinical disorder-related data, including levels of compensatory exercise, were assessed through a semi-structured clinical interview. Between-group comparisons of compensatory exercise levels were analyzed, as a predictive model of risk of poor treatment outcomes. Path analysis was conducted using structural equation models to estimate the direct and indirect effects between the main variables. Higher levels of self-reported compensatory exercise were associated with greater eating psychopathology, general psychopathology, and more dysfunctional personality traits and were a predictor of poor treatment outcomes. Additionally, these levels achieved a mediating role in several paths contributing to a higher likelihood of a poor outcome. Further research is required to determine how psychotherapeutic approaches can be optimized to adequately include adaptive exercise for these patients. Bulimia nervosa Subthreshold bulimia nervosa Compensatory exercise Eating disorders Treatment outcome The Impact of High Levels of Compensatory Exercise on Treatment Outcomes in Threshold and Subthreshold Bulimia Nervosa