The relationship between exercise addiction, eating disorders, and insecure attachment styles among recreational exercisers

Dalit Lev Arey; Adi Sagi; Asaf Blatt

doi:10.1186/s40337-023-00855-3

The relationship between exercise addiction, eating disorders, and insecure attachment styles among recreational exercisers

J Eat Disord. 2023 Aug 7;11(1):131. doi: 10.1186/s40337-023-00855-3.

Authors

Dalit Lev Arey¹, Adi Sagi², Asaf Blatt³

Affiliations

¹ School of Psychology, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel. dalitlev@mta.ac.il.
² School of Psychology, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel.
³ School of Behavioral Sciences, College of Management Academic Studies, Rishon LeZion, Israel.

Abstract

Background: Exercise addiction (EA) and eating disorders (ED) frequently co-occur in both professional and amateur athletes, with up to 48% of individuals with EA also exhibiting symptoms of ED. Furthermore, pathological attachment styles have been linked to both EA and ED. The current study aimed to explore the unique association between types of insecure attachment styles (i.e., anxiety or avoidance) and EA and ED.

Method: Four hundred and five Israelis (199 women, 206 men) who were recreational exercisers (i.e., exercised at least four hours a week for at least one year) with ages ranging from 18 to 78 (M = 38, SD = 12.31) completed a set of questionnaires, including the Eating Attitudes Test (EAT-26), Exercise Addiction Inventory, and the Experiences in Close Relationship Scale. Path analysis was used to simultaneously examine the associations of attachment anxiety and avoidance with EA and ED symptoms. Attachment anxiety and avoidance were specified as independent variables predicting ED and EA symptoms and were entered into the analysis as two parallel dependent variables.

Results: The results of the study indicate that attachment anxiety is positively associated with symptoms of EDs, while the association between attachment anxiety and symptoms of EA is not significant. On the other hand, attachment avoidance shows a positive association with symptoms of exercise addiction, but no significant association with symptoms of EDs is found.

Conclusions: These results imply that the anxious attachment regulation strategy is highly associated with body image concerns. Furthermore, individuals characterized by avoidance attachment manifest regulation strategies through excessive exercise. Scholars and practitioners could use these results to examine dispositional risk factors for insecure attachment styles and to assess specific pathologies among the population of recreational exercisers. The study also discusses limitations, future directions, and implications in detail.

Keywords: Addiction; Eating disorders; Exercise addiction; Exercise dependence; Insecure attachment; Pathological exercise; Recreational exercisers.