The meaning of compulsive exercise in women with anorexia nervosa: An interpretative phenomenological analysis

The study demonstrates how compulsive exercise represents an essential means of emotion distraction and management for individuals with anorexia nervosa. The finding that feelings are echoed in the participants' bodies is significant, as this gives participants a sense of connecting with their emotions. The time outs offered by exercise provide a degree of structure, control and stability for the participants' sense of self, helping them commit to the demands of treatment. However, this control and stability is short lived, as it may lead to a subsequent loss of control if underlying concerns and emotions are not addressed. It is suggested that interventions should aim to increase recognition and tolerance of negative feelings. Body-oriented and physical therapy interventions tailored specifically to individuals with anorexia nervosa may provide a fresh way of addressing emotions that is complementary to other therapies.