Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis

Abstract Purpose There is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correla...

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Main Authors: Elizabeth Bills, Shannon R. Muir, Rose Stackpole, Sarah J. Egan
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Eating and Weight Disorders
Subjects:
Online Access:https://doi.org/10.1007/s40519-024-01704-1
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author Elizabeth Bills
Shannon R. Muir
Rose Stackpole
Sarah J. Egan
author_facet Elizabeth Bills
Shannon R. Muir
Rose Stackpole
Sarah J. Egan
author_sort Elizabeth Bills
collection DOAJ
description Abstract Purpose There is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correlations between perfectionism dimensions and compulsive exercise. Methods Published, peer-reviewed articles with standardised measures of perfectionism and the Compulsive Exercise Test were included. There were 7 studies included (N = 3117 participants, M age = 21.78 years, 49% female). Results Total perfectionism (r = 0.37), perfectionistic strivings (r = 0.33), and perfectionistic concerns (r = 0.32) had significant pooled positive associations with compulsive exercise. Most studies (67%) were rated as fair or good quality as an indication of risk of bias. Limitations included the low number of available studies, the inclusion of only one clinical sample, and predominately cross-sectional studies which precluded causal inference. Conclusion Higher perfectionism was associated with higher compulsive exercise. More research is needed on compulsive exercise to determine the best intervention approach given its relationship to perfectionism and relevance in the context of eating disorders. Level of evidence Level I: Evidence obtained from a systematic review and meta-analysis.
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series Eating and Weight Disorders
spelling doaj-art-deb7ee53c51846028b90e68b9f5315462025-01-19T12:04:57ZengSpringerEating and Weight Disorders1590-12622025-01-0130111210.1007/s40519-024-01704-1Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysisElizabeth Bills0Shannon R. Muir1Rose Stackpole2Sarah J. Egan3School of Arts and Humanities, Edith Cowan UniversitySchool of Arts and Humanities, Edith Cowan UniversitySchool of Population Health, Curtin UniversitySchool of Population Health, Curtin UniversityAbstract Purpose There is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correlations between perfectionism dimensions and compulsive exercise. Methods Published, peer-reviewed articles with standardised measures of perfectionism and the Compulsive Exercise Test were included. There were 7 studies included (N = 3117 participants, M age = 21.78 years, 49% female). Results Total perfectionism (r = 0.37), perfectionistic strivings (r = 0.33), and perfectionistic concerns (r = 0.32) had significant pooled positive associations with compulsive exercise. Most studies (67%) were rated as fair or good quality as an indication of risk of bias. Limitations included the low number of available studies, the inclusion of only one clinical sample, and predominately cross-sectional studies which precluded causal inference. Conclusion Higher perfectionism was associated with higher compulsive exercise. More research is needed on compulsive exercise to determine the best intervention approach given its relationship to perfectionism and relevance in the context of eating disorders. Level of evidence Level I: Evidence obtained from a systematic review and meta-analysis.https://doi.org/10.1007/s40519-024-01704-1PerfectionismCompulsive exerciseEating disorderMeta-analysis
spellingShingle Elizabeth Bills
Shannon R. Muir
Rose Stackpole
Sarah J. Egan
Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis
Eating and Weight Disorders
Perfectionism
Compulsive exercise
Eating disorder
Meta-analysis
title Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis
title_full Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis
title_fullStr Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis
title_full_unstemmed Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis
title_short Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis
title_sort perfectionism and compulsive exercise a systematic review and preliminary meta analysis
topic Perfectionism
Compulsive exercise
Eating disorder
Meta-analysis
url https://doi.org/10.1007/s40519-024-01704-1
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AT shannonrmuir perfectionismandcompulsiveexerciseasystematicreviewandpreliminarymetaanalysis
AT rosestackpole perfectionismandcompulsiveexerciseasystematicreviewandpreliminarymetaanalysis
AT sarahjegan perfectionismandcompulsiveexerciseasystematicreviewandpreliminarymetaanalysis