The effect of depression,anxiety and stress in the risk of exercise addiction among college students
Objective To assess the prevalence of exercise addiction among college students and explore its relationship with negative emotion and exercise frequency.Methods A total of 837 college students were enrolled from January 1,2022 to December 31,2022.The cross-sectional survey was adminis-tered using the exercise dependence scale revised(EDS-R)and the depression,anxiety,and stress scale 21 i-tems(DASS-21).Data analysis was conducted with SPSS 26.0 software,including partial correlation analy-sis and hierarchical regression.Results Among college students,the students in the group with risk and symptoms of exercise addiction accounted for 4.9%(EDS-R score(110.32±11.51),DASS-21-depression score 21.00(10.50,25.00),DASS-21-anxiety score 21.00(11.50,24.00),DASS-21-stress score 42.00(22.00,47.50)).The students in the group without risk but with symptoms accounted for 42.53%(EDS-R score(60.02±12.91),DASS-21-depression score 8.00(1.00,14.00),DASS-21-anxiety score 8.00(3.00,14.00),DASS-21-stress score 15.00(4.00,28.00)),and the students in the group without risk and symp-toms accounted for 52.57%(EDS-R score(31.57±7.51),DASS-21-depression score 8.00(5.00,12.00),DASS-21-anxiety score 7.00(3.00,10.00),DASS-21-stress score 15.00(6.00,21.00)).Exercise addic-tion scores were positively correlated with stress(r=0.303,P<0.001),anxiety(r=0.327,P<0.001),and depression(r=0.259,P<0.001).The results of the hierarchical regression analysis also showed that the main risk variables were anxiety(△R2=0.175,F=60.954)and exercise frequency(△R2=0.044,F=21.401).Additionally,male college students had a higher risk of exercise addiction than female(P<0.01),but there was no gender difference in negative emotions(P>0.05).Conclusion The college students were susceptible to developing an exercise addiction,especially among individuals with high exercise frequency and anxiety symptoms.It provides robust behavioral evidence in support of early detection and treatment of high-risk exercise addiction groups.