Mark D. Griffiths
7201549643
Publications - 11
Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale
Publication Name: Evaluation and the Health Professions
Publication Date: 2025-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
The present study aimed to validate the Italian 8-item, 9-item, and 12-item versions of the Depression, Anxiety and Stress Scale-21 (DASS-21), addressing the need for shorter yet psychometrically robust measures. Two studies were conducted with different samples. In Study 1 (n = 541), confirmatory factor analysis (CFA) and reliability testing of the short-form versions of the DASS were performed, and their convergent validity with life satisfaction and mental well-being was examined. Study 2 (n = 321) extended this validation by reassessing factor structure, reliability, and convergent validity using constructs associated with psychological distress, including positive and negative affect, self-esteem, and perceived stress. Results demonstrated that all short-form versions retained the three-factor structure of the original DASS-21, with overall sufficient fit indices, especially the 9-item model. Reliability metrics confirmed internal consistency (all Cronbach’s alpha and McDonald’s omega ≥0.70). Convergent validity analyses indicated strong correlations between the short-form versions of DASS-21 (min = 0.675, max = 0.956) and associated psychological constructs, aligning with theoretical expectations. The scales captured the relationships between psychological distress, positive and negative affect, perceived stress, mental well-being, self-esteem, and life satisfaction. Findings suggest that the Italian versions of the DASS-8, DASS-9, and DASS-12 provide feasible and reliable alternatives to the DASS-21 for assessing depression, anxiety, and stress, supporting their usefulness in clinical and research contexts, particularly in circumstances in which brevity is essential.
Open Access: Yes
Association of ANKK1 and DRD2 gene polymorphisms with exercise addiction among elite athletes
Publication Name: International Journal of Sport and Exercise Psychology
Publication Date: 2025-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Exercise addiction is a behavior that may dysregulate athletic performance, and social and professional interactions of athletes. Whereas environmental factors including training routines and personal traits could contribute to exercise addiction, recent studies have emphasized the importance of genetic predisposition, leading to development of a subfield known as sports psychogenetics. In sports psychogenetics, ankyrin repeat and kinase domain containing 1 (ANKK1) and dopamine receptor D2 (DRD2) genes, located on chromosome 11 in a close proximity, have attracted research interest due to their involvement in dopaminergic signaling playing a crucial role in reward processing, motivation, cognition and behavior. Therefore, the present study aimed to investigate potential associations between 14 polymorphisms in ANKK1/DRD2 and exercise addiction among elite badminton players (n = 39) and elite wrestlers (n = 68). Exercise addiction was assessed using a psychometric screening instrument and allele frequencies of the selected polymorphisms were analyzed through genotyping with a single nucleotide polymorphism (SNP) microarray. Results indicated that two SNPs, rs7118900 and rs4436578, were significantly and independently associated with exercise addiction. Rs7118900 has previously been associated with an increased risk of drug addiction, neuroticism, and depressed effect whereas rs4436578 has been associated with neuroticism. In addition to those SNPS, rs2283265 and rs1125394 SNPs were also linked to exercise addiction in a branch-independent manner. Therefore, it is proposed that these SNPs could serve as genetic markers for identifying individuals at high risk of exercise addiction among athletes. However, further research is needed to understand the involvement of these SNPs in exercise addiction more comprehensively.
Open Access: Yes
Mindfulness-based interventions for gambling disorder: A systematic review
Publication Name: Journal of Behavioral Addictions
Publication Date: 2026-03-01
Volume: 15
Issue: 1
Page Range: 115-134
Description:
Background and Aims: Gambling disorder (GD) presents significant psychological, financial, and social consequences. Mindfulness-based interventions (MBIs) have emerged as promising adjunctive treatments. However, the evidence base remains heterogeneous. The present systematic review evaluated the current empirical literature on MBIs for GD, focusing on their efficacy, methodological quality, and limitations.MethodsScopus, PubMed, Web of Science, EBSCO, and PsycINFO were searched for English-language studies published between 2012 and April 2025. The final sample comprised 12 studies: five randomized controlled trials, one controlled pilot study, two repeated-measures studies, one mixed-methods study, and three single-group pretest–posttest studies. A narrative synthesis evaluated MBI impacts.ResultsMBIs consistently reduced gambling frequency and cravings while enhancing psychological outcomes. Studies combining mindfulness with cognitive behavioral therapy showed significant declines in problem gambling behavior. Psychological distress and cravings also decreased notably across interventions. The mindfulness components employed varied in focus and application, adding nuance to outcome interpretation. However, it remains unclear to what extent the observed effects can be attributed to mindfulness-specific mechanisms.Discussion and ConclusionsMBIs show promise as a complementary treatment for gambling disorders, although small sample sizes and methodological limitations suggest a need for more robust research.
Open Access: Yes
Psychometric properties of the Expanded Exercise Addiction Inventory 3 (EAI-3) in a Danish sample
Publication Name: Current Psychology
Publication Date: 2026-03-01
Volume: 45
Issue: 5
Page Range: Unknown
Description:
The risk of exercise addiction, characterized by an uncontrollable urge to engage in physical activity, poses significant health risks yet lacks clinical diagnostic criteria. The need for its assessment is increasing in research and applied settings. The present study evaluated the psychometric properties and reliability of the Expanded Exercise Addiction Inventory (EAI-3) within a Danish population. The present study involved 392 Danish adults who were all regular exercisers. Participants completed the EAI-3, the Exercise Dependence Scale-Revised (EDS-R), the SCOFF Questionnaire for eating disorders, the Obsessive–Compulsive Inventory-Revised (OCI-R), and the Ten-Item Personality Inventory (TIPI). Confirmatory factor analysis (CFA) and measurement invariance testing were performed to assess the factor structure and reliability of the EAI-3 across biological sex. The results indicated strong reliability and validity for the EAI-3, with good fit indices across models (CFI =.981, RMSEA =.054). The scale scores demonstrated configural, metric, and scalar invariance, indicating consistent performance across male and female exercisers. Reliability analyses yielded high internal consistency (α =.85, ω =.88), and ROC analysis established a cut-off score of 33.5 for potential exercise addiction risk, with high specificity (.856) and sensitivity (.889). Similar good results emerged from the bifactor model, but the original structure was still preferable. The present study supports the EAI-3 as a valid and reliable tool for screening the risk of exercise addiction among Danish adults, facilitating early identification and potential intervention. Further research should focus on longitudinal studies and clinical validations to enhance the understanding and management of exercise addiction.
Open Access: Yes
A qualitative exploration of narratives among problematic exercise experiences
Publication Name: Journal of Behavioral Addictions
Publication Date: 2026-03-01
Volume: 15
Issue: 1
Page Range: 497-508
Description:
Background and Aims: Exercise is recognized as essential for health, but exercise addiction remains a lesser-known phenomenon. Unlike substance addictions, excessive exercise is often celebrated, making it difficult to distinguish between dedication and compulsion. To understand what exercisers perceive as problematic within their exercise context, a qualitative study was conducted investigating personal experiences.MethodsThrough a reflexive thematic analysis, the present study analyzed 153 narratives from individuals who experienced physical, psychological, or emotional problems due to exercise.ResultsFour main themes emerged: (i) The social pressure of a performativity-oriented culture; (ii) Everything seemed to be going well until the injuries appeared; (iii) Time is money: Interpersonal conflicts; and (iv) It is my responsibility: Intrapersonal conflict. The results suggest that a culture of performance provides an interpretive framework that shapes and sustains problematic exercise experiences. Participants internalized performative values, leading to strict demands and fear of failure, resulting in severe injuries in over 70% of cases. In participants' narratives, the forced interruption of activity was associated with the reported emergence of withdrawal symptoms, with health and morality discourses providing the framework for rationalizing their excessive dedication.ConclusionsThese findings suggest that problematic exercise is not an individual issue, but an expression of a broader culture prioritizing performance. These results underscore the importance of shifting toward biopsychosocial interventions that foster identity flexibility and prioritize holistic well-being and enjoyment over performance metrics.
Open Access: Yes
Prevalence of the Risk of Exercise Addiction Based on a New Classification: A Cross-Sectional Study in 15 Countries
Ricardo De La Vega
Mia Beck Lichtenstein
Emilio Landolfi
Thomas Zandonai
Abril Cantù-Berrueto
Liye Zou
Umberto Granziol
Robert M. Portman
Merve Denizci Nazlıgül
Mike Trott
Peiying Yang
Aleksei Y. Egorov
Merve Alpay
Mark D. Griffiths
Bhavya Chhabra
Angelica Larios
Mustafa Yildirim
Marco Solmi
Oliver Stoll
Takayuki Akimoto
Mark D. Griffiths
Attila Szabo
Publication Name: International Journal of Mental Health and Addiction
Publication Date: 2025-10-01
Volume: 23
Issue: 5
Page Range: 3815-3836
Description:
Exercise addiction is widely studied, but an official clinical diagnosis does not exist for this behavioral addiction. Earlier research using various screening instruments examined the absolute scale values while investigating the disorder. The Exercise Addiction Inventory-3 (EAI-3) was recently developed with two subscales, one denoting health-relevant exercise and the other addictive tendencies. The latter has different cutoff values for leisure exercisers and elite athletes. Therefore, the present 15-country study (n = 3,760) used the EAI-3 to classify the risk of exercise addiction (REA), but only if the participant reported having had a negative exercise-related experience. Based on this classification, the prevalence of REA was 9.5% in the sample. No sex differences, and few cross-national differences were found. However, collectivist countries reported greater REA in various exercise contexts than individualist countries. Moreover, the REA among athletes was (i) twice as high as leisure exercisers, (ii) higher in organized than self-planned exercises, irrespective of athletic status, and (iii) higher among those who exercised for skill/mastery reasons than for health and social reasons, again irrespective of athletic status. Eating disorders were more frequent among REA-affected individuals than in the rest of the sample. These results do not align with recent theoretical arguments claiming that exercise addiction is unlikely to be fostered in organized sports. The present study questions the current research framework for understanding exercise addiction and offers a new alternative to segregate self-harming exercise from passionate overindulgence in athletic life.
Open Access: Yes
Genome-Wide Association Study of Exercise Addiction Among Elite Wrestlers
Publication Name: Brain Sciences
Publication Date: 2025-02-01
Volume: 15
Issue: 2
Page Range: Unknown
Description:
Background: Exercise addiction, marked by an inability to control exercise and associated with distress that clinically impairs daily activities, is a significant but underrecognized issue in physical activity and health. While its physiological, psychological, and behavioral aspects have been studied, the genetic basis of exercise addiction remains poorly understood, requiring further investigation. The present study conducted a genome-wide association study of exercise addiction among elite Turkish wrestlers. Methods: The sample comprised 67 male wrestlers (34 freestyle wrestlers and 33 Greco-Roman wrestlers). Exercise addiction was assessed using the Exercise Addiction Scale. Whole-genome genotyping was performed using DNA microarray. Results: Using a genome-wide approach (p < 1.0 × 10−⁵), we identified six suggestively significant single-nucleotide polymorphisms (SNPs) associated with exercise addiction status. Of these, the high-addiction alleles of five SNPs (PRDM10 rs74345126, near PTPRU rs72652685, HADHB rs6745226, XIRP2 rs17614860, and near GAREM2 rs1025542) have previously been associated with an increased risk of mental health disorders such as anxiety and depression or higher levels of physical activity. We also examined potential associations between the genetic markers previously linked to addiction-related traits such as obsessive–compulsive disorder and cigarette smoking, and personality traits linked to negative emotions including neuroticism. Using this candidate gene approach (p < 0.05), we identified three additional SNPs associated with exercise addiction in the same direction of association (DEFB135 rs4841662, BCL11A rs7599488, and CSRNP3 rs1551336). Conclusions: The present study provides preliminary evidence for the genetic basis of exercise addiction, highlighting specific SNPs that may play a role in the development of this condition among elite wrestlers.
Open Access: Yes
Psychometric Properties of the Italian Tendency to Avoid Physical Activity and Sport Scale Relationship to Weight Stigma and Body Esteem
Publication Name: Stigma and Health
Publication Date: 2024-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Physical inactivity is a growing problem that contributes to a range of negative health consequences, such as psychological and physical issues and weight gain. Recent evidence suggests that the tendency to avoid physical activity is associated with weight stigma and low (body-related) self-esteem. New cross-culturally validated psychometric scales for assessing nonparticipation in physical activity could help researchers and practitioners better understand the psychosocial factors contributing to avoidance of physical activity and for the more efficient promotion of an active lifestyle. The objective of the present study was to evaluate the psychometric properties of the Italian Tendency to Avoid Physical Activity and Sport Scale (TAPAS) by conducting a confirmatory factor analysis and calculating the scale’s internal consistency and convergent/ discriminant validity. An Italian sample (N = 235; 57.4% females, Mage = 35.17 years; SD = ±10.83) participated in an online survey. The measures included the TAPAS, Rosenberg Self-Esteem Scale, Depression Anxiety Stress Scale–21, Weight Self-Stigma Questionnaire, Body Esteem Scale, and Exercise Addiction Inventory–Revised. The results of the confirmatory factor analysis supported a first-order one-factor scale, and the TAPAS showed good internal consistency. Additionally, the TAPAS was positively associated with body mass index, weight stigma, anxiety, stress, and depression; it was negatively associated with self-esteem and body self-esteem. The results suggest that the TAPAS is a psychometrically reliable and valid measure for assessing the tendency to avoid physical activity and sport among Italian-speaking individuals. The study also expands the knowledge of psychosocial factors involved in avoiding sports and participation in physical activity.
Open Access: Yes
DOI: 10.1037/sah0000579
Exercise addiction: A review and evaluation of current research and theory
Publication Name: Journal of Behavioral Addictions
Publication Date: 2026-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Background and Aims: While regular physical activity provides many health benefits, exercise can cause more harm than good when done excessively to the point where a person loses control. This condition has been called various names, but the most accurate term is ‘exercise addiction’ (EA) because it reflects both compulsive behavior and dependence. EA is classified as a non-substance-related addictive disorder, or behavioral addiction, and has been the subject of research for over fifty years. However, it is not officially recognized in major diagnostic systems, mainly due to significant conceptual and measurement challenges. This paper provides an overview of current knowledge on EA, including its causes, assessment issues, epidemiology, associated conditions, negative effects, and options for treatment and prevention. Methods: An evaluation-driven narrative review was conducted which synthesized findings from empirical research and theoretical models adopted across EA research. It critically examined prevailing conceptualizations, methodological challenges, and potential treatment approaches. Results: Epidemiological findings are inconsistent and report inflated prevalence rates, partly due to reliance on self-report instruments that often fail to distinguish pathological exercise from passion. Etiological models emphasize the complex interplay between biological, psychological, and behavioral factors. Negative consequences include physical injury, emotional distress, and social strain. Evidence for effective interventions remains sparse. Discussion and Conclusions: Despite growing interest, progress remains slow. There is a need for larger, longitudinal, and experimental studies to advance understanding. Though not included in the DSM-5, greater clinical awareness is vital for early detection and prevention. EA is clinically relevant but still poorly defined, requiring robust empirical and theoretical work.
Open Access: Yes
Psychophysiological measures of a SuperEnduro athlete during a world championship: an in-situ case study
Publication Name: Frontiers in Psychology
Publication Date: 2026-03-31
Volume: 17
Issue: Unknown
Page Range: Unknown
Description:
Introduction – SuperEnduro is a high-risk motorcycle sport with no prior empirical data. This case study analyzed an elite rider during the fifth round of the 2023/2024 SuperEnduro Grand Prix. Methods – Psychological measures included core-, positive-, and negative affect, expected and perceived performance, mental and physical exhaustion, perceived risk of racing addiction, and a post-race interview. Physiological measures encompassed heart rate, caloric expenditure, work intensity, and training loads. Results – Results showed a decline in core affect, with positive affect remaining high and negative affect low after three races. Anxiety decreased progressively, but perceived and objective performance remained low. Elevated physiological measures and subjective perceptions confirmed SuperEnduro’s intensity. The participant self-identified himself as addicted to racing. However, his addiction score was low, suggesting passion or emotional attachment—a blend of pleasure and pain—driving his commitment to race even when injured. Discussion – These findings provide insight into the physical and psychological demands unique to SuperEnduro athletes.
Open Access: Yes
Psychometric validity and reliability of the Turkish exercise addiction inventory-3
Publication Name: Addicta the Turkish Journal on Addictions
Publication Date: 2026-03-13
Volume: 13
Issue: 1
Page Range: 137-146
Description:
The Exercise Addiction Inventory-3 is the latest version of the Exercise Addiction Inventory, whose use has become more frequent in several countries. The present study investigated its psychometric properties among Turkish adults. The study recruited 389 participants through online social media platforms. Reliability was tested through Cronbach’s alpha and McDonald’s omega. Validity was tested through correlations among the Exercise Addiction Inventory-3 score and scores on the Exercise Dependence Scale-Revised, Ten-Item Personality Inventory, SCOFF Questionnaire, and Obsessive-Compulsive Inventory-Revised. Structural validity was tested via confirmatory factor analysis and measurement invariance. The findings suggested that the Turkish version of the Exercise Addiction Inventory-3 is reliable. Moreover, confirmatory factor analysis indicated that the models demonstrated good to excellent fit indices. Partial measurement invariance was observed. The Exercise Addiction Inventory-3 scores were positively correlated with the Exercise Dependence Scale-Revised and Obsessive-Compulsive Inventory-Revised scores. The total scale score and the Addiction Tendency subscale score were negatively correlated with SCOFF scores but not the Health Relevance subscale scores. The Turkish Exercise Addiction Inventory-3 is a reliable and valid instrument to assess the risk of exercise addiction that differentiates at-risk groups from passionate exercisers. Implications for future studies are discussed.
Open Access: Yes
