The state urge to be physically active-questionnaire (SUPA-Q)

  • \(\bf Objective\) Many people, including patients with eating disorders (EDs), experience an increased urge for physical activity. "Trait"-like activity in patients with EDs is assessed by existing questionnaires, but there are few clinically validated assessments of a "state" urge to be physically active. Here, we developed and validated the State Urge to be Physically Active-Questionnaire (SUPA-Q). \(\bf Methods\) After developing and piloting the items, \(\it N\) = 126 patients with EDs (mostly anorexia nervosa and bulimia nervosa) took part in our mixed-longitudinal validation study with one primary assessment for all patients and a secondary assessment for a subsample of patients. Cronbach's α and split-half-methods served as measures of consistency and reliability. Correlations with other questionnaires were used to determine convergent and divergent validity, and confirmatory factor analysis was used for investigating factorial validity. We used paired-samples t-tests for repeated assessments to investigate change sensitivity. \(\bf Results\) We found the SUPA-Q to be highly consistent, and reliable and to demonstrate convergent, divergent, and factorial validity. The comparison of SUPA-Q scores from repeated assessments within a subsample of patients demonstrated the questionnaire's change sensitivity, Cohen's \(\it d\) = 0.48. Moreover, an increase in SUPA-Q scores was associated with a less positive mood, more anxiety, more body dissatisfaction, more tenseness, less feelings of control, and more stress. \(\bf Discussion\) The newly developed SUPA-Q may help to accentuate the necessity to evaluate and address the acute urge to engage in physical activity in patients with EDs in clinical practice and ultimately support tailoring treatments to patients’ unique symptom patterns. The questionnaire is available at

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Author:Lina AminGND, Georg HalbeisenORCiDGND, Karsten BraksORCiDGND, Thomas J. HuberGND, Georgios PaslakisORCiDGND
Parent Title (English):Brain and behavior
Subtitle (English):Development and validation of a state measure of activity urges in patients with eating disorders
Place of publication:Weinheim
Document Type:Article
Date of Publication (online):2024/03/19
Date of first Publication:2023/08/09
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Open Access Fonds
disorders; physical activity; psychopathology; psychotherapy; symptom assessment
Issue:10, Artikel e3220
First Page:e3220-1
Last Page:e3220-10
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum.
Institutes/Facilities:Universitätsklinik für Psychosomatische Medizin und Psychotherapie der Ruhr-Universität Bochum, Standort Ostwestfalen-Lübbecke
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International