Eating Disorders in Male Athletes: Factors Associated With Onset and Maintenance

in Journal of Clinical Sport Psychology
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  • 1 Springfield College
  • 2 Boston University
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Male athletes are underrepresented in eating disorders research. This phenomenological study investigated the experiences of male athletes who self-identified as having an eating disorder, disordered eating, or compulsive exercise behaviors. Eight male collegiate athletes were interviewed, and qualitative analysis identified factors associated with the onset and maintenance of disordered behaviors. Among the novel findings was the salient influence of social media as a driver of body dissatisfaction and disordered behaviors. The participants described a perceived sense of control and feeling of pride associated with the use of behaviors, cultural norms in a male sport environment that sustained these behaviors, and a shared belief that, until they experienced a loss of control over their use of behaviors, they would not likely ask for help or seek treatment. These findings have implications for additional research, as well as individual and systems-level strategies for the prevention, screening, and treatment of eating and exercise disorders in male sport.

Freedman and Hage are with the Psychology Department, Springfield College, Springfield, MA, USA. Quatromoni is with the Department of Health Sciences, Boston University, Boston, MA, USA.

Freedman (Freedmanj21@gmail.com) is corresponding author.
  • Arthur-Cameselle, J., Sossin, K., & Quatromoni, P. (2017). A qualitative analysis of factors related to eating disorder onset in female collegiate athletes and non-athletes. Eating Disorders, 25(3), 199215. PubMed ID: 27897463 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Arthur-Cameselle, J.N., & Quatromoni, P.A. (2014). A qualitative analysis of female collegiate athletes eating disorder recovery experiences. The Sport Psychologist, 28(4), 334346. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bramon-Bosch, E., Troop, N.A., & Treasure, J.L. (2000). Eating disorders in males: A comparison with female patients. European Eating Disorders Review, 8(4), 321328. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bratland-Sanda, S., & Sundgot-Borgen, J. (2013). Eating disorders in athletes: Overview of prevalence, risk factors and recommendations for prevention and treatment. European Journal of Sport Science, 13(5), 499508. PubMed ID: 24050467 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bratland-Sanda, S., Sundgot-Borgen, J., , Ø., Rosenvinge, J.H., Hoffart, A., & Martinsen, E.W. (2010). “I’m not physically active … I only go for walks”: Physical activity in patients with longstanding eating disorders. International Journal of Eating Disorders, 43(1), 8892. PubMed ID: 19728373 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Busanich, R., McGannon, K.R., & Schinke, R.J. (2012). Expanding understanding of the body, food & exercise relationship in distance runners: A narrative approach. Psychology of Sport and Exercise, 13(5), 582590 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Busanich, R., McGannon, K.R., & Schinke, R.J. (2014). Comparing elite male and female distance runner’s experiences of disordered eating through narrative analysis. Psychology of Sport and Exercise, 15(6), 705712. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cafri, G., Thompson, J.K., Ricciardelli, L., McCabe, M., Smolak, L., & Yesalis, C. (2005). Pursuit of the muscular ideal: Physical and psychological consequences and putative risk factors. Clinical Psychology Review, 25(2), 215239. PubMed ID: 15642647 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • DeFeciani, L. (2016). Eating disorders and body image concerns among male athletes. Clinical Social Work Journal, 44(1), 114123. doi:

  • Feldman, M.B., & Meyer, I.H. (2007). Eating disorders in diverse lesbian, gay, and bisexual populations. International Journal of Eating Disorders, 40(3), 218226. PubMed ID: 17262818 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fewell, L.K., Nickols, R., Tierney, A.S., & Levinson, C.A. (2018). Strength and power improvements in athlete and non-athletes during intensive eating disorder treatment. Journal of Clinical Sports Psychology, 12(4), 562577. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gaudiani, J.L. (2018). Sick enough: A guide to the medical complications of eating disorders. New York, NY: Routledge.

  • Griffiths, S., Murray, S.B., Krug, I., & McLean, S.A. (2018). The contribution of social media to body dissatisfaction, eating disorder symptoms and anabolic steroid use among sexual minority men. Cyberpsychology, Behavior, and Social Networking, 21(3), 149156. PubMed ID: 29363993 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hackler, A., Vogel, D.L., & Wade, N.G. (2010). Attitudes toward seeking professional help for an eating disorder: The role of stigma and anticipated outcomes. Journal of Counseling and Development, 88(4), 424431. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Knapik, J.J., Steelman, R.A., Hodebecke, S.S., Austin, K.G., Farina, E.K., & Lieberman, H.R. (2016). Prevalence of dietary supplement use by athletes: Systematic review and meta-analysis. Sports Medicine, 46(1), 103123. PubMed ID: 26442916 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Martinsen, M., Bratland-Sanda, S., Eriksson, A.K., & Sundgot-Borgen, J. (2010). Dieting to win or to be thin? A study of dieting and disordered eating among adolescent elite athletes and non-athlete controls. British Journal of Sports Medicine, 44(1), 7076. PubMed ID: 20026698 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mintz, L.B., O’Halloran, M.S., Mulholland, A.M., & Schneider, P.A. (1997). Questionnaire for eating disorder diagnoses: Reliability and validity of operationalizing DSM-IV criteria into a self- report format. Journal of Counseling Psychology, 44(1), 6379. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nichols, J.F., Rauh, M.J., Lawson, M.J., Ji, M., & Barkai, H.S. (2006). Prevalence of the female athlete triad syndrome among high school athletes. Archives of Pediatrics & Adolescent Medicine, 160(2), 137142. PubMed ID: 16461868 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Papathomas, A., & Lavallee, D. (2006). A life history analysis of a male athlete with an eating disorder. Journal of Loss and Trauma, 11(2), 143179. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Papathomas, A., & Lavallee, D. (2010). Athlete experiences of disordered eating in sport. Qualitative Research in Sport and Exercise, 2(3), 354370. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petrie, T.A., & Greenleaf, C. (2007). Eating disorders in sport: From theory to research to intervention. In G. Tenenbaum& R. Eklund (Eds.), Handbook of sport psychology (3rd ed., pp. 353378). Hoboken, NJ: Wiley.

    • Search Google Scholar
    • Export Citation
  • Petrie, T.A., Greenleaf, C., Reel, J., & Carter, J. (2009). An examination of psychosocial correlates of disordered eating among female collegiate athletes. Research Quarterly for Exercise and Sport, 80(3), 621632. PubMed ID: 19791649 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petrie, T.A., Greenleaf, C., Reel, J.J., & Carter, J.E. (2008). Prevalence of eating disorders and disordered eating behaviors among male collegiate athletes. Psychology of Men and Masculinity, 9(4), 267277. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petrie, T.A., & Rogers, R. (2001). Extending the discussion of eating disorders to include men and athletes. The Counseling Psychologist, 29(5), 743753. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Quatromoni, P.A. (2017). A tale of two runners: A case report of athletes’ experiences with eating disorders in college. Journal of the Academy of Nutrition and Dietetics, 117(1), 2131. PubMed ID: 28010854 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rosendahl, J., Bormann, B., Aschenbrenner, K., Aschenbrenner, F., & Strauss, B. (2009). Dieting and disordered eating in German high school athletes and non-athletes. Scandinavian Journal of Medicine & Science in Sports, 19(5), 731739. PubMed ID: 18627556 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Schaal, K., Tafflet, M., Nassif, H., Thibault, V., Pichard, C., Alcotte, M., … Toussaint, J.F. (2011). Psychological balance in high level athletes: Gender-based differences and sport-specific patterns. PLoS One, 6(5), e19007. PubMed ID: 21573222 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sundgot-Borgen, J., & Torstveit, M.K. (2004). Prevalence of eating disorders in elite athletes is higher than in the general population. Clinical Journal of Sports Medicine, 14(1), 2532. PubMed ID: 14712163 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Torstveit, M.K., Rosenvinge, J.H., & Sundgot-Borgen, J. (2008). Prevalence of eating disorders and the predictive power of risk models in female elite athletes: A controlled study. Scandinavian Journal of Medicine & Science in Sports, 18(1), 108118. PubMed ID: 17490455 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
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