Eating disorders (EDs) and disordered-eating behaviors (DEBs), pose a high risk of morbidity and mortality, threatening physical health, emotional health, and overall quality of life. Unfortunately, among athletes, prevalence rates continue to increase. This document summarizes the challenges of establishing and navigating the multidisciplinary care needed to effectively treat EDs and DEBs among athletes. The benefits of timely and frequent communication within the multidisciplinary treatment team (MDTT) are emphasized and discussed. Authors advise who should be selected as members of the MDTT and suggest that all personnel, including athletic coaches, athletic trainers, physical therapists, and certified fitness professionals be ED-informed and ED-sensitive. Vital components of care are noted including use of a variety of evidence-based psychotherapeutic modalities, interventions which target emotional regulation, and prioritize values based compassionate care. Authors caution that performance decrements and medical/physiological changes are not always easily observable in individuals with EDs and DEBs and therefore, attuned, consistent, and ongoing monitoring is needed. Consensus regarding previously established parameters for return to play and careful titration of physical activity throughout the ED recovery process are suggested as important for preserving health, preventing re-injury, or relapse and facilitating successful return to sport participation.
Jenny H. Conviser, Amanda Schlitzer Tierney, and Riley Nickols
Laura K. Fewell, Riley Nickols, Amanda Schlitzer Tierney, and Cheri A. Levinson
Understanding the unique needs of athletes who undergo eating disorder (ED) treatment is sorely needed. This study explores changes of strength and power in athlete (n = 21) and non-athlete (n = 36) patients from intake to discharge. Maximal oxygen consumption, vertical jump, push-ups, hand grip strength, and body mass index (in anorexia nervosa; AN) were measured among treatment center patients. The number of push-ups and hand grip strength were significantly improved upon discharge in the full sample (ps < .005) and in AN only (ps < .001). Body mass index was also significantly higher in AN (p < .001). Maximal oxygen consumption and vertical jump did not significantly improve between admission and discharge in either group (ps > .40). This study is the first to investigate measures of strength in athletes engaged in intensive eating disorder treatment and indicates the need to address the psychological mindset around physical activity using exercise education as part of a comprehensive program. Recommendations for incorporating exercise into an intensive ED treatment center are also provided.
Carrie B. Scherzer and Justine J. Reel
In this commentary, we try to present a balanced look at the issues surrounding the implementation of the certification exam for recertification purposes. We recognize that the changes to certification are complex and varied, as were reactions by the membership of the Association for Applied Sport Psychology (AASP). As long-standing AASP members who are also certified consultants, we look at the costs, benefits, and ultimately the reality of the CMPC exam for recertification.
Robert J. Schinke, Gershon Tenenbaum, Ronnie Lidor, and Andrew M. Lane
Within this opportunity to dialogue in commentary exchange about a previously conceived adaptation model, published in the Journal of Clinical Sport Psychology, we revisit the utility of our model (Schinke et al., 2012a) and consider Tamminen and Crocker’s (2014) critique of our earlier writing. We also elaborate on emotion and emotion regulation through explaining hedonistic and instrumental motives to regulate emotions. We draw on research from general and sport psychology to examine emotion regulation (Gross, 2010). We argue that when investigating emotion, or any topic in psychology, the process of drawing from knowledge in a different area of the discipline can be useful, especially if the existing knowledge base in that area is already well developed. In particular, we draw on research using an evolutionary perspective (Nesse & Ellsworth, 2009). Accounting for these issues, we clarify the adaptation framework, expand it, and arguably offer a model that has greater utility for use with athletes in relation to training and competition cycles and progressions throughout their career. We also clarify for the readership places of misinterpretation by the commentary authors, and perhaps, why these have resulted.
Katherine A. Tamminen and Peter R.E. Crocker
This paper is a critical commentary on the article “Adaptation Processes Affecting Performance in Elite Sport” (Schinke, Battochio, Lidor, Tenenbaum, Dube, & Lane, 2012). We review relevant literature and highlight theoretical and conceptual concerns regarding Schinke et al.’s model, particularly regarding their characterization of adaptation as a process versus an outcome, and the role of appraisals, emotions, emotional regulation, coping, and Fiske’s (2004) core motives within their model of adaptation. Adaptation or adjustment among elite athletes is a valuable area of research in sport psychology; however, Schinke et al.’s model oversimplifies the adaptation process and has limited utility among sport psychology researchers and practitioners.
Frank L. Gardner
Justine J. Reel and Emily Crouch
Mitch Abrams and Michelle L. Bartlett
The #MeToo movement has brought long needed attention to the epidemic of sexual assault and sexual violence. In the world of sports, the need to prevent and address such acts requires individuals with training in clinical, forensic and sport psychology. These professionals must have particular understanding of the dynamics of sexual violence within the athletic and sport culture. This paper serves to highlight context-specific approaches to pertinent identification and treatment issues. An overview of sexual abuse victim and perpetrator identification will be offered. In addition to the introduction of risk assessment and recommendation of comprehensive prevention programming, treatment needs in the athletic context will be explored. Group-level interventions currently being utilized will be reviewed, recommended topic areas to be covered in protocols will be enumerated and suggestions for systemic and cultural change in the sport domain will be offered.