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The Female Athlete Triad: Is the Triad a Problem Among Division I Female Athletes?

Justine J. Reel, Sonya SooHoo, Holly Doetsch, Jennifer E. Carter, and Trent A. Petrie

The purpose of the study was to determine prevalence rates of the female athlete triad (Triad), differences by sport category (aesthetic, endurance, and team/anaerobic), and the relationship between each of the components of the Triad. Female athletes (N= 451) from three Division I universities with an average age of 20 years completed the Menstrual History Questionnaire, Injury Assessment Questionnaire, and the Questionnaire for Eating Disorder Diagnoses (Q-EDD; Mintz, O’Halloran, Mulholland, & Schneider, 1997). Almost 7% of female athletes reported clinical eating disorders, and 19.2% reported subclinical disordered eating. Disordered eating was prevalent in all three sport categories with no significant differences between groups. Muscle injuries were more prevalent in team/anaerobic sports (77.4%) than the aesthetic (68.1%) and endurance groups (58.1%). Furthermore, those athletes with menstrual dysfunction more frequently reported clinical eating disorders (1.4%) and sustained more skeletal injuries (51%) during their athletic career than athletes with regular menstrual function. Clinical implications and further research directions are addressed.

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Psychosocial Risk Factors of Bulimic Symptomatology Among Female Athletes

Christy Greenleaf, Trent Petrie, Justine Reel, and Jennifer Carter

Petrie and Greenleaf (2007) presented a psychosocial model of disordered eating for female athletes. Based upon the 2007 model, the present study examined four key psychosocial variables: internalization, body dissatisfaction, restrained eating, and negative affect, as predictors of bulimic symptoms among NCAA Division I female athletes. Two hundred four women (N = 204) participated and were drawn from three different universities and competed in 17 different varsity sports. After controlling for the effects of body mass and social desirability, hierarchical regression analysis showed that the psychosocial variables explained 42% of the variance in bulimic symptoms. In the full model, higher levels of body dissatisfaction, more dietary restraint, and stronger feelings of guilt were associated with bulimic symptomatology. Internalization of the sociocultural ideal as well as feelings of fear, hostility, or sadness were unrelated.

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Physique Anxiety and Disordered Eating Correlates in Female Athletes: Differences in Team and Individual Sports

Anne M. Haase

As female athletes participating in physique-salient sports report similar levels of social physique anxiety (SPA) and disordered eating symptoms compared with those in nonphysique salient sports, alternative factors contributing to disordered eating require consideration, specifically participation in sport type (team vs. individual). This study examined SPA and disordered eating correlates in female athletes (N= 137) in two sport types (team sports and individual sports). Individual sport athletes exhibited higher SPA, F(1, 135) = 22.03, p< .001; dieting, Brown and Forsythe’s F(1, 57.05) = 43.79, p< .001; and bulimic behavior, Brown and Forsythe’s F(1, 59.92) = 13.45, p= .001 than team sport athletes. SPA and sport type together predicted 44% of dieting and 22% of bulimic symptom variance, suggesting that individual-sport athletes with higher SPA experienced greater disordered eating. Involvement in individual sports where physique is more open to social evaluation may contribute to dieting and bulimic symptoms among female athletes.

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Slimming Down for Sport: Developing a Weight Pressures in Sport Measure for Female Athletes

Justine J. Reel, Sonya SooHoo, Trent A. Petrie, Christy Greenleaf, and Jennifer E. Carter

Previous research with female athletes has yielded equivocal findings when comparing disordered eating rates to nonathlete populations, but the rates differ for athletes in leanness and nonleanness sports (Sherman & Thompson, 2009). The purpose of the current study was to develop a measure to assess sport-specific weight pressures for female athletes. Secondly, this study identified frequencies of weight, size, and appearance pressures across sports. Participants (N =204) were female Division I athletes from three universities who represented 17 sports. Exploratory factor analysis yielded a 4-factor solution for the 16-item Weight Pressures in Sport for Females (WPS-F) scale with strong internal consistency (Cronbach’s alpha of 0.90). The most frequently reported pressures among female college athletes were teammates (36.8%), uniform (34.3%), and coach (33.8%). These findings are discussed in comparison with previous research along with clinical and research implications for using the WPS-F in sport psychology settings.

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“Horrible—But Worth It”: Exploring Weight Cutting Practices, Eating Behaviors, and Experiences of Competitive Female Taekwon-Do Athletes. A Mixed Methods Study

Karen A. Smith, Robert J. Naughton, Carl Langan-Evans, and Kiara Lewis

 al., 2022 ). A number of limited qualitative investigations combine both male and female athletes within their studies of wrestling, judo, and taekwon-do ( Pettersson et al., 2012 , 2013 ; Sitch & Day, 2015 ); however, there is a lack of research on elite-level female athletes. The aim of this mixed

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Exploring Indices of Disordered Eating Literacy in Male and Female Athletes: Knowledge Gaps and Lay Beliefs as Predictors of Attitudes Toward Help-Seeking

Siobhain McArdle and Phil Moore

The aim of this pilot study was to explore disordered eating (DE) literacy in male and female athletes and to examine whether any gender differences were present. A related aim was to examine the moderating effect of gender on the relationship between indices of DE literacy and attitudes toward help-seeking for DE. A nonclinical sample of 133 (37% male) athletes from a variety of sports and competitive levels were recruited to complete an online questionnaire addressing a range of topics linked to DE literacy. Chi-square analysis indicated no significant gender differences on indicators of DE literacy. Findings from the survey revealed a number of beliefs conducive to low or inappropriate help-seeking for DE. The results highlight the importance of exploring DE literacy in athletes to develop more targeted interventions for this specific population.

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Psychological Responses of Division I Female Athletes Throughout Injury Recovery: A Case Study Approach

Leilani Madrigal and Diane L. Gill

Using the Integrated Model of Response to Sport Injury as a theoretical framework, athletes’ psychological strengths and emotional responses were explored throughout the injury process using a case study approach. Four Division I athletes completed measures of mental toughness, hardiness, and optimism before their season (time 1), once they became injured (time 2), midway through rehabilitation (time 3), and when they were cleared to participate (time 4). Coping behavior, psychological response, and rehabilitation adherence were recorded at time 2–time 4, while recovering. In addition, interviews were conducted after time 4. Mental toughness, hardiness, and optimism varied over time and across cases, with broad individual differences in response to injury. Athletes experienced a loss of athletic identity combined with feelings of guilt and helplessness over the initial stages of injury, but positive experiences were also found. All cases also reported playing through injury. Understanding the psychological strengths and responses of athletes can help professionals work with injured athletes.

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What Is Behind Disordered Eating Behaviors? An Exploratory Study With Female Adolescents From Individual Esthetic and Nonesthetic Sports

Carolina Paixão, Sara Oliveira, and Cláudia Ferreira

psychological and physical demands that may increase the athlete’s vulnerability toward mental health difficulties ( Hughes & Leavey, 2012 ). More specifically, empirical evidence supports those female athletes are at an increased risk of eating disorders, when compared with nonathletes ( Bratland

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Collegiate Student-Athlete Psychological Distress and Counseling Utilization During COVID-19

Lindsey E. Slavin, Tess M. Palmateer, Trent A. Petrie, and E. Whitney G. Moore

and female athletes experience mental health concerns in similar numbers and at similar levels of intensity, but male athletes are less likely than female athletes to report that they are having these issues due to denial, shame, and/or stigma. Moreover, these gender differences became evident

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Exploring Body Image and Body Mass Index of Male and Female Special Olympics Athletes

Justine J. Reel, Robert A. Bucciere, and Sonya SooHoo

Individuals with intellectual disabilities are largely marginalized within society and are understudied as a group (Reel & Bucciere, 2011). Although there have been numerous body image studies with able-bodied athletes, this study represents the first attempt to explore body image of male and female Special Olympics athletes. Athletes (N = 103) were 18–61 years of age (M = 33.34; SD = 11.20) and represented mild to moderate severity for diagnosable intellectual disabilities. Height and weight were measured to determine body mass index (BMI). Body image was verbally assessed via individual interviews using the Figure Ratings Scale and open-ended items. Female athletes had a significantly higher BMI (M = 33.02, SD = 9.28) than male athletes (M = 28.24, SD = 7.38). The BMI means for the female and male athletes met the classifications for obese and overweight, respectively. There was also a negative relationship between body satisfaction and BMI in the overall sample (r = -.46), male athletes only (r = -.51), and female athletes only (r = -.38, indicating that higher BMI was associated with lower body satisfaction. Descriptive statistics revealed that 51% of female athletes and 37% of male athletes desired a thinner physique, whereas 20% of female athletes and 29.6% of male athletes wanted to be larger. There were no significant gender differences in levels of overall body dissatisfaction in this study.