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Turning the Corner: A Comparison of Collegiate Athletes’ and Non-Athletes’ Turning Points in Eating Disorder Recovery

Jessyca N. Arthur-Cameselle and Molly Curcio

The purpose of this qualitative study was to identify turning points in eating disorder recovery in collegiate female athletes compared to non-athletes. The sample included 12 varsity athletes and 17 non-athlete college students who previously met criteria for Anorexia Nervosa (AN; n = 17); Bulimia Nervosa (BN; n = 3); Binge Eating Disorder (n = 1); or both AN and BN (n = 8). Participants completed individual interviews and responses were analyzed inductively. There was some commonality in the athletes’ and non-athletes’ experiences. For example, the most frequent turning point for both groups was Insight/Self Realization. Regarding the next three most frequent turning points, athletes reported Sport Performance, Confrontation, and Support/Concern from Others, whereas non-athletes reported Professional Treatment, Hitting a Low, and Support/Concern from Others. This study contributes to the sparse literature on competitive athletes’ recovery. Results indicated that athletes’ turning points differed from non-athletes; therefore, findings are discussed concerning athlete-specific treatment recommendations and suggestions for coaches.

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A Qualitative Analysis of Female Collegiate Athletes’ Eating Disorder Recovery Experiences

Jessyca N. Arthur-Cameselle and Paula A. Quatromoni

The purpose of this study was to characterize recovery experiences of female collegiate athletes who have suffered from eating disorders. Participants were 16 collegiate female athletes who experienced recovery from an eating disorder. Participants told their recovery stories in semistructured interviews regarding factors that initiated, assisted, and hindered recovery. The most common turning point to initiate recovery was experiencing negative consequences from the eating disorder. Factors that most frequently assisted recovery included making cognitive and behavioral changes, supportive relationships, and seeking professional care. Hindering factors most commonly included lack of support from others, professional care complaints, and spending time with others with eating disorders. Results suggested that unique features of the sport environment, including coaches’ behavior and team norms, introduce either positive or negative influences on athletes as they work to recover from an eating disorder. Based on these findings, specific treatment and prevention recommendations for athletes are discussed.

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Factors Related to the Onset of Eating Disorders Reported by Female Collegiate Athletes

Jessyca N. Arthur-Cameselle and Paula A. Quatromoni

The purpose of this study was to identify factors related to the onset of eating disorders in female athletes. Participants were 17 collegiate female athletes (mean age of 20.7) who experienced eating disorders. Participants were interviewed individually and responses were coded thematically. Results revealed internal and external factors related to the onset of eating disorders. Internal factors included: Negative Mood States, Low Self Esteem, Perfectionism/Drive for Achievement, and Desire for Control. External factors included: Negative Influences on Self-Esteem, Hurtful Relationships, Hurtful Role Models, and Sport Performance. Findings suggest that many triggers for onset among athletes are similar to those reported among nonathletes. However, results demonstrate that the sport environment has a unique impact on athletes’ eating disorder development. In particular, negative comments by coaches, modeling of eating disordered behaviors by other athletes, and sport performance pressure all contributed to eating pathology. Implications and recommendations for the sport community are discussed.

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Effects of Brief Mindfulness Training on Basketball Free-Throw Shooting Performance Under Pressure: A Randomized Controlled Trial of Dosage Response

Jessyca N. Arthur-Cameselle and Linda A. Keeler

Studies have indicated that as little as 15 min of mindfulness training (MT) positively affects sport performance under pressure, but the minimum amount of MT required to induce effects is unclear. The current experiment tested the effects of MT of different lengths on free-throw shooting under pressure. Forty-six participants (78% men) with competitive basketball experience completed pretest mindfulness and anxiety surveys and shot under low pressure. Using performance-based matched assignment, participants were randomly distributed into groups. On another day, participants completed audio trainings (6-min MT, 15-min MT, or control) and then shot under high pressure. Under high pressure, anxiety and mindfulness states did not differ among groups, nor were there group differences in average shooting percentage. However, only the control group performed worse on the second shot under high pressure compared with low pressure, suggesting possible protection effects of MT. Findings are discussed regarding application and possible interactions between traits, motivation, and incentive values.