is only effective for roughly 50 to 70% of individuals with EDs (e.g., Keel & Brown, 2010 ). For those with Anorexia Nervosa (AN), there may even be strong reluctance to recover ( Nordbø et al., 2012 ), yet it is clear that motivation and readiness for change predicts success in ED treatment
Jessyca N. Arthur-Cameselle and Molly Curcio
Steven Paul Coen and Benjamin M. Ogles
Several aspects of obligatory running are examined with particular emphasis on the anorexia analogue hypothesis. The psychometric characteristics of the Obligatory Exercise Questionnaire were examined in a preliminary study. The OEQ is unrelated to socially desirable responding and has adequate reliability and validity. Data were collected from a second sample to identify obligatory and nonobligatory runners. Validation of the obligatory construct is examined by comparing demographic and training differences between obligatory and nonobligatory runners. Obligatory runners train more miles, days, and hours per week; have faster finishing times; are more likely to continue running when injured; and report feeling higher levels of anxiety when not running. The anorexia analogue hypothesis is examined by comparing the personality characteristics of obligatory and nonobligatory male marathon runners. Obligatory and nonobligatory runners were not significantly different on measures of identity diffusion or trait anger. They were significantly different on measures of perfectionism and trait anxiety.
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.
Caroline Davis and Shaelyn Strachan
Some have claimed that the similarities between athletes with eating problems and women with eating disorders (ED) include only symptoms such as dieting and fear of weight gain, and do not extend to the psychopathological characteristics associated with these disorders. However, studies used to support this viewpoint have relied on comparisons between “eating-disturbed” athletes and clinically diagnosed ED patients, a method that confounds diagnostic classification with athlete status. The present study held ED classification constant by comparing ED patients who had been involved in high-level competitive athletics with nonathlete ED. No significant differences were found between the groups on any measures of psychopathology or eating-related symptoms; this suggests that if an athlete develops an eating disorder, her psychological profile is no different from others with this disorder.
Heather A. Hausenblas and Albert V. Carron
Research shows inconclusive results pertaining to the comparison of eating disorder indices between athletes and nonathletes and among different subgroups of athletes. The purpose of this study was to meta-analytically review the literature on (a) bulimia nervosa indices, (b) anorexia nervosa indices, and (c) drive for thinness (a cardinal feature of both anorexia and bulimia) in male and female athletes. Results of 92 studies with 560 effect sizes (ES) revealed small ESs (range: −.01 to .30) in relation to group membership characteristics. Results for female athletes revealed small ESs for bulimia and anorexia indices, suggesting that female athletes self-reported more bulimic and anorexic symptomatology than control groups; nonsignificant group differences were evidenced for drive for thinness. Results for male athletes revealed small ESs on all three indices, suggesting that male athletes self-reported more eating disorder symptomatology than control groups. Moderator variables that might contribute to understanding the results are examined, and future research directions are presented.
Laura K. Fewell, Riley Nickols, Amanda Schlitzer Tierney and Cheri A. Levinson
effectiveness of integrating exercise in treatment. Exercise has been shown to reinforce weight gain and increase body mass index (BMI) in inpatients with anorexia nervosa (AN) and supervised aerobic and strength training exercises have been shown to effectively reduce eating disorder symptoms ( Calogero
Ron A. Thompson
While college women in general are at risk for anorexia nervosa and bulimia, these disorders may present more of a problem for the student-athlete due to her weight/body consciousness and the pressure associated with athletic competition at the college or university level. This paper discusses the physical and psychological characteristics of each disorder, their etiology, and how each affects the life and performance of the athlete. Recommendations are offered regarding the role of the sport management team (i.e., sport psychologist, team physician, coach, athletic trainer, exercise physiologist) in assisting the eating-disordered athlete.
Sharon R. Guthrie, Cathy Ferguson and Dixie Grimmett
This research examined the nutritional practices and body images of 13 competitive women bodybuilders living in southern California and in the Midwest. Data collection included both structured interviews and survey methods. Findings indicate nutritional health and positive body image among this sample of women. None of the bodybuilders had anorexia nervosa or bulimia nervosa, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R; American Psychiatric Association, 1987) criteria, were binge eaters or used pathogenic weight control measures. Instead, they reported significant improvement in their nutritional attitudes and behaviors after beginning bodybuilding training. These data suggest a relationship between participating in competitive bodybuilding and other behaviors related to nutrition and self-perception.
Renée M. Parker, Michael J. Lambert and Gary M. Burlingame
The present study was conducted to determine if female distance runners who report engaging in pathological food behaviors display the psychological characteristics of clinically diagnosed female eating-disordered patients. Comparisons were made among 29 eating-disturbed college runners, 31 normal college runners, 19 clinically diagnosed eating-disordered patients, and 34 nonathletic, non-eating-disordered college students. Measures included a 3-day diet journal, questionnaires collecting both personal information and information on eating behaviors and sports participation, the Eating Disorder Inventory (EDI), the Setting Conditions for Anorexia Nervosa Scale (SCANS), and the Minnesota Multiphasic Personality Inventory (MMPI). Without reaching eating-disordered clinical levels, the eating-disturbed runners appeared on psychological inventories as being more concerned with food and dieting than were the comparison runners and non-eating-disordered nonathletes. Only the eating-disordered group presented with significant levels of psychopathology. Implications for the athletic community are discussed.
Julien Louis, Fabrice Vercruyssen, Olivier Dupuy and Thierry Bernard
could also influence the energy intake of master athletes. A loss of appetite is classically reported with aging and is often termed anorexia of aging ( Morley & Silver, 1988 ). It is estimated that ∼25% of home dwellers suffer from anorexia of aging and up to 85% of nursing home populations suffer