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Adapting a Technology-Based Eating Disorder Model for Athletes

Rachael E. Flatt and Craig Barr Taylor

Eating disorders (EDs) are common, particularly amongst female athletes, with some studies reporting upwards of 20–30% with clinical EDs and over a quarter at risk ( Bratland-Sanda & Sundgot-Borgen, 2013 ; Martinsen & Sundgot-Borgen, 2013 ). Despite findings that sport participation can have a

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Assessment of Athletes With Eating Disorders: Essentials for Best Practice

Jenny H. Conviser, Amanda Schlitzer Tierney, and Riley Nickols

It is estimated that 10 million women in the United States and 1 million men, of diverse gender, ethnicity, socio-cultural origin, socioeconomic status and age will meet diagnostic criteria for ED during their lifetime, including anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder

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Eating Disorder Indices and Athletes: An Integration

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.

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Athletes’ Body Talk: The Role of Contextual Body Image in Eating Disorders as Seen Through the Eyes of Elite Women Athletes

A.P. (Karin) de Bruin and Raôul R.D. Oudejans

the athletic rather than the social body image that contributed uniquely and significantly to eating disorder (ED) symptomatology. Yet, the athletes with disordered eating were generally more negative on multiple body image aspects in both the athletic and daily life context than the ones without it

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Assessing Prevalence of Eating Disorders and Eating Disorder Symptoms Among Lightweight and Open Weight Collegiate Rowers

Jennifer I. Gapin and Brianna Kearns

Athletes in sports with weight requirements may be especially vulnerable to eating disorders (EDs), yet there is limited research regarding collegiate rowers. Therefore, the purpose of this study was to examine prevalence rates of ED symptoms in 133 male and female competitive collegiate rowers in lightweight and open weight programs. This is the first study to examine eating pathology in rowers using a diagnostic tool based on DSM-IV criteria, the Q-EDD; and examining ED symptoms using the EDI-2 (drive for thinness [DT] and body dissatisfaction [BD]). The majority of rowers were classified as symptomatic (n = 65; 49%) or clinical (n = 5; 4%). Lightweight rowers had a significantly higher prevalence of eating pathology and a significantly greater DT and BD than open weight rowers. Males had considerably higher prevalence of eating pathology than females, but females had significantly greater BD. Ongoing monitoring of rowers’ eating behaviors is highly encouraged. Implications for counseling and prevention are discussed.

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Eating Disorders in Sport: Comparing Eating Disorder Symptomatology in Athletes and Non-Athletes During Intensive Eating Disorder Treatment

Laura K. Fewell, Riley Nickols, Amanda Schlitzer Tierney, and Cheri A. Levinson

Eating disorders (EDs) are serious illnesses with the highest mortality rate among all psychiatric disorders ( Harris & Barraclough, 1998 ). The prevalence of EDs has been found to be higher in athletes than non-athletes: non-athletes hold a lifetime prevalence rate of up to 4.6% ( Sundgot

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Application of the Transdiagnostic Cognitive-Behavioral Model of Eating Disorders to the Athletic Population

Vaithehy Shanmugam, Sophia Jowett, and Caroline Meyer

The purpose of this study was twofold: to explore the utility of components related to the transdiagnostic cognitive-behavioral model of eating disorders within an athletic population and to investigate the extent to which the model can be applied across gender, sport type, and performance standard to explain eating psychopathology. Five hundred and eighty-eight (N = 588) male and female British athletes completed a battery of self-report instruments related to eating psychopathology, interpersonal diffculties, perfectionism, self-esteem, and mood. Structural equation modeling revealed that eating psychopathology may arise from an interaction of interpersonal diffculties, low self-esteem, high levels of self-critical perfectionism, and depressive symptoms. Analysis further highlighted that the manner in which eating psychopathology may arise is invariant across athletes’ sport type and performance standard, but not across gender. The current findings suggest that the tested components of the transdiagnostic cognitive-behavioral model are pertinent and useful in explaining eating psychopathology among athletes.

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Validation of the Intuitive Exercise Scale in Patients With Eating Disorders

Dana K. Voelker, Nick Galli, Maya Miyairi, Justine J. Reel, and Karley James

disorders ( Berczik et al., 2012 ), affecting between 20% and 80% of eating disorder patients ( Adkins & Keel, 2005 ; Costa et al., 2013 ; Davis et al., 1997 ; Meyer & Taranis, 2011 ; Naylor et al., 2011 ). Moreover, the presence of excessive exercise upon discharge from an intensive eating disorder

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Researching Eating Disorders and Body Image in Sport: Challenges and Recommendations

Dana K. Voelker and Justine J. Reel

The number of studies researching eating disorders and body image in sport has increased exponentially over several decades. This growing body of literature has positioned researchers to estimate the prevalence of eating disorder symptomatology in male and female athletes and examine the

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

Julie Freedman, Sally Hage, and Paula A. Quatromoni

Athletes are at increased risk for developing disordered eating and exercise behaviors. In particular, athletes may be at a heightened risk for body dissatisfaction and eating disorders (EDs) because of sport-related pressures, like performance expectations, peer pressure, weight categories in