Elite athletes: Effects of the pressure to be thin

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This study represented the first attempt to examine the prevalence of eating disorders in a large sample of both male and female elite athletes compared to a matched control group of non-athletes. The subjects were 263 Australian elite athletes representing a variety of sports, and 263 non-athletes. All subjects were interviewed using the Composite International Diagnostic Interview and completed a number of self-report questionnaires. Both male and female athletes competing in sports that emphasise a lean body shape or a low body weight evidenced a significantly higher prevalence of eating disorders and eating disorder symptoms than other athletes and non-athletes. The results suggest that athletes do, in fact, have a higher prevalence of eating disorders than non-athletes. However, it is not so much being an athlete that places an individual at increased risk for developing an eating disorder; rather it is athletes competing in sports which emphasise the importance of a thin body shape or a low body weight who appear to be particularly vulnerable.

References (73)

  • Brooks-GunnJ. et al.

    The effects of delayed menarche in different contexts: Dance and nondance students. Special Issue: Time of maturation and psychosocial functioning in adolescence

    Journal of Youth and Adolescence

    (1985)
  • BrownT.A. et al.

    Body-image disturbances in adolescent female binge-purgers: A brief report of the results of a national survey in the U.S.A.

    Journal of Child Psychological Psychiatry

    (1989)
  • BushnellJ.A. et al.

    Prevalence of three bulimia syndromes in the general population

    Psychological Medicine

    (1990)
  • ByrneS.M. et al.

    Comparing athletes and non-athletes with eating disorders: Similarities and differences

  • CashT.F. et al.

    Body image in anorexia nervosa and bulimia nervosa. A review of the literature

    Behaviour Modification

    (1987)
  • ClarkeM.G. et al.

    Eating attitudes and neurotic symptoms in university students

    British Journal of Psychiatry

    (1983)
  • CooperZ. et al.

    The Eating Disorder Examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders

    International Journal of Eating Disorders

    (1987)
  • CottlerL.B. et al.

    The CIDI-core substance abuse and dependence questions: Cross-cultural and nosological issues. The WHO/ADAMHA Field Trial

    British Journal of Psychiatry

    (1991)
  • CrowtherJ.H. et al.

    The stability of the Eating Disorder Inventory

    International Journal of Eating Disorders

    (1992)
  • DaleK.S. et al.

    Weight control in wrestling: Eating disorders or disordered eating?

    Medicine and Science in Sports and Exercise

    (1999)
  • DavisC.

    Body image, dieting behaviours, and personality factors: A study of high-performance female athletes

    International Journal of Sport Psychology

    (1992)
  • DuffyJ.C. et al.

    Under-reporting of alcohol consumption in sample surveys: The effect of computer interviewing in fieldwork

    British Journal of Addiction

    (1984)
  • DummerG.M. et al.

    Pathogenic weight-control behaviours of young competitive swimmers

    The Physician and Sports Medicine

    (1987)
  • EberenzK.P. et al.

    An examination of the internal consistency and factor structure of the Eating Disorder Inventory-2 in a clinical sample

    International Journal of Eating Disorders

    (1994)
  • FarmerA.E. et al.

    A comparison between the Present State Examination and the Composite International Diagnostric Interview

    Archives of General Psychiatry

    (1987)
  • GarfinkelP.E. et al.

    Bulimia nervosa in a Canadian community sample: Prevalence and comparison of subgroups

    American Journal of Psychiatry

    (1995)
  • GarnerD.M.

    Eating Disorder Inventory-2: Professional manual

    (1991)
  • GarnerD.M. et al.

    A cognitive-behavioral approach to anorexia nervosa

  • GarnerD.M. et al.

    Socio-cultural factors in the development of anorexia nervosa

    Psychological Medicine

    (1980)
  • GrossJ. et al.

    Validity of the Eating Attitudes Test and the Eating Disorders Inventory in bulimia nervosa

    Journal of Consulting and Clinical Psychology

    (1986)
  • HoekH.W.

    Review of the epidemiological studies of eating disorders

    International Review of Psychiatry

    (1993)
  • HoekH.W.

    The distribution of eating disorders

  • JancaA. et al.

    Comparison of Composite International Diagnostic Interview and clinical DSM-III-R criteria checklist diagnoses

    Acta Psychiatrica Scandinavia

    (1992)
  • JancaA. et al.

    Clinical observation of assessment using the Composite International Diagnostic Interview (CIDI): An analysis of the CIDI field trials-wave II at the St Louis site

    British Journal of Psychiatry

    (1992)
  • KillenJ.D. et al.

    Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: A three-year prospective analysis

    International Journal of Eating Disorders

    (1994)
  • LeGrangeD. et al.

    Implications of a diagnosis of anorexia nervosa in a ballet school

    International Journal of Eating Disorders

    (1994)
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