Factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in male and female college athletes

The study explored the psychometric properties of the Eating Disorder Examination Questionnaire (EDE-Q) among 1637 university students. Participants were divided into male (n = 432) and female (n = 544) competitive athletes, and male (n = 229) and female (n = 429) comparison groups comprised of individuals who had not engaged in competitive sports for at least one year. All groups were subjected to confirmatory factor analysis (CFA) to test the fit of the published factor structure in this population, and then exploratory FA (EFA). A three-factor solution was the best fit for three out of four groups, with a two-factor solution providing best fit for the male comparison group. The first factor for all groups resembled a combined Shape and Weight Concern subscale. The factor structure among male and female competitive athletes was remarkably similar; however, non-competitive athletic/low activity males appear qualitatively different from other groups.     

The influence of social networks within sports teams on athletes’ eating and exercise psychopathology: A longitudinal study

Teammates have been found to have an impact on athletes’ eating and exercise psychopathology via multiple influence mechanisms (e.g., modelling, making critical comments). However, far less is known about the role of the team social network (i.e. the pattern and strength of relationships between teammates). This novel longitudinal study aimed to explore how athletes’ eating and exercise psychopathology becomes more (convergence) or less (divergence) similar to their teammates’ over time and to explore how this varies for male and female athletes. A second aim was to identify the role of team social network variables (e.g., popularity) in determining individuals’ levels of eating and exercise psychopathology. Athletes (N = 199, mean age 18 years, n = 123 female) from 20 teams/training groups completed a survey regarding their teammate relationships and eating/exercise psychopathology (Eating Disorder Inventory-2; Athlete Compulsive Exercise Test) at three time points over a 7-month period. Significant interaction effects between time and gender were noted for athlete team variability in eating and exercise psychopathology, where both convergence and divergence of eating and exercise psychopathology was evident. In addition, being well connected to teammates, acting as the bridge between groups of teammates or being part of a cohesive team were longitudinally associated with reduced exercise psychopathology. Disordered eating and exercise prevention strategies should look to harness the behavioural convergence effect demonstrated here, by encouraging healthy eating/exercise practices among teammates. Furthermore, coaches should foster cohesive teammate relationships and be aware of how an athlete’s social positioning within their team may affect their susceptibility to exercise psychopathology.     

Moderators and predictors of response to eating disorder risk factor reduction programs in collegiate female athletes

ObjectiveThe primary aim of this paper was to investigate moderators and predictors of response to two programs designed to reduce eating disorder risk factors in collegiate female athletes. This study served as an ancillary study to a parent trial that investigated the feasibility of an athlete modified cognitive dissonance-based program (AM-DBP) and an athlete modified healthy weight intervention program (AM-HWI).Design157 female collegiate athletes were randomized to either the AM-DBP or the AM-HWI program. Participants completed surveys at baseline, post-intervention, 6 weeks, and 1 year.MethodsAfter classifying sports as either lean or non-lean, we investigated if sport type acted as a moderator of program response to AM-DBP and AM-HWI using ANOVAs. Next, we examined whether baseline thin-ideal internalization, weight concern, shape concern, bulimic pathology, dietary restraint, and negative affect acted as predictors of changes in bulimic pathology using linear regression models.ResultsAthletes in non-lean sports who received AM-DBP showed more improvement in negative affect versus non-lean sport athletes in AM-HWI. Higher baseline scores of bulimic pathology predicted greater response in bulimic pathology to both programs at 6-weeks. In contrast, athletes with higher dietary restraint and negative affect baseline scores showed decreased response to both interventions at 6-weeks. Finally, athletes with higher baseline shape concern showed a decreased response to the AM-HWI intervention at the post intervention time point.ConclusionResults from the present study indicate that lean/non-lean sport may not play a strong role in determining response to efficacious programs. Further, factors such as pre-existing bulimic pathology, dietary restraint, negative affect, and shape concern may affect general response to intervention versus specific responses to specific interventions.     

Contesting orientations: Measure construction and the prediction of sportspersonship

ObjectiveThis three-study investigation was undertaken to develop, validate, and test the Contesting Orientations Scale (COS), a new measure designed to assess individuals' tendencies to use contest-is-partnership and contest-is-war conceptual metaphors (i.e., contesting orientations) when competing (Shields & Bredemeier, 2009, 2011a).DesignThe research design was correlational. Following preliminary item creation and expert review, survey based studies were conducted to develop theoretically-based, psychometrically sound scales measuring contesting orientations.MethodIn Study 1, an exploratory factor analysis (EFA) was performed on a preliminary 39-item COS administered to a sample of high school athletes (N = 233). Study 2 used EFA to evaluate a revised 23- item COS with a second sample of high school athletes (N = 92) resulting in a final reduction of the measure to twelve items. Confirmatory factor analysis (CFA) was then conducted on this 12-item COS, which proved an excellent fit to the data. A new sample of college athletes (N = 238) allowed Study 3 to (a) further examine the factorial validity of the COS, including gender invariance testing, (b) assess the concurrent validity of the COS via its correlations with goal orientations, empathy, moral identity, and moral disengagement; and, (c) assess the COS's incremental predictive utility for investigations of sportspersonship.Results and conclusionResults from the sequence of studies demonstrate that the 12-item, two-scale COS has good psychometric properties as assessed through EFA and CFA, good concurrent validity, and adds significantly to existing measures in the prediction of sportspersonship.     

Validation française de l’échelle de mesure de l’orthorexie ORTO-15 et étude des liens avec les troubles des conduites alimentaires et l’image du corps

IntroductionAlthough orthorexia is described as a pathological obsession over healthy food, its nature remains unclear. The results of the majority of studies, mainly using the ORTO-15 measurement scale, remain limited to certain countries and cannot be generalized to every culture. Furthermore, recent studies suggest that body image should be included in the orthorexia research, in addition to eating disorders.ObjectiveThe aim of this study was to propose a French adaptation of the ORTO-15 measurement scale using the Vallerand's transcultural validation procedure, explore its psychometric properties and the links between orthorexic behvaiour, symptoms of eating disorders and body image.MethodFour hundred and nine young adults (89% female), aged 18 to 25 years, completed the online version of the following scales: ORTO-15, Dunn et al. criteria (2016), the Eating-Attitudes Test (EAT-26), Binge Eating Scale (BES) and the Multidimensional Body Self Relations Questionnaire-Appearance Scale (MBSRQ-AS). Exploratory and confirmatory factor analysis (EFA and CFA, respectively) were carried out on two randomly split samples and links between different variables were explored using Spearman correlation coefficients.ResultsThe EFA yielded a single-factor 11-items structure explaining 24% of variance. The adjustment indices from the CFA were excellent. The stability of the scale was satisfactory (ICC = 0.71), despite a questionable internal consistency (α = .50). Links with other scales indicated good structural validity.ConclusionORTO-11-Fr presented satisfactory psychometric properties. Further studies are needed for identifying predictors of orthorexia as well as improving its definition and assessment.     

Exercise attitudes and behaviours among retired female collegiate athletes

ObjectivesThe present study explored exercise attitudes and behaviours among retired female collegiate athletes.DesignA survey design incorporating both closed and open-ended questions was adopted.MethodA total of 218 former NCAA Division I female athletes (n = 144 gymnastics; n = 74 swimming/diving) provided details on their current exercise behaviours and their thoughts regarding exercise since retiring from collegiate sport.ResultsNo relations were found between years since retirement and athletes’ current exercise frequency, types of exercise activities, and reasons for exercising. Despite reporting activity levels consistent with recommendations (5 days/week, 1 h per session), retired athletes remained dissatisfied with their activity levels and struggled to integrate exercise alongside occupational, academic and social demands.ConclusionsAthletes may require support in adapting to an independent and less intense exercise regime on retirement. Future research may look to explore exercise attitudes and behaviours among retired athletes from a longitudinal perspective.     

Communication profiles and sport experiences of collegiate track and field athletes

ObjectivesAthletes often communicate with one another and exchange information, attitudes, and feelings that can influence their sport experiences. In an effort to better understand the sport communication context, the purpose of the current study was to (a) describe communication profiles of athletes (b) examine potential predictors (i.e., team identity, sex) of profile membership, and (c) examine the salience of these profiles by assessing profile group differences on athletes’ perceptions of burnout, engagement, satisfaction, and enjoyment.DesignCross-sectional survey-based study.MethodCollegiate track and field athletes (N = 219) completed measures of demographic information, team communication, team identity, burnout, engagement, enjoyment, and satisfaction. Communication profiles were examined using latent profile analysis. Using the three-step method in Mplus, possible prediction of profile membership and profile differences in perceptions of sport experiences were examined.ResultsThree profiles emerged: the Less Effective Communicators, the Supportive Communicators, and the Functional Communicators. Athletes with greater team identity were more likely to be in the Supportive Communicators profile (p < 0.001), male participants were more likely to be in the Functional Communicators profile (p < 0.05) than the other profiles, and female participants were less likely to be in the Less Effective Communicators profile than the Supportive Communicators profile (p < 0.05). The Less Effective Communicators had greater perceptions of burnout (ps < 0.01) and lower perceptions of engagement (p < 0.01 and p < 0.05), satisfaction (p < 0.001 and p = 0.001), and enjoyment (p < 0.001 and p < 0.05) than the Supportive and Functional Communicators. Supportive Communicators had greater satisfaction (p < 0.001) and enjoyment (p < 0.001) than the Functional Communicators.ConclusionsDifferent profiles of communication in track and field athletes may have implications for athletes’ sport experiences and warrant continued study.     

Psychosocial correlates of bulimic symptomatology among male athletes

ObjectivesTo examine the relationship of four psychosocial constructs – body dissatisfaction, restrained eating, drive for muscularity, and negative affect – that have been identified as potential risk factors for bulimic symptoms in male athletes.DesignWe used a cross-sectional design and self-report questionnaires.MethodsParticipants were 203 male, NCAA Division I athletes who were drawn from three different U.S. universities and who competed in 17 different varsity sports. Athletes completed self-report measures of body satisfaction, dietary restraint, drive for muscularity (i.e., muscularity behaviors, muscular body image), negative affect (i.e., fear, hostility, guilt, sadness), and bulimic symptomatology.ResultsAfter controlling for the effects of body mass and social desirability, hierarchical regression analysis showed that the psychosocial variables explained an additional 21% of the variance in bulimic symptoms. In the full model, engaging in muscle building behaviors (β = .16), such as lifting weights, as well as restricting caloric intake (β = .33) were associated with higher levels of bulimic symptomatology; negative affect and body dissatisfaction were not.ConclusionsMale athletes' bulimic symptomatology is best explained by the extent to which they report engaging in behaviors to become leaner (i.e., less body fat) and more muscular.     

Gender-based differential item functioning in common measures of body dissatisfaction

Many widely used measures of body image were developed using all-female samples and thus may not adequately capture the male experience of body dissatisfaction. The current study examined differential item functioning (DIF) in three commonly-used measures of body image: The Body Shape Questionnaire (N = 590, 39.7% male), the Body Dissatisfaction subscale of the Eating Disorders Inventory (N = 529, 44.6% male), and the Shape and Weight Concern subscales of the Eating Disorders Examination Questionnaire (N = 1116, 43.5% male). Participants completed a series of measures evaluating body image and eating pathology. Results evidenced statistically significant DIF in several of the items; one item met criteria for clinically significant DIF. While most items did not evidence clinically elevated levels of DIF, additional evaluation is necessary in order to determine overall quality of the measures in terms of capturing the experience of male body image concerns.     

Female relative age effects and the second-quartile phenomenon in young female ice hockey players

ObjectivesRelative age effects exist across sports and cultures (Cobley, Baker, Wattie, & McKenna, 2009), though a recent, unusual trend is females born in the second quartile of the selection year are most over-represented on elite teams. The first purpose of this study was to test the hypothesis that the second-quartile phenomenon was the result of first-quartile female athletes registering to play male sport. Due to the nature of the collected data, a secondary purpose was to examine relative age effects across female age divisions.DesignCross-sectional, with multiple chi-square analyses.MethodPlayers included 29,924 female ice hockey players (ages 7–17 years) from the Ontario Hockey Federation. Birthdates were converted into quartiles following the Hockey Canada selection year.ResultsRelative age effects (with the second quartile most over-represented) existed for the entire sample (χ² [3, 29923] = 401.95, p < 0.001), those registered for female ice hockey (χ² [3, 24984] = 369.90, p < 0.001) and those registered for male ice hockey (χ² [3, 4938] = 37.88, p < 0.001). The strength of the effect lessened as athletes aged.ConclusionIt appears the second-quartile phenomenon cannot be explained by athletes’ choice to play male sport. Further, female relative age effects appear strongest at younger ages. The discussion includes integration of results with previous literature, along with plausible explanations.     

Perfectionism,social physique anxiety and disordered eating: a comparison of male and female elite athletes

Objective: To examine the relationship between Positive and Negative Perfectionism and Social Physique Anxiety (SPA) and the extent to which these two variables predict disturbed eating attitudes in male and female elite athletes.Design: Cross-sectional survey.Method: Athletes (n=316) completed measures of Positive and Negative Perfectionism, SPA, disordered eating and social desirability. Zero- and first-order (partial) correlations were examined to determine the relationship between Positive and Negative Perfectionism and SPA. Hierarchical regression analyses were used to examine how two individual difference variables, perfectionism and SPA, relate and contribute to disordered eating.Results: For both male and female athletes, Negative Perfectionism was significantly related to SPA. For males, Positive Perfectionism made a small, yet significant, contribution (i.e. 6%) in predicting disturbed eating attitudes. For females, Negative Perfectionism and SPA uniquely and in combination significantly contributed 41% of the variance in the prediction of disturbed eating attitudes.Discussion: These findings suggest that Negative Perfectionism is strongly linked with SPA and that, in females, SPA is an additional psychosocial variable to consider in the relationship between Negative Perfectionism and disordered eating.     

Effects of achievement goals on self-regulation of eating attitudes among elite female athletes: An experimental study

Introduction

The influence of achievement goals on eating attitudes has mainly been examined through correlational studies (e.g., [De Bruin et?al., 2009] and [Duda and Kim, 1997]), and none of the studies to date has focused on the self-regulation of eating attitudes in athletes. The present study experimentally tested the effects of achievement goals on both self-reported (Study 1) and behavioral indices (Study 2) of the self-regulation of eating attitudes in female figure skaters.

Method

Elite female figure skaters (Study 1: n = 44; Study 2: n = 54) were randomly assigned to one of four conditions designed to induce specific goal involvement (performance-approach, mastery-approach, performance-avoidance, and mastery-avoidance) or a control condition (no goal induction). The participants in Study 1 completed the Self-Regulation of Eating Attitudes in Sport Scale (SREASS, Scoffier, Corrion, Paquet, & Arripe-Longueville, 2010) and those in Study 2 completed a virtual behavioral measure of self-regulation of eating attitudes (VSSR; Scoffier, 2009).

Results

Variance analyses indicated that induced mastery-approach goals and performance-avoidance goals resulted in higher scores for self-regulation of eating attitudes than induced performance-approach goals and mastery-avoidance goals. The relationships were the same at both self-reported and behavioral levels.

Discussion

This experimental study confirms the findings of previous correlational works and shows that achievement goals contribute to the causal processes of self-regulation of eating attitudes. These findings might help to prevent eating disorders in female athletes by providing guidance for the development of adapted motivational strategies.     

Defining recovery from an eating disorder: Conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity

Conceptually, eating disorder recovery should include physical, behavioral, and psychological components, but such a comprehensive approach has not been consistently employed. Guided by theory and recent recovery research, we identified a “fully recovered” group (n = 20) based on physical (body mass index), behavioral (absence of eating disorder behaviors), and psychological (Eating Disorder Examination-Questionnaire) indices, and compared them with groups of partially recovered (n = 15), active eating disorder (n = 53), and healthy controls (n = 67). The fully recovered group was indistinguishable from controls on all eating disorder-related measures used, while the partially recovered group was less disordered than the active eating disorder group on some measures, but not on body image. Regarding psychosocial functioning, both the fully and partially recovered groups had psychosocial functioning similar to the controls, but there was a pattern of more of the partially recovered group reporting eating disorder aspects interfering with functioning. Regarding other psychopathology, the fully recovered group was no more likely than the controls to experience current Axis I pathology, but they did have elevated rates of current anxiety disorder. Results suggest that a stringent definition of recovery from an eating disorder is meaningful. Clinical implications and future directions regarding defining eating disorder recovery are discussed.     

Can we reduce eating disorder risk factors in female college athletes? A randomized exploratory investigation of two peer-led interventions

Female athletes are at least as at risk as other women for eating disorders (EDs) and at risk for the female athlete triad (i.e., inadequate energy availability, menstrual disorders, and osteoporosis). This study investigated whether two evidence-based programs appear promising for future study if modified to address the unique needs of female athletes. Athletes were randomly assigned to athlete-modified dissonance prevention or healthy weight intervention (AM-HWI). ED risk factors were assessed pre/post-treatment, and 6-week and 1-year follow-up. Results (analyzed sample, N = 157) indicated that both interventions reduced thin-ideal internalization, dietary restraint, bulimic pathology, shape and weight concern, and negative affect at 6 weeks, and bulimic pathology, shape concern, and negative affect at 1 year. Unexpectedly we observed an increase in students spontaneously seeking medical consultation for the triad. Qualitative results suggested that AM-HWI may be more preferred by athletes.     

The gap between athletes’ and parents’ perceptions of parental practices: The role of gender

ObjectivesThe present study explored the differences between athletes’ and parents’ perceptions of parental practices (i.e., active involvement, directive, pressure, praise, and understanding behaviours implemented by parents in the context of their child’s sport) by considering athletes’ and parents’ gender.Designcross-sectional study.MethodParents (N = 352) and athletes (N = 256, M = 14.72 years) completed a questionnaire to measure their perceptions of parental practices in sport. Zero-order correlations were computed for the entire sample and each sub-group (i.e., father-daughter, father-son, mother-daughter, and mother-son). One-level multilevel model (level 1: respondent) was computed to measure the influence of the respondent on the perceptions of parental practices. Two-level multilevel model (level 1: respondent, level 2: dyad) estimated the impact of the athletes’ gender, parents’ gender, and their interaction on the differences in perceptions.ResultsCorrelations highlighted relatively modest concordance between perceptions of parents and adolescents. Multilevel models showed that compared to athletes, parents reported significantly less frequent use for directive behaviours (β = −0.29) and more frequent use for active involvement (β = −0.18) and praise and understanding (β = 0.27). Correlations and multilevel models showed that the differences between athletes’ and parents’ perceptions of parental practices differed according to gender. The differences in perceptions of the directive behaviours (β = −0.22) and active involvement (β = 0.22) were higher when the father was involved in the dyad compared to the mother.     

The Sporting Body: Body Image and Eating Disorder Symptomatology Among Female Athletes from Leanness Focused and Nonleanness Focused Sports

Female athletes experience pressure to conform to social and sporting norms concerning body weight. This study compared general and sporting body dissatisfaction and disordered eating symptomatology among 320 elite, recreational, and noncompetitive female athletes aged 17 to 30 years competing in leanness focused sports and nonleanness focused sports. Participants completed an online questionnaire including demographic questions, the Eating Attitudes Test, and the Figure Rating Scale. Athletes from leanness focused sports reported higher levels of body dissatisfaction and greater disordered eating symptomatology regardless of participation level. Elite athletes reported higher levels of body dissatisfaction and greater disordered eating symptomatology regardless of sport type, and differences between recreational and noncompetitive athletes were not found. More than 60% of elite athletes from leanness focused and nonleanness focused sports reported pressure from coaches concerning body shape. The findings have important implications for identifying risk factors for eating disorders among female athletes, where athletes who compete at elite level and those who compete in leanness focused sports at any level may be at higher risk for developing eating disorders.     

Sleep interventions for performance,mood and sleep outcomes in athletes: A systematic review and meta-analysis

Sleep is fundamental to sports performance and other health outcomes such as mental wellbeing. This systematic review explored the effects of sleep interventions implemented among athletes on performance, sleep, and mood outcomes. Five databases were searched, returning 5996 records for screening. Of these, 27 articles met the inclusion criteria (16 controlled deigns, 11 uncontrolled; athletes n = 617; male n = 432, female n = 93, non-binary/other n = 0 or not reported n = 92). Narrative synthesis of all studies based on intervention type suggested that sleep hygiene, assisted sleep, and sleep extension interventions may be associated with improved sleep, performance, and mood outcomes. Twelve controlled trials were eligible for quantitative meta-analysis, investigating the effect of sleep interventions on athlete sleep, performance, and negative affect, compared to controls post-intervention. Utilizing random-effects meta-analyses, sleep interventions improved subjective sleep quality (g = 0.62, 95% CI [0.21, 1.02]), reduced sleepiness (g = 0.81, 95% CI [0.32, 1.30]) and decreased negative affect (g = 0.63, 95% CI [0.27, 0.98]), but did not appear to influence subjective sleep duration. No effects were identified for objective sleep measures (e.g., actigraphy), or aerobic/anaerobic performance indices. While sleep interventions may offer some benefit to athletes, caution is warranted given limitations of the extant research relating to small, non-representative studies with methodological concerns.     

The applicability of self-regulation theories in sport: Goal adjustment capacities,stress appraisals,coping, and well-being among athletes

ObjectivesWe examined a model, informed by self-regulation theories from the health psychology literature, which included goal adjustment capacities, appraisals of challenge and threat, coping, and well-being.DesignProspective.MethodsTwo-hundred and twelve athletes from the United Kingdom (n = 147) or Australia (n = 65), who played team (n = 135) or individual sports (n = 77), and competed at international (n = 7), national (n = 11), county (n = 67), club (n = 84), or beginner (n = 43) levels participated in this study. Participants completed measures of goal adjustment capacities and stress appraisals two days before competing. Athletes also completed coping and well-being questionnaires within 3 h of their competition ending.ResultsThe way an athlete responded to an unattainable goal was associated with his or her well-being in the period leading up to and including the competition. Goal reengagement positively predicted well-being, whereas goal disengagement negatively predicted well-being. Further, goal reengagement was positively associated with challenge appraisals, which in turn was linked to task-oriented coping, and task-oriented coping positively associated with well-being.ConclusionWhen highly-valued goals become unattainable, consultants and coaches could encourage athletes to generate alternative approaches to achieve the same goal or help them develop a completely new goal in order to promote well-being among athletes.     

Randomized Controlled Trial of an Internet-Based Cognitive-Behavioral Treatment Program for Binge-Eating Disorder

Binge-eating disorder (BED) is a prevalent health condition associated with obesity. Few people with BED receive appropriate treatment. Personal barriers include shame, fear of stigma, geographic distance to mental health services, and long wait-lists. The aims of this study were to examine the efficacy of an Internet-based cognitive-behavioral intervention for adults with threshold BED (DSM-IV) and to examine the stability of treatment effects over 12 months. Participants were randomly assigned to a 16-week Internet-based cognitive-behavioral intervention (n = 69) or a wait-list condition (n = 70). Binge-eating frequency and eating disorder psychopathology were measured with the Eating Disorder Examination–Questionnaire and the Eating Disorder Examination administered over the telephone. Additionally, body weight and body mass index, depression, and anxiety were assessed before and immediately after treatment. Three-, 6-, and 12-month follow-up data were recorded in the treatment group. Immediately after the treatment the number of binge-eating episodes showed significant improvement (d = 1.02, between group) in the treatment group relative to the wait-list condition. The treatment group had also significantly reduced symptoms of all eating psychopathology outcomes relative to the wait-list condition (0.82 ≤ d ≤ 1.11). In the treatment group significant improvement was still observed for all measures 1 year after the intervention relative to pretreatment levels. The Internet-based intervention proved to be efficacious, significantly reducing the number of binge-eating episodes and eating disorder pathology long term. Low-threshold e-health interventions should be further evaluated to improve treatment access for patients suffering from BED.