University of North Texas, Denton, Texas, USA.
Duke University Athletics, Durham, NC, USA.
Int J Eat Disord. 2021 Apr;54(4):646-651. doi: 10.1002/eat.23456. Epub 2020 Dec 31.
Due to high prevalence, female athletes are considered a high-risk group for eating disorders (i.e., clinical ED = 2.0% to 19.9%; subclinical ED = 7.1% to 49.2%). Cross-sectional and longitudinal research have identified psychosocial factors that influence current and future disordered eating (e.g., appearance pressures, body satisfaction), but are limited in design (e.g., timeframe, active competitors). Quantitative evaluations of psychosocial predictors of female athletes' disordered eating in retirement are lacking.
The current study investigated the predictive ability of psychosocial risk factors (e.g., body dissatisfaction, negative affect) from Time1, when collegiate female athletes were actively competing, to Time2, 6 years later when the women were retired (N = 194; M = 25.75 years [SD = 1.19]).
From Time1 to Time2, 23.5% of the women who were Healthy moved to the Disordered classification; 51% remained in Disordered. The full model for athletes who maintained their Disordered status correctly classified 76% of the athletes. Dietary intent, pressure to exercise and change appearance, body satisfaction, and internalization significantly predicted athletes' maintenance as Disordered.
Early intervention efforts that address appearance pressures, body image, and healthful eating when athletes are actively competing are vital to help alleviate future distress, particularly in retirement.
由于患病率较高,女性运动员被认为是饮食失调的高风险群体(即临床 ED=2.0%至 19.9%;亚临床 ED=7.1%至 49.2%)。横断面和纵向研究已经确定了影响当前和未来饮食失调的心理社会因素(例如,外貌压力、身体满意度),但在设计上存在局限性(例如,时间框架、现役运动员)。缺乏对女性退休运动员饮食失调的心理社会预测因素的定量评估。
本研究调查了心理社会风险因素(例如,身体不满、负性情绪)在时间 1(当大学女性运动员积极参赛时)到时间 2(6 年后女性退休时)的预测能力(N=194;M=25.75 岁[SD=1.19])。
从时间 1 到时间 2,23.5%的健康运动员转为饮食失调组;51%的人仍处于饮食失调状态。对于保持饮食失调状态的运动员,完整模型正确分类了 76%的运动员。饮食意图、锻炼和改变外貌的压力、身体满意度和内化显著预测了运动员的维持状态。
在运动员积极参赛时,针对外貌压力、身体形象和健康饮食的早期干预措施对于缓解未来的困扰至关重要,尤其是在退休后。