Coach Pressure and Disordered Eating in Female Collegiate Athletes: Is the Coach-Athlete Relationship a Mediating Factor?

Coker-Cranney, Ashley; Reel, Justine J.

doi:10.1123/jcsp.2014-0052

Cited by 31 publications

(15 citation statements)

References 59 publications

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“…As reported by Muscat and Long (2008), negative comments from coaches and teammates can trigger body image disturbances or restrictive eating behaviors. In our series, perceived pressures from coaches were significantly associated with the presence of ED symptoms in female athletes competing in esthetic sports, supporting previous findings (e.g., Coker-Cranney and Reel, 2015). Our observation is also in accordance with Diaz et al (2019), who found that a considerable number of coaches showed weightrelated beliefs, attitudes, and practices that could potentially enhance the risk of EDs among the athletes under their care.…”

Section: Discussionsupporting

confidence: 91%

Eating Disorder Symptoms in Elite Spanish Athletes: Prevalence and Sport-Specific Weight Pressures

2021

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We determined the prevalence of eating disorder (ED) symptoms among elite Spanish athletes from a broad range of sports and levels of competition and examined the associations between the presence of symptoms and perceived sport-specific weight pressures. We surveyed 646 elite athletes (16.7 ± 4.4 years; 51.08% females) representing 33 sports from top-division teams and two elite athlete training centers in Catalonia. Based on the results of the Eating Attitudes Test-26 responses, 5.1% of athletes (7.6% of females and 2.5% of males) were at risk of EDs. The highest rates of ED symptoms were observed in male endurance athletes and female esthetic athletes. Competition level was not a risk factor. The only gender differences in the presence of ED symptoms by competing level were observed in athletes competing at the national level. Female athletes with ED symptoms scored higher on the two subscales of the Spanish version of the Weight Pressures in Sport (WPS) tool: coach and sport-specific pressures and pressures from teammates and due to uniform. Male athletes with ED symptoms scored higher on the pressures due to uniform subscale. Finally, symptomatic female but not male athletes competing at international and national levels also perceived greater sport-specific weight pressures.

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Section: Discussionsupporting

confidence: 91%

Eating Disorder Symptoms in Elite Spanish Athletes: Prevalence and Sport-Specific Weight Pressures

2021

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“…Athletes should be educated to recognise signs and behaviours that may be associated with eating disorders and RED-S, including overexercise, rigid eating patterns, amenorrhoea, a focus on thinness and a competitive comparison of physiques 299. A strong coach–athlete relationship may protect against eating disorders 300. Coaches need to understand the physiologic importance of proper nutrition and weight management 301–303.…”

Section: Specific Mental Health Symptoms and Disorders In Elite Athletesmentioning

confidence: 99%

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

et al. 2019

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Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.

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“…The sport environment has been shown to influence the risk of EDs, illness and premature death (Arcelus, Mitchell, Wales, & Nielsen, 2011) but may also play a vital role in minimizing ED risk and fostering recovery (Coker-Cranney & Reel, 2015). The aforementioned recommendations on the role of each MDTT member and considerations to support safe, appropriate treatment and training parameters, align with fostering an environment where the athlete is better able to navigate recovery and more consistently demonstrate an ability to adhere to treatment targets.…”

Section: Resultsmentioning

confidence: 99%

Essentials for Best Practice: Treatment Approaches for Athletes With Eating Disorders

Conviser

Tierney

Nickols

2018

Journal of Clinical Sport Psychology

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Eating disorders (EDs) and disordered-eating behaviors (DEBs), pose a high risk of morbidity and mortality, threatening physical health, emotional health, and overall quality of life. Unfortunately, among athletes, prevalence rates continue to increase. This document summarizes the challenges of establishing and navigating the multidisciplinary care needed to effectively treat EDs and DEBs among athletes. The benefits of timely and frequent communication within the multidisciplinary treatment team (MDTT) are emphasized and discussed. Authors advise who should be selected as members of the MDTT and suggest that all personnel, including athletic coaches, athletic trainers, physical therapists, and certified fitness professionals be ED-informed and ED-sensitive. Vital components of care are noted including use of a variety of evidence-based psychotherapeutic modalities, interventions which target emotional regulation, and prioritize values based compassionate care. Authors caution that performance decrements and medical/physiological changes are not always easily observable in individuals with EDs and DEBs and therefore, attuned, consistent, and ongoing monitoring is needed. Consensus regarding previously established parameters for return to play and careful titration of physical activity throughout the ED recovery process are suggested as important for preserving health, preventing re-injury, or relapse and facilitating successful return to sport participation.

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Coach Pressure and Disordered Eating in Female Collegiate Athletes: Is the Coach-Athlete Relationship a Mediating Factor?

Cited by 31 publications

References 59 publications

Eating Disorder Symptoms in Elite Spanish Athletes: Prevalence and Sport-Specific Weight Pressures

Eating Disorder Symptoms in Elite Spanish Athletes: Prevalence and Sport-Specific Weight Pressures

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

Essentials for Best Practice: Treatment Approaches for Athletes With Eating Disorders

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