Comparing eating disorder characteristics and treatment in self-identified competitive athletes and non-athletes from the National Eating Disorders Association online screening tool.
Comparing eating disorder characteristics and treatment in self-identified competitive athletes and non-athletes from the National Eating Disorders Association online screening tool.
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DOI：
10.1002/eat.23415
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Bulik CM
中科院分区：
文献类型：
--
作者：
Flatt RE;Thornton LM;Fitzsimmons-Craft EE;Balantekin KN;Smolar L;Mysko C;Wilfley DE;Taylor CB;DeFreese JD;Bardone-Cone AM;Bulik CM
我们比较了进食障碍（艾德）的特点和治疗寻求行为之间的自我认定的竞技运动员和非运动员在一个大的，以社区为基础的样本。在2018年全国饮食失调意识周期间，23，920名受访者，其中14.7%被确定为竞技运动员，完成了全国饮食失调协会在线屏幕。收集了人口统计学、饮食行为紊乱、可能的艾德诊断/风险、治疗史和寻求治疗的意图的数据。样本主要为白色（81.8%）、女性（90.3%）和13-24岁（82.6%）。超过86%的患者符合艾德/亚阈值艾德标准，其中只有2.5%的患者接受了治疗。超过一半的样本报告有自杀意念。运动员比非运动员更有可能参与和更频繁地过度运动。运动员还报告说，与非运动员相比，运动员参与暴饮暴食的可能性显着降低，频率也更低。运动员比非运动员更有可能筛查出艾德/阈下艾德阳性，但所有可能的艾德诊断的百分比相似。运动员和非运动员之间在治疗史或筛选后寻求治疗的意图方面没有显着差异（小于30%）。虽然运动员和非运动员中可能的艾德诊断的分布相似，但与饮食行为紊乱相关的症状特征和频率可能不同。运动员可能不太可能寻求治疗，由于耻辱，可及性和体育特定的障碍。今后的工作应直接将调查对象与量身定制的治疗工具联系起来，并增加寻求治疗的动力。
We compared eating disorder (ED) characteristics and treatment seeking behaviors between self-identified competitive athletes and non-athletes in a large, community-based sample. During the 2018 National Eating Disorders Awareness Week, 23,920 respondents, 14.7% of whom identified as competitive athletes, completed the National Eating Disorders Association online screen. Data were collected on demographics, disordered eating behaviors, probable ED diagnosis/risk, treatment history, and intent to seek treatment. The sample was predominately White (81.8%), female (90.3%), and between 13–24 years (82.6%). Over 86% met criteria for an ED/subthreshold ED, and of those, only 2.5% were in treatment. Suicidal ideation was reported in over half of the sample. Athletes reported a significantly greater likelihood of engaging in and more frequent excessive exercise episodes than non-athletes. Athletes also reported a significantly lower likelihood of engaging in and less frequent binge-eating episodes compared with non-athletes. Athletes were more likely to screen positive for an ED/subthreshold ED than non-athletes, but percentages across all probable ED diagnoses were similar. No significant differences between athletes and non-athletes emerged on treatment history or intention to seek treatment post-screen (less than 30%). Although the distribution of probable ED diagnoses was similar in athletes and non-athletes, symptom profiles related to disordered eating behavior engagement and frequency may differ. Athletes may be less likely to seek treatment due to stigma, accessibility, and sport-specific barriers. Future work should directly connect survey respondents to tailored treatment tools and increase motivation to seek treatment.
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DOI：
10.1080/07448481.2018.1483936
发表时间：
2019-05
期刊：
Journal of American college health : J of ACH
影响因子：
--
作者：
Graham AK;Trockel M;Weisman H;Fitzsimmons-Craft EE;Balantekin KN;Wilfley DE;Taylor CB
通讯作者：
Taylor CB
影响因子：
2.5
作者：
Eisenberg, Daniel;Downs, Marilyn F.;Zivin, Kara
通讯作者：
Zivin, Kara
影响因子：
5.5
作者：
Gagne, Danielle A.;Von Holle, Ann;Brownley, Kimberly A.;Runfola, Cristin D.;Hofmeier, Sara;Branch, Kateland E.;Bulik, Cynthia M.
通讯作者：
Bulik, Cynthia M.
影响因子：
5.5
作者：
Adkins, EC;Keel, PK
通讯作者：
Keel, PK
影响因子：
18.4
作者：
Mountjoy, Margo;Sundgot-Borgen, Jorunn;Ljungqvist, Arne
通讯作者：
Ljungqvist, Arne