Female Athlete Body Project Intervention with Professional Dancers: A Pilot Trial

Sasha Gorrell, Katherine Schaumberg, James F Boswell, Julia M Hormes, Drew A Anderson, Sasha Gorrell, Katherine Schaumberg, James F Boswell, Julia M Hormes, Drew A Anderson

Abstract

As aesthetic athletes, professional dancers have increased vulnerability for eating disorders (EDs), with three times higher risk than non-dancers. Among ballet dancers, generalized risk for EDs associated with internalization of western cultural female beauty ideals is compounded by idealization of a ballet-specific body ideal, a combination that confers unique vulnerability for eating pathology. Empirical support has been established for an athlete-specific intervention promoting body acceptance and reduced eating pathology among general populations of young-adult women and female collegiate athletes; the current study adapted this intervention for pilot implementation among professional ballet dancers. Participants from two elite ballet companies (N = 19) were randomized to a control and intervention condition. All participants self-reported eating pathology and related variables pre- and post-intervention, and at six-week follow-up. Post-intervention, participants receiving the intervention demonstrated reductions in body dissatisfaction, p = .005, r = -.63, dietary restraint, p = .008, r = -.59, and eating pathology, p = .007, r = -.60, as compared to control group counterparts; significant differences were retained at follow-up. Results provide preliminary evidence that this intervention has the potential to provide a feasible and acceptable means of ED prevention in female professional ballet dancers. Barriers to feasibility are identified and discussed.

Conflict of interest statement

Declarations of interest: none.

Figures

Figure 1.
Figure 1.
CONSORT Flow Diagram
Figure 2.
Figure 2.
Median Values for Variables of Interest Relative to Company Note. T1 = pre-intervention; T2 = post-intervention; EDE-Qavg = Eating Disorders Examination Questionnaire – average global scores; EDE-Qbd = Eating Disorders Examination Questionnaire – Body Dissatisfaction subscale scores; DRES = Restrained Eating Scale scores

References

    1. Anderson CM, Petrie TA, & Neumann CS (2012). Effects of sport pressures on female collegiate athletes: A preliminary longitudinal investigation. Sport, Exercise, and Performance Psychology, 1(2), 120. doi:10.1037/a0026587
    1. Arcelus J, Witcomb GL, & Mitchell A (2014). Prevalence of eating disorders amongst dancers: a systemic review and meta‐analysis. European Eating Disorders Review, 22(2), 92–101. doi:10.1002/erv.2271
    1. Bar RJ, Cassin SE, & Dionne MM (2017). The long-term impact of an eating disorder prevention program for professional ballet school students: A 15-year follow-up study. Eating disorders, 25(5), 375–387. doi:10.1080/10640266.2017.1308731
    1. Barnes J, Prescott T, & Muncer S (2012). Confirmatory factor analysis for the Eating Disorder Examination Questionnaire: Evidence supporting a three-factor model. Eating Behaviors, 13(4), 379–381. doi:10.1016/j.eatbeh.2012.05.001
    1. Becker CB, McDaniel L, Bull S, Powell M, & McIntyre K (2012). Can we reduce eating disorder risk factors in female college athletes? A randomized exploratory investigation of two peer-led interventions. Body Image, 9(1), 31–42. doi:10.1016/j.bodyim.2011.09.005
    1. Bratland-Sanda S & Sundgot-Borgen J (2013). Eating disorders in athletes: Overview of prevalence, risk factors, and recommendations for prevention and treatment. European Journal of Sport Science, 13, 499–508. doi:10.1080/17461391.2012.740504
    1. Darcy AM, Hardy KK, Crosby RD, Lock J, & Peebles R (2013). Factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in male and female college athletes. Body Image, 10(3), 399–405. doi:10.1016/j.bodyim.2013.01.008
    1. Fairburn CG, & Beglin SJ (1994). Assessment of eating disorders: Interview or self report questionnaire?. International journal of eating disorders, 16(4), 363–370.
    1. Jacobson NS, & Truax P (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of consulting and clinical psychology, 59(1), 12. doi:10.1037/10109-042
    1. Kaufman BA, Warren MP, Dominguez JE, Wang J, Heymsfield SB, & Pierson RN (2002). Bone density and amenorrhea in ballet dancers are related to decreased resting metabolic rate and lower leptin levels. Journal of Clinical Epidemiology & Metabolism, 87(6), 2777–2783. doi:10.1210/jcem.87.6.8565
    1. Manore MM, Kam LC, & Loucks AB (2007). The female athlete triad: components, nutrition issues, and health consequences. Journal of sports sciences, 25(S1), S61–S71. doi:10.1080/02640410701607320
    1. Mond JM, Hay PJ, Rodgers B, & Owen C (2006). Eating Disorder Examination Questionnaire (EDE-Q): norms for young adult women. Behaviour research and therapy, 44(1), 53–62. doi:10.1016/j.brat.2004.12.003
    1. Mountjoy M, Sundgot-Borgen J, Burke L, Carter S, Constantini N, Lebrun C, … & Ljungqvist A (2014). The IOC consensus statement: beyond the female athlete triad—Relative Energy Deficiency in Sport (RED-S). British Journal of Sports Medicine, 48(7), 491–497. doi:10.1136/bjsports-2014-093502
    1. Mundry R, & Fischer J (1998). Use of statistical programs for nonparametric tests of small samples often leads to incorrect P values: examples from Animal Behaviour. Animal behaviour, 56(1), 256–259. doi:10.1006/anbe.1998.0756
    1. National Institute of Health; Executive Summary of the Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. (1998). Archives of Internal Medicine, 158(17), 1855. doi:10.1001/archinte.158.17.1855
    1. Piran N (1999). Eating disorders: A trial of prevention in a high risk school setting. Journal of Primary Prevention, 20(1), 75–90.
    1. Pope Z, Gao Y, Bolter N, & Pritchard M (2015). Validity and reliability of eating disorder assessments used with athletes: A review. Journal of Sport and Health Science, 4(3), 211–221.
    1. Ringham R, Klump K, Kaye W, Stone D, Libman S, Stowe S, & Marcus M (2006). Eating disorder symptomatology among ballet dancers. International Journal of Eating Disorders, 39(6), 503–508. doi:10.1002/eat.20299
    1. Stewart TM, Pollard T, Hildebrandt T, Beyl R, Wesley N, Kilpela LS, & Becker CB (2017). The Female Athlete Body (FAB) study: Rationale, design, and baseline characteristics. Contemporary clinical trials, 60, 63–71. doi:10.1016/j.cct.2017.06.005
    1. Stice E, & Agras WS (1998). Predicting onset and cessation of bulimic behaviors during adolescence: A longitudinal grouping analysis. Behavior therapy, 29(2), 257–276. doi:10.1016/s0005-7894(98)80006-3
    1. Stice E, Chase A, Stormer S, & Appel A (2001). A randomized trial of a dissonance-based eating disorder prevention program. International Journal of Eating Disorders, 29(3), 247–262. doi:10.1002/eat.1016
    1. Stice E, & Shaw HE (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of psychosomatic research, 53(5), 985–993. doi:10.1016/s0022-3999(02)00488-9
    1. Stice E, Marti CN, Spoor S, Presnell K, & Shaw H (2008). Dissonance and healthy weight eating disorder prevention programs: long-term effects from a randomized efficacy trial. Journal of consulting and clinical psychology, 76(2), 329. doi:10.1037/0022-006x.76.2.329
    1. Sundgot-Borgen J, & Torstveit MK (2004). Prevalence of eating disorders in elite athletes is higher than in the general population. Clinical Journal of Sport Medicine, 14(1), 25–32. doi:10.1097/00042752-200401000-00005
    1. Thomas JJ, Keel PK, & Heatherton TF (2005). Disordered eating attitudes and behaviors in ballet students: examination of environmental and individual risk factors. International Journal of Eating Disorders, 38(3), 263–268. doi:10.1002/eat.20185
    1. Van Strien T, Frijters JE, Van Staveren WA, Defares PB, & Deurenberg P (1986). The predictive validity of the Dutch restrained eating scale. International Journal of Eating Disorders, 5(4), 747–755.

Source: PubMed

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