Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder

Victoria Samantha Scarratt

doi:10.29333/ajqr/13244

Victoria Samantha Scarratt ¹ ^*

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AM J QUALITATIVE RES, Volume 7, Issue 3, pp. 91-114

https://doi.org/10.29333/ajqr/13244

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Abstract

Eating disorders (ED) are serious and potentially life-treating mental disorders that affect millions of individuals worldwide. Researchers have indicated that athletes who participate in sports are at a greater risk of developing an ED than members of the general population. Previous research has focused on investigating the prevalence and symptomatology of eating disorder sufferers. Limited qualitative research has sought to analyze the lived experiences of patients and especially athletes with an ED. Therefore, the purpose of this research is to provide a platform for an athlete who was clinically diagnosed with an ED to share their story and highlight how playing a sport affected their condition. Semi-structured interviews were conducted with one female athlete who participated in a non-weight-centered sport. Interpretative phenomenological analysis was used to understand the experiences of the athlete and investigate how participation in a competitive sport impacted their eating disorder. Four superordinate themes emerged from the data: family dysfunction, life transitions, control over emotions, and social support needs. The findings from this study were atypical in comparison to current research. Although participating in football exacerbated the symptoms of the participant’s eating disorder, it was not involved in the aetiology as previous research has indicated. Football provided the participant with an outlet to separate from the powerful stressors she faced.

Keywords: Athletes, bulimia nervosa, eating disorders, interpretative phenomenological analysis.

References

Abood, D., & Black, D. (1999, November 30). Health Education Prevention for Eating Disorders among College Female Athletes. American Journal of Health Behaviour, 24(3). Retrieved May 17, 2022, from https://eric.ed.gov/?id=EJ607397
Alase, A. (2017). The interpretative phenomenological analysis (IPA): A guide to a good qualitative research approach. International Journal of Education and Literacy Studies, 5(2), 9-15. https://doi.org/10.7575/aiac.ijels.v.5n.2p.9
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Angen, M. J. (2000). Evaluating interpretive inquiry: Reviewing the validity debate and opening the dialogue. Qualitative Health Research, 10(3), 378–395. https://doi.org/10.1177/104973200129118516
Anorexia nervosa. National Eating Disorders Association. (2018, February 28). Retrieved March 27, 2023, from https://www.nationaleatingdisorders.org/learn/by-eating-disorder/anorexia
Arnott, I., & Adeniyi, A. (2022, April). Irritable bowel syndrome: Health information: BUPA UK. Irritable bowel syndrome | Health Information | Bupa UK. Retrieved May 17, 2022, from https://www.bupa.co.uk/health-information/digestive-gut%20health/irritable-bowel-syndrome
Arthur-Cameselle, J. N., & Quatromoni, P. A. (2013). Eating disorders in collegiate female athletes: Factors that assist recovery. Eating Disorders, 22(1), 50–61. https://doi.org/10.1080/10640266.2014.857518
Bailey, A. (2022, April 6). What is the DSM-5? Verywell Health. Retrieved May 16, 2022, from https://www.verywellhealth.com/an-overview-of-the-dsm-5-5197607
Beals, K. A., & Manore, M. M. (1994). The prevalence and consequences of subclinical eating disorders in female athletes. International Journal of Sport Nutrition, 4(2), 175–195. https://doi.org/10.1123/ijsn.4.2.175
Berge, J. M., Loth, K., Hanson, C., Croll-Lampert, J., & Neumark-Sztainer, D. (2011). Family life cycle transitions and the onset of eating disorders: A retrospective grounded theory approach. Journal of Clinical Nursing, 21(9-10), 1355–1363. https://doi.org/10.1111/j.1365-2702.2011.03762.x
Berry, T. R., & Howe, B. L. (2000). Risk factors for disordered eating in female university athletes. Journal of Sport Behavior, 23(3), 207–218.
Bickford, N. (2018, December 12). Eating disorders in male athletes. Run Fast. Eat Slow. Retrieved May 16, 2022, from https://runfasteatslow.com/blogs/news/eating-disorders-in-male-athletes
Botha, D. (2009). Psychotherapeutic treatment for anorexia nervosa: Modernist, structural treatment approaches, and a post-structuralist perspective. Counselling, Psychotherapy, and Health, 5(1), 1-46.
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(5), 499–508. https://doi.org/10.1080/17461391.2012.740504
Brewer, B. W., Van Raalte, J. L., & Linder, D. E. (1993). Athletic identity: Hercules’ muscle or Achilles heel? International Journal of Sport Psychology, 24(2), 237-254.
Byrne, S., & McLean, N. (2002). Elite athletes: Effects of the pressure to be thin. Journal of Science and Medicine in Sport, 5(2), 80–94. https://doi.org/10.1016/s1440-2440(02)80029-9
Brown, E. (2014, July 17). Feeling the pressure. The Hoya. Retrieved May 17, 2022, from https://thehoya.com/feeling-the-pressure/
Cerniglia, L., Zoratto, F., Cimino, S., Laviola, G., Ammaniti, M., & Adriani, W. (2017). Internet addiction in adolescence: Neurobiological, psychosocial and clinical issues. Neuroscience & Biobehavioral Reviews, 76, 174–184. https://doi.org/10.1016/j.neubiorev.2016.12.024
Currie, A. (2007). A psychiatric perspective on athletes with eating disorders. Journal of Clinical Sport Psychology, 1(4), 329–339. https://doi.org/10.1123/jcsp.1.4.329
Currie, A. (2010). Sport and eating disorders - understanding and managing the risks. Asian Journal of Sports Medicine, 1(2). https://doi.org/10.5812/asjsm.34864
Code of ethics and conduct. BPS. (2018, April 18). Retrieved May 16, 2022, from https://www.bps.org.uk/news-and-policy/bps-code-ethics-and-conduct
Cowden, S., & Goldman, R. (2020, May 19). Understanding the binge-purge cycle in bulimia. Verywell Mind. Retrieved May 16, 2022, from https://www.verywellmind.com/the-binge-purge-cycle-1138380.
de Bruin, A. P. K., Oudejans, R. R. D., & Bakker, F. C. (2007). Dieting and body image in aesthetic sports: A comparison of Dutch female gymnasts and non-aesthetic sport participants. Psychology of Sport and Exercise, 8(4), 507–520. https://doi.org/10.1016/j.psychsport.2006.10.002
de Bruin, A. P., Oudejans, R. R., Bakker, F. C., & Woertman, L. (2011). Contextual body image and athletes' disordered eating: The contribution of athletic body image to disordered eating in high-performance women athletes. European Eating Disorders Review, 19(3), 201–215. https://doi.org/10.1002/erv.1112
DiBartolo, P. M., & Shaffer, C. (2002). A comparison of female college athletes and nonathletes: Eating disorder symptomatology and psychological well-being. Journal of Sport and Exercise Psychology, 24(1), 33–41. https://doi.org/10.1123/jsep.24.1.33
Dosil, J. (2008). Eating disorders in athletes. Eating Disorders in Athletes. https://doi.org/10.1002/9780470725047
Eating disorders & athletes. National Eating Disorders Association. (2018, April 27). Retrieved May 17, 2022, from https://www.nationaleatingdisorders.org/eating-disorders-athletes
Fielding, N., & Fielding, J. L. (1986). Linking data. Sage.
Firman, G. (2020, April 24). Diagnostic criteria for bulimia nervosa (DSM-5). MedicalCRITERIAcom. Retrieved May 16, 2022, from https://medicalcriteria.com/web/bulimia/
Fontana, A., & Frey, J. H. (2000). The interview: From structured questions to negotiated text. In N. K. Denzin, & Y. S. Lincoln (Eds.), Handbook of qualitative research (2nd ed., pp. 645-672). Thousand Oaks, CA: Sage.
Forney, K. J., Buchman-Schmitt, J. M., Keel, P. K., & Frank, G. K. W. (2016). The medical complications associated with purging. International Journal of Eating Disorders, 49(3), 249–259. https://doi.org/10.1002/eat.22504
Gardner, F., & Moore, Z. (2006). Clinical sport psychology. Human Kinetics.
Gapin, J. I., & Kearns, B. (2013). Assessing prevalence of eating disorders and eating disorder symptoms among lightweight and open weight collegiate rowers. Journal of Clinical Sport Psychology, 7(3), 198–214. https://doi.org/10.1123/jcsp.7.3.198
Gapin, J. I., & Petruzzello, S. J. (2011). Athletic identity and disordered eating in obligatory and on-obligatory runners. Journal of Sports Sciences, 29(10), 1001–1010. https://doi.org/10.1080/02640414.2011.571275
Greenleaf, C., Petrie, T., Reel, J., & Carter, J. (2007). Psychosocial risk factors of bulimic symptomatology among female athletes. Journal of Clinical Sport Psychology, 4(3), 177–190. https://doi.org/10.1123/jcsp.4.3.177
Hausenblas, H. A., & Downs, D. S. (2001). Comparison of body image between athletes and Nonathletes: A meta-analytic review. Journal of Applied Sport Psychology, 13(3), 323–339. https://doi.org/10.1080/104132001753144437
Heidegger, M. (1962). Being and time. (Trans. J. Macquarrie and E. Robinson). Harper & Row. (Original work published 1927).
Husserl, E. (1970). Logical investigations. (Trans. J. Findlay). Humanities Press. (German original, 1900).
Jacobi, F., Wittchen, H., Holting, C., Hofler, M., Pfister, H., Muller, N., & Lieb, R. (2004). Prevalence, co-morbidity and correlates of mental disorders in the general population: Results from the German Health Interview and Examination Survey (GHS). Psychological Medicine, 34(4), 597–611. https://doi.org/10.1017/s0033291703001399
Johnson, C., Powers, P. S., & Dick, R. (1999). Athletes and eating disorders: The National Collegiate Athletic Association Study. International Journal of Eating Disorders, 26(2), 179–188.
Kato, K., Jervas, S., & Culpepper, D. (2016, April 1). Body image disturbances in NCAA Division I and III female athletes. The Sport Journal. Retrieved May 16, 2022, from https://thesportjournal.org/article/body-image-disturbances-in-ncaa-division-i-and-iii-female-athletes/
Keel, P. K., & Forney, K. J. (2013). Psychosocial risk factors for eating disorders. International Journal of Eating Disorders, 46(5), 433–439. https://doi.org/10.1002/eat.22094
Knapp, J., Aerni, G., & Anderson, J. (2014). Eating disorders in female athletes. Current Sports Medicine Reports, 13(4), 214–218. https://doi.org/10.1249/jsr.0000000000000074
Kontele, I., Vassilakou, T., & Donti, O. (2022). Weight pressures and eating disorder symptoms among adolescent female gymnasts of different performance levels in Greece. Children, 9(2), 254. https://doi.org/10.3390/children9020254
Krane, V., Choi, P. Y., Baird, S. M., Aimar, C. M., & Kauer, K. J. (2004). Living the paradox: Female Athletes Negotiate Femininity and muscularity. Sex Roles, 50(5/6), 315–329. https://doi.org/10.1023/b:sers.0000018888.48437.4f
Levine, M. P., & Smolak, L. (2013). Paradigm clash in the field of eating disorders: A critical examination of the BIOPSYCHIATRIC model from a sociocultural perspective. Advances in Eating Disorders, 2(2), 158–170. https://doi.org/10.1080/21662630.2013.839202
Lincoln, Y. S. & Guba, E. G. (1985). Naturalistic Inquiry. Publications.
Mabe, A. G., Forney, K. J., & Keel, P. K. (2014). Do you “like” my photo? Facebook use maintains eating disorder risk. International Journal of Eating Disorders, 47(5), 516–523. https://doi.org/10.1002/eat.22254
Mancuso, S. G., Newton, J. R., Bosanac, P., Rossell, S. L., Nesci, J. B., & Castle, D. J. (2015). Classification of eating disorders: Comparison of relative prevalence rates using DSM-IV and DSM-5 criteria. British Journal of Psychiatry, 206(6), 519–520. https://doi.org/10.1192/bjp.bp.113.143461
Morrow, S. L. (2005). Quality and trustworthiness in qualitative research in counselling psychology. Journal of Counseling Psychology, 52(2), 250–260. https://doi.org/10.1037/0022-0167.52.2.250
Nunn, A. L. (2009, October). Eating disorder and the experience of self: An Interpretative Phenomenological Analysis. Retrieved May 16, 2022, from https://uhra.herts.ac.uk/bitstream/handle/2299/4513/Amanda%20Nunn%20%20DClinPsy%20research%20thesis.pdf
Papathomas, A., & Lavallee, D. (2006). A life history analysis of a male athlete with an eating disorder. Journal of Loss and Trauma, 11(2), 143–179. https://doi.org/10.1080/15325020500409192
Papathomas, A., & Lavallee, D. (2010). Athlete experiences of disordered eating in sport. Qualitative Research in Sport and Exercise, 2(3), 354–370. https://doi.org/10.1080/19398441.2010.517042
Papathomas, A., & Lavallee, D. (2012). Narrative constructions of anorexia and abuse: An athlete's search for meaning in trauma. Journal of Loss and Trauma, 17(4), 293–318. https://doi.org/10.1080/15325024.2011.616740
Papathomas, A., & Lavallee, D. (2014). Self-starvation and the performance narrative in Competitive Sport. Psychology of Sport and Exercise, 15(6), 688–695. https://doi.org/10.1016/j.psychsport.2013.10.014
Penelo, E., Negrete, A., Portell, M., & Raich, R. M. (2013). Psychometric Properties of the eating disorder examination questionnaire (EDE-Q) and norms for rural and urban adolescent males and females in Mexico. PLoS ONE, 8(12). https://doi.org/10.1371/journal.pone.0083245
Petrie, T. A. (1993). Coping skills, competitive trait anxiety, and playing states: Moderating effects an the life stress-injury relationship. Journal of Sport and Exercise Psychology, 15(3), 261–274. https://doi.org/10.1123/jsep.15.3.261
Petrie, T. A., & Greenleaf, C. A. (2007). Eating disorders in sport: From theory to research to Intervention. Handbook of Sport Psychology, 352–378. https://doi.org/10.1002/9781118270011.ch16
Pietkiewicz, I., & Smith, J. A. (2014). A practical guide to using interpretative phenomenological analysis in qualitative research psychology. Czasopismo Psychologiczne Psychological Journal, 20(1). https://doi.org/10.14691/cppj.20.1.7
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. https://doi.org/10.1016/j.jshs.2014.05.001
Rowe, S. (2021, April 27). What's the DSM? Psych Central. Retrieved May 17, 2022, from https://psychcentral.com/lib/dsm-5
Sherman, R. T., & Thompson, R. A. (2001). Athletes and disordered eating: Four major issues for the professional psychologist. Professional Psychology: Research and Practice, 32(1), 27–33. https://doi.org/10.1037/0735-7028.32.1.27
Smith, J. A. (1996). Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology. Psychology & Health, 11(2), 261–271. https://doi.org/10.1080/08870449608400256
Smith, J. A., & Osborn, M. (2008). Interpretative phenomenological analysis. Doing Social Psychology Research, 229–254 https://doi.org/10.1002/9780470776278.ch10
Smith, J. A., & Osborn, M. (2014). Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain. British Journal of Pain, 9(1), 41–42. https://doi.org/10.1177/2049463714541642
Smith, J. A., Larkin, M., & Flowers, P. (2009). Doing interpretative phenomenological analysis: A practical guide to method and application. SAGE.
Smolak, L., Murnen, S. K., & Ruble, A. E. (2000). Female athletes and eating problems: A meta-analysis. International Journal of Eating Disorders, 27(4), 371–380. https://doi.org/10.1002/(sici)1098-108x(200005)27:4<371::aid-eat1>3.0.co;2-y
Stillwell, A. M., & Baumeister, R. F. (1997). The construction of victim and perpetrator memories: Accuracy and distortion in role-based accounts. Personality and Social Psychology Bulletin, 23(11), 1157–1172. https://doi.org/10.1177/01461672972311004
Stoutjesdyk, D., & Jevne, R. (1993). Eating disorders among high-performance athletes. Journal of Youth and Adolescence, 22(3), 271–282. https://doi.org/10.1007/bf01537792
Sundgot-Borgen, J. (1994). Risk and trigger factors for the development of eating disorders in female elite athletes. Medicine & Science in Sports & Exercise, 26(4). https://doi.org/10.1249/00005768-199404000-00003
Sundgot-Borgen, J., & Torstveit, M. K. (2004). Prevalence of eating disorders in elite athletes is higher than in the general population. Clinical Journal of Sport Medicine, 14(1), 25–32. https://doi.org/10.1097/00042752-200401000-00005
Thompson, J. K. (1987). Body size distortion in anorexia nervosa: Reanalysis and reconceptualization. International Journal of Eating Disorders, 6(3), 379–384.
Thompson, R. A., & Sherman, R. T. (1993). Helping athletes with eating disorders. Human Kinetics Publishers.
Tiller, J. M., Sloane, G., Schmidt, U., Troop, N., Power, M., & Treasure, J. L. (1997). Social support in patients with anorexia nervosa and bulimia nervosa. International Journal of Eating Disorders. https://doi.org/10.1002/(sici)1098-108x(199701)21:1<31::aid-eat4>3.0.co;2-4
Torstveit, M. K., Rosenvinge, J. H., & Sundgot-Borgen, J. (2007). Prevalence of eating disorders and the predictive power of risk models in female elite athletes: A controlled study. Scandinavian Journal of Medicine & Science in Sports, 18(1), 108– 118. https://doi.org/10.1111/j.1600-0838.2007.00657.x
Turton, R., Chami, R., & Treasure, J. (2017). Emotional eating, binge eating and animal models of binge-type eating disorders. Current Obesity Reports, 6(2), 217–228. https://doi.org/10.1007/s13679-017-0265-8
Valdez, R., & Smalls-Mantey, A. (2021, November 1). Initiating and following through with eating disorder recovery. Verywell Health. Retrieved May 17, 2022, from https://www.verywellhealth.com/eating-disorder-recovery-5204819
Vo, M., Accurso, E. C., Goldschmidt, A. B., & Le Grange, D. (2016). The impact of DSM-5 on eating disorder diagnoses. International Journal of Eating Disorders, 50(5), 578–581. https://doi.org/10.1002/eat.22628
Williamson, D. F., Pamuk, E., Thun, M., Flanders, D., Byers, T., & Heath, C. (1999). Prospective study of intentional weight loss and mortality in overweight white men aged 40-64 years. American Journal of Epidemiology, 149(6), 491–503. https://doi.org/10.1093/oxfordjournals.aje.a009843
Yardley, L. (2000). Dilemmas in qualitative health research. Psychology & Health, 15(2), 215–228. https://doi.org/10.1080/08870440008400302
Ziegler, P. J., Khoo, C. S., Sherr, B., Nelson, J. A., Larson, W. M., & Drewnowski, A. (1998). Body image and dieting behaviors among elite figure skaters. International Journal of Eating Disorders, 24(4), 421–427.

Citation

Scarratt, V. S. (2023). Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder. American Journal of Qualitative Research, 7(3), 91-114. https://doi.org/10.29333/ajqr/13244

Scarratt, V. S. (2023). Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder. American Journal of Qualitative Research, 7(3), pp. 91-114. https://doi.org/10.29333/ajqr/13244

Scarratt VS. Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder. AM J QUALITATIVE RES. 2023;7(3), 91-114. https://doi.org/10.29333/ajqr/13244

Scarratt, Victoria Samantha. "Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder". American Journal of Qualitative Research 2023 7 no. 3 (2023): 91-114. https://doi.org/10.29333/ajqr/13244

Scarratt, Victoria Samantha "Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder". American Journal of Qualitative Research, vol. 7, no. 3, 2023, pp. 91-114. https://doi.org/10.29333/ajqr/13244

Scarratt VS. Ninety Minutes of Freedom: An Interpretative Phenomenological Analysis of the Role that Sport Plays on an Athlete with an Eating Disorder. AM J QUALITATIVE RES. 2023;7(3):91-114. https://doi.org/10.29333/ajqr/13244