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Chapter 9 - Swimming: Adolescent Athlete Training Commitments

Published online by Cambridge University Press:  29 July 2020

Amit D. Mistry
Barnet, Enfield and Haringey Mental Health NHS Trust
Thomas McCabe
NHS Greater Glasgow and Clyde
Alan Currie
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
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EG is a 16-year-old female who had been told by family, friends and coaches throughout her sporting life that she is destined for the Olympics if she keeps training hard. She has had many successes to date. She trained with a swimming club since she was aged four. E is a top-three short distance national swimmer for her age group. Her most recent success was coming 2nd in the under-15 age category at last summer’s British championships.

Publisher: Cambridge University Press
Print publication year: 2020

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Elliott-Sale, K, Tenforde, A, Parziale, A, Holtzman, B, Ackerman, K. Endocrine effects of relative energy deficiency in sport. International Journal of Sport Nutrition and Exercise Metabolism. 2018;28(4):335–49.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5®). Washington, DC. American Psychiatric Publishing. 2013.Google Scholar
Godart, NT, Flament, MF, Lecrubier, Y, Jeammet, P. Anxiety disorders in anorexia nervosa and bulimia nervosa: Co-morbidity and chronology of appearance. European Psychiatry. 2000;15(1:)3845.CrossRefGoogle ScholarPubMed
Swinburne, J, Touyz, S. The co-morbidity of eating disorders and anxiety disorders: A review. European Eating Disorders Review.2012;15(4):253–74.Google Scholar
Mountjoy, M, Sundgot-Borgen, J, Burke, L, Carter, S, Constantini, N, Lebrun, C, et al. The IOC consensus statement: Beyond the female athlete triad – relative energy deficiency in sport. British Journal of Sports Medicine.2014;48: 491–97.CrossRefGoogle ScholarPubMed
Grange, Le ., Doyle, PM, Swanson, SA, Ludwig, K, Glunz, C, Kreipe, RE. Calculation of expected body weight in adolescents with eating disorders. Paediatrics. 2012;129(2):438–46.CrossRefGoogle ScholarPubMed
Martinsen, M, Sundgot-Borgen, J. Higher prevalence of eating disorders among adolescent elite athletes than controls. Medicine and Science in Sports and Exercise.2003;45(6):1188–97.Google Scholar
Nilsson, K, Sundbom, E, Hagglof, B. A longitudinal study of perfectionism in adolescent onset anorexia nervosa-restricting type. European Eating Disorders Review. 2008;16(5):386–94.CrossRefGoogle ScholarPubMed
Thompson, RA, Sherman, RT. The last word on the 29th Olympiad: Redundant, revealing, remarkable, and redundant. Eating Disorders: The Journal of Treatment and Prevention.2009;17:97102. ScholarPubMed
Monell, E, Levallius, J, Mantilla, EF, Birgegard, A. Running on empty – a nationwide large-scale examination of compulsive exercise in eating disorders. Journal of Eating Disorders. 2018;6:11.CrossRefGoogle ScholarPubMed
Dalle Grave, R, Calugi, S, Marchesini, G. Compulsive exercise to control shape or weight in eating disorders: Prevalence, associated features and treatment outcome. Comprehensive Psychiatry. 2008; 49(4):346–52.CrossRefGoogle ScholarPubMed
Goodwin, H, Haycraft, E, and Meyer, C. Psychological risk factors for compulsive exercise: A longitudinal investigation of adolescent boys and girls. Personality and Individual Differences. 2014 68:8386.CrossRefGoogle Scholar
Plateau, CR, Shanmugam, V, Duckham, RL, Goodwin, H, Jowett, S, Brooke-Wavell, KSF, et al. Use of the Compulsive Exercise Test with athletes: Norms and links with eating psychopathology. Journal of Applied Sport Psychology. 2014; 26(3):287301.CrossRefGoogle Scholar
Plateau, CR, Arcelus, J, Meyer, C. Detecting eating psychopathology in female athletes by asking about exercise: Use of the Compulsive Exercise Test. European Eating Disorders Review. 2017;25(6):619–24.CrossRefGoogle ScholarPubMed
Murray, SB, Nagata, JM, Griffiths, S, Calzo, JP, Brown, TA, Mitchison, D, et al. The enigma of male eating disorders: A critical review and synthesis. Clinical Psychology Review. 2017;57:111.CrossRefGoogle ScholarPubMed
Hill, LS, Reid, F, Morgan, JF, Lacey, JH, SCOFF: The development of an eating disorder screening questionnaire. International Journal of Eating Disorders. 2010;43(4):344–51.Google ScholarPubMed
Morgan, JF, Reid, F, Lacey, JH. The SCOFF Questionnaire: A new screening tool for eating disorders. British Medical Journal. 1999; 319: 1267–468.CrossRefGoogle ScholarPubMed
Lichtenstein, MB, Daugaard-Hemmingsen, S, Storving, R. Identification of eating disorder symptoms in Danish adolescent with the SCOFF Questionnaire. Nordic Journal of Psychiatry.2017; 71(5):340–47.CrossRefGoogle ScholarPubMed
Fairburn, CG, Beglin, SJ. Eating Disorder Examination Questionnaire (6.0). In Fairburn, CG. Cognitive Behavior Therapy and Eating Disorders. New York. Guilford Press. 2008.Google ScholarPubMed
White, HJ, Haycraft, E, Goodwin, H, Meyer, C. Eating disorder examination questionnaire: Factor structure for adolescent girls and boys. International Journal of Eating Disorders. 2014;47(1):99104.CrossRefGoogle ScholarPubMed
Darcy, AM, Hardy, KK, Crosby, RD, Lock, J, Peebles, R. Factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in male and female college athletes. Body Image.2013;10(3):399405.CrossRefGoogle ScholarPubMed
Meyer, C, Taranis, L, Haycraft, E. Compulsive exercise and eating disorders. European Eating Disorders Review. 2011;19(3):174–89.Google ScholarPubMed
Taranis, L, Touyz, S, Meyer, C. Disordered eating and exercise: Development and preliminary validation of the compulsive exercise test. European Eating Disorders Review. 2011;19(3):256–68.CrossRefGoogle ScholarPubMed
Golden, NH, Katzman, DK, Sawyer, SM, Ornstein, RM, Rome, ES, Garber, AK, et al. Update on the medical management of eating disorders in adolescents. Journal of Adolescent Health. 2015;56(4):370–75.CrossRefGoogle ScholarPubMed
Lock, J, Le Grange, D, Agras, WS, Moye, A, Bryson, SW, Jo, B. Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Archives of General Psychiatry. 2010;67(10):1025–32.CrossRefGoogle ScholarPubMed

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