METHODS: Factors related to the development of mental health symptoms in male and female Swedish national team gymnasts were investigated using baseline and 1-year follow-up scores in two subscales of the Eating Disorders Inventory 3; drive for thinness and body dissatisfaction, two subscales of the Compulsive Exercise Test; avoidance and rule-driven behavior and exercise for weight control, and the Montgomery-Åsberg Depression Rating Scale-Self report (MADRS-S). Linear mixed models were used to investigate the influence of drive for thinness, exercise for weight control, avoidance and rule-driven behavior, and MADRS-S on body dissatisfaction.
RESULTS: Body dissatisfaction increased from baseline to the follow-up assessment, while drive for thinness and depression remained stable. Symptoms of eating disorders and depression were generally low in this group of elite gymnasts at both assessments. Drive for thinness, exercise for weight control, and symptoms of depression were associated with body dissatisfaction.
CONCLUSIONS: Our findings indicate that there were no significant changes over time in eating disorders and depression symptoms but significant associations with body dissatisfaction. Furthermore, we found independent effects of drive for thinness, exercise for weight control and symptoms of depression for body dissatisfaction.
方法:使用饮食失调清单3的两个子量表中的基线和1年随访分数,调查了与瑞典国家队男女体操运动员心理健康症状发展有关的因素;强迫性运动测试的两个分量表;避免和规则驱动的行为和锻炼以控制体重,和蒙哥马利-奥斯贝格抑郁量表-自我报告(MADRS-S)。线性混合模型用于研究驱动器对薄度的影响,控制体重的运动,回避和规则驱动的行为,和MADRS-S对身体不满。
结果:从基线到随访评估,身体不满增加,而瘦弱和抑郁的驱动力保持稳定。在两种评估中,这组精英体操运动员的饮食失调和抑郁症的症状普遍较低。为变薄而行驶,控制体重的运动,抑郁症状与身体不满有关。
结论:我们的研究结果表明,随着时间的推移,进食障碍和抑郁症状没有显著变化,但与身体不满显著相关。此外,我们发现了驱动变薄的独立影响,运动控制体重和抑郁症状的身体不满。