{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:22:16Z","timestamp":1791850936502,"version":"4.3.4"},"reference-count":39,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"unspecified","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2022,6,15]]},"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine the extent to which athletics coaches can identify evidence of an eating disorder in track athletes and what treatment advice they would provide.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Vignettes depicting athletes portraying symptoms consistent with anorexia nervosa (AN) and bulimia nervosa (BN) were developed and used to survey 185 UK and Irish athletics coaches (and a community sample of 105 non-coaches) regarding their ability to recognise and respond to symptoms of an eating disorder.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Coaches were no more likely than the community sample to correctly identify an eating disorder but were more likely to suggest professional treatment for an athlete experiencing symptoms of AN (OR 1.82, 95% CI 1.02 to 3.29). For both eating disorders, higher levels of mental health literacy (AN: OR 1.06, 95% CI 1.02 to 1.11, BN: OR 1.08, 95% CI 1.04 to 1.14) and more years of coaching experience (AN: OR 1.12, 95% CI 1.03 to 1.24, BN: OR 1.07, 95% CI 1.01 to 1.16) also increased the likelihood of suggesting professional help. When considering the whole sample, participants were more likely to correctly identify an eating disorder (OR 4.67, 95% CI 2.66 to 8.20) and suggest professional treatment for AN than BN (OR 1.76, CI 1.04 to 2.97). Further, symptoms of AN were more likely to be correctly identified in female than male athletes (OR 2.26, 95% CI 1.28 to 4.06).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Although coaches were more likely than community members to recommend professional treatment to an athlete exhibiting symptoms of an eating disorder, they were no more likely to correctly identify an eating disorder in the first instance. Further work is required to enhance coaches\u2019 capacity to identify symptoms of eating disorders to ensure athletes receive appropriate interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2022-001333","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T11:41:03Z","timestamp":1660822863000},"page":"e001333","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Investigating coaches\u2019 recognition of symptoms of eating disorders in track athletes"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3434-9334","authenticated-orcid":false,"given":"Margaret Catherine","family":"Macpherson","sequence":"first","affiliation":[{"name":"School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0746-8362","authenticated-orcid":false,"given":"R\u00f3is\u00edn","family":"Harrison","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Aberdeen, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9768-8451","authenticated-orcid":false,"given":"Dannette","family":"Marie","sequence":"additional","affiliation":[{"name":"School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4164-3470","authenticated-orcid":false,"given":"Lynden K","family":"Miles","sequence":"additional","affiliation":[{"name":"School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"2025083112190029000_8.3.e001333.1","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200401000-00005"},{"key":"2025083112190029000_8.3.e001333.2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0019007"},{"key":"2025083112190029000_8.3.e001333.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2020-000801"},{"key":"2025083112190029000_8.3.e001333.4","doi-asserted-by":"crossref","DOI":"10.1186\/s40337-020-00323-2","article-title":"Prevalence of disordered eating in athletes categorized by emphasis on leanness and activity type - a systematic review","volume":"8","author":"Mancine","year":"2020","journal-title":"J Eat Disord"},{"key":"2025083112190029000_8.3.e001333.5","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e318149f111"},{"key":"2025083112190029000_8.3.e001333.6","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093218"},{"key":"2025083112190029000_8.3.e001333.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093502"},{"key":"2025083112190029000_8.3.e001333.8","doi-asserted-by":"crossref","DOI":"10.3390\/nu12030835","article-title":"Low energy availability in athletes 2020: an updated narrative review of prevalence, risk, within-day energy balance, knowledge, and impact on sports performance","volume":"12","author":"Logue","year":"2020","journal-title":"Nutrients"},{"key":"2025083112190029000_8.3.e001333.9","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095735"},{"key":"2025083112190029000_8.3.e001333.10","doi-asserted-by":"publisher","DOI":"10.1177\/1941738112439685"},{"key":"2025083112190029000_8.3.e001333.11","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100715"},{"key":"2025083112190029000_8.3.e001333.12","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101813"},{"key":"2025083112190029000_8.3.e001333.13","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092966"},{"key":"2025083112190029000_8.3.e001333.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2019-000676"},{"key":"2025083112190029000_8.3.e001333.15","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-017-0568-6"},{"key":"2025083112190029000_8.3.e001333.16","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100710"},{"key":"2025083112190029000_8.3.e001333.17","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association . 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