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However, their specific features and therapy responses are lacking in the literature. The aims of this article were to compare clinical, psychopathological and personality traits between ED patients who were professional athletes (ED-A) with those who were not (ED-NA) and to explore differences in response to treatment. The sample comprised n = 104 patients with ED (n = 52 ED-A and n = 52 matched ED-NA) diagnosed according to DSM-5 criteria. Evaluation consisted of a semi-structured face-to-face clinical interview conducted by expert clinicians and a psychometric battery. Treatment outcome was evaluated when the treatment program ended. ED-A patients showed less body dissatisfaction and psychological distress. No differences were found in treatment outcome among the groups. Within the ED-A group, those participants who performed individual sport activities and aesthetic sports presented higher eating psychopathology, more general psychopathology, differential personality traits and poor therapy outcome. Individual and aesthetic sports presented more severity and worse prognosis. Although usual treatment for ED might be similarly effective in ED-A and ED-NA, it might be important to develop preventive and early detection programs involving sports physicians and psychologists, coaches and family throughout the entire athletic career and afterwards.<\/jats:p>","DOI":"10.3390\/nu15133003","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:42:46Z","timestamp":1688344966000},"page":"3003","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Athletes with Eating Disorders: Analysis of Their Clinical Characteristics, Psychopathology and Response to Treatment"],"prefix":"10.3390","volume":"15","author":[{"given":"Ana","family":"Ib\u00e1\u00f1ez-Caparr\u00f3s","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University Hospital Germans Trias i Pujol, 08916 Badalona, Spain"},{"name":"Institut Recerca Germans Trias i Pujol (IGTP), 08916 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and Health Sciences, University of Barcelona, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magda","family":"Rosinska","sequence":"additional","affiliation":[{"name":"Body Image Assessment and Intervention Unit, Department of Clinical Psychology and Health, Autonomous University of Barcelona, 08193 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-0442","authenticated-orcid":false,"given":"Ansgar","family":"Thiel","sequence":"additional","affiliation":[{"name":"Interfaculty Research Institute for Sport and Physical Activity, University of T\u00fcbingen, 72074 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1659-4440","authenticated-orcid":false,"given":"Stephan","family":"Zipfel","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine, University of T\u00fcbingen, 72074 T\u00fcbingen, Germany"},{"name":"Centre of Excellence for Eating Disorders (KOMET), University of T\u00fcbingen, 72076 T\u00fcbingen, Germany"},{"name":"German Centre of Mental Health (DZPG), University of T\u00fcbingen, 72076 T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"de Pablo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University Hospital Germans Trias i Pujol, 08916 Badalona, Spain"},{"name":"Institut Recerca Germans Trias i Pujol (IGTP), 08916 Badalona, Spain"},{"name":"Department of Psychiatrics and Legal Medicine, School of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5989-936X","authenticated-orcid":false,"given":"Lucia","family":"Camacho-Barcia","sequence":"additional","affiliation":[{"name":"Clinical Psychology Unit, Bellvitge University Hospital, 08907 Barcelona, 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University of Barcelona, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders DSM-5, American Psychiatric Publishing.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/S0140-6736(09)61748-7","article-title":"Eating disorders","volume":"375","author":"Treasure","year":"2010","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1002\/erv.2738","article-title":"COVID-19 and implications for eating disorders","volume":"28","author":"Casas","year":"2020","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/eat.23704","article-title":"The impact of the COVID-19 pandemic on eating disorders: A systematic review","volume":"56","author":"Devoe","year":"2023","journal-title":"Int. J. Eat. Disord."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1007\/s11920-012-0282-y","article-title":"Epidemiology of eating disorders: Incidence, prevalence and mortality rates","volume":"14","author":"Smink","year":"2012","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/imj.14691","article-title":"Current approach to eating disorders: A clinical update","volume":"50","author":"Hay","year":"2020","journal-title":"Intern. Med. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/0010-440X(78)90072-X","article-title":"Hyperactivity in anorexia nervosa: A fundamental clinical feature","volume":"19","author":"Kron","year":"1978","journal-title":"Compr. Psychiatry"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/S0031-9384(03)00102-1","article-title":"Hyperactivity in patients with anorexia nervosa and in semistarved rats: Evidence for a pivotal role of hypoleptinemia","volume":"79","author":"Hebebrand","year":"2003","journal-title":"Physiol. Behav."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"903777","DOI":"10.3389\/fspor.2022.903777","article-title":"Understanding exercise addiction, psychiatric characteristics and use of anabolic androgenic steroids among recreational athletes\u2014An online survey study","volume":"4","author":"Gunnarsson","year":"2022","journal-title":"Front. Sport. Act. Living"},{"key":"ref_10","unstructured":"Rizk, M., Mattar, L., Kern, L., Berthoz, S., Duclos, J., Viltart, O., and Godart, N. (2020). Physical Activity in Eating Disorders: A Systematic Review. Nutrients, 12."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S1471-0153(01)00026-5","article-title":"Exercise and eating disorders: A 3-year inpatient hospital record analysis","volume":"2","author":"Solenberger","year":"2001","journal-title":"Eat. Behav."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.comppsych.2007.12.007","article-title":"Compulsive exercise to control shape or weight in eating disorders: Prevalence, associated features, and treatment outcome","volume":"49","author":"Calugi","year":"2008","journal-title":"Compr. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1002\/eat.22140","article-title":"Measured physical activity in anorexia nervosa: Features and treatment outcome","volume":"46","author":"Calugi","year":"2013","journal-title":"Int. J. Eat. Disord."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1002\/(SICI)1098-108X(199712)22:4<339::AID-EAT1>3.0.CO;2-N","article-title":"The long-term course of severe anorexia nervosa in adolescents: Survival analysis of recovery, relapse, and outcome predictors over 10\u201315 years in a prospective study","volume":"22","author":"Strober","year":"1997","journal-title":"Int. J. Eat. Disord."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.3389\/fpsyg.2016.01852","article-title":"Dimensions of compulsive exercise across eating disorder diagnostic subtypes and the validation of the spanish version of the compulsive exercise test","volume":"7","author":"Sauchelli","year":"2016","journal-title":"Front. Psychol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1111\/j.1600-0838.2007.00657.x","article-title":"Prevalence of eating disorders and the predictive power of risk models in female elite athletes: A controlled study","volume":"18","author":"Torstveit","year":"2008","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1525\/si.1993.16.3.273","article-title":"A Little Pain Never Hurt Anyone: Athletic Career Socialization and the Normalization of Sports Injury","volume":"16","author":"Curry","year":"1993","journal-title":"Symb. Interact."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1123\/ssj.8.4.307","article-title":"Positive Deviance among Athletes: The Implications of Overconformity to the Sport Ethic","volume":"8","author":"Hughes","year":"2016","journal-title":"Sociol. Sport J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.psychsport.2013.10.012","article-title":"Giving everything for athletic success!\u2014Sports-specific risk acceptance of elite adolescent athletes","volume":"15","author":"Schnell","year":"2014","journal-title":"Psychol. Sport Exerc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1123\/ssj.25.2.206","article-title":"\u201cJust a Normal Bad Part of What I Do\u201d: Elite Athletes\u2019 accounts of the relationship between health and sport","volume":"25","author":"Theberge","year":"2008","journal-title":"Sociol. Sport J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"241","DOI":"10.5960\/dzsm.2015.194","article-title":"Health in Elite Sports\u2014A \u201cBio-Psycho-Social\u201d Perspective","volume":"66","author":"Thiel","year":"2015","journal-title":"Dtsch. Z. Sportmed."},{"key":"ref_22","unstructured":"Young, K. (2004). Sporting Bodies, Damaged Selves: Sociological Studies of Sports-Related Injury, Elsevier Ltd."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.psychsport.2017.12.004","article-title":"Compete or rest? Willingness to compete hurt among adolescent elite athletes","volume":"35","author":"Mayer","year":"2018","journal-title":"Psychol. Sport Exerc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1002\/eat.23415","article-title":"Comparing eating disorder characteristics and treatment in self-identified competitive athletes and non-athletes from the National Eating Disorders Association online screening tool","volume":"54","author":"Flatt","year":"2021","journal-title":"Int. J. Eat. Disord."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2470","DOI":"10.3389\/fpsyg.2019.02470","article-title":"Team Sports Off the Field: Competing Excludes Cooperating for Individual but Not for Team Athletes","volume":"10","author":"Landkammer","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1600-0838.2011.01380.x","article-title":"A longitudinal investigation of sports-related risk factors for disordered eating in aesthetic sports","volume":"23","author":"Krentz","year":"2013","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_27","first-page":"414","article-title":"Risk and trigger factors for the development of eating disorders in female elite athletes","volume":"26","year":"1994","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1002\/erv.2271","article-title":"Prevalence of eating disorders amongst dancers: A systemic review and meta-analysis","volume":"22","author":"Arcelus","year":"2014","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"101434","DOI":"10.1016\/j.eatbeh.2020.101434","article-title":"Symptoms of disordered eating and participation in individual- and team sports: A population-based study of adolescents","volume":"39","author":"Heradstveit","year":"2020","journal-title":"Eat. Behav."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1002\/eat.22511","article-title":"Eating disorder pathology in elite adolescent athletes","volume":"49","author":"Giel","year":"2016","journal-title":"Int. J. Eat. Disord."},{"key":"ref_31","unstructured":"Salkind, N. (2015). Encyclopedia of Measurement and Statistics, American Psychiatric Association."},{"key":"ref_32","unstructured":"Garner, D.M. (1991). EDI-2: Professional Manual, Psychological Assessment Resources."},{"key":"ref_33","unstructured":"Garner, D.M. (1998). EDI 2: Inventario de Trastornos de la Conducta Alimentaria, TEA Ediciones."},{"key":"ref_34","unstructured":"Derogatis, L.R., and Unger, R. (1996). SCL-90-R: Symptom Checklist-90-Revised: Administration, Scoring and Procedures Manual, Clinical Psychometric Research."},{"key":"ref_35","unstructured":"Gonzales de Rivera, J.L., and de Las Cuevas, C. (2002). SCL-90-R Cuestionario de 90 Sintomas, TEA Editorial."},{"key":"ref_36","unstructured":"Cloninger, C.R. (1999). The Temperament and Character Inventory-Revised, Center for Psychobiology of Personality."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1111\/j.1600-0838.1993.tb00379.x","article-title":"Pathogenic weight-control methods and self-reported eating disorders in female elite athletes and controls","volume":"3","author":"Larsen","year":"1993","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1002\/erv.2822","article-title":"The impact of duration of illness on treatment nonresponse and drop-out: Exploring the relevance of enduring eating disorder concept","volume":"29","author":"Treasure","year":"2021","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_39","unstructured":"Fernandez-Aranda, F., and Turon, V. (1998). Trastornos Alimentarios. Guia Basica de Tratamiento en Anorexia y Bulimia, Masson."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Ag\u00fcera, Z., Romero, X., Arcelus, J., S\u00e1nchez, I., Riesco, N., Jim\u00e9nez-Murcia, S., Gonz\u00e1lez-G\u00f3mez, J., Granero, R., Custal, N., and De Bernab\u00e9, M.M.G. (2015). Changes in body composition in anorexia nervosa: Predictors of recovery and treatment outcome. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0143012"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Ag\u00fcera, Z., Riesco, N., Jim\u00e9nez-Murcia, S., Islam, M.A., Granero, R., Vicente, E., Pe\u00f1as-Lled\u00f3, E., Arcelus, J., S\u00e1nchez, I., and Menchon, J.M. (2013). Cognitive behaviour therapy response and dropout rate across purging and nonpurging bulimia nervosa and binge eating disorder: DSM-5 implications. BMC Psychiatry, 13.","DOI":"10.1186\/1471-244X-13-285"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1002\/erv.2519","article-title":"Short-Term Treatment Outcomes and Dropout Risk in Men and Women with Eating Disorders","volume":"25","author":"Granero","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1037\/a0028086","article-title":"On effect size","volume":"17","author":"Kelley","year":"2012","journal-title":"Psychol. Methods"},{"key":"ref_44","first-page":"552","article-title":"Non-normal data: Is ANOVA still a valid option?","volume":"29","author":"Blanca","year":"2017","journal-title":"Psicothema"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1002\/1521-4036(200112)43:8<985::AID-BIMJ985>3.0.CO;2-4","article-title":"On the False Discovery Rate and Expected Type I Errors","volume":"43","author":"Finner","year":"2001","journal-title":"Biom. J."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Aalen, O.O., Borgan, \u00d8., and Gjessing, H.K. (2008). Survival and Event History Analysis: A Process Point of View, Springer. Statistics for Biology and Health.","DOI":"10.1007\/978-0-387-68560-1"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1080\/10640269908249284","article-title":"\u201cGood athlete\u201d traits and characteristics of anorexia nervosa: Are they similar?","volume":"7","author":"Thompson","year":"1999","journal-title":"Eat. Disord."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"176","DOI":"10.2165\/00007256-199417030-00004","article-title":"Eating Disorders in Female Athletes","volume":"17","year":"1994","journal-title":"Sports Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e000801","DOI":"10.1136\/bmjsem-2020-000801","article-title":"Disordered eating and eating disorders in male elite athletes: A scoping review","volume":"6","author":"Karrer","year":"2020","journal-title":"BMJ Open Sport Exerc. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1080\/07448481.2020.1775608","article-title":"Disordered eating- and exercise-related behaviors and cognitions during the first year college transition","volume":"70","author":"Zhan","year":"2022","journal-title":"J. Am. Coll. Health"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0005-7894(05)80239-4","article-title":"Dieting and the search for the perfect body: Where physiology and culture collide","volume":"22","author":"Brownell","year":"1991","journal-title":"Behav. Ther."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1002\/eat.23748","article-title":"Eating-disorder psychopathology in female athletes and non-athletes: A meta-analysis","volume":"55","author":"Chapa","year":"2022","journal-title":"Int. J. Eat. Disord."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/(SICI)1098-108X(200005)27:4<371::AID-EAT1>3.0.CO;2-Y","article-title":"Female athletes and eating problems: A meta-analysis","volume":"27","author":"Smolak","year":"2000","journal-title":"Int. J. Eat. Disord."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"817757","DOI":"10.3389\/fspor.2022.817757","article-title":"Mental Health in Elite Student Athletes: Exploring the Link between Training Volume and Mental Health Problems in Norwegian College and University Students","volume":"4","author":"Grasdalsmoen","year":"2022","journal-title":"Front. Sports Act. Living"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1007\/s40279-016-0492-2","article-title":"The Mental Health of Elite Athletes: A Narrative Systematic Review","volume":"46","author":"Rice","year":"2016","journal-title":"Sports Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1136\/bjsports-2019-100620","article-title":"Determinants of anxiety in elite athletes: A systematic review and meta-analysis","volume":"53","author":"Rice","year":"2019","journal-title":"Br. J. Sports Med."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Forys, W.J., and Tokuhama-Espinosa, T. (2022). The Athlete\u2019s Paradox: Adaptable Depression. Sports, 10.","DOI":"10.3390\/sports10070105"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"182","DOI":"10.3389\/fphys.2018.00182","article-title":"Symptoms of anxiety and depression in young athletes using the hospital anxiety and depression scale","volume":"9","author":"Weber","year":"2018","journal-title":"Front. Physiol."},{"key":"ref_59","first-page":"304","article-title":"Obsessive-compulsive and depressive symptoms in professional tennis players","volume":"18","author":"Marazziti","year":"2021","journal-title":"Clin. Neuropsychiatry"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s40337-022-00717-4","article-title":"Risk factors for eating disorders: Findings from a rapid review","volume":"11","author":"Barakat","year":"2023","journal-title":"J. Eat. Disord."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1111\/jcpp.12441","article-title":"Research Review: What we have learned about the causes of eating disorders\u2014A synthesis of sociocultural, psychological, and biological research","volume":"56","author":"Culbert","year":"2015","journal-title":"J. Child Psychol. Psychiatry Allied Discip."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"215","DOI":"10.2165\/00007256-199214040-00001","article-title":"Obsessive and Compulsive Traits in Athletes","volume":"14","author":"Hauck","year":"1992","journal-title":"Sport. Med."},{"key":"ref_63","first-page":"490","article-title":"Team sport athletes may be less likely to suffer anxiety or depression than individual sport athletes","volume":"18","author":"Pluhar","year":"2019","journal-title":"J. Sports Sci. Med."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1249\/MSS.0b013e318281a939","article-title":"Higher prevalence of eating disorders among adolescent elite athletes than controls","volume":"45","author":"Martinsen","year":"2013","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1034\/j.1600-0838.2002.2e276.x","article-title":"Weight and eating disorders in elite athletes","volume":"12","year":"2002","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/2050-2974-1-18","article-title":"Weight-control behaviour and weight-concerns in young elite athletes\u2014A systematic review","volume":"1","author":"Werner","year":"2013","journal-title":"J. Eat. Disord."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1111\/j.1600-0838.2010.01190.x","article-title":"Aspects of disordered eating continuum in elite high-intensity sports","volume":"20","author":"Torstveit","year":"2010","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Kemarat, S., Theanthong, A., Yeemin, W., and Suwankan, S. (2022). Personality characteristics and competitive anxiety in individual and team athletes. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0262486"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1002\/eat.22168","article-title":"Factors associated with recovery from anorexia nervosa: A population-based study","volume":"47","author":"Raevuori","year":"2014","journal-title":"Int. J. Eat. Disord."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0005-7967(92)90143-5","article-title":"Predictors of short-term treatment outcome in bulimia nervosa inpatients","volume":"30","author":"Bossert","year":"1992","journal-title":"Behav. Res. Ther."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/(SICI)1098-108X(199701)21:1<1::AID-EAT1>3.0.CO;2-R","article-title":"Does early intervention improve the prognosis in anorexia nervosa? A systematic review of the treatment-outcome literature","volume":"21","author":"Schoemaker","year":"1997","journal-title":"Int. J. Eat. Disord."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1159\/000063645","article-title":"Dropout from brief psychotherapy in anorexia nervosa","volume":"71","author":"Fassino","year":"2002","journal-title":"Psychother. Psychosom."},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Fassino, S., Pier\u00f2, A., Tomba, E., and Abbate-Daga, G. (2009). Factors associated with dropout from treatment for eating disorders: A comprehensive literature review. BMC Psychiatry, 9.","DOI":"10.1186\/1471-244X-9-67"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1016\/j.brat.2006.09.016","article-title":"The effect of inpatient cognitive-behavioral therapy for eating disorders on temperament and character","volume":"45","author":"Calugi","year":"2007","journal-title":"Behav. Res. Ther."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1097\/NMD.0b013e318266bbba","article-title":"Why do people with eating disorders drop out from inpatient treatment?: The role of personality factors","volume":"200","author":"Huas","year":"2012","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_76","first-page":"177","article-title":"Physical activity, exercise, and mental disorders: It is time to move on","volume":"43","author":"Schuch","year":"2021","journal-title":"Trends Psychiatry Psychother."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1146\/annurev-med-060619-022943","article-title":"The Role of Exercise in Management of Mental Health Disorders: An Integrative Review","volume":"72","author":"Smith","year":"2021","journal-title":"Annu. Rev. Med."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s40337-022-00685-9","article-title":"Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review","volume":"11","author":"Quesnel","year":"2023","journal-title":"J. Eat. Disord."},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Raisi, A., Zerbini, V., Piva, T., Belvederi Murri, M., Menegatti, E., Caruso, L., Masotti, S., Grazzi, G., Mazzoni, G., and Mandini, S. (2023). Treating Binge Eating Disorder with Physical Exercise: A Systematic Review and Meta-analysis. J. Nutr. Educ. Behav.","DOI":"10.1016\/j.jneb.2023.03.010"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"939856","DOI":"10.3389\/fpsyt.2022.939856","article-title":"Exercise therapy in the treatment of anorexia nervosa: Its effects depending on the type of physical exercise\u2014A systematic review","volume":"13","author":"Toutain","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1080\/10640266.2020.1740912","article-title":"A yoga-based therapy program designed to improve body image among an outpatient eating disordered population: Program description and results from a mixed-methods pilot study","volume":"28","author":"Diers","year":"2020","journal-title":"Eat. Disord."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1002\/erv.2779","article-title":"Development and evaluation of an adapted physical activity program in anorexia nervosa inpatients: A pilot study","volume":"28","author":"Kern","year":"2020","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.jadohealth.2009.08.007","article-title":"Randomized Controlled Clinical Trial of Yoga in the Treatment of Eating Disorders","volume":"46","author":"Carei","year":"2010","journal-title":"J. Adolesc. Health"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"101161","DOI":"10.1016\/j.ctcp.2020.101161","article-title":"Feasibility and effect of a Pilates program on the clinical, physical and sleep parameters of adolescents with anorexia nervosa","volume":"39","year":"2020","journal-title":"Complement. Ther. Clin. Pract."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s40337-018-0203-5","article-title":"How to integrate physical activity and exercise approaches into inpatient treatment for eating disorders: Fifteen years of clinical experience and research","volume":"6","author":"Danielsen","year":"2018","journal-title":"J. Eat. 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