Implications of a diagnosis of anorexia nervosa in a ballet school.
Competitive pressures to achieve a slim body shape may be of importance in the etiology of eating disorders in ballet dancers. This study examines the presence of anorexia nervosa-like symptoms in a group of 49 female ballet students (mean age = 18.9 years, SD +/- 1.9). All students were assessed for certain physical (weight and height) and psychological (Eating Attitude Test [EAT]) indices at the start of their academic training year. Thereafter, all subjects who presented with anorexia nervosa-like symptoms (EAT > or = 30, and/or with current secondary amenorrhea or primary amenorrhea if aged 16 years or over) at the initial assessment, were invited for a semistructured interview (Morgan-Russel scales) to determine their diagnostic status. Another aim of the study was to assess the prognostic implications of a diagnosis of anorexia nervosa in this sample. All subjects previously interviewed were invited for a follow-up assessment at 10 months. Anorexia nervosa could be diagnosed in 2 students (4.1%), whilst another 4 students (8.2%) presented with "partial syndrome" anorexia nervosa. All diagnosed students managed to complete their academic training year. The development and implications of a diagnosis of anorexia nervosa in the ballet students are discussed.
le Grange
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Department of Psychology, University of Cape Town, Rondebosch, South Africa.
Tibbs
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Noakes
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D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D001828:Body Image; D015992:Body Mass Index; D001835:Body Weight; D003430:Cross-Sectional Studies; D003615:Dancing; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010552:Personality Assessment