Quiz: DE/ED in Athletes


DE/ED in AthletesOnline version Disordered eating in sports by Katie Bonnar 1 Which of the following best describes the "all-or-nothing" thinking trait in the context of athletic perfectionism? a The belief that any performance short of first place or a "perfect" session is a complete failure. b A commitment to training every single day regardless of weather or minor fatigue. c A preference for team sports where the collective outcome is the only metric that matters. d The desire to win at all costs, even if it means risking injury. 2 In the BEDA-Q screening tool, what is the primary purpose of using questions specifically adapted for athletes? a To focus exclusively on performance metrics rather than psychological distress. b To account for high training volumes that might otherwise be flagged as "excessive exercise" in the general population. c To ensure the language is simple enough for younger athletes to understand. d To bypass the need for clinical referral by allowing coaches to diagnose. 3 Which trait is present when an athlete feels their value as a human is tied directly to hitting a specific racing weight? a Somatic awareness b Performance-contingent self-worth c Adaptive striving d Physiological objectification 4 What does the term "asceticism" refer to in the context of an athlete with disordered eating tendencies? a The practice of eating only organic or "clean" foods. b Taking pride in self-denial and the ability to ignore biological signals like hunger, thirst, or pain. c A religious devotion to a specific training schedule. d The preference for training in isolation rather than in a group. 5 In the Observation-Impact-Support referral framework, why is it recommended to mention performance markers like "frequent injuries"? a It forces the coach to take responsibility for the athlete's diet. b It grounds the conversation in observable athletic facts rather than personal judgements or diagnoses. c It proves that the nutritionist is doing their job correctly. d It justifies the cost of hiring a clinical psychologist. 6 What is a common consequence of DE/ED on athletic performance? a Faster recovery and improved speed b Heavy training without fatigue c Increased muscle mass without weight changes d Impaired endurance and increased injury risk 7 Which response is an ethical approach when an athlete refuses to eat carbs because they are "impure" or "not clean"? a Inform the coach immediately that the athlete has a clinical eating disorder. b Ignore the comment and focus on their protein intake instead. c Ask, "I noticed you mentioned feeling anxious about purity; can you tell me more about how that affects your energy during practice?" d Tell them, "You are being irrational; carbohydrates are essential for glycogen replenishment" 8 What is a first-line approach to DE/ED in athletic settings? a Early, compassionate screening and referral b Only addressing training volume c Punitive dieting guidelines d Ignore unless the athlete requests help 9 In the context of RED-S, why might a perfectionistic athlete maintain a high training load despite clear signs of injury or fatigue? a High personal standards are biologically incompatible with the sensation of physical pain. b They lack the somatic awareness to realise they are injured. c Perfectionists have a lower baseline cortisol level, preventing them from feeling the effects of overtraining. d The psychological trait of "asceticism" allows them to view pain as a metric of successful discipline. 10 Which of these represents a "self-critical" perfectionism trap in a sports nutrition consultation? a The athlete asks for a more detailed meal plan to ensure they are getting enough micronutrients. b The athlete expresses frustration that they cannot afford the most expensive organic supplements. c The athlete ignores a successful race because they missed their target carbohydrate intake by 10 grams. d The athlete seeks a second opinion from another nutritionist to verify their current plan. Feedback 1 Answer is A: this reflects the cognitive rigidity where an athlete cannot find value in progress or high-level performance if it contains minor errors. 2 Answer is B: Standard tools often pathologise normal athletic behaviour; sport-specific tools differentiate between professional training and compensatory purging. 3 Answer is B: This occurs when an individual's self-esteem is not stable but fluctuates based on the achievement of specific standards. 4 Answer is B: This trait reframes self-deprivation as a form of superior discipline or "mental toughness". 5 Answer is B: Athletes are more receptive to hearing how their behaviours affect their ability to compete and stay healthy. 6 Answer is D: Reduced energy and/or restrictive practices lead to suboptimal fuelling, leaving athletes unable to "fuel for the work required" directly leading to performance declines and increased injury risk. 7 Answer is C: This approach uses motivational interviewing to explore and athlete's feelings and link them to performance without being confrontational. 8 Answer is A: The best tool against DE/ED is prevention; barring that, early detection is essential for providing rapid assistance. 9 Answer is D: Asceticism glorifies the rejection of bodily needs, leading the athlete to ignore the inflammatory signals that should trigger rest. 10 Answer is C: This shows an obsession with process-perfection over outcome-success, where even minor "rule breaking" invalidates their achievement.

1

Which of the following best describes the "all-or-nothing" thinking trait in the context of athletic perfectionism?

a

The belief that any performance short of first place or a "perfect" session is a complete failure.

b

A commitment to training every single day regardless of weather or minor fatigue.

c

A preference for team sports where the collective outcome is the only metric that matters.

d

The desire to win at all costs, even if it means risking injury.

2

In the BEDA-Q screening tool, what is the primary purpose of using questions specifically adapted for athletes?

a

To focus exclusively on performance metrics rather than psychological distress.

b

To account for high training volumes that might otherwise be flagged as "excessive exercise" in the general population.

c

To ensure the language is simple enough for younger athletes to understand.

d

To bypass the need for clinical referral by allowing coaches to diagnose.

3

Which trait is present when an athlete feels their value as a human is tied directly to hitting a specific racing weight?

a

Somatic awareness

b

Performance-contingent self-worth

c

Adaptive striving

d

Physiological objectification

4

What does the term "asceticism" refer to in the context of an athlete with disordered eating tendencies?

a

The practice of eating only organic or "clean" foods.

b

Taking pride in self-denial and the ability to ignore biological signals like hunger, thirst, or pain.

c

A religious devotion to a specific training schedule.

d

The preference for training in isolation rather than in a group.

5

In the Observation-Impact-Support referral framework, why is it recommended to mention performance markers like "frequent injuries"?

a

It forces the coach to take responsibility for the athlete's diet.

b

It grounds the conversation in observable athletic facts rather than personal judgements or diagnoses.

c

It proves that the nutritionist is doing their job correctly.

d

It justifies the cost of hiring a clinical psychologist.

6

What is a common consequence of DE/ED on athletic performance?

a

Faster recovery and improved speed

b

Heavy training without fatigue

c

Increased muscle mass without weight changes

d

Impaired endurance and increased injury risk

7

Which response is an ethical approach when an athlete refuses to eat carbs because they are "impure" or "not clean"?

a

Inform the coach immediately that the athlete has a clinical eating disorder.

b

Ignore the comment and focus on their protein intake instead.

c

Ask, "I noticed you mentioned feeling anxious about purity; can you tell me more about how that affects your energy during practice?"

d

Tell them, "You are being irrational; carbohydrates are essential for glycogen replenishment"

8

What is a first-line approach to DE/ED in athletic settings?

a

Early, compassionate screening and referral

b

Only addressing training volume

c

Punitive dieting guidelines

d

Ignore unless the athlete requests help

9

In the context of RED-S, why might a perfectionistic athlete maintain a high training load despite clear signs of injury or fatigue?

a

High personal standards are biologically incompatible with the sensation of physical pain.

b

They lack the somatic awareness to realise they are injured.

c

Perfectionists have a lower baseline cortisol level, preventing them from feeling the effects of overtraining.

d

The psychological trait of "asceticism" allows them to view pain as a metric of successful discipline.

10

Which of these represents a "self-critical" perfectionism trap in a sports nutrition consultation?

a

The athlete asks for a more detailed meal plan to ensure they are getting enough micronutrients.

b

The athlete expresses frustration that they cannot afford the most expensive organic supplements.

c

The athlete ignores a successful race because they missed their target carbohydrate intake by 10 grams.

d

The athlete seeks a second opinion from another nutritionist to verify their current plan.

Feedback

1

Answer is A: this reflects the cognitive rigidity where an athlete cannot find value in progress or high-level performance if it contains minor errors.

2

Answer is B: Standard tools often pathologise normal athletic behaviour; sport-specific tools differentiate between professional training and compensatory purging.

3

Answer is B: This occurs when an individual's self-esteem is not stable but fluctuates based on the achievement of specific standards.

4

Answer is B: This trait reframes self-deprivation as a form of superior discipline or "mental toughness".

5

Answer is B: Athletes are more receptive to hearing how their behaviours affect their ability to compete and stay healthy.

6

Answer is D: Reduced energy and/or restrictive practices lead to suboptimal fuelling, leaving athletes unable to "fuel for the work required" directly leading to performance declines and increased injury risk.

7

Answer is C: This approach uses motivational interviewing to explore and athlete's feelings and link them to performance without being confrontational.

8

Answer is A: The best tool against DE/ED is prevention; barring that, early detection is essential for providing rapid assistance.

9

Answer is D: Asceticism glorifies the rejection of bodily needs, leading the athlete to ignore the inflammatory signals that should trigger rest.

10

Answer is C: This shows an obsession with process-perfection over outcome-success, where even minor "rule breaking" invalidates their achievement.

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DE/ED in Athletes

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DE/ED in AthletesOnline version

by Katie Bonnar

Which of the following best describes the "all-or-nothing" thinking trait in the context of athletic perfectionism?

In the BEDA-Q screening tool, what is the primary purpose of using questions specifically adapted for athletes?

Which trait is present when an athlete feels their value as a human is tied directly to hitting a specific racing weight?

What does the term "asceticism" refer to in the context of an athlete with disordered eating tendencies?

In the Observation-Impact-Support referral framework, why is it recommended to mention performance markers like "frequent injuries"?

What is a common consequence of DE/ED on athletic performance?

Which response is an ethical approach when an athlete refuses to eat carbs because they are "impure" or "not clean"?

What is a first-line approach to DE/ED in athletic settings?

In the context of RED-S, why might a perfectionistic athlete maintain a high training load despite clear signs of injury or fatigue?

Which of these represents a "self-critical" perfectionism trap in a sports nutrition consultation?

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