The aim of this qualitative study was to investigate the role of academic achievement in the process of stress and coping of academically high-achieving females before the onset of disordered eating. Fourteen academically high-achieving female adults who had developed disordered eating in high school were interviewed, using a semistructured interview protocol. The results of a timeline analysis revealed three phases in the complex interaction of stress and coping before the onset of eating disorder symptoms. Academic achievement was both a coping strategy and a stressor for all of these high-achieving females, but the role of academic achievement changed over the timeline. The findings of this study are potentially relevant for academically high-achieving females, their teachers, and their counselors.

中文翻译：

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学业成绩优异的女性在饮食失调之前学业成绩的变化作用

这项定性研究的目的是调查学业成就在饮食失调开始前学术成就高的女性的压力和应对过程中的作用。使用半结构化采访协议采访了 14 名在高中时出现饮食失调的学业成绩优异的女性成年人。时间线分析的结果揭示了在饮食失调症状出现之前压力和应对的复杂相互作用的三个阶段。学业成就既是所有这些高成就女性的应对策略，也是压力源，但随着时间的推移，学业成就的作用发生了变化。这项研究的结果可能与学业成绩优异的女性、她们的老师和她们的辅导员相关。