Cyclic patterns of high-risk behaviours within ballet culture

Abstract Background To determine whether a sample of pre-professionally trained, professional, and retired ballet dancers experienced body dysmorphia, eating disorders (EDs), perfectionism, Obsessive–Compulsive Disorder (OCD), anxiety, depression, substance use, sexual abuse, and injuries within bal...

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Main Authors: Meigan Picard, Michael Gaetz
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-025-02653-9
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author Meigan Picard
Michael Gaetz
author_facet Meigan Picard
Michael Gaetz
author_sort Meigan Picard
collection DOAJ
description Abstract Background To determine whether a sample of pre-professionally trained, professional, and retired ballet dancers experienced body dysmorphia, eating disorders (EDs), perfectionism, Obsessive–Compulsive Disorder (OCD), anxiety, depression, substance use, sexual abuse, and injuries within ballet culture. Methods A total of 10 female ballet dancers aged 18–25 years of age participated in a structured interview either in-person or online via Zoom. Interview questions were open-ended to capture the richness of participant responses. The Exercise Science Thematic Analysis Model was utilized to analyze the participant responses. This study used a semantic focus and what has been described as a ‘top-up’ or deductive approach. The purpose of the study was to determine whether body dysmorphia, EDs, perfectionism, OCD, anxiety, depression, substance use, sexual abuse, and injuries were described in the participant narrative. Results Participant responses were organized into the following categories: the overarching theme, themes, sub-themes, level one emerging themes (emergent in > or = 5 participant responses), and level two emerging themes (emergent in < 5 participant responses). The overarching theme was cyclic trauma with two themes: lack of control/inconsistency/instability and perfectionism. Subthemes included body dysmorphia and EDs, mental health, injuries, sexual violence and substance use. The majority of the participants (60%) expressed feeling a of lack of control, instability, and/or inconsistency in the ballet world. Eight out of ten (80%) participants provided responses consistent with perfectionism. All participants stated that the subthemes body dysmorphia/EDs, mental health, and sexual violence were problematic in ballet culture. Injuries emerged as a subtheme in 70% of interviews and substance use was mentioned by 30% of participants although no participants had first-hand experience with substance use in the context of ballet. Complex-Post Traumatic Stress Disorder (C-PTSD) emerged as a theme which was unexpected and thus, requires further exploration in future research with ballet dancers. Conclusion The findings of this study indicate that ballet environments expose dancers to several health risk factors. Steps should be taken to reduce the risk of harm associated with these health risk factors.
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spelling doaj-art-bd7f3633fb7c404bbde9ce2fa821f6802025-08-20T03:06:53ZengBMCBMC Psychology2050-72832025-04-0113111810.1186/s40359-025-02653-9Cyclic patterns of high-risk behaviours within ballet cultureMeigan Picard0Michael Gaetz1School of Kinesiology, University of the Fraser ValleySchool of Kinesiology, University of the Fraser ValleyAbstract Background To determine whether a sample of pre-professionally trained, professional, and retired ballet dancers experienced body dysmorphia, eating disorders (EDs), perfectionism, Obsessive–Compulsive Disorder (OCD), anxiety, depression, substance use, sexual abuse, and injuries within ballet culture. Methods A total of 10 female ballet dancers aged 18–25 years of age participated in a structured interview either in-person or online via Zoom. Interview questions were open-ended to capture the richness of participant responses. The Exercise Science Thematic Analysis Model was utilized to analyze the participant responses. This study used a semantic focus and what has been described as a ‘top-up’ or deductive approach. The purpose of the study was to determine whether body dysmorphia, EDs, perfectionism, OCD, anxiety, depression, substance use, sexual abuse, and injuries were described in the participant narrative. Results Participant responses were organized into the following categories: the overarching theme, themes, sub-themes, level one emerging themes (emergent in > or = 5 participant responses), and level two emerging themes (emergent in < 5 participant responses). The overarching theme was cyclic trauma with two themes: lack of control/inconsistency/instability and perfectionism. Subthemes included body dysmorphia and EDs, mental health, injuries, sexual violence and substance use. The majority of the participants (60%) expressed feeling a of lack of control, instability, and/or inconsistency in the ballet world. Eight out of ten (80%) participants provided responses consistent with perfectionism. All participants stated that the subthemes body dysmorphia/EDs, mental health, and sexual violence were problematic in ballet culture. Injuries emerged as a subtheme in 70% of interviews and substance use was mentioned by 30% of participants although no participants had first-hand experience with substance use in the context of ballet. Complex-Post Traumatic Stress Disorder (C-PTSD) emerged as a theme which was unexpected and thus, requires further exploration in future research with ballet dancers. Conclusion The findings of this study indicate that ballet environments expose dancers to several health risk factors. Steps should be taken to reduce the risk of harm associated with these health risk factors.https://doi.org/10.1186/s40359-025-02653-9Body dysmorphiaEating disorderPerfectionismObsessive–compulsive disorderMental healthSubstance use
spellingShingle Meigan Picard
Michael Gaetz
Cyclic patterns of high-risk behaviours within ballet culture
BMC Psychology
Body dysmorphia
Eating disorder
Perfectionism
Obsessive–compulsive disorder
Mental health
Substance use
title Cyclic patterns of high-risk behaviours within ballet culture
title_full Cyclic patterns of high-risk behaviours within ballet culture
title_fullStr Cyclic patterns of high-risk behaviours within ballet culture
title_full_unstemmed Cyclic patterns of high-risk behaviours within ballet culture
title_short Cyclic patterns of high-risk behaviours within ballet culture
title_sort cyclic patterns of high risk behaviours within ballet culture
topic Body dysmorphia
Eating disorder
Perfectionism
Obsessive–compulsive disorder
Mental health
Substance use
url https://doi.org/10.1186/s40359-025-02653-9
work_keys_str_mv AT meiganpicard cyclicpatternsofhighriskbehaviourswithinballetculture
AT michaelgaetz cyclicpatternsofhighriskbehaviourswithinballetculture