Are There Unique Issues in Endurance Sports?

In endurance sports there is a higher tendency for people to struggle with over use and body image issues, eating disorders. The activity itself is so repetitive, and it's very easy for people to get into the minds that more is always better. And if that person also has a vulnerability, maybe due to drama in their past, or different family dynamicsr or, you know, what have you. It could tip the scales if that person isn't cut and nurtured in a healthier direction.