The links between body dysmorphic disorder and eating disorders. Eur Psychiatry

II Department of Psychiatry, Medical University Of Lodz, Czechoslowacka 8/10, 92-216, Lodz, Poland.
European Psychiatry (Impact Factor: 3.44). 09/2000; 15(5):302-5. DOI: 10.1016/S0924-9338(00)00398-9
Source: PubMed


The aim of the study was to search for a body dysmorphic disorder (BDD) period preceding the symptoms meeting the criteria of either anorexia or bulimia nervosa, and an evaluation of the prevalence of BDD symptoms in a control group of girls without any eating disorder. Ninety-three girls (12-21 years old ) were included in the study (36 with anorexia nervosa, 17 with bulimia nervosa and 40 healthy controls). The Structured Clinical Interview (SCID), including the BDD module, and a novel questionnaire (for the presence of preceding life events) were used. We found the symptoms of BDD in 25% of anorexia nervosa sufferers for at least six months before observing a clear eating disorder picture. Moreover, other mental disorders were also present among these patients. The results may support the idea that BDD and anorexia nervosa both belong to either OCD or affective disorders spectra.

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Available from: Tomasz Sobow, Dec 14, 2014
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    • "This increasingly reported body dissatisfaction amongst males is said to facilitate the development of both anorexia nervosa [7] and muscle dysmorphia [8], which are two opposing dimensional extremes of body image psychopathology amongst males characterised by a pathological drive for thinness and muscularity respectively. Despite this increasing prevalence of male body dissatisfaction, and a well-documented bi-directional crossover between thinness- and muscularity-oriented body image disorders in men [4,9], little research to date has attempted to delineate the factors implicated in shaping the divergence amongst body dissatisfied males towards either thinness- or muscularity-oriented body image psychopathology. "
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    ABSTRACT: Background Given recent assertions suggesting that gender role endorsement may be relevant in the divergence of male body image concerns, this study examined the self-reported gender role endorsement in opposing dimensional extremes of male body image disorders, namely, muscle dysmorphia and anorexia nervosa. This study further examined the relationship between gender role endorsement and eating disordered and muscle dysmorphia disorder pathology. Methodology Participants were 21 male muscle dysmorphia patients, 24 male anorexia nervosa patients, and 30 male gym-using controls from Australia, the United Kingdom, and the United States. All participants completed multidimensional measures of masculinity and femininity, and measures of eating disorder and muscle dysmorphia symptomatology. Results Patients with muscle dysmorphia reported significantly elevated adherence to masculine (but not feminine) norms relative to control gym-using men and men with anorexia nervosa, whereas patients with anorexia nervosa exhibited elevated feminine (but not masculine) gender role endorsement relative to control gym-using men and men with muscle dysmorphia. Conclusions Masculine and feminine gender role endorsement appear to be associated with the divergence of body image concerns towards muscularity and thinness-oriented ideals respectively.
    Full-text · Article · Mar 2013 · Journal of Eating Disorders
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    • "In addition to this documented divergence, elevated rates of diagnostic crossover between the pathological pursuit of thinness and muscularity may exist, suggesting that this divergence is a fluid process. Research has demonstrated vastly elevated rates of previous anorexia nervosa amongst those diagnosed with muscle dysmorphia (Pope et al., 2000), whereas men with anorexia nervosa report elevated previous behavioural symptoms of muscle dysmorphia (Jolanta & Tomasz, 2000), suggesting a bi-directional transdiagnostic move- ment. However, despite illustrating the nature of this divergence and diagnostic crossover little available research has attempted to delineate the factors implicated in shaping the divergence of body image psychopathology amongst body dissatisfied males towards either "
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    ABSTRACT: Male body dissatisfaction is now approaching parity with female body dissatisfaction, and generally manifests as either a drive for enhanced thinness, as in anorexia nervosa, or more commonly as a drive for enhanced muscularity, as in muscle dysmorphia. However, little research has been undertaken to explicate the factors implicated in the divergence of male body image disorders amongst body dissatisfied males towards either thinness or muscularity oriented body image concerns. We aim to review several constructs which have been explored in attempting to better understand the causal pathway into this divergence, including sexuality and gender role identification. Gender role orientation may be particularly relevant in underpinning this divergence, in that masculinity is likely implicated in the drive for muscularity, whereas femininity is implicated in the drive for thinness amongst body dissatisfied males. Suggestions and implications for future research in further explicating the role of gender role orientation in the divergence of male body image psychopathology are discussed.
    Full-text · Article · Dec 2012 · International Journal of Men s Health
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