Muscle Dysmorphia In The Spotlight; From Classification To New Associations

Yıl 2024, Sayı: 33, 345 - 360, 11.06.2024

Metin Çınaroğlu

https://doi.org/10.56597/kausbed.1401604

Cited By: 1

Öz

In recent years, the realm of mental health has seen the rising prominence of muscle dysmorphia, a condition marked by an individual's excessive and sometimes distressing fixation on their perceived lack of muscular development. This fixation often overshadows the individual's actual physical appearance and can significantly interfere with their daily life and well-being. Despite the increasing recognition of its prevalence, muscle dysmorphia's exact place within the broader spectrum of psychological disorders remains debated among scholars. It shares noticeable traits with conditions like body dysmorphic disorder, eating disorders, and obsessive-compulsive disorders. Nevertheless, its unique characteristics warrant distinct attention and investigation. This analytical review delves deep into the latest research efforts that aim to associate new terms and understandings with muscle dysmorphia. With the evolving landscape of mental health discourse, there's an integration of broader concepts like body image perceptions, societal objectification, and elements of narcissism into the interpretation of muscle dysmorphia. These emerging viewpoints not only enrich the debate around its classification but also enhance our understanding of the diverse facets of this condition. While there's substantial empirical data linking muscle dysmorphia with body dysmorphic and eating disorders, its connections to obsessive-compulsive and certain personality disorders need further robust exploration. To truly grasp the intricacies and the multifaceted relationships of muscle dysmorphia, there's an urgent call for rigorous randomized clinical controlled trials that can shed light on this evolving concern in mental health.

Anahtar Kelimeler

Muscle dysmorphia, Body dysmorphic disorder, Objectification, Narcissism, Eating disorders.

KAS DİSMORFİSİ MERCEK ALTINDA: SINIFLANDIRMADAN YENİ İLİŞKİLENDİRMELERE

Öz

Son yıllarda, zihinsel sağlık alanında, bireyin algılanan kas gelişimindeki yetersizliği üzerine aşırı ve bazen rahatsız edici bir şekilde odaklanmasıyla tanımlanan kas dismorfi hastalığının yükselen bir önemi olduğunu görmekteyiz. Bu takıntı, bireyin gerçek fiziksel görünümünü genellikle gölgede bırakmakta ve günlük yaşama önemli ölçüde müdahale edebilmektedir. Bu zihinsel sağlık sorunu giderek yaygınlaşmasına ve artan tanınırlığına rağmen, kas dismorfisinin psikolojik bozukluklar geniş spektrumu içindeki tam yeri, bilim insanları arasında tartışma konusudur. Beden dismorfik bozukluk, yeme bozuklukları ve obsesif-kompulsif bozukluklar gibi durumlarla belirgin özellikler paylaşmaktadır. Bununla birlikte, benzersiz özellikleri, ayrı dikkat ve araştırmayı hak etmektedir. Bu analitik inceleme, kas dismorfi ile yeni terimler ve anlayışlar arasında ilişki kurmayı amaçlayan son araştırma çabalarına derinlemesine dalıyor. Zihinsel sağlık söyleminin evrilen manzarasıyla, beden imajı algıları, toplumsal nesnelleştirme ve narsisizm unsurları gibi daha geniş kavramların kas dismorfi yorumuna entegrasyonu söz konusudur. Bu ortaya çıkan görüşler, sınıflandırma etrafındaki tartışmayı zenginleştirmekle kalmıyor, aynı zamanda bu durumun çeşitli yönlerini anlamamızı da artırıyor. Kas dismorfi ile beden dismorfik ve yeme bozuklukları arasında önemli miktarda ampirik veri bulunsa da, obsesif-kompulsif ve belirli kişilik bozukluklarına olan bağlantıları daha sağlam bir şekilde araştırmaya ihtiyaç duyulmaktadır. Kas dismorfinin ayrıntılarına ve çok yönlü ilişkilerine gerçekten hakim olmak için, bu zihinsel sağlık konusundaki evrilen endişeyi aydınlatabilecek sıkı randomize klinik kontrollü deneylere acil bir ihtiyaç vardır.

Anahtar Kelimeler

Kas dismorfisi, Beden dismorfik bozukluk, Nesneleştirme, Narsisizm, Yeme bozuklukları

Kaynakça

• American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders – Text revision (Fifth ed.). Washington, DC: American Psychiatric Association.
• Boroughs, M., Cafri, G., & Thompson, J. K. (2005). Male body depilation: Prevalence and associated features of body hair removal. Sex Roles, 52, 637–644.
• Cafri, G., Van den Berg, P., Thompson, J.K., 2006. Pursuit of muscularity in adolescent boys: relations among biopsychosocial variables and clinical outcomes. J. Clin. Child. Adolesc. Psychol. 35, 283–291, http://dx.doi.org/10. 1207/s15374424jccp3502 12.
• Calogero, R. M. (2009). Objectification processes and disordered eating in British women and men. Journal of Health Psychology, 14, 394–402.
• Calogero, R. M., Davis, W. N., & Thompson, J. K. (2005). The role of self-objectification in the experience of women with eating disorders. Sex Roles, 52, 43–50.
• Cohen, J., Cohen, P., West, S.G., Aiken, L.S., 2003. Applied Multiple Regression/Correlation Analysis For The Behavioral Sciences, third edition. Routledge, New York. Cohen, J., Collins, R., Darkes, J. & Gwartney, D. (2007). A league of their own: Demographics, motivations and patterns of use of 1,955 male adult non-medical anabolic steroid users in the United States. Journal of the International Society of Sports Nutrition, 4, 12–26.
• Cohen, J., Collins, R., Darkes, J., Gwartney, D., 2007. A league of their own: demographics, motivations and patterns of use of 1, 955 male adult non-medical anabolic steroid users in the United States. J. Int. Soc. Sports Nutr. 4, 12, http://dx.doi.org/10.1186/1550-2783-4-12.
• Collis, N., Lewis, V., & Crisp, D. (2016). When is buff enough? The effect of body attitudes and narcissistic traits on muscle dysmorphia. Journal of Men’s Studies, 24(2), 213–225. https:// doi.org/10.1177/1060826516641097
• Dryer, R., Farr, M., Hiramatsu, I., & Quinton, S. (2016). The role of sociocultural influences on symptoms of muscle dysmorphia and eating disorders in men, and the mediating effects of perfectionism. Behavioral Medicine, 42(3), 174–182. https://doi.org/10.1080/08964289.2015. 1122570
• Frederickson, B. L., & Roberts, T. A. (1997). Objectification theory: Toward under- standing women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173–206.
• Frederickson, B. L., Roberts, T. A., Noll, S. M., Quinn, D. M., & Twenge, J. M. (1998). That swimsuit becomes you: Sex differences in self-objectification, restrained eating, and math performance. Journal of Personality and Social Psychology, 75, 269–294.
• Frith, H., & Gleeson, K. (2004). Clothing and embodiment: Men managing body image and appearance. Psychology of Men and Masculinity, 5, 40–48. Grabe, S., Ward, L. M., & Hyde, J. S. (2008). The role of the media in body image concerns among women: A meta-analysis of experimental and correlational studies. Psychological Bulletin, 143, 460–476.
• Grieve, F. G., Truba, N. & Bowersox, S. (2009). Etiology, assessment, and treatment of muscle dysmorphia. Journal of Cognitive Psychotherapy. 23, 306–314.
• Grieve, F., Newton, C., Kelley, L., Miller, R., & Kerr, N. (2005). The preferred male body shapes of college men and women. Individual Differences Research, 3, 188–192.
• Griffiths, M. D. (2005). A ‘components’ model of addiction within a biopsychosocial framework. Journal of Substance Use, 10, 191–197.
• Hebl, M. R., King, E. B., & Lin, J. (2004). The swimsuit becomes us all: Ethnicity, gender, and vulnerability to self-objectification. Personality and Social Psychology Bulletin, 30, 1322–1331.
• Ip, E.J., Arnett, M.J., Tenerowicz, M.J., Perry, P.J., 2011. The anabolic 500 survey: characteristics of male users versus nonusers of anabolic-androgenic steroids for strength training. Pharmacotherapy 31, 757–766, http://dx.doi.org/10. 1592/phco.31.8.757.
• Jampel, J.D., Murray, S.B., Griffiths, S., Blashill, A.J., 2016. Self-perceived weight and anabolic steroids misuse among US adolescent boys. J. Adolesc. Health 58, 397–402, http://dx.doi.org/10.1016/j.jadolhealth.2015.10.003.
• Jones, W. & Morgan, J. (2010). Eating disorders in men: A review of the literature. Journal of Public Mental Health, 9, 23–31.
• Kanayama, G., Barry, S., Hudson, J.I., Pope Jr., H.G., 2006. Body image and attitudes towards male roles in anabolic- androgenic steroids users. Am. J. Psychol. 163, 697–703.
• Kanayama, G., Brower, K.J., Wood, R.I., Hudson, J.I., Pope Jr., H.G., 2009. Anabolic androgenic steroid dependence: an emerging disorder. Addiction 104, 1966–1978, http://dx.doi.org/10.1111/j.1360-0443.2009.02734.x.
• Kanayama, G., Hudson, J.I., Pope Jr., H.G., 2008. Long-term psychiatric and medical consequences of anabolic-androgenic steroid abuse: a looming public health concern? Drug Alcohol Depend. 98, 1–12, http://dx.doi.org/10.1016/j. drugalcdep.2008.05.004.
• Kanayama, G., Pope Jr., H.G., Hudson, J.I., 2001. ‘Body image’ drugs: a growing psychosomatic problem. Psychother. Psychosom. 70, 61–65, http://dx.doi.org/ 10.1159/000056228.
• Leit, R. A., Gray, J., & Pope, H. G., Jr. (2002). The media’s representation of the ideal male body: A cause for muscle dysmorphia? International Journal of Eating Disorders, 31, 334–338.
• Leit, R. A., Pope, H. G., Jr., & Gray, J. (2001). Cultural expectations of muscularity in men: The evolution of Playgirl centerfolds. International Journal of Eating Disorders, 29, 90–93.
• Lorenzen, L., Grieve, F., & Thomas, A. (2004). Exposure to muscular male models decreases men’s body satisfaction. Sex Roles, 51, 743–748.
• Maida, D. M. & Armstrong, S. L. (2005). The classification of muscle dysmorphia. International Journal of Men’s Health, 4, 73–91.
• Mangweth, B., Pope, H. G., Jr., Kemmler, G., Ebenbichler, C., Hausmann, A., De Col, C., Kreutner, B., Kinzl, J. & Biebl, W. (2001). Body image and psychopathology in male bodybuilders. Psychotherapy and Psychosomatics, 70, 38–43.
• Maples, J., Collins, B., Miller, J. D., Fischer, S., & Seibert, A. (2011). Differences between grandiose and vulnerable narcissism and bulimic symptoms in young women. Eating Behaviors, 12(1), 83–85. https://doi.org/10.1016/j.eatbeh.2010.10.001
• McCabe, M. P., & Ricciardelli, L. A. (2004). Weight and Shape Concerns of Boys and Men. Field, C. B., & Barros, V. R. (Eds.). (2014). Climate change 2014–Impacts, adaptation and vulnerability: Regional aspects. Cambridge University Press.
• McCreary, D.R., Hildebrandt, T.B., Heinberg, L.J., Boroughs, M., Thompson, J.K., 2007. A review of body image influences on men’s fitness goals and supplement use. Am. J. Mens Health 1, 307–316, http://dx.doi.org/10.1177/1557988306309408.
• Miller, J. D., & Campbell, W. K. (2008). Comparing clinical and social-personality conceptua- lizations of narcissism. Journal of Personality, 76(3), 449–476. https://doi.org/10.1111/j. 1467-6494.2008.00492.x
• Miller, J. D., Hoffman, B. J., Gaughan, E. T., Gentile, B., Maples, J., & Keith Campbell, W. (2011). Grandiose and vulnerable narcissism: A nomological network analysis. Journal of Personality, 79(5), 1013–1042. https://doi.org/10.1111/j.1467-6494.2010.00711.x
• Moradi, B., Dirks, D., & Matteson, A. (2005). Roles of sexual objectification experiences and internalization of standards of beauty in eating disorder symptomatology: A test and extension of objectification theory. Journal of Counseling Psychology, 52, 420–428.
• Morrison, T., Morrison, M., & Hopkins, C. (2003). Striving for bodily perfection? An exploration of the drive for muscularity in Canadian men. Psychology of Men and Masculinity, 4, 111–120.
• Mosley, P. E. (2009). Bigorexia: Bodybuilding and muscle dysmorphia. European Eating Disorders Review, 17, 191–198.
• Murray, S. B., Maguire, S., Russell, J., & Touyz, S. W. (2012). The emotional regulatory features of bulimic episodes and compulsive exercise in muscle dysmorphia: A case report. European Eating Disorders Review, 20(1), 68–73. https://doi.org/10.1002/erv.1088
• Murray, S. B., Rieger, E., Touyz, S. W. & De la Garza Garcia, Y. (2010). Muscle dysmorphia and the DSM-V conundrum: Where does it belong? International Journal of Eating Disorders, 43, 483–491.
• Murray, S. B., Rieger, E., Touyz, S. W., & De la Garza García, Lic, Y. (2010). Muscle dysmorphia and the DSM‐V conundrum: Where does it belong? A review paper. International Journal of Eating Disorders, 43(6), 483-491.
• Olivardia, R., Pope, H. G., Jr., Mangweth, B. & Hudson, J. I. (1995). Eating disorders in college men. American Journal of Psychiatry, 152, 1279–1285.
• Parent, M.C., Moradi, B., 2011. His biceps become him: a test of objectification theory’s application to drive for muscularity and propensity for steroid use in college men. J. Couns. Psychol. 58, 246–256, http://dx.doi.org/10.1037/ a0021398.
• Parkinson, A.B., Evans, N.A., 2006. Anabolic androgenic steroids: a survey of 500 users. Med. Sci. Sport Exer. 38, 644–651.
• Pope Jr., H.G., Kanayama, G., Athey, A., Ryan, E., Hudson, J.I., Baggish, A., (2014). The lifetime prevalence of anabolic-androgenic steroid use and dependence in Americans: current estimates. Am. J. Addiction 23, 371–373, http://dx.doi.org/ 10.1111/j.1521-0391.2013.12118x.
• Pope Jr., H.G.H., Kanayama, G., Hudson, J.I., (2012). Risk factors for illicit anabolic-androgenic steroid use in male weightlifters: a cross-sectional cohort study. Biol. Psychiatry 71, 254–261, http://dx.doi.org/10.1016/j.biopsych.2011. 06.024.
• Pope, C. G., Pope, H. G., Menard, W., Fay, C., Olivardia, R. & Phillips, K. A. (2005). Clinical features of muscle dysmorphia among males with body dysmorphic disorder. Body image, 2, 395–400.
• Pope, H. G., Jr., Gruber, A. J., Choi, P., Olivardia, R. & Phillips, K. A. (1997). Muscle dysmorphia. An underrecognised form of body dysmorphic disorder. Psychosomatics, 38, 548–557.
• Pope, H. G., Jr., Katz, D. L. & Hudson, J. I. (1993). Anorexia nervosa and ‘‘reverse anorexia’’ among 108 male body- builders. Comprehensive Psychiatry, 34, 406–409.
• Ridgeway, R., & Tylka, T. (2005). College men’s perceptions of ideal body composition and shape. Psychology of Men and Masculinity, 6, 209–220. Roberts, T. A., & Fredrickson, B. L. (1997). Objectification theory. Psychology of women quarterly, 21, 173-206.
• Schooler, D., & Ward, L. M. (2006). Average Joes: Men’s relationships with media, real bodies, and sexuality. Psychology of Men and Masculinity, 7, 27–41.
• Strelan, P., & Hargreaves, D. (2005). Reasons for exercise and body esteem: Men’s response to self-objectification. Sex Roles, 53, 495–503.
• Thiblin, I., Garmo, H., Garle, M., Holmberg, L., Byberg, L., et al., 2015. Anabolic steroids and cardiovascular risk: a national population-based cohort study. Drug Alcohol Depend. 152, 87–92, http://dx.doi.org/10.1016/j.drugalcdep. 2015.04.013.
• Tiggemann, M., & Kuring, J. K. (2004). The role of body objectification in disordered eating and depressed mood. British Journal of Clinical Psychology, 43, 299–311.
• Van den Berg, P., Paxton, S.J., Keery, H., Wall, M., Nuemark-Sztainer, D., 2007. Body dissatisfaction and body comparison with media images in males and females. Body Image 4, 257–268, http://dx.doi.org/10.1016/j.bodyim.2007.04.003.