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Cited by 80Eating Disorders and BehaviorsBody Image and Dysmorphia StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The association between muscle dysmorphia and eating disorder symptomatology: A systematic review and meta-analysis

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Badenes-Ribera, Laura, Rubio-Aparicio, Maria, Sánchez-Meca, Julio, Fabris, Matteo Angelo, Longobardi, Claudio·2019·Journal of Behavioral Addictions
DOI 10.1556/2006.8.2019.44PMC PMC7044626
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Abstract

Background and aims: Research shows inconsistent findings about the link between muscle dysmorphia (MD) and eating disorder (ED) symptomatology. The aim of this study is to synthesize the scientific evidence available on this topic, the researchers conducted a systematic review and meta-analysis. Methods: The literature search enabled us to identify 39 published articles, which provided 36 independent estimations of the correlation between the two variables. Results: Our analysis found a positive association between MD and ED symptoms (r+ = .36; 95% CI = 0.30, 0.41). Moderator analyses showed that the type of sample and the tools for assessing MD and ED were statistically associated with the MD–ED effect sizes. The methodological quality of the studies exhibited a positive, statistically significant association with the MD–ED effect sizes. Conclusions: Higher levels of MD were related to greater ED symptomatology, but several study characteristics may moderate the association between the two variables. In this study, we discuss limitations and implications for clinical practice and future research.

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  • For studies with more than one ICC value, ICC values were averaged, using only one ICC value per study to avoid statistical dependence.

    “For studies where it was possible to obtain more than one ICC value (e.g., because the intensity at the threshold was extracted using different automatic methods), these ICC values were averaged, using only one ICC value for each study to avoid statistical dependence31,32.”

    From Reliability of threshold determination using portable muscle oxygenation monitors during exercise testing: a systematic review and meta-analysis (2023) · cites this paper as [32]

    In Methods > Computing effect sizes, the paper says it averaged multiple MD–ED correlations from a study to avoid statistical dependence. This supports the rationale for using one averaged value per study, but the paper does not describe averaging ICC values or extracting intensities at a threshold. (LLM, conf=0.86)

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References 105 · Cited by 80

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  1. *Babusa B. Túry F. (2012). Muscle dysmorphia in Hungarian non-competitive male bodybuilders. Eating Weight Disorders, 17, e49– e53. doi: 10.1007/BF03325327 22751271 · DOI
  2. *Babusa B. Urbán R. Czeglédi E. Túry F. (2012). Psychometric properties and construct validity of the Muscle Appearance Satisfaction Scale among Hungarian men. Body Image, 9(1), 155– 162. doi: 10.1016/j.bodyim.2011.08.005 21962394 · DOI
  3. *Bo S. Zoccali R. Ponzo V. Soldati L. De Carli L. Benso A. Fea E. Rainoldi A. Durazzo M. Fassino S. Abbate-Daga G. (2014). University courses, eating problems and muscle dysmorphia: Are there any associations? Journal of Translational Medicine, 12, 221. doi: 10.1186/s12967-014-0221-2 25095736 PMC4256707 · DOI · Paper page
  4. Borenstein M. J Hedges L. V. Higgins J. P. Rothstein H. R. (2009). Introduction to meta-analysis. Chichester, UK: Wiley.
  5. *Brown T. A. Forney K. J. Pinner D. Keel P. K. (2017). A randomized controlled trial of The Body Project: More Than Muscles for men with body dissatisfaction. International Journal of Eating Disorders, 50, 873– 883. doi: 10.1002/eat.22724 28481431 PMC5538920 · DOI
  6. *Cafri G. Olivardia R. Thompson J. K. (2008). Symptom characteristics and psychiatric comorbidity among males with muscle dysmorphia. Comprehensive Psychiatry, 49, 374– 379. doi: 10.1016/j.comppsych.2008.01.003 18555058 · DOI
  7. Cafri G. Thompson J. K. Ricciardelli L. McCabe M. Smolak L. Yesalis C. (2005). Pursuit if the muscular ideal: Physical and psychological consequences and putative risk factors. Clinical Psychology Review, 25(2), 215– 239. doi: 10.1016/j.cpr.2004.09.003 15642647 · DOI · Paper page
  8. *Castro-Lopez R. Cachón-Zagalaz J. Molero D. Zagalaz-Sánchez M. L. (2013) Dismorfia muscular y su relación con síntomas de trastornos de la conducta alimentaria [Muscle dysmorphia and its relationship with the symptoms of eating disorders]. Revista Mexicana de Trastornos Alimentarios [Mexican Journal of Eating Disorders], 4, 31– 36. Retrieved from http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-15232013000100004&lng=es
  9. Cella S. Iannaccone M. Cotrufo P. (2012). Muscle dysmorphia: A comparison between competitive bodybuilders and fitness practitioners. Journal of Nutritional Therapeutics, 1, 12– 18. Retrieved from http://www.lifescienceglobal.com/pms/index.php/jnt/article/view/451/pdf
  10. Chandler C. G. Grieve F. G. Derryberry W. P. Pegg P. O. (2009). Are anxiety and obsessive-compulsive symptoms related to muscle dysmorphia? International Journal of Men’s Health, 8, 143– 154. Retrieved from http://www.mensstudies.info/OJS/index.php/IJMH/article/view/568
  11. Chaney M. P. (2008). Muscle dysmorphia, self-esteem, and loneliness among gay and bisexual men. International Journal of Men’s Health, 7(2), 157– 170. doi: 10.3149/jmh.0702.157 · DOI
  12. Choi P. Y. L. Pope H. Olivardia R. (2002). Muscle dysmorphia: A new syndrome in weightlifters. British Journal of Sports Medicine, 36(5), 375– 376. doi: 10.1136/bjsm.36.5.375 12351338 PMC1724540 · DOI
  13. Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  14. 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(1), 12. doi: 10.1186/1550-2783-4-12 17931410 PMC2131752 · DOI
  15. Cubberley R. (2009). Evaluating the reliability and validity of the Muscle Dysmorphia Inventory (Master’s thesis). Western Kentucky University, Bowling Green, Kentucky. Retrieved from http://digitalcommons.wku.edu/theses/121/
  16. *De Santis J. P. Layerla D. M. Barroso S. Gattamorta K. A. Sanchez M. Prado G. J. (2011). Predictors of eating attitudes and behaviors among gay Hispanic men. Archives of Psychiatric Nursing, 26, 11– 126. doi: 10.1016/j.apnu.2011.06.003 22449559 · DOI
  17. Dos Santos C. A. Tirico P. P. Stefano S. C. Touyz S. W. Claudino A. M. (2015). Systematic review of the diagnostic category muscle dysmorphia. Australian and New Zealand Journal of Psychiatry, 50(4), 322– 333. doi: 10.1177/0004867415614106 26553217 · DOI
  18. *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. doi: 10.1080/08964289.2015.1122570 27337621 · DOI
  19. Duval S. Tweedie R. (2000). Trim and fill: A simple funnel- plot- based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455– 463. doi: 10.1111/j.0006-341X.2000.00455.x 10877304 · DOI · Paper page
  20. Ebbeck V. Watkins P. L. Concepcion R. Y. Cardinal B. J. Hammermeister J. (2009). Muscle dysmorphia symptoms and their relationships to self-concept and negative affect among college recreational exercisers. Journal of Applied Sport Psychology, 21(3), 262– 275. doi: 10.1080/10413200903019376 · DOI
  21. Fabris M. A. Longobardi C. Prino L. E. Settani M. (2017). Attachment style and risk of muscle dysmorphia in a sample of male bodybuilders. Psychology of Men & Masculinity, 19(2), 273– 281. doi: 10.1037/men0000096 · DOI
  22. Fairburn C. G. Beglin S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363– 370. doi: 10.1002/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-# 7866415 · DOI · Paper page
  23. Garner D. M. Olmstead M. P. Bohr Y. Garfinkel P. E. (1982). The Eating Attitudes Test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871– 878. doi: 10.1017/S0033291700049163 6961471 · DOI
  24. Garner D. Olmstead M. P. Polivy J. (1983). Development and validation of a Multidimensional Eating Disorder Inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15– 34. doi: 10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6 · DOI
  25. *Giardino J. C. Procidano M. E. (2012). Muscle dysmorphia symptomatology: A cross-cultural study in Mexico and the United States. International Journal of Men’s Health, 11(1), 83– 103. doi: 10.3149/jmh.1101.83 · DOI
  26. *Goodale K. R. Watkins P. L. Cardinal B. J. (2001). Muscle dysmorphia: A new form of eating disorder? American Journal of Health Education, 32(5), 260– 266. doi: 10.1080/19325037.2001.10603480 · DOI
  27. Grieve F. G. (2007). A conceptual model of factors contributing to the development of muscle dysmorphia. Eating Disorders, 15(1), 63– 80. doi: 10.1080/10640260601044535 17162642 · DOI
  28. Grieve F. G. Shacklette M. D. (2012). Brief report on men’s bodies and mood: Correlates between depressive symptoms and muscle dysmorphia symptoms. North American Journal of Psychology, 14, 563 Retrieved from http://www.freepatentsonline.com/article/North-American-Journal-Psychology/312401777.html
  29. Grieve F. G. Truba N. Bowersox S. (2009). Etiology, assessment, and treatment of muscle dysmorphia. Journal of Cognitive Psychotherapy, 23(4), 306– 314. doi: 10.1891/0889-8391.23.4.306 · DOI
  30. Griffiths S. Murray S. Touyz S. (2013). Drive for muscularity and muscularity-oriented disordered eating in men: The role of set shifting difficulties and weak central coherence. Body Image, 10(4), 636– 639. doi: 10.1016/j.bodyim.2013.04.002 23680082 · DOI
  31. Grogan S. Shepherd S. Evans R. Wright S. Hunter G. (2006). Experiences of anabolic steroid use: In-depth interviews with men and women body builders. Journal of Health Psychology, 11(6), 845– 856. doi: 10.1177/1359105306069080 17035257 · DOI
  32. *Guidi J. Clementi C. Grandi C. (2013). Valutazione del disagio psicologico e delle caratteristiche di personalità nella dipendenza da esercizio fisico primaria [Psychological distress and personality characteristics among individuals with primary exercise dependence]. Rivista di Psichiatria, 48, 121– 129. doi: 10.1708/1272.14036 23748722 · DOI
  33. Hale W. D. (2008). Scale development in muscle dysmorphia (Unpublished doctoral dissertation). Oklahoma State University, Stillwater, OK.
  34. *Hale B. Diehl D. Weaver K. Briggs M. (2013). Exercise dependence and muscle dysmorphia in novice and experienced female bodybuilders. Journal of Behavioral Addictions, 2(4), 244– 248. doi: 10.1556/JBA.2.2013.4.8 25215207 PMC4154574 · DOI
  35. *Hildebrandt T. Harty S. Langenbucher J. W. (2012). Fitness supplements as a gateway substance for anabolic-androgenic steroid use. Psychology of Addictive Behaviors, 26(4), 955– 962. doi: 10.1037/a0027877 22486333 PMC3838896 · DOI
  36. *Hildebrandt T. Langenbucher J. W. Karmin J. K. Loeg K. L. Hollander E. (2011). Development and validation of Appearance and Performance Enhancing Drug Use Schedule. Addictive Behaviors, 36(10), 949– 958. doi: 10.1016/j.addbeh.2011.05.002 21640487 PMC3159027 · DOI
  37. *Hildebrandt T. Langenbucher J. Schlundt D. G. (2004). Muscularity concerns among men: Development of attitudinal and perceptual measures. Body Image, 1(2), 169– 181. doi: 10.1016/j.bodyim.2004.01.001 18089149 · DOI
  38. *Hildebrandt T. Schlundt D. Langenbucher J. Chung T. (2006). Presence of muscle dysmorphia symptomatology among male weightlifters. Comprehensive Psychiatry, 47(2), 127– 135. doi: 10.1016/j.comppsych.2005.06.001 16490571 · DOI
  39. *Hughes E. K. Dean C. Allen J. S. (2016). Measures of eating disorder symptoms, drive for muscularity, and muscle dysmorphia: Norms and typologies of Australian men. Australian Journal of Psychology, 68(4), 270– 280. doi: 10.1111/ajpy.12105 · DOI
  40. *Jin X. Jin Y. Zhou S. Li X. Yang S. Yang D. Nieuwoudt J. E. Yao J. (2015). The Muscle Appearance Satisfaction Scale: A factorial analysis of validity and reliability for its use on adult Chinese male weightlifters. Body Image, 14, 94– 101. doi: 10.1016/j.bodyim.2015.04.004 25939132 · DOI
  41. *Kanayama G. Barry S. Hudson J. I. Pope H. G. (2006). Body image and attitudes toward male roles in anabolic-androgenic steroid users. American Journal of Psychiatry, 163(4), 697– 703. doi: 10.1176/ajp.2006.163.4.697 16585446 · DOI
  42. Kimergård A. (2015). A qualitative study of anabolic steroid use amongst gym users in the United Kingdom: Motives, beliefs and experiences. Journal of Substance Use, 20(4), 288– 294. doi: 10.3109/14659891.2014.911977 · DOI
  43. Kimmel S. B. Mahalik J. R. (2004). Measuring masculine body ideal distress: Development of a measure. International Journal of Men’s Health, 3(1), 1– 10. doi: 10.3149/jmh.0301.1 · DOI
  44. Klimek P. Hildebrandt T. (2018). Psychosocial correlates of gap time to anabolic-androgenic steroid use. International Journal of Eating Disorders, 51(6), 535– 541. doi: 10.1002/eat.22859 29542171 PMC6002882 · DOI
  45. *Klimek P. Murray S. B. Brown T. Gonzales M. Blashill A. J. (2018). Thinnes and muscularity internalization: Associations with disordered eating and muscle dysmorphia in men. International Journal of Eating Disorders, 51(4), 352– 357. doi: 10.1002/eat.22844 29473192 · DOI
  46. *Lamanna J. Grieve F. G. Derryberry W. P. Hakman M. McClure A. (2010). Antecedents of eating disorders and muscle dysmorphia in a non-clinical sample. Eating Weight Disorders, 15(1-2), e23– e33. doi: 10.1007/BF03325277 20571318 · DOI
  47. Lantz C. D. Rhea D. J. Cornelius A. E. (2002). Muscle dysmorphia in elite-level power lifters and bodybuilders: A test of differences within a conceptual model. Journal of Strength and Conditioning Research, 16(4), 649e655. doi: 10.1519/00124278-200211000-00026 12423200 · DOI
  48. *Latorre-Román P. A. Garrido-Ruiz A. García-Pinillos F. (2015). Versión española del cuestionario del complejo de Adonis: un cuestionario para el análisis del dimorfismo muscular o vigorexia [Spanish version of the Adonis Complex Questionnaire: A questionnaire for the analysis of muscle dysmorphia or bigorexia]. Nutrición Hospitalaria, 31, 1246– 1253. doi: 10.3305/nh.2015.31.3.8292 25726219 · DOI
  49. Lavender J. M. Brown T. A. Murray S. B. (2017). Men, muscles, and eating disorders: An overview of traditional and muscularity-oriented disordered eating. Current Psychiatry Reports, 19(6), 32. doi: 10.1007/s11920-017-0787-5 28470486 PMC5731454 · DOI
  50. Longobardi C. Prino L. E. Fabris M. A. Settani M. (2017). Muscle dysmorphia and psychopathology: Findings from an Italian sample of male bodybuilders. Psychiatric Research, 256, 231– 236. doi: 10.1016/j.psychres.2017.06.065 28646788 · DOI
  51. *Lopez A. Pollack L. Gonzales S. Pona A. A. Lundgren J. D. (2015). Psychosocial correlates of muscle dysmorphia among collegiate males. Journal of Psychological Inquiry, 20, 58– 66.
  52. Lopez-Cuautle C. Vazquez-Arevalo R. Mancilla-Diaz J. M. (2016). Evaluación diagnóstica de la dismorfia muscular [Diagnostic evaluation of muscular dysmorphia]. Anales de Psicología, 32(2), 405– 4016. doi: 10.6018/analesps.32.2.203871 · DOI
  53. López-López J. A. Marín-Martínez F. Sánchez-Meca J. van den Noortgate W. Viechtbauer W. (2014). Estimation of the predictive power of the model in mixed-effects meta-regression: A simulation study. British Journal of Mathematical and Statistical Psychology, 67(1), 30– 48. doi: 10.1111/bmsp.12002 23297709 · DOI
  54. *Magallares A. (2016). Drive for thinness and pursuit of muscularity: The role of gender ideologies. Universitas Psychologica, 15(2), 353– 360. doi: 10.11144/Javeriana.upsy15-2.dtpm · DOI
  55. *Maida D. M. Armstrong S. L. (2005). The classification of muscle dysmorphia. International Journal of Men’s Health, 4(1), 73– 91. doi: 10.3149/jmh.0401.73 · DOI
  56. Mayville S. B. Williamson D. A. White M. A. Netemeyer R. G. Drab D. L. (2002). Development of the Muscle Appearance Satisfaction Scale: A self-report measure for the assessment of muscle dysmorphia symptoms. Assessment, 9(4), 351– 360. doi: 10.1177/1073191102238156 12462755 · DOI
  57. *McFarland M. B. Kaminski P. L. (2009). Men, muscles and mood: The relation between self-concept, dysphoria, and body image disturbances. Eating Behaviors, 10(1), 68– 70. doi: 10.1016/j.eatbeh.2008.10.007 19171324 · DOI
  58. Menees L. Grieve F. G. Mienaltowski A. Pope J. (2013). Critical comments about the body and muscle dysmorphia symptoms in collegiate men. International Journal of Men’s Health, 12(1), 17– 28. doi: 10.3149/jmh.1201.17 · DOI
  59. Mitchell L. Murray S. B. Cobley S. Hackett D. Gifford J. Capling L. O’Connor H. (2017). Muscle dysmorphia symptomatology and associated psychological features in bodybuilders and non-bodybuilder resistance trainers: A systematic review and meta-analysis. Sports Medicine, 47(2), 233– 259. doi: 10.1007/s40279-016-0564-3 27245060 · DOI
  60. *Mitchell L. Murray S. B. Hoon M. Hackett D. Prvan T. O’Connor H. (2017). Correlates of muscle dysmorphia symptomatology in natural bodybuilders: Distinguishing factors in the pursuit of hyper-muscularity. Body Image, 22, 1– 5. doi: 10.1016/j.bodyim.2017.04.003 28535445 · DOI
  61. Moher D. Liberati A. Tetzlaff J. Altman D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264– 269. doi: 10.7326/0003-4819-151-4-200908180-00135 19622511 · DOI · Paper page
  62. Morrison T. G. Morrison M. A. McCann L. (2006). Striving for bodily perfection? An overview of the drive for muscularity In Kindes M. V. (Ed.), Body image: New research (pp. 1– 34). Hauppauge, NY: Nova Science.
  63. Murray S. B. Griffiths S. Mitchison D. Mond J. M. (2017). The transition from thinness-oriented to muscularity-oriented disordered eating in adolescent males: A clinical observation. Journal of Adolescent Health, 60(3), 353– 355. doi: 10.1016/j.jadohealth.2016.10.014 27989453 · DOI
  64. *Murray S. B. Griffiths S. Mond J. M. Kean J. Blashill A. J. (2016). Anabolic steroid use and body image psychopathology in men: Delineating between appearance-versus performance-driven motivations. Drug and Alcohol Dependence, 165, 198– 202. doi: 10.1016/j.drugalcdep.2016.06.008 27364377 · DOI
  65. Murray S. B. Nagata J. M. Griffiths S. Calzo J. P. Brown T. A. Mitchison D. Blashill A. J. Mond J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical Psychology Review, 57, 1– 11. doi: 10.1016/j.cpr.2017.08.001 28800416 · DOI
  66. *Murray S. B. Rieger E. Hildebrand T. Karlov L. Russell J. Boon E. Dawson R. T. Touyz S. W. (2012). A comparison of eating, exercise, shape, and weight related symptomatology in males with muscle dysmorphia and anorexia nervosa. Body Image, 9(2), 193– 200. doi: 10.1016/j.bodyim.2012.01.008 22391410 · DOI
  67. Nieuwoudt J. E. Zhou S. Coutts R. A. Booker R. (2012). Muscle dysmorphia: Current research and potential classification as a disorder. Psychology of Sport and Exercise, 13(5), 569– 577. doi: 10.1016/j.psychsport.2012.03.006 · DOI
  68. *Nieuwoudt J. E. Zhou S. Coutts R. A. Booker R. (2015). Symptoms of muscle dysmorphia, body dysmorphic disorder, and eating disorder in a nonclinical population of adult male weightlifters of Australia. Journal of Strength and Conditioning Research, 29(5), 1406– 1414. doi: 10.1519/JSC.0000000000000763 25909960 · DOI
  69. Olivardia R. (2001). Mirror, mirror on the wall, who’s the largest of them all? The features and phenomenology of muscle dysmorphia. Harvard Review of Psychiatry, 9(5), 254– 259. doi: 10.1080/10673220127900 11553529 · DOI
  70. *Olivardia R. Pope H. G. Hudson J. I. (2000). Muscle dysmorphia in male weightlifters: A case-control study. American Journal of Psychiatry, 157(8), 1291– 1296. doi: 10.1176/appi.ajp.157.8.1291 10910793 · DOI
  71. Pope H. G. Gruber A. J. Choi P. Olivardia R. Phillips K. A. (1997). Muscle dysmorphia: An underrecognized form of body dysmorphic disorder. Psychosomatics, 38(6), 548– 557. doi: 10.1016/S0033-3182(97)71400-2 9427852 · DOI
  72. Pope H. G. Katz D. L. Hudson J. I. (1993). Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Comprehensive Psychiatry, 34(6), 406– 409. doi: 10.1016/0010-440X(93)90066-D 8131385 · DOI
  73. Pope H. G. Khalsa J. H. Bhasin S. (2017). Body image disorders and abuse of anabolic-androgenic steroids among men. JAMA-Journal of the American Medical Association, 317(1), 23– 24. doi: 10.1001/jama.2016.17441 27930760 · DOI
  74. Pope H. G. Phillips K. A. Olivardia R. (2000). The Adonis complex: The secret crisis of male body obsession. New York, NY: The Free Press.
  75. *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. doi: 10.1016/j.bodyim.2005.09.001 17075613 PMC1627897 · DOI
  76. Raudenbush S. W. (2009). Analyzing effect sizes: Random-effects models In Cooper H. Hedges L. V. Valentine J. C. (Eds.), The handbook of research synthesis and meta-analysis (2nd ed., pp. 295– 315). New York: Russell Sage Foundation.
  77. Readdy T. Cardinal B. J. Watkins P. L. (2011). Muscle dysmorphia, gender role stress, and sociocultural influences: An exploratory study. Research Quarterly for Exercise and Sport, 82, 310– 319. doi: 10.1080/02701367.2011.10599759 21699111 · DOI
  78. *Rhea D. J. Lantz C. D. Cornelius A. E. (2004). Development of the Muscle Dysmorphia Inventory (MDI). Journal of Sports Medicine and Physical Fitness, 44, 428– 435. Retrieved from http://www.drdebbierhea.com/wp-content/uploads/2013/05/Development-of-the-MDI-2005.pdf 15758857
  79. Robert C. A. Munroe-Chandler K. J. Gammage K. L. (2009). The relationship between the drive for muscularity and muscle dysmorphia in male and female weight trainers. The Journal of Strength and Conditioning Research, 23(6), 1656– 1662. doi: 10.1519/JSC.0b013e3181b3dc2f 19675500 · DOI
  80. Sánchez-Meca J. Marín-Martínez F. (2008). Confidence intervals for the overall effect size in random-effects meta-analysis. Psychological Methods, 13(1), 31– 48. doi: 10.1037/1082-989X.13.1.31 18331152 · DOI
  81. Sánchez-Meca J. Marín-Martínez F. Chacón-Moscoso S. (2003). Effect-size indices for dichotomized outcomes in meta-analysis. Psychological Methods, 8(4), 448– 467. doi: 10.1037/1082-989X.8.4.448 14664682 · DOI
  82. Sandgren S. S. Lavallee D. (2018). Muscle dysmorphia research neglects DSM-5 diagnostic criteria. Journal of Loss and Trauma, 23(3), 211– 243. doi: 10.1080/15325024.2018.1428484 · DOI
  83. *Santarnecchi E. Dèttore D. (2012). Muscle dysmorphia in different degrees of bodybuilding activities: Validation of the Italian version of Muscle Dysmorphia Disorder Inventory and bodybuilder image grid. Body Image, 9(3), 396– 403. doi: 10.1016/j.bodyim.2012.03.006 22521181 · DOI
  84. Schmidt F. L. Hunter J. E. (2015). Methods of meta-analysis: Correcting error and bias in research synthesis (3rd ed.). Thousand Oaks, CA: Sage.
  85. *Segura-García C. Ammendolia A. Procopio L. Papaianni M. C. Sinopoli F. Bianco C. De Fazio P. Capranica L. (2010). Body uneasiness, eating disorders and muscle dysmorphia in individuals who overexercise. Journal of Strength and Conditioning Research, 24(11), 3098– 3104. doi: 10.1519/JSC.0b013e3181d0a575 20838254 · DOI
  86. Short J. (2005). Creating a tool to measure muscle dysmorphia (Unpublished master’s thesis). Western Kentucky University, Bowling Green, KY.
  87. *Sladek M. R. Engeln R. Miller S. A. (2014). Development and validation of the Male Body Talk Scale: A psychometric investigation. Body Image, 11(3), 233– 244. doi: 10.1016/j.bodyim.2014.02.005 24958658 · DOI
  88. Suffolk M. T. Dovey T. M. Goodwin H. Meyer C. (2013). Muscle dysmorphia: Methodological issues, implication for research. Eating Disorders, 21(5), 437– 457. doi: 10.1080/10640266.2013.828520 24044599 · DOI
  89. Tod D. Edwards C. (2015a). Relationships among muscle dysmorphia characteristics, body image, quality of life, and coping in males. Journal of Science and Medicine in Sport, 18(5), 585– 589. doi: 10.1016/j.jsams.2014.07.015 25154703 · DOI
  90. Tod D. Edwards C. (2015b). A meta-analysis of the drive for muscularity’s relationships with exercise behaviour, disordered eating, supplement consumption, and exercise dependence. International Review of Sport and Exercise Psychology, 8(1), 185– 203. doi: 10.1080/1750984X.2015.1052089 · DOI
  91. Tod D. Edwards C. Cranswick I. (2016). Muscle dysmorphia: Current insights. Journal of Psychology Research and Behavior Management, 9, 179– 188. doi: 10.2147/PRBM.S97404 27536165 PMC4977020 · DOI
  92. *Walker D. C. Anderson D. A. Hildebrandt T. (2009). Body checking behaviors in men. Body Image, 63, 164– 170. doi: 10.1016/j.bodyim.2009.05.001 PMC3838885 19482568 · DOI

Authors
Badenes-Ribera, L., Rubio-Aparicio, M., Sánchez-Meca, J., Fabris, M. A., & Longobardi, C.
Affiliations
  • 1 Departamento de Methodologia and Behavioral Science, University of Valencia, Valencia, Spain
  • 2 Departamento de Psicología de la Salud, University of Valencia, Alicante, Spain
  • 3 Departamento de Psicología Básica y Metodología, University of Murcia, Murcia, Spain
  • University of Turin (IT)
Corresponding author
  • Fabris, Matteo Angelo
  • Longobardi, Claudio
ORCID
Venue
Journal of Behavioral Addictions
Publisher
Akademiai Kiado Zrt.
Published
2019-09
Volume
8
Issue
3
Pages
351-371
ISSN
  • 2062-5871 (ISSN-L)
  • 2063-5303
DOI
10.1556/2006.8.2019.44
PMC
PMC7044626
OpenAlex
W2972674110
Cited by
80
References
105
Citations by year
2026: 11 · 2025: 14 · 2024: 11 · 2023: 15 · 2022: 13 · 2021: 10 · 2020: 5 · 2019: 1
FWCI
1.15
Type
journal article
Language
en
Open access
Locations
  • Journal of Behavioral Addictions (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
  • Hispana (submittedVersion, cc-by-nc)
  • RUA, Repositorio Institucional de la Universidad de Alicante (Universidad de Alicante) (submittedVersion, cc-by-nc)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
muscle dysmorphia, eating disorders, eating disorder symptoms, body image, methodological quality, moderator effects, assessment instruments
MeSH terms
Feeding and Eating Disorders, Humans, Muscle, Skeletal, Body Dysmorphic Disorders

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