Muscle dysmorphia research neglects DSM-5 diagnostic criteria

This systematic review aimed to collect, evaluate, and synthesize the research on muscle dysmorphia (MD) post official recognition as a specifier for body dysmorphic disorder (BDD) in the DSM-5, and provide recommendations for future research. Literature searches were conducted in four databases to see if inclusion criteria were met. Results revealed 33 studies meeting inclusion criteria, none of which utilized DSM-5 criteria for MD and/or acknowledged the criterion in their research. Few studies acknowledged the association between MD and BDD, and the methodological quality of recent MD research was considered low due to a lack of clinical samples, measurements not using validated cut-off scores, and the research designs. In conclusion, future MD research is encouraged to utilize DSM-5 diagnostic criteria to better inform clinical practice; and significantly improve the methodological quality. As such, more effective treatment options may be developed reducing the risk of health harming consequences in these individuals

Intervention development for people with muscle dysmorphia symptoms:best practice and future recommendations

Symptoms of muscle dysmorphia carry significant risks for people’s health and wellbeing. A key priority is therefore to support this group in reducing their symptoms and distorted behaviors to mitigate against the development of clinically severe muscle dysmorphia. However, few interventions exist and there is a need to develop new programs urgently. In this article, we provide researchers and practitioners with evidence-based recommendations on how to effectively achieve this. Recommendations are based on the health intervention development literature and the Intervention Mapping Protocol is introduced as a valuable tool for systemizing the development process. We encourage and now call on researchers and practitioners to action this imminent and important task of developing interventions to address muscle dysmorphia symptoms

An Empirical Approach to Temporal Reference Resolution

This paper presents the results of an empirical investigation of temporal reference resolution in scheduling dialogs. The algorithm adopted is primarily a linear-recency based approach that does not include a model of global focus. A fully automatic system has been developed and evaluated on unseen test data with good results. This paper presents the results of an intercoder reliability study, a model of temporal reference resolution that supports linear recency and has very good coverage, the results of the system evaluated on unseen test data, and a detailed analysis of the dialogs assessing the viability of the approach.Comment: 13 pages, latex using aclap.st

Exploring health and exercise professionals’ views on muscle dysmorphia in the Norwegian population

Objective Symptoms of muscle dysmorphia (MD) are prevalent among males who engage in weight training. If symptoms remain undetected and untreated, it can impair their health and wellbeing. Research indicates that men are reluctant to seek professional help on their own, and there is a lack of intervention options for people with MD symptoms. Health and exercise professionals’ competence and perspectives may offer important knowledge around the development of future interventions. However, research has yet to do so. This study therefore aimed to explore health and exercise professionals’ views and perspectives on MD in the Norwegian population. Method Semi-structured interviews were conducted with seven health and exercise professionals to discuss their knowledge and experiences with MD, and their views on prevention measures and interventions. Results Thematic analysis identified three overarching themes: (1) MD symptomatology, including experiences with symptoms and consequences of MD, (2) challenges related to identifying MD symptoms, and (3) managing MD. Conclusion Symptoms of MD were described by participants to be severe and complex yet challenging to identify among their clients/patients. There is a need to develop interventions aimed at reducing symptom development, as well as resources to assist health and exercise professionals in approaching individuals with MD symptoms.publishedVersio

Muscle dysmorphia in Norwegian gym-going men: an initial investigation

The aims of the present study were to validate the Norwegian translated Muscle Dysmorphic Disorder Inventory (MDDI) and explore the presence of muscle dysmorphia (MD) symptomatology in Norwegian gym-going men. A secondary aim was to examine differences in MD symptomatology and weekly training duration (WTD) according to the participants’ body mass index (BMI), and further investigate relationships between all measured variables. Participants (N = 124; Mage = 24.8, SD = 6.7 years) completed the translated MDDI, and according to BMI, 65 participants were of normal weight and 59 were overweight. A good fit from the confirmatory factor analysis, the results from the construct validity from the principal components analysis, and the detected good internal consistency indicate that the Norwegian translated MDDI is a valid and reliable measure for MD symptomatology. Moreover, MD symptomatology was present with mean scores of 33.7 (SD = 6.6), 15.2 (SD = 3.9), 10.4 (SD = 3.5), and 8.1 (SD = 2.6) for the MDDI total, and for the subscales drive for size (DFS), functional impairment (FI), and appearance intolerance (AI), respectively. Statistical significant differences were detected between the normal weight and overweight participants in DFS, AI, FI (d≤.4, p.05). Lastly, WTD had a statistically significant correlation with FI and BMI (p<.01); whereas BMI had a statistical significant correlation with DFS, FI, and AI (p<.05). In conclusion, the translated Norwegian MDDI was found to be valid, but additional validations are needed with larger sample sizes. The presence of MD symptomatology and WTD was higher in the overweight compared to the normal weight participants. The findings further suggest that the subscale scores might better assist practitioners in evaluating MD concerns and offer appropriate care, as a MDDI cut-off score have yet to be validated

Evaluating a motivational and psycho‐educational self‐help intervention for athletes with mild eating disorder symptoms: A mixed methods feasibility study

Objective The primary aim was to assess the feasibility of undertaking a study evaluating the novel Motivational and Psycho-Educational Self-Help Programme for Athletes with Mild Eating Disorder Symptoms (MOPED-A). A mixed-methods approach was adopted to explore the feasibility of recruiting and retaining participants, and to evaluate the acceptability of measures, procedures and the intervention. A secondary aim was to explore the potential efficacy of MOPED-A in reducing athletes' eating disorder symptoms. Method Thirty-five athletes were recruited. Participation involved completing MOPED-A over a 6-week period and completing self-report measures at baseline (T1), post-intervention (T2) and 4-week follow-up (T3). A subsample (n = 15) completed an interview at T2. Results Retention was good throughout the study (n = 28; 80%). Quantitative and qualitative feedback suggested the format, delivery, content and dosage of MOPED-A were acceptable. Athletes valued that the intervention was tailored to them, and this facilitated both participation and completion. Over a third of participants reported disclosing their eating difficulties and deciding to seek further support. Large reductions in eating disorder symptoms were detected at T2 and sustained at T3. Conclusions The MOPED-A intervention can be feasibly implemented, is acceptable to participants, and demonstrates potential for reducing symptoms in athletes. A larger, controlled trial is warranted

Muscle dysmorphia and associated psychological features of males in the Middle East: A systematic review

Muscle dysmorphia (MD) is a mental health disorder characterized by a preoccupation with muscularity and is linked to excessive exercise and dieting, and using anabolic steroids. There is a global interest in the study of MD, however, the literature has yet to collect and synthesize the evidence base in the Middle East. The aim of this systematic review was therefore to understand the status of MD and its associated psychological features of males in the Middle East. A systematic search in PubMed, Web of Science, and Scopus was performed on February 4th, 2023 to identify the cross-sectional survey-based studies conducted in the ME using well-established assessments directly related to MD and its associated psychological features in males. The risk of bias was assessed using the Risk of Bias Instrument for Cross-Sectional Surveys of Attitudes and Practices. A total of ten eligible studies were included in this review. These studies were conducted in Turkey (n = 5), Iran (n = 2), Lebanon (n = 1), Kuwait (n = 1), and North Cyprus (n = 1). Participants in the included studies were mainly bodybuilders (n = 1958, 55.4%) and university students (n = 1510, 42.7%). Results suggest that disordered eating attitudes, obsession with healthy eating, perfectionism, vulnerable narcissistic disposition, low self-esteem, muscle dissatisfaction, need frustration, and low family income may contribute to or trigger MD symptoms in bodybuilders and male university students in the Middle East. Healthcare professionals should be mindful of the associated psychological correlates in treating MD symptoms in men living in the Middle East.publishedVersio

My father, myself, and my muscles:associations between muscle dysmorphia, narcissism and relationship with father among exercising males

Research has yet to examine the associations between muscle dysmorphia (MD), narcissism and relationship with father in a male population. This study aimed to address this. We hypothesized that a negatively experienced relationship with the father for males will lead to an increase in MD symptoms due to undermined self-esteem that stems from a lack of the father as a positive masculine role model. A total of 503 exercising males (Mage = 28.5, SD = 9.6 years) completed self-report measures of MD, narcissism, and relationship with father. Our hypothesized indirect effect model found a negative indirect effect of relationship with father on MD symptoms via vulnerable narcissism, but not via grandiose narcissism. Analysis of individual path coefficients also revealed that a poor relationship with father impacts the development of vulnerable narcissism, but not grandiose narcissism. These findings alert practitioners to the fact that some individuals' MD symptoms may be an attempt to protect the fragile self-esteem central to vulnerable narcissism. Practitioners should consider exploring individuals' feelings and perceptions about their fathers in the treatment of MD. Moreover, future research should build on these findings and explore the observed associations in a longitudinal design to assess the causal model.publishedVersio