Muscle Dysmorphia: Methodological Issues, Implications for Research

REFERENCES

• Ajzen , I. and Fishbein , M. 2005 . “ The influence of attitudes on behavior ” . In The handbook of attitude (pp. 173–221) , Edited by: Albarracín , D. , Johnson , B. T. and Zanna , M. P. Mahwah , NJ : Erlbaum .
   Google Scholar
• Anderson , R. E. , Bartlett , S. J. , Morgan , G. D. and Brownell , K. D. 1995 . Weight loss, psychological, and nutritional patterns in competitive male bodybuilders . International Journal of Eating Disorders , 18 : 49 – 57 .
   PubMed Web of Science ®Google Scholar
• 2000 . Diagnostic and statistical manual of mental disorders , 4th ed., text rev.). , Washington, DC : Author . American Psychiatric Association
   Google Scholar
• Arbour , K. P. and Martin Ginis , K. A. 2006 . Effects of exposure to muscular and hyper-muscular media images on young men's muscularity dissatisfaction and body dissatisfaction . Body Image , 3 : 153 – 161 .
   PubMedGoogle Scholar
• Armitage , C. J. and Conner , M. 2000 . Social cognition models and health behaviour: A structured review . Psychology & Health , 15 : 173 – 189 .
   Web of Science ®Google Scholar
• Aycock , A. 1992 . The confession of the flesh: Disciplinary gaze in casual bodybuilding . Play and Culture , 5 : 338 – 357 .
   Google Scholar
• Babusa , B. and Túry , F. 2011 . Nosological classification and assessment of muscle dysmorphia . Psychiatria Hungarica Journal , 26 : 158 – 166 .
   PubMedGoogle Scholar
• Baghurst , T. 2008 . Characteristics of muscle dysmorphia in male football, weight training, and competitive bodybuilding samples , Fayetteville , AR. : Unpublished doctoral dissertation). University of Arkansas .
   Google Scholar
• Baghurst , T. 2012 . Muscle dysmorphia and male body image: A personal account . New Male Studies: An International Journal , 1 : 125 – 130 .
   Google Scholar
• Baghurst , T. and Kissinger , D. B. 2009 . Perspectives on muscle dysmorphia . International Journal of Men's Health , 8 : 82 – 89 .
   Google Scholar
• Baghurst , T. and Lirgg , C. 2009 . Characteristics of muscle dysmorphia in male football, weight training and competitive natural and non-natural bodybuilding samples . Body Image , 6 : 221 – 227 .
   PubMed Web of Science ®Google Scholar
• Behar , R. and Molinari , R. 2010 . Muscle dysmorphia, body image and eating behaviors in two male populations . Revista Médica de Chile , 138 : 1386 – 1394 .
   PubMed Web of Science ®Google Scholar
• Bhasin , S. , Storer , T. W. , Berman , N. , Yarasheski , K. E. , Clevenger , B. and Phillips , J. 1997 . Testosterone replacement increases fat-free mass and muscle size in hypogonadal men . Journal of Clinical Endocrinology & Metabolism , 82 : 407 – 413 .
   PubMed Web of Science ®Google Scholar
• Blashfield , R. K. , Sprock , J. and Fuller , A. K. 1990 . Suggested guidelines for including or excluding categories in the DSM–IV . Comprehensive Psychiatry , 31 : 15 – 19 .
   PubMed Web of Science ®Google Scholar
• Bodybuilding.com.2013Bodybuilding glossary A-M. Retreived from http://www.bodybuilding.com/fun/glossam.htm (http://www.bodybuilding.com/fun/glossam.htm)
   Google Scholar
• Cafri , G. , Olivardia , R. and Thompson , K. 2008 . Symptom characteristics and psychiatric comorbidity among males with muscle dysmorphia . Comprehensive Psychiatry , 49 : 374 – 379 .
   PubMed Web of Science ®Google Scholar
• Cella , S. , Iannaccone , M. and Cotrufo , P. 2012 . Muscle dysmorphia: A comparison between competitive bodybuilders and fitness practitioners . Journal of Nutritional Therapeutics , 1 ( 1 ) : 12 – 18 .
   Google Scholar
• Chandler , C. G. , Grieve , F. G. , Derryberry , W. P. and Pegg , P. O. 2009 . ). Are symptoms of anxiety and obsessive-compulsive disorder related to symptoms of muscle dysmorphia? . International Journal of Men's Health , 8 : 143 – 154 .
   Google Scholar
• Chaney , M. P. 2008 . Muscle dysmorphia, self-esteem, and loneliness among gay and bisexual men . International Journal of Men's Health , 7 : 157 – 170 .
   Google Scholar
• Choi , P. Y. L. , Pope , H. G. and Olivardia , R. 2002 . Muscle dysmorphia: A new syndrome in weight lifters . British Journal of Sports Medicine , 36 : 375 – 376 .
   PubMed Web of Science ®Google Scholar
• Chung , B. 2001 . Muscle dysmorphia: A critical review of the proposed criteria . Perspectives in Biology and Medicine , 44 : 565 – 574 .
   PubMed Web of Science ®Google Scholar
• Connan , F. 1998 . Machismo nervosa: An ominous variant of bulimia nervosa . European Eating Disorders Review , 6 : 154 – 159 .
   Web of Science ®Google Scholar
• Crossley , N. 2008 . (Net)working out: Social capital in a private health club . The British Journal of Sociology , 59 : 475 – 500 .
   PubMed Web of Science ®Google Scholar
• Darkes, J.2001An introduction to muscle dysmorphia (aka bigorexia or muscle dysmorphia): Is what you see what you've got? Retrieved from http://thinksteroids.com/articles/adonis-complex-bigorexia-muscle-dysmorphia/ (http://thinksteroids.com/articles/adonis-complex-bigorexia-muscle-dysmorphia/)
   Google Scholar
• Davis , C. , Karvinen , K. and McCreary , D. R. 2005 . Personality correlates of a drive for muscularity in young men . Personality and Individual Differences , 39 : 349 – 359 .
   Web of Science ®Google Scholar
• Davis , T. O. 2010 . Conceptualizing psychiatric disorders using “Four D's” of diagnoses . The Internet Journal of Psychiatry , 1 ( 1 ) http://archive.ispub.com/journal/the-internet-journal-of-psychiatry/volume-1-number-1/conceptualizing-psychiatric-disorders-using-four-d-s-of-diagnoses.html#sthash.IE3c2sEX.dpbs. doi: 10.5580/7e6
   Google Scholar
• Denham , B. E. 2008 . Masculinities in hardcore bodybuilding . Men and Masculinities , 11 : 234 – 242 .
   Web of Science ®Google Scholar
• de Wit , S. and Dickinson , A. 2009 . Associative theories of goal-directed behaviour: A case for animal-human translational models . Psychological Research , 73 : 463 – 476 .
   PubMed Web of Science ®Google Scholar
• Dishman , R. K. 1988 . Exercise adherence; its impact on public health , Champaign , IL : Human Kinetics .
   Google Scholar
• Drewnowski , A. , Kurth , C. L. and Krahn , D. D. 1995 . Effects of body image on dieting, exercise, and anabolic steroid use in adolescent males . International Journal of Eating Disorders , 17 : 381 – 386 .
   PubMed Web of Science ®Google Scholar
• Fleck , S. J. 1999 . Periodized strength training: A medical review . Journal of Strength and Conditioning Research , 13 : 82 – 9 .
   Web of Science ®Google Scholar
• Freimuth , M. 2008 . Addicted? Recognizing destructive behavior before it's too late , Lanham , MD : Rowman & Littlefield .
   Google Scholar
• Freimuth , M. , Moniz , S. and Kim , S. 2011 . Clarifying exercise addiction: Differential diagnosis, co-occurring disorders, and phases of addiction . International Journal of Environmental Research and Public Health , 8 : 3399 – 3415 .
   PubMed Web of Science ®Google Scholar
• Giardino , J. C. and 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
   Google Scholar
• Gillan , C.M. , Papmeyer , M. , Morein-Zamir , S. , Sahakian , B. J. , Fineberg , N. A. , Robbins , T. W. and de Wit , S. 2011 . Disruption in the balance between goal-directed behavior and habit learning in obsessive-compulsive disorder . American Journal of Psychiatry , 168 : 718 – 726 .
   PubMed Web of Science ®Google Scholar
• Goldfield , G. S. , Harper , D. W. and Blouin , A. G. 1998 . Are bodybuilders at risk for an eating disorder? . Eating Disorders , 6 : 133 – 151 .
   Google Scholar
• Goodman , A. 1998 . Sexual addiction: An integrated approach , Madison , CT : International Universities Press .
   Google Scholar
• Goodwin, H.2010Risk factors for compulsive exercise. (Unpublished doctoral dissertation). Loughborough University, Loughborough, UK. Retrieved from http://hdl.handle.net/2134/7099 (http://hdl.handle.net/2134/7099)
   Google Scholar
• Graves , S. B. and Welsh , R. L. 2004 . Recognizing the signs of body dysmorphic disorder and muscle dysmorphia . ACSM'S Health & Fitness Journal , 8 ( 1 ) : 11 – 13 .
   Web of Science ®Google Scholar
• Grieve , F. G. 2007 . A conceptual model of factors contributing to the development of muscle dysmorphia . Eating Disorders , 15 : 63 – 80 .
   PubMedGoogle Scholar
• Grieve , F. G. , Truba , N. and Bowersox , S. 2010 . Etiology, assessment, and treatment of muscle dysmorphia . Journal of Cognitive Psychotherapy , 4 : 309 – 315 .
   Google Scholar
• Griggs , R. C. , Kingston , W. , Jozefowicz , R. F. , Herr , B. E. , Forbes , G. and Halliday , D. 1989 . Effect of testosterone on muscle mass and muscle protein synthesis . Journal of Applied Physiology , 66 : 498 – 503 .
   PubMed Web of Science ®Google Scholar
• Grogan , S. and Richards , H. 2002 . Body image: Focus groups with boys and men . Men and Masculinities , 4 : 219 – 232 .
   Google Scholar
• Hagberg , L. A. , Lindahl , B. , Nyberg , L. and Hellénius , M. L. 2009 . Importance of enjoyment when promoting physical exercise . Scandinavian Journal of Medicine and Science in Sports , 19 : 740 – 747 .
   PubMed Web of Science ®Google Scholar
• Hale , B. D. , Roth , A. D. , DeLong , R. E. and Briggs , M. S. 2010 . Exercise dependence and the drive for muscularity in male bodybuilders, power lifters, and fitness lifters . Body Image , 7 : 234 – 239 .
   PubMed Web of Science ®Google Scholar
• Hallsworth , L. , Wade , T. and Tiggemann , M. 2005 . Individual differences in male body image: An examination of self-objectification in recreational body builders . British Journal of Health Psychology , 10 : 453 – 465 .
   PubMed Web of Science ®Google Scholar
• Herman , P. C. and Polivy , J. 2003 . “ Dieting as an exercise in behavioural economics ” . In Time and decision: Economic and psychological perspectives on intertemporal choice (pp. 459–489) , Edited by: Loewenstein , G. , Read , D. and Baumeister , R. F. New York , NY : Russell Sage Foundation .
   Google Scholar
• Hickson , R. C. , Ball , K. L. and Falduto , M. T. 1989 . Adverse effects of anabolic steroids . Medical Toxicology and Adverse Drug Experience , 4 : 254 – 271 .
   PubMedGoogle Scholar
• Hildebrandt , T. , Langenbucher , J. and Schlundt , D. G. 2004 . Muscularity concerns among men: Development of attitudinal and perceptual measures . Body Image , 1 : 169 – 181 .
   PubMedGoogle Scholar
• Hitzeroth , V. , Wessels , C. , Zungu-Dirwayi , N. , Oosthuizen , P. and Stein , D. J. 2001 . Muscle dysmorphia: A South African sample . Psychiatry and Clinical Neurosciences , 55 : 521 – 523 .
   PubMed Web of Science ®Google Scholar
• Hurst , R. , Hale , B. , Smith , D. and Collins , D. 2000 . Exercise dependence, social physique anxiety, and social support in experienced and inexperienced bodybuilders and weightlifters . British Journal of Sports Medicine , 34 : 431 – 435 .
   PubMed Web of Science ®Google Scholar
• Ismail, K.2005Over $12 billion lost each year on wasted gym memberships in America. Medical News Today. Retrieved from http://www.medicalnewstoday.com/releases/23696.php (http://www.medicalnewstoday.com/releases/23696.php)
   Google Scholar
• Jankauskienė , R. , Kardelis , K. and Pajaujienė , S. 2007 . Muscle size satisfaction and predisposition for a health harmful practice in bodybuilders and recreational gymnasium users . Medicina (Kaunas, Lithuania) , 43 : 338 – 346 .
   PubMed Web of Science ®Google Scholar
• Kadi , F. , Eriksson , A. , Holmner , S. and Thornell , L. E. 1999 . Effects of anabolic steroids on the muscle cells of strength-trained athletes . Medicine & Science in Sports & Exercise , 31 : 1528 – 1534 .
   PubMed Web of Science ®Google Scholar
• Kimmel , S. B. and Mahalik , J. R. 2004 . Measuring masculine body ideal distress: Development of a measure . International Journal of Men's Health , 3 : 1 – 10 .
   Google Scholar
• Klein , A. M. 1993 . Little big men: Bodybuilding subculture and gender construction , Albany , NY : State University of New York Press .
   Google Scholar
• Kruszewski , M. , Jagiełło , W. and Kutwin , R. 2012 . The state of knowledge of dietary, physiological and pharmacological supplementation and the preferential use of these substances by persons practising recreational bodybuilding . Baltic Journal of Health and Physical Activity , 4 : 180 – 188 .
   Google Scholar
• Lambert , C. P. , Frank , L. L. and Evans , W. J. 2004 . Macronutrient considerations for the sport of bodybuilding . Journal of Sports Medicine , 34 : 317 – 327 .
   Google Scholar
• Lantz , C. D. , Rhea , D. J. and Cornelius , A. E. 2002 . Muscle dysmorphia in elite level power lifters and body builders: A test of differences within a conceptual model . Journal of Strength and Conditioning Research , 16 : 649 – 655 .
   PubMed Web of Science ®Google Scholar
• Leighton , A. H. and Murphy , J. M. 1997 . Nature of pathology: The character of danger implicit in functional impairment . Canadian Journal of Psychiatry , 42 : 714 – 721 .
   PubMed Web of Science ®Google Scholar
• Leit , R. A. , Pope , H. G. and Gray , J. J. 2001 . Cultural expectations of muscularity in men: The evolution of playgirl centerfolds . International Journal of Eating Disorders , 29 : 90 – 93 .
   PubMed Web of Science ®Google Scholar
• Leone , J. E. , Sedory , E. J. and Gray , K. A. 2005 . Recognition and treatment of muscle dysmorphia and related body image disorders . Journal of Athletic Training , 40 : 352 – 359 .
   PubMed Web of Science ®Google Scholar
• Maida , D. M. and Armstrong , S. L. 2005 . The classification of muscle dysmorphia . International Journal of Men's Health , 4 ( 1 ) : 73 – 91 .
   Google Scholar
• Manore , M. M. , Thompson , J. and Russo , M. 1993 . Diet and exercise strategies of a world-class bodybuilder . International Journal of Sport Nutrition , 3 ( 1 ) : 76 – 86 .
   PubMed Web of Science ®Google Scholar
• Mayville , S. B. , Williamson , D. A. , White , M. A. , Netemeyer , R. G. and Drab , D. L. 2002 . Development of the Muscle Appearance Satisfaction Scale: A self-report measure for the assessment of muscle dysmorphia symptoms . Assessment , 9 : 351 – 360 .
   PubMed Web of Science ®Google Scholar
• McCreary , D. R. and Sasse , D. K. 2000 . Exploring the drive for muscularity in adolescent boys and girls . Journal of American College Health , 48 : 297 – 304 .
   PubMed Web of Science ®Google Scholar
• Meyer , C. and Taranis , L. 2011 . Exercise in the eating disorders: Terms and definitions . European Eating Disorders Review , 19 : 169 – 173 .
   PubMed Web of Science ®Google Scholar
• Monaghan , L. F. 2001 . Bodybuilding drugs and risk , London , UK : Routledge .
   Google Scholar
• Morrison , T. G. , Morrison , M. A. and McCann , L. 2006 . “ Striving for bodily perfection? An overview of the drive for muscularity ” . In Body image: New research , Edited by: Kindes , M. V. 1 – 34 . Hauppauge , NY : Nova Science . InEd.pp.
   Google Scholar
• Mosley , P. E. 2009 . Bigorexia: Bodybuilding and muscle dysmorphia . European Eating Disorders Review , 17 : 191 – 198 .
   PubMed Web of Science ®Google Scholar
• Muller , S. M. , Dennis , D. L. , Schneider , S. R. and Joyner , R. L. 2004 . Muscle dysmorphia among selected male college athletes: An examination of the Lantz, Rhea, and Mayhew model . International Sports Journal , 8 : 119 – 125 .
   Google Scholar
• Murray , S. B. , Rieger , E. , Hildebrandt , T. , Karlov , L. , Russell , J. , Boon , E., … and 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 : 193 – 200 .
   PubMed Web of Science ®Google Scholar
• Murray , S. B. , Rieger , E. , Touyz , S. W. and De la Garza-Garcıa , Y. 2010 . Muscle Dysmorphia and the DSM-V Conundrum: Where does it belong? A review paper . International Journal of Eating Disorders , 43 : 483 – 491 .
   PubMed Web of Science ®Google Scholar
• Newton , L. E. , Hunter , G. , Bammon , M. and Roney , R. 1993 . Changes in psychological state and self-reported diet during various phases of training in competitive bodybuilders . Journal of Strength and Conditioning Research , 7 : 153 – 158 .
   Web of Science ®Google Scholar
• Nieuwoudt , J. E. , Zhou , S. , Coutts , R. A. and Booker , R. 2012 . Muscle dysmorphia: Current research and potential classification as a disorder . Psychology of Sport and Exercise , 13 : 569 – 577 .
   Web of Science ®Google Scholar
• 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 : 254 – 259 .
   PubMed Web of Science ®Google Scholar
• Olivardia , R. , Pope , H. G. , Borowiecki , J. J. and Cohane , G. H. 2004 . Biceps and body image: The relationship between muscularity and self-esteem, depression, and eating disorder symptoms . Psychology of Men and Masculinity , 5 : 112 – 120 .
   Google Scholar
• Olivardia , R. , Pope , H. G. and Hudson , J. L. 2000 . Muscle dysmorphia in male weightlifters: A case-control study . American Journal of Psychiatry , 157 : 1291 – 1296 .
   PubMed Web of Science ®Google Scholar
• Olrich , T. W. 1999 . Perceptions of benefits and losses associated with the use and discontinuance of Anabolic-Androgenic steroids among male bodybuilders . Journal of Personal and Interpersonal Loss , 4 : 231 – 242 .
   Web of Science ®Google Scholar
• Parent , M. C. 2013 . Clinical considerations in etiology, assessment, and treatment of men's muscularity-focused body image disturbance. Psychology of Men and Masculinity, 14, 88–100 doi: 10.1037/a0025644.
   Google Scholar
• Parent , M. C. and Moradi , B. 2011 . His biceps become him: An application of objectification theory to understanding drive for muscularity and propensity for steroid use in college men . Journal of Counseling Psychology , 58 : 246 – 256 .
   PubMed Web of Science ®Google Scholar
• Parish , T. , Baghurst , T. and Turner , R. 2010 . Becoming competitive amateur bodybuilders: Identification of contributors . Psychology of Men & Masculinity , 11 : 152 – 159 .
   Web of Science ®Google Scholar
• Persson , R. 2004 . Big, bad & stupid or big, good & smart? A three-year participant observational field study of the male bodybuilder stereotype and its consequences , Jonkoping , Sweden : Jonkoping University Press .
   Google Scholar
• Phelps , M. and Abrahamson , A. 2008 . No limits: The will to succeed , London , UK : Simon and Schuster .
   Google Scholar
• Philips , J. M. and Drummond , M. J. N. 2001 . An investigation into the body image perception, body satisfaction and expectations of male fitness leaders: Implications for professional practice . Leisure Studies , 20 : 95 – 105 .
   Google Scholar
• Pickett , T. C. , Lewis , R. J. and Cash , T. F. 2005 . Men, muscles, and body image: Comparisons of competitive bodybuilders, weight trainers, and athletically active controls . British Journal of Sports Medicine , 39 : 217 – 222 .
   PubMed Web of Science ®Google Scholar
• Pope , C. , Pope , H. , Menard , W. , Fay , C. , Olivardia , R. and Phillips , K. 2005 . Clinical features of muscle dysmorphia among males with body dysmorphic disorder . Body Image , 2 : 395 – 400 .
   PubMedGoogle Scholar
• Pope , H. G. , Gruber , A. , Choi , P. , Olivardia , R. and Phillips , K. 1997). Muscle . dysmorphia: An underrecognized form of body dysmorphic disorder . Psychosomatics , 38 : 548 – 557 .
   PubMed Web of Science ®Google Scholar
• Pope , H. G. , Phillips , K. A. and Olivardia , R. 2000 . The Adonis complex: The secret crisis of male body image , New York , NY : The Free Press .
   Google Scholar
• Probert , A. , Leberman , S. and Palmer , F. 2007 . New Zealand bodybuilder identities: Beyond homogeneity . International Review for the Sociology of Sport , 42 : 5–26
   Google Scholar
• Probst , M. , Vandereycken , W. , Van Coppenolle , H. and Vanderlinden , J. 1995 . Body Attitude Test for patients with an eating disorder: Psychometric characteristics of a new questionnaire . Eating Disorders , 3 : 133 – 145 .
   Google Scholar
• Prochaska , J. O. , DiClemente , C. C. and Norcross , J. C. 1992 . In search of how people change . American Psychologist , 47 : 1102 – 1114 .
   PubMed Web of Science ®Google Scholar
• Rhea , D. J. , Lantz , C. D. and Cornelius , A. E. 2004 . Development of the muscle dysmorphia inventory (MDI) . Journal of Sports Medicine and Physical Fitness , 44 : 428 – 435 .
   PubMed Web of Science ®Google Scholar
• Rhea , D. J. , Lantz , C. D. and Trail , G. T. 2000 . Muscle dysmorphia: A confirmatory test of a new model . Research Quarterly for Exercise and Sport , S71 : A – 94 .
   Google Scholar
• Rosenhan , D. L. 1973 . On being sane in insane places . Science , 179 ( 4070 ) : 250 – 258 .
   PubMed Web of Science ®Google Scholar
• Ryan , T. A. and Morrison , T. G. 2010 . Psychometric properties of the Muscle Appearance Satisfaction Scale among Irish and British men . Body Image , 7 : 246 – 250 .
   PubMed Web of Science ®Google Scholar
• Schlundt , D. G. , Woodford , H. and Brownlee , A. 2000 . Muscle dysmorphia in male weightlifters , University of Vanderbilt, Department of Psychology, Nashville, TN , Available from the author at [email protected] : Psychological characteristics and practices. (Unpublished manuscript) .
   Google Scholar
• Sechrest , L. , Fay , T. L. and Zaidi , S. M. H. 1972 . Problems of translation in cross cultural research . Journal of Cross-Cultural Psychology , 3 ( 1 ) : 41 – 56 .
   Web of Science ®Google Scholar
• Sheeran , P. 2002 . “ Intention-behavior relations: A conceptual and empirical review ” . In European review of social psychology , Edited by: Stroebe , W. and Hewstone , M. Chichester , UK : Wiley . InEds.(vol. 12, pp. 1–36)
   Google Scholar
• Simon , B. and Hamilton , D. L. 1994 . Self-stereotyping and social context: The effects of relative in-group size and in-group status . Journal of Personality and Social Psychology , 66 : 699 – 711 .
   PubMed Web of Science ®Google Scholar
• Skemp , K. M. , Mikat , R. P. , Schenck , K. P. and Kramer , N. 2013 . Muscle dysmorphia: Risk may be influenced by goals of the weightlifter. Journal of Strength & Conditioning Research, advance online publication doi: 10.1519/JSC.0b013e3182825474
   Google Scholar
• Smith , D. and Hale , B. 2004 . Validity and factor structure of the Bodybuilding Dependence Scale . British Journal of Sports Medicine , 38 : 177 – 181 .
   PubMed Web of Science ®Google Scholar
• Smith , D. , Wright , C. , Bruce-Low , S. and Hale , B. 2005 . “Read with caution”: A reply to Pickett et al. [Letter to the editor.] . British Journal of Sports Medicine , 39 : 874 – 875 .
   PubMed Web of Science ®Google Scholar
• Steen , S. N. 1991 . Precontest strategies of a male bodybuilder . Journal of the International Society of Sports Nutrition , 1 ( 1 ) : 69 – 78 .
   Google Scholar
• Thomas , L. S. , Tod , D. A. and Lavallee , D. E. 2011 . Variability in muscle dysmorphia symptoms: The influence of weight training . Journal of Strength and Conditioning Research , 25 : 846 – 851 .
   PubMed Web of Science ®Google Scholar
• Thompson , J. K. 2004 . The (mis)measurement of body image: Ten strategies to improve assessment for applied and research purposes . Body Image , 1 : 7 – 14 .
   PubMedGoogle Scholar
• Tod , D. A. and Lavallee , D. E. 2010 . Toward a conceptual understanding of muscle dysmorphia development and sustainment . International Review of Sport and Exercise Psychology , 3 : 111 – 131 .
   Google Scholar
• Vandereycken , W. 2011 . Media hype, diagnostic fad or genuine disorder? Professionals’ opinions about night eating syndrome, orthorexia, muscle dysmorphia, and emetophobia . Eating Disorders , 19 : 145 – 155 .
   PubMedGoogle Scholar
• Walberg , J. L. 1989 . Aerobic exercise and resistance weight training during weight reduction: Implications for obese persons and athletes . Sports Medicine , 47 : 343 – 356 .
   Web of Science ®Google Scholar
• Wolke , D. and Sapouna , M. 2008 . Big men feeling small: Childhood bullying experience, muscle dysmorphia and other mental health problems in bodybuilders . Psychology of Sport and Exercise , 9 : 595 – 604 .
   Web of Science ®Google Scholar
• World Health Organization2013Global strategy on diet, physical activity and health: Physical activity and adults. Retrieived from http://www.who.int/dietphysicalactivit/factsheet_adults/en/index.html (http://www.who.int/dietphysicalactivit/factsheet_adults/en/index.html)
   Google Scholar