DOCSLIB.ORG

A Single Subject Investigation of Behavioral and Cognitive Therapies for Body Dysmorphic Disorder April O'grady

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Single Subject Investigation of Behavioral and Cognitive Therapies for Body Dysmorphic Disorder April O'grady The University of Maine DigitalCommons@UMaine Electronic Theses and Dissertations Fogler Library 5-2002 A Single Subject Investigation of Behavioral and Cognitive Therapies for Body Dysmorphic Disorder April O'Grady Follow this and additional works at: http://digitalcommons.library.umaine.edu/etd Part of the Cognitive Psychology Commons Recommended Citation O'Grady, April, "A Single Subject Investigation of Behavioral and Cognitive Therapies for Body Dysmorphic Disorder" (2002). Electronic Theses and Dissertations. 61. http://digitalcommons.library.umaine.edu/etd/61 This Open-Access Dissertation is brought to you for free and open access by DigitalCommons@UMaine. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of DigitalCommons@UMaine. A SINGLE SUBJECT INVESTIGATION OF BEHAVIORAL AND COGNITIVE THERAPIES FOR BODY DYSMORPHIC DISORDER BY April O'Grady B.Sc. Memorial University of Newfoundland, 1993 A THESIS Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy (in Psychology) The Graduate School The University of Maine May, 2002 Advisory Committee: Jeffrey Hecker, Associate Professor of Psychology, Co-Chair Geoffrey Thorpe, Professor of Psychology, Co-Chair Bruce Hale, Cooperating Associate Professor of Psychology Alan Rosenwasser, Professor of Psychology Sandra Sigmon, Associate Professor of Psychology Alan Stubbs, Professor of Psychology A SINGLE-SUBJECT INVESTIGATION OF BEHAVIORAL AND COGNITIVE THERAPIES FOR BODY DYSMORPHIC DISORDER By April O'Grady Thesis Co-Advisors: Dr. Jeffrey Hecker, Dr. Geoffrey Thorpe An Abstract of the Thesis Presented In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy (in Psychology) May 2002 Body dysmorphic disorder (BDD), a psychological disorder characterized by an intense preoccupation with an imagined physical defect, causes extreme distress and leads to depression, divorce, and suicide. Currently, empirically- supported treatments include cognitive-behavioral therapy (CBT) and selective serotonin-reuptake inhibitors, however, one important component of treatment literature yet to be investigated is the relative efficacy of cognitive or behavior therapy as a sole treatment. In particular, examinations of change processes throughout the course of treatment are needed. Thus, the identification of necessary treatment components in the CBT package and the isolation of specific change processes could lead to a more streamlined and effective treatment approach. The current study utilized a multiple baseline, treatment crossover design to investigate change processes during either behavior therapy (BT) or cognitive therapy (CT) for BDD. Following a diagnostic assessment including a semi- structured interview for BDD, six individuals diagnosed with the disorder were invited to participate, five of whom completed the study. Participants received eight sessions of either BT or CT, followed by the same number of sessions of the remaining treatment. BT involved exposure with response prevention (ERP), and required the completion of ERP exercises both at home and in session. CT sessions followed Beck's (I967, 1976) approach, and involved the identification and challenging of cognitive distortions. In addition to a battery of self-report questionnaires administered at each phase change and at follow-up, daily recordings of compulsive behaviors, appearance-related self-statements, and global distress were gathered, as well as weekly third party assessments of behavior. Visual analysis of daily recordings demonstrated improvement for three of the five participants, with behavior therapy appearing to be most effective in reducing daily BDD symptoms. In addition, following completion of both cognitive and behavioral treatments, three of the five participants met criteria for clinically significant improvement on self-report measures of BDD symptoms and depression. Finally, investigation into the covariation of BDD-related thoughts and behaviors revealed results for two participants. Discussion focused on implications for behavioral and cognitive theories of symptom maintenance, as well as on interpreting current findings within the body of BDD outcome literature and further clinical implications. ACKNOWLEDGEMENTS I would like to thank my advisors, Dr. Jeffrey Hecker and Dr. Geoffrey Thorpe, for supporting me in this project and for reading, editing, and re-reading many drafts. 1 am especially grateful to Dr. Hecker for providing clinical supervision throughout the study and to Dr. Thorpe for providing therapy in the pilot project. Thank you, also, to the members of my committee Dr. Sandra Sigmon, Dr. Alan Stubbs, Dr. Bruce Hale, and Dr. Alan Rosenwasser for their helpful suggestions and valuable insight. I am very grateful to Kristin Maki and Annalyn Mercado for voluntarily being therapists in the study, and to the University of Manitoba Department of Clinical Health Psychology and Dr. John Walker for supporting the continuation of this study during my internship. Much gratitude is also owed to the clients who devoted considerable time and effort without a guarantee of success. Thank you to my family for their constant love, humor, and support (both emotional and financial!). I could not have done this without all of the enthusiastic encouragement you have given me over the years. Finally, thank you to my husband. Your love and support throughout this process was invaluable to my success. TABLE OF CONTENTS ACKNOWLEDGEMENTS .............................................................. ii LIST OF TABLES ........................................................................viii LIST OF FIGURES ...................................................................... X Chapter 1. INTRODUCTION................................................................ History and Demographics.................................................. Differential Diagnosis and Comorbidity ................................... Connections Between BDD and Obsessive-Compulsive Disorder ........................................................................ Behavioral Theory of OCD ................................................... Behavioral Theory of BDD................................................... Beck's Cognitive Theory ...................................................... Cognitive Theory of BDD ..................................................... Empirical Support for ERP and CT with OCD ........................... Additional Theories of BDD.................................................. Evolutionary significance ............................................. Selective attention ...................................................... Psychodynamic theory ................................................ Treatment of BDD............................................................... Methodological Issues......................................................... 43 Single-participant designs ............................................ 43 Response covariation .................................................. 51 Current Study .................................................................... 5 3 Hypotheses Related to Behavior Therapy ................................ 58 Hypothesis 1.............................................................. 58 Hypothesis 2 .......................................................... 58 Hypothesis 3 .............................................................. 58 Hypothesis 4 .............................................................. 59 Hypotheses Related to Cognitive Therapy ............................... 59 Hypothesis 5 .............................................................. 59 Hypothesis 6 .............................................................. 59 Hypothesis 7 .............................................................. 59 Hypothesis 8 .............................................................. 59 Hypothesis Related to Combined Cognitive and Behavior Therapies - Hypothesis 9 ...................................................59 2 . METHOD ............................................................................ 60 Participants..................................................................... 60 Therapists ..........................................................................60 Measures ..........................................................................-61 Total Compulsive Behavior Score (TCBS)........................ 61 Total Negative Self-statements Score (TNSS) .................. 61 Global Distress Rating (GDR) ........................................ 62 Third Party Measure ..................................................... 62 Body Dysmorphic Disorder Examination (BDDE)................ 62 The Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder (YBOCS-BDD)..................... 63 The Appearance Schemas Inventory (ASI) ....................... 64 The Social Avoidance and Distress Scale (SADS) .............. 64 The Overvalued Ideas Scale (OVIS) ................................ 65 The Beck Depression Inventory-ll (BDI-II) .......................... 66 Design ..............................................................................66 Procedure ................. ... ............................................... 67 Assessment ................................................................ 67 Behavior therapy ......................................................... 69 Cognitive therapy ........................................................
Load more

Recommended publications
  • Ch 28 Dobersek Eklund-FINAL .Pdf
    Chapter 28 Social Physique Anxiety and Muscle Dysmorphia Urska Dobersek & Robert C. Eklund Social physique anxiety (SPA) and body dysmorphic disorder (BDD) have the body as a common denominator. These constructs both involve concerns with either others or one’s own perceptions about the body or specific physical features; SPA involves concern about the evaluation of others while BDD involves concern over self-perceptions. This chapter provides definitions and information on diagnostic and statistical elements of SPA, BDD, and muscle dysmorphia (MD) which is a particular type of BDD. Psychological, physiological, and environmental factors implicated in the experience of these constructs are outlined as well as potential co-morbidities. Despite the wide range of physical and psychological benefits derived from exercise and physical activity, evidence suggests that these involvements can have negative effects for some individuals with SPA and MD. Consulting, counseling, and pharmacological strategies for addressing SPA and MD are outlined including commentary on cognitive behavior therapy (CBT), antidepressants (e.g., selective serotonin reuptake inhibitors), and a combination thereof. In this chapter we first provide commentary on the theoretical background of the mechanisms that play an essential role in development of SPA and MD among exercisers and physically active individuals. Main topics and associated concepts are introduced in vignettes to illustrate experiences of SPA and MD, and how they relate to exercise and physical activity. We then describe variables that have been linked to SPA and MD, including potential causes, moderators, mediators, and other correlates. Finally, we provide theoretically grounded recommendations for the professionals working with the physically active individuals who 1 portray symptoms of SPA and/or MD and provide suggested readings for further exploration in the area.
    [Show full text]
  • Muscle Dysmorphia: Under-Researched and Potentially
    Muscle Dysmorphia: Under-researched and potentially Over-diagnosed Muscle Dysmorphia is a recently described psychiatric disorder, characterized by a pathological preoccupation with muscle size. [1] This paper aims to define Muscle Dysmorphia and explore its aetiology and ramifications, including psychological distress and an association with the use and abuse of Androgenic Anabolic Steroids. Muscle Dysmorphia is often referred to as a subtype of Body Dysmorphia, with features that correlate with an Eating Disorder and Obsessive-Compulsive Disorder. I will look into the diagnostic criteria of these disorders, and highlight the suggested similarities they share with Muscle Dysmorphia. I believe there is a lack of definitive diagnostic criteria for Muscle Dysmorphia, which fails to clearly distinguish between what is normal and what is not when it comes to bodybuilding. The media has sensationalized this disorder, and portrayed a stereotyped, over-generalized view of what Muscle Dysmorphia is and the individuals who are affected by it. I believe this is due to the general public being uniformed, and there is a need for someone who is informed to explore this topic in depth in order to avoid over-diagnosis. I will explore the mindset of normal athletes - i.e. those who enjoy building muscle, highlight the flaws with the current diagnostic criteria, and suggest necessary future research. What is Muscle Dysmorphia An individual affected by Muscle Dysmorphia is overly concerned with his or her degree of muscularity, whereby there is a pervasive belief that they are insufficiently large and lack adequate muscularity. This preoccupation with muscle building leads to a never-ending quest to become bigger and more muscular.
    [Show full text]
  • Muscle Dysmorphia: Current Insights 1
    MUSCLE DYSMORPHIA: CURRENT INSIGHTS 1 REVIEW Short running header: MUSCLE DYSMORPHIA Tod et al Muscle Dysmorphia: Current insights David Tod1 Christian Edwards2 Ieuan Cranswick3 1School of Sport and Exercise Science, Liverpool John Moores University, Liverpool, Merseyside, United Kingdom; 2Institute of Sport and Exercise Science, University of Worcester, Worcester, Worcestershire, United Kingdom; 3School of Sport and Exercise Science, Liverpool John Moores University, Liverpool, Merseyside, United Kingdom Correspondence: David Tod School of Sport and Exercise Science, Byrom Street Liverpool John Moores University Byrom Street Liverpool Merseyside United Kingdom L3 3AF Tel +44 151 904 6241 Email [email protected] MUSCLE DYSMORPHIA: CURRENT INSIGHTS 2 Abstract: Since 1997, there has been increasing research focused on Muscle Dysmorphia, a condition underpinned by people’s beliefs they have insufficient muscularity, in both the Western and non- western medical and scientific communities. Much of this empirical interest has surveyed nonclinical samples, and there is limited understanding of people with the condition beyond knowledge about their characteristics. Much existing knowledge about people with the condition is unsurprising and inherent in the definition of the disorder, such as dissatisfaction with muscularity and adherence to muscle-building activities. Only recently have investigators started to explore questions beyond these limited tautological findings that may give rise to substantial knowledge advances, such as the examination of masculine and feminine norms. There is limited understanding of additional topics such as etiology, prevalence, nosology, prognosis, and treatment. Further, the evidence is largely based on a small number of unstandardized case reports and descriptive studies (involving small samples), largely confined to Western (North American, British, and Australian) males.
    [Show full text]
  • Introduction to Bigorexia
    journal homepage: http://kont.zsf.jcu.cz SOciaL SciENCES IN HEALTH DOI: 10.32725/kont.2021.014 KONTakT / Journal of nursing and social sciences related to health and illness Review article Introduction to bigorexia Šárka Tovt, Alena Kajanová * University of South Bohemia in České Budějovice, Institute of Social and Special-paedagogical Sciences, České Budějovice, Czech Republic Abstract Bigorexia was first mentioned in the early 20th century in the USA. It is an unanchored disease with elements of obsessive-compulsive disorder. It is characterized by an obsession with the appearance of one’s body, fear of not having enough muscles, and the urgent need for excessive physical exercise. The disorder can cause other serious illnesses and is also often associated with dependence on anabolic steroids or other addictive substances. The aim of this article is to provide basic information about the problem of bigorexia, including the diagnosis and treatment. It also deals with the possible health and social risks in people suffering from bigorexia. This article presents a set of results of the existing literature in the field of muscle dysmorphia from Web of Science, PubMed, Scopus and other related scientific databases. The studied professional articles were not limited by the date of publication, as the original works provide insight into the initial investigation of bigorexia and the mapping of this disease. The search was performed using keywords related to the issue. The scientific articles were supplemented by diagnostic and statistical manuals and monographs. The research revealed that the issue of bigorexia is mainly dealt with in foreign countries. In the Czech Republic, relevant data regarding this disease is currently lacking.
    [Show full text]
  • Body Dysmorphic Disorder (BDD)
    © Mind 2018 Body dysmorphic disorder (BDD) Explains what body dysmorphic disorder (BDD) is, the symptoms and possible causes of BDD and how you can access treatment and support. Includes tips for helping yourself, and advice for friends and family. If you require this information in Word document format for compatibility with screen readers, please email: [email protected] Contents What is body dysmorphic disorder (BDD)? .......................................................................... 2 What are the common signs and symptoms of BDD? .......................................................... 2 What causes BDD? .............................................................................................................. 4 What treatments are available for BDD? ............................................................................. 6 What can I do to help myself? .............................................................................................. 8 How can friends and family help?........................................................................................ 9 Useful contacts .................................................................................................................... 10 1 © Mind 2018 What is body dysmorphic disorder (BDD)? Body dysmorphic disorder (BDD) is an anxiety disorder related to body image. You might be given a diagnosis of BDD if you: experience obsessive worries about one or more perceived flaws in your physical appearance, and the flaw cannot be seen by others or
    [Show full text]
  • Understanding Men's Muscularity-Focused Body Image Concerns Through the Lens of Gender Role Conflict and Self-Compassion
    University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln Public Access Theses and Dissertations from the Education and Human Sciences, College of (CEHS) College of Education and Human Sciences 10-31-2016 Repairing the Broken Mirror: Understanding Men's Muscularity-Focused Body Image Concerns Through the Lens of Gender Role Conflict and Self-Compassion. Michael S. Butchko University of Nebraska - Lincoln, [email protected] Follow this and additional works at: http://digitalcommons.unl.edu/cehsdiss Part of the Counseling Psychology Commons, and the Educational Psychology Commons Butchko, Michael S., "Repairing the Broken Mirror: Understanding Men's Muscularity-Focused Body Image Concerns Through the Lens of Gender Role Conflict and Self-Compassion." (2016). Public Access Theses and Dissertations from the College of Education and Human Sciences. 290. http://digitalcommons.unl.edu/cehsdiss/290 This Article is brought to you for free and open access by the Education and Human Sciences, College of (CEHS) at DigitalCommons@University of Nebraska - Lincoln. It has been accepted for inclusion in Public Access Theses and Dissertations from the College of Education and Human Sciences by an authorized administrator of DigitalCommons@University of Nebraska - Lincoln. REPAIRING THE BROKEN MIRROR: UNDERSTANDING MEN’S MUSCULARITY-FOCUSED BODY IMAGE CONCERNS THROUGH THE LENS OF GENDER ROLE CONFLICT AND SELF-COMPASSION Michael S. Butchko A DISSERTATION Presented to the Faculty of The Graduate College at the University of Nebraska In Partial Fulfillment of Requirements For the Degree of Doctor of Philosophy Major: Psychological Studies in Education (Counseling Psychology) Under the Supervision of Professor M. Meghan Davidson Lincoln, Nebraska October, 2016 REPAIRING THE BROKEN MIRROR: UNDERSTANDING MEN’S MUSCULARITY-FOCUSED BODY IMAGE CONCERNS THROUGH THE LENS OF GENDER ROLE CONFLICT AND SELF-COMPASSION Michael S.
    [Show full text]
  • Examining Biopsychosocial Factors in the Drive for Muscularity and Muscle Dysmorphia Among Personal Trainers Beau J
    Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2015 Examining Biopsychosocial Factors in the Drive for Muscularity and Muscle Dysmorphia Among Personal Trainers Beau J. Diehl Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Psychiatric and Mental Health Commons, and the Psychology Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Social and Behavioral Sciences This is to certify that the doctoral dissertation by Beau Diehl has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Michael Johnson, Committee Chairperson, Psychology Faculty Dr. Magy Martin, Committee Member, Psychology Faculty Dr. Joanna Bissell-Havran, University Reviewer, Psychology Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2015 Examining Biopsychosocial Factors in the Drive for Muscularity and Muscle Dysmorphia Among Personal Trainers by Beau James Diehl MS, Walden University, 2011 BS, Upper Iowa University, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy General Teaching Psychology Walden University August 2015 Abstract This cross-sectional quantitative study was conducted to assess the presence of muscle dysmorphia (MD) and a drive for muscularity (DFM) in 1,039 personal trainers using the Muscle Dysmorphia Inventory (MDI) and the Drive for Muscularity Scale (DMS).
    [Show full text]
  • DSM Part 2 Changes to Depressive Disorders
    4/29/2015 DSM Part 2 Depressive Disorders through Gender Dysphoria Changes to Depressive Disorders Disruptive Mood Disregulation Disorder (new) 296.99 (F34.8) Major Depressive Disorder Severity/course Single Episode Recurrent Episode specifier Mild 296.21 (F32.0) 296.31 (F33.0) Moderate 296.22 (F32.1) 296.32 (F33.1) Severe 296.23 (F32.2) 296.33 (F33.2) With Psychotic 296.24 (F32.3) 296.34 (F33.3) Features In partial remission 296.26 (F32.4) 296.35 (F33.41) In full remission 296.26 (F32.5) 296.36 (F33.42) Unspecified 296.20 (F32.9) 296.30 (F33.9) 1 4/29/2015 Changes to Depressive Disorders Persistent Depressive Disorder (Dysthymia) 300.4 (F34.1) Premenstrual Dysphoric Disorder 625.4 (N94.3) (new) Substance/Medication Induced Depressive Disorder – Codes are substance-specific and in the substance use section of DSM-5 Depressive Disorder Due to Another Medical Condition 293.83 (note additional specificity with ICD 10) With depressive features (F06.31) With major depressive-like episode (F06.32) With mixed features (F06.34) Other Specified Depressive Disorder 311 (F32.8) Unspecified Depressive Disorder 311 (F32.9) Changes to Depressive Disorders Several new disorders Disruptive Mood Dysregulation disorder (pg 156) To address concerns about over-diagnosis and treatment of bipolar disorder in children Diagnosis for children up to 12 years who exhibit persistent irritability and frequent episodes of extreme behavioral dys-control. Not made for first time before 6 years or after 18 years Placement recognizes findings that point to these children developing unipolar depressive d/o or anxiety d/o rather than bipolar d/o as they mature (hence location in this section of DSM) It cannot coexist with Oppositional Defiant, Intermittent Explosive or bipolar disorder –but can exist with others 2 4/29/2015 Changes to Depressive Disorders Disruptive Mood Dysregulation disorder Diagnostic criteria: A.
    [Show full text]
  • DSM- 5 Diagnostic Criteria for Eating Disorders
    DSM- 5 Diagnostic criteria for Eating Disorders The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is the 2013 publication of the American Psychiatric Association (APA) classification and assessment tool. The DSM-5 contains diagnostic criteria for mental health disorders, to assist clinicians in effective assessment and diagnosis. Outlined below are the diagnostic criteria for eating disorders: • Anorexia Nervosa (AN) • Bulimia Nervosa (BN) • Binge Eating Disorder (BED) • Other Specified Feeding and Eating Disorder (OSFED) • Pica • Rumination Disorder • Avoidant/Restrictive Food Intake Disorder (ARFID) • Unspecified Feeding or Eating Disorder (UFED) • Other: o Muscle Dysmorphia o Orthorexia Nervosa (ON) proposed criteria 1 Anorexia Nervosa (AN) • Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected. • Intense fear of gaining weight or of becoming fat, or persistent behaviour that interferes with weight gain, even though at a significantly low weight. • Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight. Subtypes: Restricting type: During the last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behaviour (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas). This subtype describes presentations in which weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise.
    [Show full text]
  • Facets of Narcissism in Relation to Muscle Dysmorphia and Eating Disorder Symptomotology Chanceton K
    Western Kentucky University TopSCHOLAR® Masters Theses & Specialist Projects Graduate School 5-2015 Facets of Narcissism in Relation to Muscle Dysmorphia and Eating Disorder Symptomotology Chanceton K. Littrell Western Kentucky University, [email protected] Follow this and additional works at: http://digitalcommons.wku.edu/theses Part of the Social Psychology Commons Recommended Citation Littrell, Chanceton K., "Facets of Narcissism in Relation to Muscle Dysmorphia and Eating Disorder Symptomotology" (2015). Masters Theses & Specialist Projects. Paper 1493. http://digitalcommons.wku.edu/theses/1493 This Thesis is brought to you for free and open access by TopSCHOLAR®. It has been accepted for inclusion in Masters Theses & Specialist Projects by an authorized administrator of TopSCHOLAR®. For more information, please contact [email protected]. FACETS OF NARCISSISM IN RELATION TO MUSCLE DYSMORPHIA AND EATING DISORDER SYMPTOMOTOLOGY A Thesis Presented to The Faculty of the Department of Psychology Western Kentucky University Bowling Green, Kentucky In Partial Fulfillment Of the Requirements for the Degree Master of Arts By Chanceton K. Littrell May 2015 ACKNOWLEDGEMENTS I would first like to thank my family: my mother and father, who have always supported me in my educational and professional endeavors. I would especially like to thank my wife for her continued love and support throughout this arduous process. I would like to extend my gratitude to my thesis chair, Dr. Frederick Grieve, for dedicating so much time to helping me cultivate my research ideas and subsequently shape them into a finished product. I would also like to extend great thanks to my other committee members, Dr. Pitt Derryberry and Dr. Amy Brausch, for helping me to refine and further improve my thesis.
    [Show full text]
  • The Association Between Muscle Dysmorphia and Eating Disorder Symptomatology: a Systematic Review and Meta-Analysis
    REVIEW ARTICLE Journal of Behavioral Addictions DOI: 10.1556/2006.8.2019.44 The association between muscle dysmorphia and eating disorder symptomatology: A systematic review and meta-analysis LAURA BADENES-RIBERA1, MARIA RUBIO-APARICIO2, JULIO SÁNCHEZ-MECA3, MATTEO ANGELO FABRIS4* and CLAUDIO LONGOBARDI4 1Departamento de Methodologia and Behavioral Science, University of Valencia, Valencia, Spain 2Departamento de Psicología de la Salud, University of Valencia, Alicante, Spain 3Departamento de Psicología Básica y Metodología, University of Murcia, Murcia, Spain 4Dipartimento di Psicologia, Università degli Studi di Torino, Turin, Italy (Received: January 27, 2019; revised manuscript received: June 25, 2019; accepted: July 24, 2019) 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.
    [Show full text]
  • Dsm-5 Changes: Implications for Child Serious Emotional Disturbance
    DSM-5 CHANGES: IMPLICATIONS FOR CHILD SERIOUS EMOTIONAL DISTURBANCE DISCLAIMER SAMHSA provides links to other Internet sites as a service to its users and is not responsible for the availability or content of these external sites. SAMHSA, its employees, and contractors do not endorse, warrant, or guarantee the products, services, or information described or offered at these other Internet sites. Any reference to a commercial product, process, or service is not an endorsement or recommendation by SAMHSA, its employees, or contractors. For documents available from this server, the U.S. Government does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed. Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality Rockville, Maryland 20857 June 2016 This page intentionally left blank DSM-5 CHANGES: IMPLICATIONS FOR CHILD SERIOUS EMOTIONAL DISTURBANCE Contract No. HHSS283201000003C RTI Project No. 0212800.001.108.008.008 RTI Authors: RTI Project Director: Heather Ringeisen David Hunter Cecilia Casanueva Leyla Stambaugh SAMHSA Authors: SAMHSA Project Officer: Jonaki Bose Peter Tice Sarra Hedden For questions about this report, please e-mail [email protected]. Prepared for Substance Abuse and Mental Health Services Administration, Rockville, Maryland Prepared by RTI International, Research Triangle Park, North Carolina June 2016 Recommended Citation: Center for Behavioral
    [Show full text]