Abstract
Substance use is much more common in individuals with body dysmorphic disorder (BDD) than in the general population (Grant et al., Journal of Clinical Psychiatry 66(3):309–405, 2005). In individuals with muscle dysmorphia (MD), a type of BDD that manifests as a pathological preoccupation with muscularity, the use of various substances that are associated with muscle building, such as anabolic steroids is much more prevalent than in the general population (Pope et al., Body Image 2:395–400, 2005). This chapter will examine the links between MD and such drug use, exploring the literature that has examined this issue, discussing treatment issues, and suggesting future research directions.
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References
American Psychiatric Association. (2013). American Psychiatric Association Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Baghurst, T., Hollander, D. B., Nardella, B., & Haff, G. (2006). Change in sociocultural ideal male physique: An examination of past and present action figures. Body Image, 3, 87–91.
Blouin, A., & Goldfield, G. (1995). Body image and steroid use in male bodybuilders. International Journal of Eating Disorders, 18, 159–165.
Cafri, G., Olivardia, R., & Thompson, J. (2008). Symptom characteristics and psychiatric comorbidity among males with muscle dysmorphia. Comprehensive Psychiatry, 49, 374–379.
Cafri, G., Thompson, J., Ricciardelli, L., McCabe, M., Smolak, L., & Yesalis, C. (2005). Pursuit of the muscular ideal: Physical and psychological consequences and putative risk factors. Clinical Psychology Review, 25, 215–239.
Davies, R., Smith, D., & Collier, K. (2011). Muscle dysmorphia among current and former steroid users. Journal of Clinical Sport Psychology, 5, 77–94.
Field, E., Sonneville, K., Crosby, R., Swanson, S., Eddy, K., Camargo, C., et al. (2014). Prospective associations of concerns about physique and the development of obesity, binge drinking and drug use among adolescent boys and young adult men. Journal of the American Medical Association, 168, 34–39.
Fussell, S. (1991). Muscle: Confessions of an unlikely bodybuilder. London: Abacus.
Grieve, F. G. (2007). A conceptual model of factors leading to the development of muscle dysmorphia. Eating Disorders: The Journal of Treatment and Prevention, 15, 63–80.
Kelly, M., Didie, E., & Phillips, K. (2014). Personal and appearance-based rejection sensitivity in body dysmorphic disorder. Body Image, 11, 260–265.
Lantz, C. D., Rhea, D. J., & Mayhew, J. L. (2001). The drive for size: A psycho-behavioral model of muscle dysmorphia (pp. 71–86). Winter: International Sports Journal.
Leit, R. A., Gray, J. J., & Pope Jr., H. G. (2001). The media’s representation of the ideal male body: A cause for muscle dysmorphia? International Journal of Eating Disorders, 31, 334–338.
Leone, J., Sedory, E., & Gray, K. (2005). Recognition and treatment of muscle dysmorphia and related body image disorders. Journal of Athletic Training, 40, 352–359.
Mann, J. J., & Kapur, S. (1991). The emergence of suicidal ideation and behaviour during antidepressant pharmacology. Archives of General Psychiatry, 48, 1027–1033.
Murray, S., & Baghurst, T. (2013). Revisiting the diagnostic criteria for muscle dysmorphia. Strength and Conditioning Journal, 35, 69–74.
Murray, S., Rieger, E., Touyz, S. W., & De La Garza Garcia, Y. (2010). Muscle dysmorphia and the DSM-V conundrum: Where does it belong? A review paper. International Journal of Eating Disorders, 43(6), 483–491.
Murray, S., & Touyz, S. W. (2013). Muscle dysmorphia: Towards a diagnostic consensus. Australian and New Zealand Journal of Psychiatry, 47, 206–207.
Olivardia, R. (2007). Muscle dysmorphia: Characteristics, assessment, and treatment. In The muscular ideal: Psychological, social, and medical perspectives. American Psychological Association, Washington, DC, 123–139.
Olivardia, R., Pope Jr., H. G., Borowiecki, J. J., & Cohane, G. H. (2004). Biceps and body image: The relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychology of Men & Masculinity, 5, 112–120.
Olivardia, R., Pope Jr., H. G., & Hudson, J. I. (2000). Muscle dysmorphia in male weightlifters: A case-control study. The American Journal of Psychiatry, 157(8), 1291–1296.
Olrich, T. W. (1993). The relationship of male identity, the mesomorphic image, and anabolic steroid use in bodybuilding. International Institute for Sport and Human Performance Microforms Publications, 7, 1673.
Olrich, T. W., & Martha, E. E. (1999). Life on steroids: Bodybuilders describe their perceptions of the anabolic-androgenic steroid use period. Sport Psychologist, 13(3), 299–312.
Olrich, T. W., & Vassallo, M. (2006). Psychological addiction to anabolic steroids: Exploring the role of social mediation. New England Law Review, 40, 735–746.
Petrocelli, M., Oberweis, T., & Petrocelli, J. (2008). Getting huge, getting ripped: A qualitative exploration of recreational steroid use. Journal of Drug Issues, 38, 1187–1205.
Phillips, J. M., & Drummond, M. J. (2001). An investigation into body image perception, body satisfaction and exercise expectation of male fitness leaders: Implications for professional practice. Leisure Studies, 20, 95–105.
Phillips, K. A., Menard, W., Fay, C., & Pagano, M. E. (2005). Psychosocial functioning and quality of life in body dysmorphic disorder. Comprehensive Psychiatry, 46, 254–260.
Pope, C. G., Pope, H. G., Menard, W., Fay, C., Olivardia, R., & Phillips, K. A. (2005). Clinical features of muscle dysmorphia among males with body dysmorphic disorder. Body Image, 2, 395–400.
Pope Jr., H. G., Gruber, A. J., Choi, P., Olivardia, P. R., & Phillips, K. A. (1997). Muscle dysmorphia: An underrecognized form of body dysmorphic disorder. Psychosomatics: Journal of Consultation and Liaison Psychiatry, 38, 548–557.
Pope, H. G., Katz, D. L., & Hudson, J. I. (1993). Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Comprehensive Psychiatry, 34, 406–409.
Pope, H. G., Phillips, K. A., & Olivardia, R. (2000). The adonis complex: The secret crisis of male body image obsession. New York: Free Press.
Rohman, L. (2009). The relationship between anabolic androgenic steroids and muscle dysmorphia: A review. Eating Disorders: The Journal of Treatment & Prevention, 17, 187–199.
Sagoe, D., Andreassen, C. S., & Pallesen, S. (2014). The aetiology and trajectory of anabolic-androgenic steroid use initiation: A systematic review and synthesis of qualitative research. Substance Abuse Treatment, Prevention, and Policy, 9, 27.
Smith, D., Hale, B., Rhea, D., Olrich, T., & Collier, K. (2009). Big, buff and dependent: Exercise dependence, muscle dysmorphia and steroid use in bodybuilding. In F. Columbus (Ed.), Men and addictions. New York: Nova Science.
Spence, J. C., McGannon, K. R., & Poon, P. (2005). The effect of exercise on global self-esteem: A quantitative review. Journal of Sport & Exercise Psychology, 27, 311–334.
Thiblin, I., Runeson, B., & Rajs, R. (1999). Anabolic androgenic steroids and suicide. Annals of Clinical Psychiatry, 11, 223–231.
Vassallo, M. J., & Olrich, T. W. (2010). Confidence by injection: Male users of anabolic steroids speak of increases in perceived confidence through anabolic steroid use. International Journal of Sport and Exercise Psychology, 8, 70–80.
Winett, R. A., & Carpinelli, R. N. (2001). Potential health-related benefits of resistance training. Preventive Medicine: An International Journal Devoted to Practice and Theory, 33, 503–513.
Wolke, D., & 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.
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Smith, D., Rutty, M.C., Olrich, T.W. (2016). Muscle Dysmorphia and Anabolic-Androgenic Steroid Use. In: Hall, M., Grogan, S., Gough, B. (eds) Chemically Modified Bodies. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-53535-1_3
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DOI: https://doi.org/10.1057/978-1-137-53535-1_3
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