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The dark side of bodybuilding: the role of bodybuilding activities in compensation of frustrated basic psychological needs

  • Kerim SelviEmail author
  • Özlem Bozo
Original Paper
  • 44 Downloads

Abstract

The main purpose of the current study was to investigate the explanatory mechanism of the drive for muscularity on the relations between frustrated basic needs and diverse indicators of muscle dysmorphia. To achieve this purpose, in the first place, as a pilot study needed to pursue the hypotheses of the main study, Basic Psychological Needs Satisfaction and Frustration Scale was adapted to Turkish and its psychometric properties were examined. In the main study, data were collected from 245 men with a mean age of 22.73 (SD = 3.86), who were engaged in regular bodybuilding activities. After the adaptation of Muscle Appearance Satisfaction Scale, the indirect predictive effects of frustrated basic needs on muscle dysmorphia symptoms through the drive for muscularity were examined via two structural equation models. Also, the moderating role of the drive for muscularity in the associations between each of the frustrated needs and muscle dysmorphia symptoms was tested via another structural equation model. Results revealed that (1) both the composite score of frustrated basic needs and frustrated relatedness are indirect predictors of all muscle dysmorphia symptoms through drive for muscularity and (2) drive for muscularity has a moderating role only in the relation between frustrated relatedness and muscle dissatisfaction (i.e., an indicator of muscle dysmorphia). These findings did not only support the assumptions of Self Determination Theory (SDT) indicating the link between frustrated needs and ill-being situations but also provided preliminary evidence for a new direction of SDT studies.

Keywords

Self determination theory muscle dysmorphia Basic psychological needs Frustrated needs Bodybuilding Drive for muscularity 

Notes

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  2. Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.  https://doi.org/10.1037/0022-3514.51.6.1173.CrossRefGoogle Scholar
  3. Bartholomew, K. J., Ntoumanis, N., Ryan, R. M., Bosch, J. A., & Thøgersen-Ntoumani, C. (2011a). Self-determination theory and diminished functioning: the role of interpersonal control and psychological need thwarting. Personality and Social Psychology Bulletin, 37(11), 1459–1473.  https://doi.org/10.1177/0146167211413125.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Bartholomew, K. J., Ntoumanis, N., Ryan, R. M., & Thøgersen-Ntoumani, C. (2011b). Psychological need thwarting in the sport context: Assessing the darker side of athletic experience. Journal of Sport & Exercise Psychology, 33, 75–102.CrossRefGoogle Scholar
  5. Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality. New York: The Guilford Press.Google Scholar
  6. Boone, L., Braet, C., Vandereycken, W., & Claes, L. (2013). Are maladaptive schema domains and perfectionism related to body image concerns in eating disorder patients? European Eating Disorders Review: The Journal of the Eating Disorders Association, 21(1), 45–51.  https://doi.org/10.1002/erv.2175.CrossRefGoogle Scholar
  7. Bowlby, J. (1969/1982). Attachment and loss: Vol 1. Attachment. New York: Basic Books.Google Scholar
  8. Carlson, J., Watts, R. E., & Maniacci, M. (2006). Adlerian Therapy: Theory and practice. Washington DC: American Psychiatric Publishing.CrossRefGoogle Scholar
  9. Cash, T. F., Theriault, J., & Annis, N. W. (2004). Body image in an interpersonal context: Adult attachment, fear of intimacy, and social anxiety. Journal of Social and Clinical Psychology, 23(1), 89–103.CrossRefGoogle Scholar
  10. Chen, B., Vansteenkiste, M., Beyers, W., Boone, L., Deci, E. L., Kaap-Deeder, J. V., et al. (2015). Basic psychological need satisfaction, need frustration, and need strength across four cultures. Motivation and Emotion, 39, 216–236.  https://doi.org/10.1007/s11031-014-9450-1.CrossRefGoogle Scholar
  11. Cihan, B., Bozo, Ö., Lauren, M. S., & Thompson, J. K. (2016). Psychometric properties of sociocultural attitudes towards appearance scale-4-revised (SATAQ-4R) in Turkish women. Eating Behaviors, 21, 168–171.  https://doi.org/10.1016/j.eatbeh.2016.03.003.CrossRefPubMedGoogle Scholar
  12. Cihangir-Çankaya, Z., & Bacanlı, H. (2003). Adaptation of the needs satisfaction in general scale. VII. Malatya: National Psychological Counseling.Google Scholar
  13. Clay, D., Vignoles, V. L., & Dittmar, H. (2005). Body image and self-esteem among adolescent girls: Testing the influence of sociocultural factors. Journal of Research on Adolescence, 15(4), 451–477.  https://doi.org/10.1111/j.1532-7795.2005.00107.x.CrossRefGoogle Scholar
  14. Cordeiro, P., Paixao, P., Lens, W., Lacante, M., & Luyckx, K. (2016). The Portuguese validation of the Basic Psychological Need Satisfaction and Frustration Scale: Concurrent and longitudinal relations to well-being and ill-being. Psychologica Belgica, 56(3), 193–209.  https://doi.org/10.5334/pb.252/.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Cortez, D., Gallegos, M., Jimenez, T., Martinez, P., Saravia, S., Cruzat-Mandich, C., et al. (2016). Influence of sociocultural factors on body image from the perspective of adolescent girls. Mexican Journal of Eating Disorders, 7, 116–124.  https://doi.org/10.1016/j.rmta.2016.05.001.CrossRefGoogle Scholar
  16. Costa, S., Coppolino, P., & Oliva, P. (2016). Exercise dependence and maladaptive perfectionism: The mediating role of basic psychological needs. International Journal of Mental Health and Addiction, 14, 241–256.  https://doi.org/10.1007/s11469-015-9586-6.CrossRefGoogle Scholar
  17. Crossley, K. L., Cornelissen, P., & Tovee, M. J. (2012). What is attractive body? Using an interactive 3D program to create the ideal body for you and your partner. PLoS ONE.  https://doi.org/10.1371/journal.pone.0050601.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227–268.CrossRefGoogle Scholar
  19. Deci, E. L., Ryan, R. M., Gagne, M., Leone, D. R., Usunov, J., & Kornazheva, B. P. (2001). Need satisfaction, motivation, and well-being in the work organizations of a former eastern bloc country: A cross-cultural study of self-determination. Personality and Social Psychology Bulletin, 27(8), 930–941.  https://doi.org/10.1177/0146167201278002.CrossRefGoogle Scholar
  20. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.CrossRefGoogle Scholar
  21. Durak, M., Senol-Durak, E., & Gençöz, T. (2010). Psychometric properties of the Satisfaction with Life Scale among Turkish university students, correctional officers, and elderly adults. Social Indicators Research, 99(3), 413–429.  https://doi.org/10.1007/s11205-010-9589-4.CrossRefGoogle Scholar
  22. Edmunds, J., Ntoumanis, N., & Duda, J. L. (2006). Examining exercise dependence symptomatology from a self-determination perspective. Journal of Health Psychology, 11(6), 887–903.CrossRefPubMedGoogle Scholar
  23. Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206.  https://doi.org/10.1111/j.1471-6402.1997.tb00108.x.CrossRefGoogle Scholar
  24. Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Sciences, 18(3), 233–239.  https://doi.org/10.1111/j.1467-9280.2007.01882.x.CrossRefGoogle Scholar
  25. González-Cutre, D., & Sicilia, Á. (2012). Motivation and exercise dependence: A study based on self-determination theory. Research Quarterly for Exercise and Sport, 83, 318–329.PubMedGoogle Scholar
  26. Griffiths, S., Mond, J. M., Murray, S. B., & Touyz, S. (2015). Positive beliefs about anorexia nervosa and muscle dysmorphia are associated with eating disorder symptomology. Australian and New Zealand Journal of Psychiatry, 49(9), 812–820.  https://doi.org/10.1177/0004867415572412.CrossRefPubMedGoogle Scholar
  27. Grogan, S. (2008). Body image: Understanding body dissatisfaction in men, women and children. East Sussex: Routledge.Google Scholar
  28. Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420.CrossRefGoogle Scholar
  29. Heath, B., Tod, D., Kannis, L., & Lovell, G. P. (2016). The relationship between objectification theory and muscle dysmorphia characteristics in men. Psychology of Men & Musculinity, 17(3), 297–308.  https://doi.org/10.1037/men0000022.CrossRefGoogle Scholar
  30. Howitt, D. (2010). Introduction to qualitative methods in psychology. England: Pearson Educated Limited.Google Scholar
  31. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure anaylsis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.  https://doi.org/10.1080/10705519909540118.CrossRefGoogle Scholar
  32. Hughes, E. K., Dean, C., & Allen, J. S. (2016). Measures of eating disorders symptoms, drive for muscularity, and muscle dysmorphia. Australian Journal of Psychology, 68, 270–280.  https://doi.org/10.1111/ajpy.12105.CrossRefGoogle Scholar
  33. Jang, H., Kim, E. J., & Reeve, J. (2016). Why students become more engaged or more disengaged during the semester: A self-determination theory dual-process model. Learning and Instruction, 43, 27–38.  https://doi.org/10.1016/j.learninstruc.2016.01.002.CrossRefGoogle Scholar
  34. Kasser, T., & Ryan, R. M. (1996). Further examining the American Dream: Differential correlates of intrinsic and extrinsic goals. Personality and Social Psychology Bulletin, 22(3), 280–287.  https://doi.org/10.1177/0146167296223006.CrossRefGoogle Scholar
  35. Klimek, P., Murray, S. B., Brown, T., Gonzales Iv, M., & Blashill, A. J. (2018). Thinness and muscularity internalization: Association with disordered eating and muscle dysmorphia in men. International Journal of Eating Disorders, 51(4), 352–357.  https://doi.org/10.1002/eat.22844.CrossRefPubMedGoogle Scholar
  36. 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), 649–655.PubMedGoogle Scholar
  37. Leon, J., & Nunez, J. L. (2013). Causal ordering of basic psychological needs and well-being. Social Indicators Research, 114(2), 243–253.  https://doi.org/10.1007/s11205-012-0143-4.CrossRefGoogle Scholar
  38. Longo, Y., Gunz, A., Curtis, G. J., & Farsides, T. (2016). Measuring need satisfaction and frustration in educational and work contexts: The Need Satisfaction and Frustration Scale (NSFS). Journal of Happiness Studies, 17(1), 295–317.  https://doi.org/10.1007/s10902-014-9595-3.CrossRefGoogle Scholar
  39. Lopez-Walle, J., Balaguer, I., Castillo, I., & Tristan, J. (2012). Autonomy support, basic psychological needs and well-being in Mexician athletes. The Spanish Journal of Psychology, 15(3), 1283–1292.CrossRefPubMedGoogle Scholar
  40. Mason, T. B., Lavender, J. M., Wonderlich, S. A., Crosby, R. D., Engel, S. G., Strauman, T. J., et al. (2016). Self-discrepancy and eating disorders symptoms across eating disorder diagnostic groups. European Eating Disorders Review, 24(6), 541–545.  https://doi.org/10.1002/erv.2483.CrossRefPubMedPubMedCentralGoogle Scholar
  41. 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.  https://doi.org/10.1177/1073191102238156.CrossRefPubMedGoogle Scholar
  42. McCabe, M. P., & Ricciardelli, L. A. (2005). A prospective study of pressures from parents, peers, and the media on extreme weight change behaviors among adolescent boys and girls. Behavior Research and Therapy, 43(5), 653–668.  https://doi.org/10.1016/j.brat.2004.05.004.CrossRefGoogle Scholar
  43. McCreary, D. R., & Sasse, D. K. (2000). An exploration of the drive for muscularity in adolescent boys and girls. Journal of American College Health, 48, 297–304.CrossRefPubMedGoogle Scholar
  44. Mitchell, L., Murray, S. B., Cobley, S., Hackett, D., Gifford, J., Capling, L., et al. (2017). Muscle dysmorphia symptomatology and associated psychological features in bodybuilders and non-bodybuilder resistance trainers: A systematic review and meta-analysis. Sports Medicine, 47, 233–259.  https://doi.org/10.1007/s40279-016-0564-3.CrossRefPubMedGoogle Scholar
  45. Mosley, P. E. (2009). Bigorexia: Bodybuilding and muscle dysmorphia. European Eating Disorders Review, 17(3), 191–198.  https://doi.org/10.1002/erv.897.CrossRefPubMedGoogle Scholar
  46. Murray, S. B., Rieger, E., Hildebranth, T., Karlov, L., Russel, J., Boon, E., … 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.  https://doi.org/10.1016/j.bodyim.2012.01.008.CrossRefPubMedGoogle Scholar
  47. Murray, S. B., Rieger, E., Touyz, S. W., la Garza, De, & Garcia Lic, Y. (2010). Muscle dysmorphia and DSM-V conundrum: where does it belong? A review paper. International Journal of Eating Disorders, 43(6), 483–491.  https://doi.org/10.1002/eat.20828.CrossRefPubMedGoogle Scholar
  48. Murray, S. B., & Touyz, S. (2013). How do clinicians in the field conceptualise muscle dysmorphia? Advances in Eating Disorders: Theory, Research and Practice, 1(3), 207–212.  https://doi.org/10.1080/21662630.2013.794517.CrossRefGoogle Scholar
  49. Ng, J. Y. Y., Ntoumanis, N., Thogersen-Ntoumani, C., Stott, K., & Hindle, L. (2013). Predicting psychological needs and well-being of individuals engaging in weight management: The role of important others. Applied Psychology: Health and Well-being, 5(3), 291–310.  https://doi.org/10.1111/aphw.12011.CrossRefGoogle Scholar
  50. Nishimura, T., & Suzuki, T. (2016). Basic psychological need satisfaction and frustration in Japan: Controlling for the big five personality traits. Japanese Psychological Research, 58(4), 320–331.  https://doi.org/10.1111/jpr.12131.CrossRefGoogle Scholar
  51. Olafsen, A. H. (2017). The implications of need-satisfying work climates on state mindfulness in a longitudinal analysis of work outcomes. Motivation and Emotion, 41, 22–37.  https://doi.org/10.1007/s11031-016-9592-4.CrossRefGoogle Scholar
  52. 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.  https://doi.org/10.1080/hrp.9.5.254.259.CrossRefPubMedGoogle Scholar
  53. Olivardia, R., Pope, H. G., & Hudson, J. L. (2000). Muscle dysmorphia in male weightlifters: A case-control study. American Journal of Psychiatry, 157(8), 1291–1296.CrossRefPubMedGoogle Scholar
  54. 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.CrossRefPubMedGoogle Scholar
  55. Pope, H. G., Gruber, A. J., Mangweth, B., Bureau, B., deCol, C., Jouvent, R., et al. (2000). Body image perception among men in three countries. American Journal of Psychiatry, 157(8), 1297–1301.CrossRefPubMedGoogle Scholar
  56. Pope, H. G., Katz, D. L., & Hudson, J. I. (1993). Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Comprehensive Psychiatry, 34, 406–409.CrossRefPubMedGoogle Scholar
  57. Pope, C. G., Pope, H. G., Menard, W., Fay, C., Olivardia, R., & Phillips, K. (2005). Clinical features of muscle dysmorphia among males with body dysmorphic disorder. Body Image, 2(4), 395–400.  https://doi.org/10.1016/j.bodyim.2005.09.001.CrossRefPubMedPubMedCentralGoogle Scholar
  58. Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717–731.CrossRefPubMedGoogle Scholar
  59. Reis, H. T., Sheldon, K. M., Gable, S. L., Roscoe, J., & Ryan, R. M. (2000). Daily well-being: The role of autonomy, competence, and relatedness. Personality and Social Psychology Bulletin, 26(4), 419–435.  https://doi.org/10.1177/0146167200266002.CrossRefGoogle Scholar
  60. Robert, C. A., Munroe-Chandler, K. J., & Chandler, K. L. (2009). The relationship between the drive for muscularity and muscle dysmorphia in male and female weight trainers. Journal of Strength and Conditioning Research, 23(6), 1656–1662.  https://doi.org/10.1519/JSC.0b013e3181b3dc2f.CrossRefPubMedGoogle Scholar
  61. Rohman, L. (2009). The relationship between anabolic androgenic steroids and muscle dysmorphia: A review. Eating Disorders, 17, 187–199.  https://doi.org/10.1080/10640260902848477.CrossRefPubMedGoogle Scholar
  62. Ryan, R. M. (1995). Psychological needs and facilitation of integrative processes. Journal of Personality, 63, 397–427.  https://doi.org/10.1111/j.1467-6494.1995.tb00501.x.CrossRefPubMedGoogle Scholar
  63. Ryan, R. M., Bernstein, J. H., & Brown, K. W. (2010). Weekends, work, and well-being: Psychological need satisfactions and day of the week effects on the mood, vitality, and physical symptoms. Journal of Social and Clinical Psychology, 29(1), 95–122.  https://doi.org/10.1521/jscp.2010.29.1.95.CrossRefGoogle Scholar
  64. Ryan, R. M., & Deci, E. L. (2000a). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78.  https://doi.org/10.1037/110003-066X.55.1.68.CrossRefGoogle Scholar
  65. Ryan, R. M., & Deci, E. L. (2000b). The darker and brighter sides of human existence: Basic psychological needs as a unifying concept. Psychological Inquiry, 11(4), 319–338.  https://doi.org/10.1207/S15327965PLI1104_03.CrossRefGoogle Scholar
  66. Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: basic psychological needs in motivation, development, and wellness. New York: Guilford Publishing.Google Scholar
  67. Ryan, R. M., Deci, E. L., & Grolnick, W. S. (1995). Autonomy, relatedness, and the self: Their relation to development and psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology (Vol. 1, pp. 618–655). New York: Wiley.Google Scholar
  68. Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C. (2008). Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. The European Health Psychologist, 10, 2–5.Google Scholar
  69. Selvi, K. (2018). A comprehensive study to advance our understanding of men’s body image concerns and to explore the predisposing factors for muscle dysmorphia. Unpublished doctoral dissertation, Middle East Technical University, Ankara, Turkey.Google Scholar
  70. Selvi, K., & Bozo, Ö. (2019). Turkish adaptation of the Drive for Muscularity Scale: A validity and reliability study. Nesne Journal of Psychology, 7(14), 68–82.  https://doi.org/10.7816/nesne-07-14-05.CrossRefGoogle Scholar
  71. Smith, J. A. (2004). Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology. Qualitative Research in Psychology, 1(1), 39–54.  https://doi.org/10.1191/1478088704qp004oa.CrossRefGoogle Scholar
  72. Strauss, J., & Ryan, R. M. (1987). Autonomy disturbances in subtypes of anorexia nervosa. Journal of Abnormal Psychology, 96, 254–258.CrossRefPubMedGoogle Scholar
  73. Tabachnick, B. G., & Fidell, L. S. (2006). Using multivariate statistics (5th ed.). Boston: Allyn & Bacon.Google Scholar
  74. Thogersen-Ntoumani, C., Ntoumanis, N., Cumming, J., & Chatzisarantis, N. L. D. (2011). When feeling attractive matters too much to women: A process underpinning the relation between psychological need satisfaction and unhealthy weight control behaviors. Motivation and Emotion, 35(4), 413–422.  https://doi.org/10.1007/s11031-011-9226-9.CrossRefGoogle Scholar
  75. Thogersen-Ntoumani, C., Ntoumanis, N., & Nikitaras, N. (2010). Unhealthy weight control behaviours in adolescent girls: A process model based on self-determination theory. Psychology & Health, 25(5), 535–550.  https://doi.org/10.1080/08870440902783628.CrossRefGoogle Scholar
  76. Thompson, J. K., Schaefer, L. M., Burke, N. L., Heinberg, L. J., Calogero, R. M., Bardone-Cone, A. M., … Vercellone, A. C. (2011). Development and validation of the 4th version of the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4). Poster presented at The Annual Eating Disorder Research Society Meeting, Edinburgh, Scotland.Google Scholar
  77. Tiggemann, M. (2011). Sociocultural perspectives on human appearance and body image. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice, and prevention (2nd ed., pp. 12–19). New York: The Guilford Press.Google Scholar
  78. Van Hiel, A., & Vansteenkiste, M. (2009). Ambitions fulfilled? The effects of intrinsic and extrinsic goal attainment on older adults’ ego-integrity and death attitudes. The International Journal of Aging and Human Development, 68(1), 27–51.  https://doi.org/10.2190/AG.68.1.b.CrossRefPubMedGoogle Scholar
  79. Vansteenkiste, M., Lens, W., Soenens, B., & Luyckx, K. (2006). Autonomy and relatedness among Chinese sojourners and applicants: Conflictual or independent predictors of well-being and adjustment. Motivation and Emotion, 30, 273–282.  https://doi.org/10.1007/s11031-006-9041-x.CrossRefGoogle Scholar
  80. Vansteenkiste, M., & Ryan, R. M. (2013). On psychological growth and vulnerability: Basic psychological need satisfaction and need frustration as a unifying principle. Journal of Psychotherapy Integration, 23(3), 263–280.CrossRefGoogle Scholar
  81. Verstuyf, J., Patric, H., Vansteenkiste, M., & Teixeria, P. J. (2012). Motivational dynamics of eating regulation: A self-determination theory perspective. International Journal of Behavioral Nutrition and Physical Activity.  https://doi.org/10.1186/1479-5868-9-21.CrossRefPubMedGoogle Scholar
  82. Verstuyf, J., Vansteenkiste, M., Soenens, B., Boone, L., & Mouratidis, A. (2013). Daily ups and downs in women’s binge eating symptoms: The role of basic psychological needs, general self-control and emotional eating. Journal of Social and Clinical Psychology, 32(3), 335–361.  https://doi.org/10.1521/jscp.2013.32.3.335.CrossRefGoogle Scholar
  83. Ward, A., Ramsay, R., & Treasure, J. (2000). Attachment research in eating disorders. British Journal of Medical Psychology, 73, 35–51.CrossRefPubMedGoogle Scholar
  84. Woodhill, I., Cooper, C., Zacharin, M., Cukier, K., & Vuillermin, P. (2014). Low testosterone in a male adolescent bodybuilder: Which diagnosis holds more weight? Journal of Pediatrics and Child Care, 50, 739–741.  https://doi.org/10.1111/jpc.12495.CrossRefGoogle Scholar
  85. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: The Guilford Press.Google Scholar

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Authors and Affiliations

  1. 1.Department of PsychologyEskisehir Osmangazi UniversityEskişehirTurkey
  2. 2.Department of PsychologyMiddle East Technical UniversityAnkaraTurkey

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