Abstract
Adverse childhood experiences (ACEs) are relatively common among the general population and have been shown to be associated with eating disorders and body dysmorphic disorder. It remains relatively unknown whether ACEs are associated with muscle dysmorphia. The aim of this study was to investigate the association between ACEs and muscle dysmorphia symptomatology among a sample of Canadian adolescents and young adults. A community sample of 912 adolescents and young adults ages 16–30 years across Canada participated in this study. Participants completed a 15-item measure of ACEs (categorized to 0, 1, 2, 3, 4, and 5 or more) and the Muscle Dysmorphic Disorder Inventory. Multiple linear regression analyses were utilized to determine the association between the number of ACEs experienced and muscle dysmorphia symptomatology. Participants who experienced five or more ACEs, compared to those who had experienced no ACEs, had more symptoms of muscle dysmorphia, as well as more symptoms related to Appearance Intolerance and Functional Impairment. There was no association between ACEs and Drive for Size symptoms. Participants who experienced five or more ACEs (16.1%), compared to 10.6% who experienced no ACEs, were at clinical risk for muscle dysmorphia (p = .018). Experiencing ACEs, particularly five or more, was significantly associated with muscle dysmorphia symptomatology, expanding prior research on eating disorders and body dysmorphic disorder. Social workers should consider screening for symptoms of muscle dysmorphia among adolescents and young adults who experience ACEs.
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References
American Psychological Association. (2017). Clinical practice guideline for the treatment of posttraumatic stress disorder (PTSD) in Adults. American Psychological Association.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
Afifi, T. O., MacMillan, H. L., Boyle, M., Taillieu, T., Cheung, K., & Sareen, J. (2014). Child abuse and mental disorders in Canada. Canadian Medical Association Journal,186(9), E324–E332. https://doi.org/10.1503/cmaj.131792
Allison, P. D. (2002). Missing data. SAGE Publications Inc.
Bödicker, C., Reinckens, J., Höfler, M., & Hoyer, J. (2022). Is childhood maltreatment associated with body image disturbances in adulthood? A systematic review and meta-analysis. Journal of Child and Adolescent Trauma,15(3), 523–538. https://doi.org/10.1007/s40653-021-00379-5
Brooke, L., & Mussap, A. J. (2012). Brief report: Maltreatment in childhood and body concerns in adulthood. Journal of Health Psychology,18(5), 620–626. https://doi.org/10.1177/1359105312454036
Brown, S. M., Bender, K., Orsi, R., McCrae, J. S., Phillips, J. D., & Rienks, S. (2019). Adverse childhood experiences and their relationship to complex health profiles among child welfare–involved children: A classification and regression tree analysis. Health Services Research,54(4), 902–911. https://doi.org/10.1111/1475-6773.13166
Cafri, G., Olivardia, R., & Thompson, J. K. (2008). Symptom characteristics and psychiatric comorbidity among males with muscle dysmorphia. Comprehensive Psychiatry,49(4), 374–379. https://doi.org/10.1016/j.comppsych.2008.01.003
Centers for Disease Control and Prevention (2019). Preventing adverse childhood experiences (ACEs): Leveraging the best available evidence. pp. 1–40
Chu, J., Raney, J. H., Ganson, K. T., Wu, K., Rupanagunta, A., Testa, A., Jackson, D. B., Murray, S. B., & Nagata, J. M. (2022). Adverse childhood experiences and binge—eating disorder in early adolescents. Journal of Eating Disorders. https://doi.org/10.1186/s40337-022-00682-y
Cohen, J. A., & Mannarino, A. P. (2015). Trauma-focused cognitive behavior therapy for traumatized children and families. Child and Adolescent Psychiatric Clinics of North America,24(3), 557–570. https://doi.org/10.1016/j.chc.2015.02.005
Compte, E. J., Cattle, C. J., Lavender, J. M., Murray, S. B., Brown, T. A., Capriotti, M. R., Flentje, A., Lubensky, M. E., Obedin-Maliver, J., Lunn, M. R., & Nagata, J. M. (2021). Psychometric evaluation of the muscle dysmorphic disorder inventory (MDDI) among cisgender gay men and cisgender lesbian women. Body Image,38, 241–250. https://doi.org/10.1016/j.bodyim.2021.04.008
Didie, E. R., Tortolani, C. C., Pope, C. G., Menard, W., Fay, C., & Phillips, K. A. (2006). Childhood abuse and neglect in body dysmorphic disorder. Child Abuse and Neglect,30(10), 1105–1115. https://doi.org/10.1016/j.chiabu.2006.03.007
England-Mason, G., Casey, R., Ferro, M., MacMillan, H. L., Tonmyr, L., & Gonzalez, A. (2018). Child maltreatment and adult multimorbidity: Results from the Canadian community health survey. Canadian Journal of Public Health,109(4), 561–572. https://doi.org/10.17269/s41997-018-0069-y
Fabris, M. A., Badenes-Ribera, L., & Longobardi, C. (2021). Bullying victimization and muscle dysmorphic disorder in Italian adolescents: The mediating role of attachment to peers. Children and Youth Services Review,120(November 2020), 105720. https://doi.org/10.1016/j.childyouth.2020.105720
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine,56(6), 774–786. https://doi.org/10.1016/j.amepre.2019.04.001
Florida Department of Children and Families (2022). 2022 Florida youth substance abuse survey. https://www.myflfamilies.com/services/samh/2022-florida-youth-substance-abuse-survey
Frederick, D. A., Shapiro, L. M., Williams, T. R., Seoane, C. M., McIntosh, R. T., & Fischer, E. W. (2017). Precarious manhood and muscularity: Effects of threatening men’s masculinity on reported strength and muscle dissatisfaction. Body Image,22, 156–165. https://doi.org/10.1016/j.bodyim.2017.07.002
Frederick, J., Spratt, T., & Devaney, J. (2021). Adverse childhood experiences and social work: Relationship-based practice responses. British Journal of Social Work,51(8), 3018–3034. https://doi.org/10.1093/bjsw/bcaa155
Ganson, K. T. (2022). Canadian study of adolescent health behaviors: Technical report. https://socialwork.utoronto.ca/wp-content/uploads/2022/11/Canadian-Study-of-Adolescent-Health-Behaviors-Technical-Report.pdf
Ganson, K. T., Cunningham, M. L., Pila, E., Rodgers, R. F., Murray, S. B., & Nagata, J. M. (2022). Bulking and cutting among a national sample of Canadian adolescents and young adults. Eating and Weight Disorders Studies on Anorexia Bulimia and Obesity. https://doi.org/10.1007/s40519-022-01470-y
Ganson, K. T., Cunningham, M. L., Pila, E., Rodgers, R. F., Murray, S. B., & Nagata, J. M. (2022a). Characterizing cheat meals among a national sample of Canadian adolescents and young adults. Journal of Eating Disorders. https://doi.org/10.1186/s40337-022-00642-6
Ganson, K. T., Hallward, L., Cunningham, M. L., Murray, S. B., & Nagata, J. M. (2022c). Anabolic-androgenic steroid use: Patterns of use among a national sample of Canadian adolescents and young adults. Performance Enhancement and Health. https://doi.org/10.1016/j.peh.2022.100241
Ganson, K. T., Hallward, L., Cunningham, M. L., Murray, S. B., & Nagata, J. M. (2023). Use of legal appearance- and performance-enhancing drugs and substances: findings from the Canadian study of adolescent health behaviors. Substance Use & Misuse,58(2), 289–297. https://doi.org/10.1080/10826084.2022.2161318
Ganson, K. T., Hallward, L., Cunningham, M. L., Rodgers, R. F., & Nagata, J. M. (2023). Muscle dysmorphia symptomatology among a national sample of Canadian adolescents and young adults. Body Image,44(8), 178–186. https://doi.org/10.1016/j.bodyim.2023.01.001
Ganson, K. T., Hallward, L., Rodgers, R. F., Testa, A., Jackson, D. B., & Nagata, J. M. (2023). Associations between violent victimization and symptoms of muscle dysmorphia: Findings from the Canadian study of adolescent health behaviors. Body Image,46, 294–299. https://doi.org/10.1016/j.bodyim.2023.06.014
Ganson, K. T., Murray, S. B., Mitchison, D., Hawkins, M. A. W., Layman, H., Tabler, J., & Nagata, J. M. (2021). Associations between adverse childhood experiences and performance-enhancing substance use among young adults. Substance Use and Misuse,56(6), 854–860. https://doi.org/10.1080/10826084.2021.1899230
Ganson, K. T., Nagata, J. M., Lavender, J. M., Rodgers, R. F., Cunningham, M., Murray, S. B., & Hammond, D. (2021). Prevalence and correlates of weight gain attempts across five countries. International Journal of Eating Disorders. https://doi.org/10.1002/eat.23595
Ganson, K. T., Rodgers, R. F., Austin, S. B., Murray, S. B., & Nagata, J. M. (2022). Prevalence and sociodemographic characteristics of moderate and high engagement in muscle-building exercise among adolescents. Body Image,42, 263–267. https://doi.org/10.1016/j.bodyim.2022.07.004
Ganson, K. T., Testa, A., Rodgers, R. F., Jackson, D. B., & Nagata, J. M. (2023d). Relationships between violent sexual victimization and muscle-building exercise among adolescents from the 2019 youth risk behavior survey. Journal of School Health. https://doi.org/10.1111/josh.13395
Garcia, A. R., Gupta, M., Greeson, J. K. P., Thompson, A., & DeNard, C. (2017). Adverse childhood experiences among youth reported to child welfare: Results from the national survey of child & adolescent wellbeing. Child Abuse and Neglect,70(January), 292–302. https://doi.org/10.1016/j.chiabu.2017.06.019
Gruber, A. J., & Pope, H. G. (1999). Compulsive weight lifting and anabolic drug abuse among women rape victims. Comprehensive Psychiatry,40(4), 273–277. https://doi.org/10.1016/S0010-440X(99)90127-X
Grunewald, W., & Blashill, A. J. (2021). Muscle dysmorphia. Springer.
Grunewald, W., Troop-Gordon, W., & Smith, A. R. (2022). Relationships between eating disorder symptoms, muscle dysmorphia symptoms, and suicidal ideation: A random intercepts cross-lagged panel approach. International Journal of Eating Disorders,55(12), 1733–1743. https://doi.org/10.1002/eat.23819
Guillaume, S., Jaussent, I., Maimoun, L., Ryst, A., Seneque, M., Villain, L., Hamroun, D., Lefebvre, P., Renard, E., & Courtet, P. (2016). Associations between adverse childhood experiences and clinical characteristics of eating disorders. Scientific Reports,6, 1–7. https://doi.org/10.1038/srep35761
Harrison, A., de la Fernández, L., Enander, J., Radua, J., & Mataix-Cols, D. (2016). Cognitive-behavioral therapy for body dysmorphic disorder: A systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review,48, 43–51. https://doi.org/10.1016/j.cpr.2016.05.007
Hildebrandt, T., Langenbucher, J., & Schlundt, D. G. (2004). Muscularity concerns among men: Development of attitudinal and perceptual measures. Body Image,1(2), 169–181. https://doi.org/10.1016/j.bodyim.2004.01.001
Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet Public Health,2(8), e356–e366. https://doi.org/10.1016/S2468-2667(17)30118-4
Hunger, J. M., Smith, J. P., & Tomiyama, A. J. (2020). An evidence-based rationale for adopting weight-inclusive health policy. Social Issues and Policy Review,14(1), 73–107. https://doi.org/10.1111/sipr.12062
Ip, E. J., Barnett, M. J., Tenerowicz, M. J., & Perry, P. J. (2011). The anabolic 500 survey: Characteristics of male users versus nonusers of anabolic-androgenic steroids for strength training. Pharmacotherapy,31(8), 757–766. https://doi.org/10.1592/phco.31.8.757
Joshi, D., Raina, P., Tonmyr, L., MacMillan, H. L., & Gonzalez, A. (2021). Prevalence of adverse childhood experiences among individuals aged 45 to 85 years: A cross-sectional analysis of the Canadian longitudinal study on aging. CMAJ Open,9(1), E158–E166. https://doi.org/10.9778/cmajo.20200064
Kessler, R. C., Amminger, P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & Ustan, B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry,20(4), 359–364.
Knight, C. (2015). Trauma-informed social work practice: Practice considerations and challenges. Clinical Social Work Journal,43(1), 25–37. https://doi.org/10.1007/s10615-014-0481-6
LaBrenz, C. A., O’Gara, J. L., Panisch, L. S., Baiden, P., & Larkin, H. (2020). Adverse childhood experiences and mental and physical health disparities: The moderating effect of race and implications for social work. Social Work in Health Care,59(8), 588–614. https://doi.org/10.1080/00981389.2020.1823547
Lacey, R. E., & Minnis, H. (2020). Practitioner review: Twenty years of research with adverse childhood experience scores – advantages, disadvantages and applications to practice. Journal of Child Psychology and Psychiatry,61(2), 116–130. https://doi.org/10.1111/jcpp.13135
Larkin, H., Felitti, V. J., & Anda, R. F. (2014). Social work and adverse childhood experiences research: Implications for practice and health policy. Social Work in Public Health,29(1), 1–16. https://doi.org/10.1080/19371918.2011.619433
Levenson, J. (2017). Trauma-informed social work practice. Social Work,62(2), 105–113. https://doi.org/10.1093/sw/swx001
Longobardi, C., Badenes-Ribera, L., & Fabris, M. A. (2022). Adverse childhood experiences and body dysmorphic symptoms: A meta-analysis. Body Image,40, 267–284. https://doi.org/10.1016/j.bodyim.2022.01.003
Longobardi, C., Prino, L. E., Fabris, M. A., & Settanni, M. (2017). Muscle dysmorphia and psychopathology: Findings from an Italian sample of male bodybuilders. Psychiatry Research,256(June), 231–236. https://doi.org/10.1016/j.psychres.2017.06.065
Malcolm, A., Pikoos, T. D., Grace, S. A., Castle, D. J., & Rossell, S. L. (2021). Childhood maltreatment and trauma is common and severe in body dysmorphic disorder. Comprehensive Psychiatry,109, 152256. https://doi.org/10.1016/j.comppsych.2021.152256
McKay, M. T., Kilmartin, L., Meagher, A., Cannon, M., Healy, C., & Clarke, M. C. (2022). A revised and extended systematic review and meta-analysis of the relationship between childhood adversity and adult psychiatric disorder. Journal of Psychiatric Research,156(October), 268–283. https://doi.org/10.1016/j.jpsychires.2022.10.015
Mitchison, D., Mond, J., Griffiths, S., Hay, P., Nagata, J. M., Bussey, K., Trompeter, N., Lonergan, A., & Murray, S. B. (2021). Prevalence of muscle dysmorphia in adolescents: Findings from the Everybody study. Psychological Medicine. https://doi.org/10.1017/S0033291720005206
Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., Blashill, A. J., & Mond, J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical Psychology Review,57(August), 1–11. https://doi.org/10.1016/j.cpr.2017.08.001
Murray, S. B., Rieger, E., Touyz, S. W., & García, Y. D. L. G. (2010). Muscle dysmorphia and the 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
Nagata, J. M., Bibbins-Domingo, K., Garber, A. K., Griffiths, S., Vittinghoff, E., & Murray, S. B. (2019). Boys, bulk, and body ideals: Sex differences in weight-gain attempts among adolescents in the United States. Journal of Adolescent Health,64(4), 450–453. https://doi.org/10.1016/j.jadohealth.2018.09.002
Nagata, J. M., Compte, E. J., Cattle, C. J., Lavender, J. M., Brown, T. A., Murray, S. B., Flentje, A., Capriotti, M. R., Lubensky, M. E., Obedin-Maliver, J., & Lunn, M. R. (2021). Community norms of the muscle dysmorphic disorder inventory (MDDI) among cisgender sexual minority men and women. BMC Psychiatry,21(1), 1–9. https://doi.org/10.1186/s12888-021-03302-2
Nagata, J. M., Compte, E. J., McGuire, F. H., Lavender, J. M., Brown, T. A., Murray, S. B., Flentje, A., Capriotti, M. R., Lubensky, M. E., Obedin-Maliver, J., & Lunn, M. R. (2021). Community norms of the muscle dysmorphic disorder inventory (MDDI) among gender minority populations. Journal of Eating Disorders,9(1), 1–10. https://doi.org/10.1186/s40337-021-00442-4
Nagata, J. M., Compte, E. J., McGuire, F. H., Lavender, J. M., Murray, S. B., Brown, T. A., Capriotti, M. R., Flentje, A., Lubensky, M. E., Obedin-Maliver, J., & Lunn, M. R. (2022). Psychometric validation of the muscle dysmorphic disorder inventory (MDDI) among U.S. transgender men. Body Image,42, 43–49. https://doi.org/10.1016/j.bodyim.2022.05.001
Nagata, J. M., Ganson, K. T., Griffiths, S., Mitchison, D., Garber, A. K., Vittinghoff, E., Bibbins-Domingo, K., & Murray, S. B. (2020). Prevalence and correlates of muscle-enhancing behaviors among adolescents and young adults in the United States. International Journal of Adolescent Medicine and Health. https://doi.org/10.1515/ijamh-2020-0001
Nagata, J. M., Ganson, K. T., & Murray, S. B. (2020). Eating disorders in adolescent boys and young men: An update. Current Opinion in Pediatrics,32(4), 476–481. https://doi.org/10.1097/MOP.0000000000000911
Olivardia, R., Pope, J., & Hudson, J. I. (2000). Muscle dysmorphia in male weightlifters: A case-control study. American Journal of Psychiatry,157(8), 1291–1296. https://doi.org/10.1176/appi.ajp.157.8.1291
Oral, R., Ramirez, M., Coohey, C., Nakada, S., Walz, A., Kuntz, A., Benoit, J., & Peek-Asa, C. (2016). Adverse childhood experiences and trauma informed care: The future of health care. Pediatric Research,79(1–2), 227–233. https://doi.org/10.1038/pr.2015.197
Ortiz, S. N., Forrest, L. N., & Smith, A. R. (2021). Correlates of suicidal thoughts and attempts in males engaging in muscle dysmorphia or eating disorder symptoms. Journal of Clinical Psychology,77(4), 1106–1115. https://doi.org/10.1002/jclp.23102
Ozan Tingaz, E. (2020). Association between muscle dysmorphia and childhood abuse and neglect in male recreational bodybuilders. Journal on Educational Psychology,13(4), 19.
Parent, M. C. (2013). Handling item-level missing data: Simpler is just as good. The Counseling Psychologist,41(4), 568–600. https://doi.org/10.1177/0011000012445176
Petruccelli, K., Davis, J., & Berman, T. (2019). Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis. Child Abuse and Neglect,97(February), 104127. https://doi.org/10.1016/j.chiabu.2019.104127
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(4), 395–400. https://doi.org/10.1038/jid.2014.371
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. https://doi.org/10.1016/S0033-3182(97)71400-2
Pope, H. G., Khalsa, J. H., & Bhasin, S. (2017). Body image disorders and abuse of anabolic-androgenic steroids among men. JAMA Journal of the American Medical Association,317(1), 23–24. https://doi.org/10.1001/jama.2016.17441
Rienecke, R. D., Johnson, C., Le Grange, D., Manwaring, J., Mehler, P. S., Duffy, A., McClanahan, S., & Blalock, D. V. (2022). Adverse childhood experiences among adults with eating disorders: Comparison to a nationally representative sample and identification of trauma. Journal of Eating Disorders,10(1), 1–10. https://doi.org/10.1186/s40337-022-00594-x
Siegel, B. S., Dobbins, M. I., Earls, M. F., Garner, A. S., Pascoe, J., Wood, D. L., High, P. C., Donoghue, E., Fussell, J. J., Gleason, M. M., Jaudes, P. K., Jones, V. F., Rubin, D. M., Schulte, E. E., Macias, M. M., Bridgemohan, C., Goldson, E., McGuinn, L. J., Weitzman, C., & Wegner, L. M. (2012). Early childhood adversity, toxic stress, and the role of the pediatrician: Translating developmental science into lifelong health. Pediatrics. https://doi.org/10.1542/peds.2011-2662
Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., de Salazar, G., Il Shin, J., Kirkbride, J. B., Jones, P., Kim, J. H., Kim, J. Y., Carvalho, A. F., Seeman, M. V., Correll, C. U., & Fusar-Poli, P. (2021). Age at onset of mental disorders worldwide: Large-scale meta-analysis of 192 epidemiological studies. Molecular Psychiatry. https://doi.org/10.1038/s41380-021-01161-7
Spratt, T., Devaney, J., & Frederick, J. (2019). Adverse childhood experiences: Beyond signs of safety; reimagining the organisation and practice of social work with children and families. The British Journal of Social Work,49(8), 2042–2058. https://doi.org/10.1093/bjsw/bcz023
Tiggemann, M., & Zaccardo, M. (2018). Strong is the new skinny: A content analysis of #fitspiration images on Instagram. Journal of Health Psychology,23(8), 1003–1011. https://doi.org/10.1177/1359105316639436
Tod, D., Edwards, C., & Cranswick, I. (2016). Muscle dysmorphia: Current insights. Psychology Research and Behavior Management,9, 179–188. https://doi.org/10.2147/PRBM.S97404
Vandello, J. A., Bosson, J. K., Cohen, D., Burnaford, R. M., & Weaver, J. R. (2008). Precarious manhood. Journal of Personality and Social Psychology,95(6), 1325–1339. https://doi.org/10.1037/a0012453
Varangis, E., Folberth, W., Hildebrandt, T., Langenbucher, J. (2012). Confirmatory factor analysis for the muscle dysmorphic disorder inventory among male appearance and performance enhancing drug users. Austin: International Conference on Eating Disorders
Vartanian, L. R., Hayward, L. E., Smyth, J. M., Paxton, S. J., & Touyz, S. W. (2018). Risk and resiliency factors related to body dissatisfaction and disordered eating: The identity disruption model. International Journal of Eating Disorders,51(4), 322–330. https://doi.org/10.1002/eat.22835
Wilhelm, S., Phillips, K. A., Greenberg, J. L., O’Keefe, S. M., Hoeppner, S. S., Keshaviah, A., Sarvode-Mothi, S., & Schoenfeld, D. A. (2019). Efficacy and posttreatment effects of therapist-delivered cognitive behavioral therapy vs supportive psychotherapy for adults with body dysmorphic disorder: A randomized clinical trial. JAMA Psychiatry,02114, 363–373. https://doi.org/10.1001/jamapsychiatry.2018.4156
Xu, Y., Pace, S., Kim, J., Iachini, A., King, L. B., Harrison, T., DeHart, D., Levkoff, S. E., Browne, T. A., Lewis, A. A., Kunz, G. M., Reitmeier, M., Utter, R. K., & Simone, M. (2022). Threats to online surveys: Recognizing, detecting, and preventing survey bots. Social Work Research. https://doi.org/10.1093/swr/svac023
Zeeck, A., Welter, V., Alatas, H., Hildebrandt, T., Lahmann, C., & Hartmann, A. (2018). Muscle dysmorphic disorder inventory (MDDI): Validation of a German version with a focus on gender. PLoS ONE,13(11), 1–13. https://doi.org/10.1371/journal.pone.0207535
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This study was funded by the Connaught New Researcher Award (#512586) at the University of Toronto (KTG). JMN was funded by the National Institutes of Health (K08HL159350 and R01MH135492).
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KTG: Funding acquisition, Project administration, Conceptualization, Investigation, Methodology, Formal analysis, Writing—Original draft, Writing—Review & editing; NP: Writing—Original draft, Writing—Review & editing; AT: Conceptualization, Writing—Review & editing; DBJ: Conceptualization, Writing—Review & editing; JMN: Conceptualization, Writing—Review & editing.
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Ganson, K.T., Pang, N., Testa, A. et al. Adverse Childhood Experiences and Muscle Dysmorphia Symptomatology: Findings from a Sample of Canadian Adolescents and Young Adults. Clin Soc Work J (2023). https://doi.org/10.1007/s10615-023-00908-9
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DOI: https://doi.org/10.1007/s10615-023-00908-9