Abstract
Prior research has documented an association between conformity to masculine gender norms and muscle dysmorphia symptomatology. However, much of this research has been limited to samples of men. To address this important gap in the research, the aim of this study was to determine the association between conformity to masculine gender norms and muscle dysmorphia symptomatology among a gender-diverse sample of Canadian adolescents and young adults. Data from the Canadian Study of Adolescent Health Behaviors (N = 2,719) were analyzed. Regression analyses were used to estimate the association between conformity to masculine gender norms and muscle dysmorphia symptomatology, clinical risk for muscle dysmorphia, and lifetime anabolic-androgenic steroid (AAS) use, among the overall sample and stratified by gender. Conformity to masculine gender norms was positively associated with muscle dysmorphia symptomatology, clinical risk for muscle dysmorphia, and lifetime AAS use among the sample. Moreover, findings were similar among boys and young men, girls and young women, and transgender/gender-expansive participants. Findings underscore the relevance of masculine gender norms in relation to the pursuit of muscularity among adolescents and young adults. Future research is needed to explore the specific mechanisms underlying the link between conformity to masculine gender norms and muscle dysmorphia symptomatology across genders.
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References
Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58(1), 5–14. https://doi.org/10.1037/0003-066X.58.1.5.
American Psychiatric Association (2022). Diagnostic and statistical manual of mental disorders (5th, Text ed.). https://doi.org/10.1176/appi.books.9780890425787.
Amin, A., Kågesten, A., Adebayo, E., & Chandra-Mouli, V. (2018). Addressing gender socialization and masculinity norms among adolescent boys: Policy and programmatic implications. Journal of Adolescent Health, 62(3), S3–S5. https://doi.org/10.1016/j.jadohealth.2017.06.022.
Amodeo, A. L., Esposito, C., Antuoni, S., Saracco, G., & Bacchini, D. (2022). Muscle dysmorphia: What about transgender people? Culture Health and Sexuality, 24(1), 63–78. https://doi.org/10.1080/13691058.2020.1814968.
Anzani, A., Decaro, S. P., & Prunas, A. (2023). Trans masculinity: Comparing trans masculine individuals’ and cisgender men’s conformity to hegemonic masculinity. Sexuality Research and Social Policy, 20(2), 539–547. https://doi.org/10.1007/s13178-021-00677-5.
Arayasirikul, S., Turner, C., Trujillo, D., Sicro, S. L., Scheer, S., McFarland, W., & Wilson, E. C. (2022). A global cautionary tale: Discrimination and violence against trans women worsen despite investments in public resources and improvements in health insurance access and utilization of health care. International Journal for Equity in Health, 21(1), Article 32. https://doi.org/10.1186/s12939-022-01632-5
Basow, S. A. (2011). Gender Role and Identity. In R. J. R. Levesque (Ed.), Encyclopedia of adolescence. Springer. https://doi.org/10.1007/978-1-4419-1695-2_28.
Bell, K., Rieger, E., & Hirsch, J. K. (2019). Eating disorder symptoms and proneness in gay men, lesbian women, and transgender and non-conforming adults: Comparative levels and a proposed mediational model. Frontiers in Psychology, 9, Article 2692. https://doi.org/10.3389/fpsyg.2018.02692
Blashill, A. J. (2011). Gender roles, eating pathology, and body dissatisfaction in men: A meta-analysis. Body Image, 8(1), 1–11. https://doi.org/10.1016/j.bodyim.2010.09.002.
Blashill, A. J., Grunewald, W., Fang, A., Davidson, E., & Wilhelm, S. (2020). Conformity to masculine norms and symptom severity among men diagnosed with muscle dysmorphia vs. body dysmorphic disorder. Plos One, 15(8), Article e0237651. https://doi.org/10.1371/journal.pone.0237651
Boepple, L., Ata, R. N., Rum, R., & Thompson, J. K. (2016). Strong is the new skinny: A content analysis of fitspiration websites. Body Image, 17, 132–135. https://doi.org/10.1016/j.bodyim.2016.03.001.
Brame, R., Paternoster, R., Mazerolle, P., & Piquero, A. (1998). Testing for the equality of maximum-likelihood regression coefficients between two independent equations. Journal of Quantitative Criminology, 14, 245–261. https://doi.org/10.1023/A:1023030312801
Brown, T. A., Forney, K. J., Pinner, D., & Keel, P. K. (2017). A randomized controlled trial of the body project: More than muscles for men with body dissatisfaction. International Journal of Eating Disorders, 50(8), 873–883. https://doi.org/10.1002/eat.22724.
Bunnell, D. W. (2016). Gender socialization, countertransference and the treatment of men with eating disorders. Clinical Social Work Journal, 44(1), 99–104. https://doi.org/10.1007/s10615-015-0564-z.
Butler, J. (2006). Gender trouble. Routledge. https://doi.org/10.4324/9780203824979.
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.
Christiansen, A. V., Vinther, A. S., & Liokaftos, D. (2017). Outline of a typology of men’s use of anabolic androgenic steroids in fitness and strength training environments. Drugs: Education Prevention and Policy, 24(3), 295–305. https://doi.org/10.1080/09687637.2016.1231173.
Clausell, E., & Fiske, S. T. (2005). When do subgroup parts add up to the stereotypic whole? Mixed stereotype content for gay male subgroups explains overall ratings. Social Cognition, 23(2), 161–181. https://doi.org/10.1521/soco.23.2.161.65626.
Clogg, C. C., Petkova, E., & Haritou, A. (1995). Statistical methods for comparing regression coefficients between models. American Journal of Sociology, 100(5), 1261–1293.
Compte, E. J., Cattle, C. J., Lavender, J. M., Brown, T. A., Murray, S. B., Capriotti, M. R., Flentje, A., Lubensky, M. E., Obedin-Maliver, J., Lunn, M. R., & Nagata, J. M. (2022). Psychometric evaluation of the muscle dysmorphic disorder inventory (MDDI) among gender-expansive people. Journal of Eating Disorders, 10(1), Article 95. https://doi.org/10.1186/s40337-022-00618-6
Connell, R. W. (2005). Masculinities (2nd ed.). Polity.
Controlled Drugs, & Act, S. (1996). S.C. c. 19 (1996). https://laws-lois.justice.gc.ca/eng/acts/c-38.8/.
Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine, 50(10), 1385–1401. https://doi.org/10.1016/S0277-9536(99)00390-1.
Dawson, N., & Hammer, J. H. (2020). No pain, no gains: Conformity to masculine norms, body dissatisfaction, and exercise dependence. Psychology of Men & Masculinities, 21(3), 430–440. https://doi.org/10.1037/men0000243.supp.
Donovan, C. L., Uhlmann, L. R., & Loxton, N. J. (2020). Strong is the new skinny, but is it ideal? A test of the Tripartite Influence Model using a new measure of fit-ideal internalisation. Body Image, 35, 171–180. https://doi.org/10.1016/j.bodyim.2020.09.002.
Edwards, C., Molnar, G., & Tod, D. (2017). Searching for masculine capital: Experiences leading to high drive for muscularity in men. Psychology of Men and Masculinity, 18(4), 361–371. https://doi.org/10.1037/men0000072.
Frederick, D. A., Buchanan, G. M., Sadehgi-Azar, L., Peplau, L. A., Haselton, M. G., Berezovskaya, A., & Lipinski, R. E. (2007). Desiring the muscular ideal: Men’s body satisfaction in the United States, Ukraine, and Ghana. Psychology of Men and Masculinity, 8(2), 103–117. https://doi.org/10.1037/1524-9220.8.2.103.
Ganson, K. T., Jackson, D. B., Testa, A., Murnane, P. M., & Nagata, J. M. (2022a). Performance-enhancing substance use and sexual risk behaviors among U.S. men: Results from a prospective cohort study. The Journal of Sex Research, 59(6), 758–764. https://doi.org/10.1080/00224499.2021.2012114.
Ganson, K. T., Jackson, D. B., Testa, A., Murnane, P. M., & Nagata, J. M. (2022b). Associations between anabolic-androgenic steroid use and sexual health behaviors among adolescent boys: Results from the 2019 Youth Risk Behavior Survey. American Journal of Men’s Health, 16(4), Article 15579883221110350. https://doi.org/10.1177/15579883221110350
Ganson, K. T., Testa, A., Rodgers, R. F., Jackson, D. B., & Nagata, J. M. (2023). Muscle-building exercise and weapon carrying and physical fighting among U.S. adolescent boys. Journal of Interpersonal Violence, 38(3–4), 2566–2584. https://doi.org/10.1177/08862605221101192.
Ganson, K. T., Hallward, L., Cunningham, M. L., Murray, S. B., & Nagata, J. M. (2023a). Anabolic-androgenic steroid use: Patterns of use among a national sample of Canadian adolescents and young adults. Performance Enhancement & Health, 11(1). https://doi.org/10.1016/j.peh.2022.100241.
Ganson, K. T., Hallward, L., Cunningham, M. L., Rodgers, R. F., Murray, S. B., & Nagata, J. M. (2023b). 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. (2023c). 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., Nguyen, L., Ali, A. R. H., Nagata, J. M., Rodgers, R. F., Murray, S. B., & Alaggia, R. (2023d). Eat more protein, build more muscle: A grounded theory study of muscle-building behaviors among Canadian adolescents and young adults. Body Image, 47, Article 101635. https://doi.org/10.1016/j.bodyim.2023.101635
Ganson, K. T., Testa, A., Rodgers, R. F., Jackson, D. B., & Nagata, J. M. (2024). Relationships between violent sexual victimization and muscle-building exercise among adolescents from the 2019 Youth Risk Behavior Survey. Journal of School Health, 94(2), 158–164. https://doi.org/10.1111/josh.13395.
Gattario, K. H., Frisén, A., Fuller-Tyszkiewicz, M., Ricciardelli, L. A., Diedrichs, P. C., Yager, Z., Franko, D. L., & Smolak, L. (2015). How is men’s conformity to masculine norms related to their body image? Masculinity and muscularity across Western Countries. Psychology of Men and Masculinity, 16(3), 337–347. https://doi.org/10.1037/a0038494.
Gestsdottir, S., Kristjansdottir, H., Sigurdsson, H., & Sigfusdottir, I. D. (2021). Prevalence, mental health and substance use of anabolic steroid users: A population-based study on young individuals. Scandinavian Journal of Public Health, 49(5), 555–562. https://doi.org/10.1177/1403494820973096.
Gilbert, S., & Thompson, J. K. (1996). Feminist explanations of the development of eating disorders: Common themes, research findings, and methodological issues. Clinical Psychology: Science and Practice, 3(3), 183–202. https://doi.org/10.1111/j.1468-2850.1996.tb00070.x.
Goldberg, L., Elliot, D. L., Clarke, G. N., MacKinnon, D. P., Zoref, L., Moe, E., Green, C., & Wolf, S. L. (1996). The adolescents Training and Learning to avoid steroids (ATLAS) prevention program. Archives of Pediatrics & Adolescent Medicine, 150(7), 713–721. https://doi.org/10.1001/archpedi.1996.02170320059010.
Grammas, D. L., & Schwartz, J. P. (2009). Internalization of messages from society and perfectionism as predictors of male body image. Body Image, 6(1), 31–36. https://doi.org/10.1016/j.bodyim.2008.10.002.
Griffiths, S., Murray, S. B., & Touyz, S. (2015). Extending the masculinity hypothesis: An investigation of gender role conformity, body dissatisfaction, and disordered eating in young heterosexual men. Psychology of Men and Masculinity, 16(1), 108–114. https://doi.org/10.1037/a0035958.
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. In J. M. Nagata, T. A. Brown, S. B. Murray, & J. M. Lavender (Eds.), Eating disorders among boys nad men (pp. 103–115). Springer International Publishing. https://doi.org/10.1007/978-3-030-67127-3_8.
Grunewald, W., Kinkel-Ram, S. S., & Smith, A. R. (2022). Conformity to masculine norms, masculine discrepancy stress, and changes in muscle dysmorphia symptoms. Body Image, 40, 237–248. https://doi.org/10.1016/j.bodyim.2022.01.001.
Guss, C. E., Williams, D. N., Reisner, S. L., Austin, S. B., & Katz-Wise, S. L. (2017). Disordered weight management behaviors, nonprescription steroid use, and weight perception in transgender youth. Journal of Adolescent Health, 60(1), 17–22. https://doi.org/10.1016/j.jadohealth.2016.08.027.
Hammer, J. H., Heath, P. J., & Vogel, D. L. (2018). Fate of the total score: Dimensionality of the conformity to masculine norms Inventory-46 (CMNI-46). Psychology of Men and Masculinity, 19(4), 645–651. https://doi.org/10.1037/men0000147.
Harrington, C. (2021). What is toxic masculinity and why does it matter? Men and Masculinities, 24(2), 345–352. https://doi.org/10.1177/1097184X20943254.
Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology: Research and Practice, 43(5), 460–467. https://doi.org/10.1037/a0029597.
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.
Kanayama, G., Barry, S., Hudson, J. I., & Pope, H. G. (2006). Body image and attitudes toward male roles in anabolic-androgenic steroid users. American Journal of Psychiatry, 163(4), 697–703. https://doi.org/10.1176/ajp.2006.163.4.697.
Kotzé, J., & Antonopoulos, G. A. (2021). Boosting bodily capital: Maintaining masculinity, aesthetic pleasure and instrumental utility through the consumption of steroids. Journal of Consumer Culture, 21(3), 683–700. https://doi.org/10.1177/1469540519846196.
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.
Luciano, L. (2007). Muscularity and masculinity in the United States: A historical overview. In J. K. Thompson & G. Cafri (Eds.), The muscular ideal: Psychological, social, and medical perspectives (pp. 41–65). American Psychological Association. https://doi.org/10.1037/11581-002.
Madon, S. (1997). What do people believe about gay males? A study of stereotype content and strength. Sex Roles, 37(9–10), 663–685. https://doi.org/10.1007/BF02936334.
Mahalik, J. R., Locke, B. D., Ludlow, L. H., Diemer, M. A., Scott, R. P. J., Gottfried, M., & Freitas, G. (2003). Development of the conformity to masculine norms inventory. Psychology of Men & Masculinity, 4(1), 3–25. https://doi.org/10.1037/1524-9220.4.1.3.
Mahalik, J. R., Morray, E. B., Coonerty-Femiano, A., Ludlow, L. H., Slattery, S. M., & Smiler, A. (2005). Development of the conformity to feminine norms inventory. Sex Roles, 52(7–8), 417–435. https://doi.org/10.1007/s11199-005-3709-7.
Martin, C. L., & Ruble, D. N. (2010). Patterns of gender development. Annual Review of Psychology, 61(1), 353–381. https://doi.org/10.1146/annurev.psych.093008.100511.
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, 52(14), 3142–3149. https://doi.org/10.1017/S0033291720005206.
Mulrooney, K. J. D., van de Ven, K., Mcveigh, J., & Collins, R. (2018). Steroid madness: Has the dark side of stated? In van de K. Ven, K. J. D. Mulrooney, & J. Mcveigh (Eds.), Human enhancement drugs (1st ed., pp. 54–67). Routledge.
Muñoz-Reyes, J. A., Polo, P., Rodríguez-Sickert, C., Pavez, P., Valenzuela, N., & Ramírez-Herrera, O. (2019). Muscularity and strength affect individual variation in self-perception of fighting ability in men. Frontiers in Psychology, 10, Article 18. https://doi.org/10.3389/fpsyg.2019.00018
Murray, S. B., Rieger, E., Karlov, L., & Touyz, S. W. (2013). Masculinity and femininity in the divergence of male body image concerns. Journal of Eating Disorders, 1, Article 11. https://doi.org/10.1186/2050-2974-1-11
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, 1–11. https://doi.org/10.1016/j.cpr.2017.08.001.
Nagata, J. M., Ganson, K. T., & Austin, S. B. (2020). Emerging trends in eating disorders among sexual and gender minorities. Current Opinion in Psychiatry, 33(6), 562–567. https://doi.org/10.1097/YCO.0000000000000645.
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, Article 87. 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. (2022a). 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. (2022b). Prevalence and correlates of muscle-enhancing behaviors among adolescents and young adults in the United States. International Journal of Adolescent Medicine and Health, 34(2), 119–129. https://doi.org/10.1515/ijamh-2020-0001.
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.
Parent, M. C., & Moradi, B. (2009). Confirmatory factor analysis of the conformity to masculine norms inventory and development of the conformity to masculine norms Inventory-46. Psychology of Men and Masculinity, 10(3), 175–189. https://doi.org/10.1037/a0015481.
Parent, M. C., & Smiler, A. P. (2013). Metric invariance of the conformity to masculine norms Inventory-46 among women and men. Psychology of Men & Masculinity, 14(3), 324–328. https://doi.org/10.1037/a0027642.
Pope, H. G., Phillips, K. A., & Olivardia, R. (2000). The Adonis complex: How to identify, treat, and prevent body obsession in men and boys. The Free.
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., Wood, R. I., Rogol, A., Nyberg, F., Bowers, L., & Bhasin, S. (2014). Adverse health consequences of performance-enhancing drugs: An Endocrine Society scientific statement. Endocrine Reviews, 35(3), 341–375. https://doi.org/10.1210/er.2013-1058.
Pope, H. G., Khalsa, J. H., & Bhasin, S. (2017). Body image disorders and abuse of anabolic-androgenic steroids among men. Journal of the American Medical Association, 317(1), 23–24. https://doi.org/10.1001/jama.2016.17441.
Rice, S., Oliffe, J., Seidler, Z., Borschmann, R., Pirkis, J., Reavley, N., & Patton, G. (2021). Gender norms and the mental health of boys and young men. The Lancet Public Health, 6(8), e541–e542. https://doi.org/10.1016/S2468-2667(21)00138-9.
Rodgers, R. F., Franko, D. L., Lovering, M. E., Luk, S., Pernal, W., & Matsumoto, A. (2018). Development and validation of the female muscularity scale. Sex Roles, 78(1–2), 18–26. https://doi.org/10.1007/s11199-017-0775-6.
Sagoe, D., Molde, H., Andreassen, C. S., Torsheim, T., & Pallesen, S. (2014). The global epidemiology of anabolic-androgenic steroid use: A meta-analysis and meta-regression analysis. Annals of Epidemiology, 24(5), 383–398. https://doi.org/10.1016/j.annepidem.2014.01.009.
Smiler, A. P. (2006). Conforming to masculine norms: Evidence for validity among adult men and women. Sex Roles, 54(11–12), 767–775. https://doi.org/10.1007/s11199-006-9045-8.
Spendlove, J., Mitchell, L., Gifford, J., Hackett, D., Slater, G., Cobley, S., & O’Connor, H. (2015). Dietary intake of competitive bodybuilders. Sports Medicine, 45(7), 1041–1063. https://doi.org/10.1007/s40279-015-0329-4.
Strübel, J., Sabik, N., & Tylka, T. (2020). Body image and depressive symptoms among transgender and cisgender adults: Examining a Model integrating the tripartite influence model and objectification theory. Body Image, 35, 53–62. https://doi.org/10.1016/j.bodyim.2020.08.004.
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.
Tylka, T. L. (2021). Models of body image for boys and men. In J. M. Nagata, T. A. Brown, S. B. Murray, & J. M. Lavender (Eds.), Eating disorders in boys and men (pp. 7–20). Springer International Publishing. https://doi.org/10.1007/978-3-030-67127-3_2.
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 [Poster Presentation]. International Conference on Eating Disorders, Austin, Texas.
Wirtz, A. L., Poteat, T. C., Malik, M., & Glass, N. (2020). Gender-based violence against transgender people in the United States: A call for research and programming. Trauma Violence and Abuse, 21(2), 227–241. https://doi.org/10.1177/1524838018757749.
Wong, Y. J., Ho, M. H. R., Wang, S. Y., & Miller, I. S. K. (2017). Meta-analyses of the relationship between conformity to masculine norms and mental health-related outcomes. Journal of Counseling Psychology, 64(1), 80–93. https://doi.org/10.1037/cou0000176.
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, 46(4), 343–350. 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), Article e0207535. 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).
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KTG: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Software, Writing – original draft, Writing – review & editing;NP: Conceptualization, Writing – original draft, Writing – review & editing; RFR: Conceptualization, Writing – original draft, Writing – review & editing; AT: Conceptualization, Writing – review & editing; SBM: Conceptualization, Writing – review & editing; JMN: Conceptualization, Writing – review & editing.
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Ganson, K.T., Pang, N., Rodgers, R.F. et al. Masculinity and Muscle Dysmorphia in Mixed Gender Canadian Youth. Sex Roles (2024). https://doi.org/10.1007/s11199-024-01469-y
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DOI: https://doi.org/10.1007/s11199-024-01469-y