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The transition from thinness-oriented to muscularity-oriented disordered eating in adolescent males: a clinical observation


Murray, SB and Griffiths, S and Mitchison, D and Mond, JM, The transition from thinness-oriented to muscularity-oriented disordered eating in adolescent males: a clinical observation, Journal of Adolescent Health, 60, (3) pp. 353-355. ISSN 1054-139X (2017) [Contribution to Refereed Journal]

Copyright Statement

Copyright 2016 Society for Adolescent Health and Medicine. All rights reserved.

DOI: doi:10.1016/j.jadohealth.2016.10.014


Purpose: Robust empirical evidence has illustrated a rising prevalence of body dissatisfaction and disordered eating among males, noting that both may be oriented more toward muscularity - as opposed to thinness-oriented concerns. While an elevated prevalence of premorbid anorexia nervosa (AN) has been noted among those with muscle dysmorphia, little evidence has examined the process of this transition from thinness-oriented to muscularity-oriented disordered eating.

Methods: This clinical observation presents a case of AN in an adolescent male, whose symptom presentation transitioned during the course of treatment for AN, into more muscularity-oriented disordered eating.

Results: Despite the core body image disturbance and disordered eating behaviors being retained, the behavioral expression of muscularity-oriented disordered eating was difficult to detect during treatment for AN, and he was discharged from treatment as his muscularity-oriented disordered eating escalated.

Conclusions: Transdiagnostic crossover between thinness-oriented and muscularity-oriented disordered eating represents an important clinical concern, which may be challenging to measure and assess. Implications for treatment are discussed, and the early detection of muscularity-oriented disordered eating.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:muscle dysmorphia, anorexia nervosa, muscularity-oriented disordered eating, male eating disorders
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Mond, JM (Dr Jon Mond)
ID Code:123090
Year Published:2017
Web of Science® Times Cited:24
Deposited By:UTAS Centre for Rural Health
Deposited On:2017-12-15
Last Modified:2018-12-13

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