School of Psychology, University of Sydney, Sydney, NSW, Australia.
Eur Eat Disord Rev. 2012 Jan;20(1):68-73. doi: 10.1002/erv.1088. Epub 2011 Jan 27.
Muscle dysmorphia is a recently identified psychiatric condition, whose relationship to the eating disorders remains unclear. This case describes an adolescent male who met diagnostic criteria for both an eating disorder not otherwise specified and muscle dysmorphia, allowing the first examination of read muscle dysmorphia presentations. This case suggests that muscle dysmorphia may present inclusive of episodes of binge eating and purging in addition to compulsive exercise, which may serve an emotional regulation function. We suggest that the assessment of muscle dysmorphia include a comprehensive assessment of all eating disorder features including bulimic symptoms, and that treatment address these features. Clinical implications for the conceptualization of muscle dysmorphia are discussed.
肌肉变形障碍是最近确定的一种精神疾病，其与饮食失调的关系尚不清楚。本案例描述了一名符合特定饮食失调和肌肉变形障碍诊断标准的青少年男性，这是首次对肌肉变形障碍的表现进行检查。本案例表明，肌肉变形障碍可能除了强迫性运动外，还包括暴食和清肠的发作，这可能起到情绪调节的作用。我们建议，对肌肉变形障碍的评估应包括对所有饮食失调特征的全面评估，包括暴食症状，治疗应针对这些特征。讨论了对肌肉变形障碍的概念化的临床意义。
