Murray Stuart B, Griffiths Scott
The Redleaf Practice, Sydney, Australia School of Psychology, University of Sydney, Australia
School of Psychology, University of Sydney, Australia.
Clin Child Psychol Psychiatry. 2015 Apr;20(2):324-30. doi: 10.1177/1359104514521639. Epub 2014 Feb 19.
A growing body of evidence suggests that the prevalence of male body dissatisfaction and muscle dysmorphia is rising. To date, however, there is no published evidence on the efficacy of treatments for muscle dysmorphia. We present the case of a 15-year-old boy who met full diagnostic criteria for muscle dysmorphia, whose symptoms were treated into remission with eating disorder-focused, family-based treatment. The age of this patient fell within the time period in which symptoms of muscle dysmorphia are most likely to develop and this case represents the first published case report of family-based treatment for muscle dysmorphia in this age group. Thus, this case report has important implications for clinicians considering treatment options for presentations of muscle dysmorphia when first presenting in adolescence. Implications for the development of treatment guidelines for muscle dysmorphia and for the diagnostic debate surrounding muscle dysmorphia are also discussed.
越来越多的证据表明，男性身体不满和肌肉畸形症的患病率正在上升。然而，迄今为止，尚无关于肌肉畸形症治疗效果的已发表证据。我们报告一例15岁男孩，他符合肌肉畸形症的全部诊断标准，其症状通过以饮食失调为重点的家庭治疗得以缓解。该患者的年龄处于肌肉畸形症症状最易出现的时间段内，此病例是该年龄组中关于肌肉畸形症家庭治疗的首例已发表病例报告。因此，该病例报告对于临床医生在青少年首次出现肌肉畸形症表现时考虑治疗方案具有重要意义。同时也讨论了对肌肉畸形症治疗指南制定以及围绕肌肉畸形症诊断争论的影响。
