Department of Psychiatry, University of California, San Diego, San Diego, CA, USA.
School of Psychology, University of Sydney, Sydney, NSW, Australia.
Body Image. 2016 Mar;16:17-20. doi: 10.1016/j.bodyim.2015.10.002. Epub 2015 Oct 31.
Existing content analyses of pro-eating disorder web content have focused on thinness-oriented eating disorder pathology. With the increasing prevalence of muscularity-oriented body image concerns, we conducted a systematic content analysis of 421 active pro-muscularity websites including static content websites, blogs, and online forums. Emergent coding methods were utilized (Cohen's kappa range=.78-.88), and eight distinct thematic categories were identified: rigid dietary practices (26.2%), rigid exercise rules (18.4%), the broader benefits of muscularity (16.1%), the encouragement of the drive for size (15.9%), the labeling of non-ideal body (11.4%), marginalizing other areas of life (6.1%), muscle enhancing substances (3.3%), and minimizing medical risk (2.6%). Pro-muscularity websites provide explicit material surrounding potentially non-healthful muscularity-oriented eating and exercise practices. Clinician awareness of the potentially non-healthful behaviors involved in the pursuit of muscularity may enhance the detection and treatment of male eating disorders, in particular.
现有的关于支持进食障碍的网络内容的分析主要集中在以消瘦为导向的进食障碍病理学上。随着以肌肉为导向的身体意象问题的流行率不断上升，我们对 421 个活跃的支持肌肉的网站进行了系统的内容分析，包括静态内容网站、博客和在线论坛。采用了新兴的编码方法（Cohen 的 kappa 范围为.78-.88），并确定了八个不同的主题类别：严格的饮食实践（26.2%）、严格的运动规则（18.4%）、肌肉发达的更广泛益处（16.1%）、鼓励追求体型的动力（15.9%）、对非理想身体的标签化（11.4%）、边缘化其他生活领域（6.1%）、肌肉增强物质（3.3%）和最小化医疗风险（2.6%）。支持肌肉的网站提供了围绕可能不健康的以肌肉为导向的饮食和运动实践的明确材料。临床医生对追求肌肉发达所涉及的潜在不健康行为的认识，可能会增强对男性进食障碍的检测和治疗，特别是对男性进食障碍的检测和治疗。
