Introduction: Currently, good appearance is a synonym to success, health and determination. So as to, the modern society overwhelms the individuals to follow beauty stereotypes. The heritage of this capitalist and selfish society is the psychological appearance disorders and the psychological dependence associated with them. Among these, we can mention vigorexy and exercise dependence. Objectives: I) to compare vigorexy levels and exercise dependence among gym goers and bodybuilders, II) to correlate the variables on physical practice (time of practice, weekly frequency and sessions time) to the frequency dimensions of vigorexy and exercise dependence; and, III) to compare vigorexy levels according to the exercise dependence groups (dependent or in risk, not symptomatic dependent and not asymptomatic dependent). Methods: The sample was composed of 151 male gym goers (27.66 ± 6.54-year-old and 27.56 ± 5.03 BMI) and 25 bodybuilders (30.80 ± 5.54-year-old and 26.72 ± 4.24 BMI). The participants answered the Exercise Dependence Scale and the Muscle Dysmorphia Disorder Inventory. The statistical analysis involved descriptive, univariated normality, comparative and correlational analyses. results: The main results were: I) absence of differences between gym goers and bodybuilders concerning vigorexy levels and exercise dependence, II) training session time is positively correlated with most of the dimensions of the exercise dependence, and, III) the group classified as dependent or in risk reveals medium superior levels of vigorexy. Conclusion: lastly, it was found that both in bodybuilders and gym goers, the higher the vigorexy level, the higher the exercise dependence with this correlation in bodybuilders.
The aims of this study were twofold: (i) to investigate the prevalence of social anxiety disorder and body dysmorphic disorder in a nonclinical, Brazilian population and (ii) to examine the effects of selected factors such as sociodemographic characteristics (sex, age, marital status, workload, education, and income), body mass index, current diet, physical activity, and use of aesthetic treatment. A total of 428 adults (279 women and 149 men) aged 18 to 60 years ( M = 31.51, SD = 10.73) participated in the study. Social anxiety disorder was measured using a Brazilian version of the Social Phobia Inventory ( Osório, Crippa, & Loureiro, 2009 ). Body dysmorphic disorder by using a body dysmorphic symptoms scale validated for the Brazilian population ( Ramos & Yoshida, 2012 ). The main results showed that 28.7% of the sample reported symptoms of social anxiety disorder. Body dysmorphic disorder was more prevalent among women, individuals who had sought aesthetic treatment and individuals who were physically inactive. Moreover, lower levels of social anxiety disorder were observed in physically active individuals who had sought aesthetic treatment compared with physically inactive individuals who had sought aesthetic treatment. Social anxiety disorder was negatively correlated with age, daily workload, and income, while body dysmorphic disorder was positively associated with body mass index and negatively with income. These results show that social anxiety disorder and body dysmorphic disorder are differentially influenced by the selected factors investigated in this study.
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. It is a severe psychiatric condition, duly confirmed by neuroanatomical findings, very peculiar repetitive behaviors, and specific personalities. The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. This increase is worrying because BDD is a pathology that presents comorbidity like severe depression, suicidal ideation, and functional and social impairment. However, BDD is an unrecognized and often not diagnosed in our society. Many patients are ashamed of their complaints and do not usually seek psychiatric help with ease, and unfortunately, they seek help in cosmetic and surgical treatments to improve their appearance, and these professionals are not yet prepared to assist in the diagnosis of this disorder. Therefore, this chapter presents not only the psychopathology of BDD but also its associations with other pathologies and their main factors of influence. Finally, we present a clinical experience with a detailed description of a clinical case. The aim is to contribute to the diagnosis and treatment of this pathology and also to future research that may benefit society and these patients.
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