Body image disturbance and associated eating disorder and body dysmorphic disorder pathology in gay and heterosexual men : A systematic analyses of cognitive, affective, behavioral und perceptual aspects

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2022
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Taube, Christoph O.
Heinrich, Thomas
Vocks, Silja
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PloS ONE. Public Library of Science (PLoS). 2022, 17(12), e0278558. eISSN 1932-6203. Available under: doi: 10.1371/journal.pone.0278558
Zusammenfassung

Objective
This study contributes to the quantitatively large, yet narrow in scope research on body image in gay men by assessing whether gay and heterosexual men systematically differ on various dimensions of body image disturbance and associated pathology, i.e., eating disorder and body dysmorphic disorder symptoms. Moreover, we examined the influence of general everyday discrimination experiences and involvement with the gay community on body image.

Method
N = 216 men (n = 112 gay men, n = 104 heterosexual men) participated in an online survey measuring the discrepancy between self-rated current and ideal body fat/ muscularity; drive for leanness, muscularity, and thinness; body satisfaction; body-related avoidance and checking; appearance fixing; overall body image disturbance; eating disorder and body dysmorphic disorder pathology; general everyday discrimination experiences; and involvement with the gay community.

Results
Gay men showed a greater discrepancy between self-rated current and ideal body fat; higher drive for thinness, body-related avoidance, appearance fixing, overall body image disturbance, eating disorder and body dysmorphic disorder pathology; and lower body appreciation than heterosexual men (all p ≤ .05). Contrary to expectation, everyday discrimination experiences were more strongly associated with body image disturbance and eating disorder/ body dysmorphic disorder pathology in heterosexual men than in gay men (all p ≤ .05). Gay community involvement was not associated with any body image disturbance-, ED-, or BDD aspect in gay men (all p ≥ .20).

Discussion
The results suggest greater body image disturbance in gay men than in heterosexual men regarding cognitions, emotions, behaviors, and perception as well as higher eating disorder and body dysmorphic disorder pathology. The results also suggest the dilemma of a thin, yet muscular body ideal in gay men. Surprisingly, discrimination experiences and involvement with the gay community did not explain differences in body image disturbance. Gay men may have become resilient to discrimination over time, and body ideals might differ across gay sub-communities.

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ISO 690SCHMIDT, Michaela, Christoph O. TAUBE, Thomas HEINRICH, Silja VOCKS, Andrea S. HARTMANN, 2022. Body image disturbance and associated eating disorder and body dysmorphic disorder pathology in gay and heterosexual men : A systematic analyses of cognitive, affective, behavioral und perceptual aspects. In: PloS ONE. Public Library of Science (PLoS). 2022, 17(12), e0278558. eISSN 1932-6203. Available under: doi: 10.1371/journal.pone.0278558
BibTex
@article{Schmidt2022image-59570,
  year={2022},
  doi={10.1371/journal.pone.0278558},
  title={Body image disturbance and associated eating disorder and body dysmorphic disorder pathology in gay and heterosexual men : A systematic analyses of cognitive, affective, behavioral und perceptual aspects},
  number={12},
  volume={17},
  journal={PloS ONE},
  author={Schmidt, Michaela and Taube, Christoph O. and Heinrich, Thomas and Vocks, Silja and Hartmann, Andrea S.},
  note={Article Number: e0278558}
}
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