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RESUME DE NOTRE ARTICLE (Fr)

Introduction : Ces trente dernières années, la multiplication des connaissances sur la dysmorphie musculaire a permis à la communauté scientifique d’affiner leur compréhension de son étiopathogénie ainsi que de son fonctionnement. Cependant, les études cliniques restent rares dans ce domaine, tout comme les protocoles de dépistage et les approches thérapeutiques.

Objectifs : L’enjeu de cet article sera d’évaluer la symptomatologie de la dysmorphie musculaire chez deux jeunes femmes bodybuildeuses afin de proposer un modèle d’évaluation intégrative ainsi que des pistes de réflexion pour les projets thérapeutiques.

Méthode : Dans un premier temps, nous verrons le cas de Mme I. pratiquant le bodybuilding de manière récréative et souffrant de dysmorphie musculaire avec une forme de trouble des conduites alimentaires. Dans le deuxième cas, nous étudierons le cas de Mme H., présentant elle aussi la symptomatologie de la dysmorphie musculaire, mais avec une forme de dysmorphophobie corporelle prédominante.

Résultats : Les deux bilans psychologiques ont permis l’évaluation de la symptomatologie de la dysmorphie musculaire avec un tableau mixte allant des troubles des conduites alimentaires aux troubles de l’image du corps.

Discussion : Notre étude a permis de souligner l’importance d’une approche holistique dans le dépistage de la dysmorphie musculaire, englobant l’entretien clinique, des échelles standardisées, des tests projectifs ainsi que l’évaluation des problématiques rencontrées dans le domaine de l’activité physique et de la performance.

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ABSTRACT (En)

Over the past three decades, the development of knowledge about muscle dysmorphia has enabled the scientific community to gain a better understanding of its etiopathogenesis and mechanism. However, few cases have been described, due to the absence of screening protocols and treatment guidelines. The aim of the current study was to evaluate muscle dysmorphia symptomatology, through an integrative psychological assessment, in two young female bodybuilders. In the first case study, we will focus on Mrs. I., who practices recreational bodybuilding, suffers from muscle dysmorphia with a form of eating disorder. For the second case study, we will focus on Mrs L., who suffers from muscle dysmorphia, but with a predominant form of body dysmorphic disorder. The two case studies provided nuance of muscle dysmorphia symptomatology, leading a better understanding with its comorbidities, particularly in relation to eating disorders, body dysmorphic disorders and pathological exercise. Our study highlights the importance of an integrative psychological assessment in muscle dysmorphia and shows the interest of using pluri-modal approach in its diagnostic, whether for the field of psychopathology or sports psychology.

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Pour lire notre article, vous pouvez le retrouver ici : https://www.sciencedirect.com/science/article/pii/S2773021224000087?via%3Dihub

Cuadrado, J., Laulan, P., Sentenac, C., Legigan, C., & Michel, G. (2024). “Bigger, stronger, sicker”, Integrative Psychological Assessment for Muscle Dysmorphia : Case Studies of Two Young Women Bodybuilders. Psychiatry Research Case Reports, 100212. https://doi.org/10.1016/j.psycr.2024.100212

Dr. Jérôme CUADRADO

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