The enigma of male eating disorders: a critical review and synthesis

Stuart B. Murray*, Jason M. Nagata, Scott Griffiths, Jerel P. Calzo, Tiffany A. Brown, Deborah Mitchison, Aaron J. Blashill, Jonathan M. Mond

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    496 Citations (Scopus)

    Abstract

    Historically, male presentations of eating disorders (EDs) have been perceived as rare and atypical – a perception that has resulted in the systematic underrepresentation of males in ED research. This underrepresentation has profoundly impacted clinical practice with male patients, in which i) stigmatization and treatment non-engagement are more likely, ii) a distinct array of medical complexities are faced, and iii) symptom presentations differ markedly from female presentations. Further, the marginalization of males from ED research has hindered the assessment and clinical management of these presentations. This critical review provides an overview of the history of male EDs and synthesizes current evidence relating to the unique characteristics of male presentations across the diagnostic spectrum of disordered eating. Further, the emerging body of evidence relating to muscularity-oriented eating is synthesized in relation to the existing nosological framework of EDs. The impact of marginalizing male ED patients is discussed, in light of findings from epidemiological studies suggesting that clinicians will be increasingly likely to see males with ED in their practices. It is suggested that changes to current conceptualizations of ED pathology that better accommodation male ED presentations are needed.

    Original languageEnglish
    Pages (from-to)1-11
    Number of pages11
    JournalClinical Psychology Review
    Volume57
    DOIs
    Publication statusPublished - 1 Nov 2017

    Keywords

    • male eating disorders
    • eating disorders
    • male body image
    • muscularity-oriented disordered eating
    • muscle dysmorphia

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