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Case Report: Physiological and Psychological Underpinnings of Muscle Dysmorphia Using EEG, GSR, and Eye-Tracking      
Yazarlar (3)
Feride Gökben Hızlı Sayar
Üsküdar Üniversitesi, Türkiye
Selami Varol Ülker
Üsküdar Üniversitesi, Türkiye
Dr. Öğr. Üyesi Eda YILMAZER Dr. Öğr. Üyesi Eda YILMAZER
Beykoz Üniversitesi, Türkiye
Devamını Göster
Özet
Muscle dysmorphia (MD), a subtype of Body Dysmorphic Disorder (BDD), involves an obsessive preoccupation with perceived insufficient muscularity despite an objectively muscular physique. While its psychological features are well-documented, physiological and attentional underpinnings remain underexplored. This exploratory, proof-of-concept case series examines the psychological, physiological, and attentional characteristics of individuals with varying experiences of MD using a multimodal approach combining electroencephalography (EEG), galvanic skin response (GSR), and eye-tracking technologies. Three male participants were purposefully selected to represent distinct clinical profiles: one with active MD and steroid use, one in sustained remission from MD, and one with no MD history. Participants completed validated psychological scales (MDDI, BIDQ, STAI, RSES) and were exposed to personalized visual stimuli (past, current, and idealized body images). A triangulated recording protocol was used to capture EEG, GSR, and eye-tracking data during stimulus exposure. Participants with current and past MD showed elevated beta wave activity, increased skin conductance, and attentional biases toward muscular regions, corresponding with higher self-reported distress and anxiety. In contrast, the control participant exhibited stable physiological responses and emotionally neutral reactions. Triangulated data revealed coherent patterns across subjective and physiological domains, supporting the internal validity of the findings despite the small sample. These findings illustrate the potential of multimodal assessment in identifying candidate psychophysiological markers of MD. While not generalizable, this case-series provides a valuable framework for future hypothesis-driven research and supports the need for gender-specific diagnostic and intervention strategies in muscle dysmorphia.
Anahtar Kelimeler
case report | muscle dysmorphia | body dysmorphic disorder | electroencephalography | galvanic skin response | eye-tracking
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı frontiers in psychology
Dergi ISSN 1234-5556
Dergi Tarandığı Indeksler SSCI
Dergi Grubu Q4
Makale Dili Türkçe
Basım Tarihi 06-2025
Cilt No 16
Doi Numarası 10.3389/fpsyg.2025.1553997
Makale Linki https://www.frontiersin.org/journals/psychology