Self‐Face Perception in Men With Elevated Body Dysmorphic and Muscle Dysmorphia Symptoms: Subjective Recognition Difficulty and Negative Appearance Evaluation.

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Title: Self‐Face Perception in Men With Elevated Body Dysmorphic and Muscle Dysmorphia Symptoms: Subjective Recognition Difficulty and Negative Appearance Evaluation.
Authors: Portingale, Jade (AUTHOR), Krug, Isabel (AUTHOR), Butler, David (AUTHOR)
Source: European Eating Disorders Review. Mar2026, Vol. 34 Issue 2, p486-499. 14p.
Subjects: Recognition (Psychology), Southeast Asians, Body mass index, Questionnaires, Psychology of men, Body dysmorphic disorder, Body image, White people, Descriptive statistics, Age distribution, Personal beauty, Data analysis software, Self-perception, Face perception, Psychosocial factors
Geographic Terms: Victoria
Abstract: Objective: Self‐face perception, including recognising one's face as one's own and evaluating its appearance, is important to physical self‐concept. Yet how body dysmorphic disorder (BDD) and muscle dysmorphia (MD) symptoms relate to these processes remains underexplored, particularly in men. This study examined how self‐face recognition accuracy and self‐face appearance evaluations are influenced by the severity of BDD and MD symptoms in men. Methods: Sixty‐eight male participants (Mage = 22.6 years, SD = 3.5; White and East/Southeast Asian) from the community performed a self‐face recognition task during which their faces were digitally morphed with an unfamiliar male face, providing an index of objective self‐face recognition sensitivity. Participants also completed measures of BDD and MD symptomatology, subjective self‐face recognition difficulty, and self‐face evaluations (attractiveness, adiposity, and dissatisfaction). Results: Higher levels of BDD symptoms and MD‐related appearance intolerance symptoms were associated with greater subjective self‐face recognition difficulty and more negative self‐face evaluations (lower attractiveness, greater dissatisfaction). Neither symptom dimension predicted objective self‐face recognition sensitivity or perceived facial adiposity. Conclusion: These findings reveal a theoretically informative dissociation: men with higher levels of BDD and MD symptoms experience greater subjective self‐recognition difficulties and negatively biased facial appearance evaluations despite intact objective self‐recognition performance. This pattern suggests that self‐face disturbances in BDD and MD may reflect cognitive‐affective biases rather than perceptual abnormalities, at least at non‐clinical severity levels. Future research in clinical samples is needed to determine whether perceptual deficits emerge at higher symptom severity and establish causality. Highlights: Higher levels of body dysmorphic disorder (BDD) symptoms were associated with greater subjective self‐face recognition difficulty and lower perceived facial attractiveness in men.Higher levels of muscle dysmorphia (MD) symptoms, specifically appearance intolerance, were associated with greater subjective self‐face recognition difficulty, lower perceived facial attractiveness, and greater head dissatisfaction in men.BDD and MD symptoms were unrelated to objective self‐face recognition sensitivity, suggesting cognitive‐affective rather than perceptual mechanisms. [ABSTRACT FROM AUTHOR]
Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: <searchLink fieldCode="AR" term="%22Portingale%2C+Jade%22">Portingale, Jade</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krug%2C+Isabel%22">Krug, Isabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Butler%2C+David%22">Butler, David</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Eating+Disorders+Review%22">European Eating Disorders Review</searchLink>. Mar2026, Vol. 34 Issue 2, p486-499. 14p.
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– Name: Abstract
  Label: Abstract
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  Data: Objective: Self‐face perception, including recognising one's face as one's own and evaluating its appearance, is important to physical self‐concept. Yet how body dysmorphic disorder (BDD) and muscle dysmorphia (MD) symptoms relate to these processes remains underexplored, particularly in men. This study examined how self‐face recognition accuracy and self‐face appearance evaluations are influenced by the severity of BDD and MD symptoms in men. Methods: Sixty‐eight male participants (Mage = 22.6 years, SD = 3.5; White and East/Southeast Asian) from the community performed a self‐face recognition task during which their faces were digitally morphed with an unfamiliar male face, providing an index of objective self‐face recognition sensitivity. Participants also completed measures of BDD and MD symptomatology, subjective self‐face recognition difficulty, and self‐face evaluations (attractiveness, adiposity, and dissatisfaction). Results: Higher levels of BDD symptoms and MD‐related appearance intolerance symptoms were associated with greater subjective self‐face recognition difficulty and more negative self‐face evaluations (lower attractiveness, greater dissatisfaction). Neither symptom dimension predicted objective self‐face recognition sensitivity or perceived facial adiposity. Conclusion: These findings reveal a theoretically informative dissociation: men with higher levels of BDD and MD symptoms experience greater subjective self‐recognition difficulties and negatively biased facial appearance evaluations despite intact objective self‐recognition performance. This pattern suggests that self‐face disturbances in BDD and MD may reflect cognitive‐affective biases rather than perceptual abnormalities, at least at non‐clinical severity levels. Future research in clinical samples is needed to determine whether perceptual deficits emerge at higher symptom severity and establish causality. Highlights: Higher levels of body dysmorphic disorder (BDD) symptoms were associated with greater subjective self‐face recognition difficulty and lower perceived facial attractiveness in men.Higher levels of muscle dysmorphia (MD) symptoms, specifically appearance intolerance, were associated with greater subjective self‐face recognition difficulty, lower perceived facial attractiveness, and greater head dissatisfaction in men.BDD and MD symptoms were unrelated to objective self‐face recognition sensitivity, suggesting cognitive‐affective rather than perceptual mechanisms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/erv.70039
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 486
    Subjects:
      – SubjectFull: Recognition (Psychology)
        Type: general
      – SubjectFull: Southeast Asians
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Psychology of men
        Type: general
      – SubjectFull: Body dysmorphic disorder
        Type: general
      – SubjectFull: Body image
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Personal beauty
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Self-perception
        Type: general
      – SubjectFull: Face perception
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Victoria
        Type: general
    Titles:
      – TitleFull: Self‐Face Perception in Men With Elevated Body Dysmorphic and Muscle Dysmorphia Symptoms: Subjective Recognition Difficulty and Negative Appearance Evaluation.
        Type: main
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            NameFull: Portingale, Jade
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            NameFull: Krug, Isabel
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            NameFull: Butler, David
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            – D: 01
              M: 03
              Text: Mar2026
              Type: published
              Y: 2026
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