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Li J, Yang H. Unveiling the grip of mobile phone addiction: an in-depth review. Front Psychiatry 2024; 15:1429941. [PMID: 39415886 PMCID: PMC11479953 DOI: 10.3389/fpsyt.2024.1429941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Accepted: 09/13/2024] [Indexed: 10/19/2024] Open
Abstract
Mobile Phone Addiction represents an emergent addictive disorder that gravely jeopardizes the physical and mental health of adolescents worldwide, necessitating exhaustive research. Current reviews of MPA are in dire need of updates and enhancements. Therefore, this review aggregates the extant research spanning the past two decades on the prevalence, pathogenesis, comorbidities, assessment, and treatment of MPA, aiming to furnish a reference for future investigations into this condition.
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Affiliation(s)
| | - Hong Yang
- School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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2
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Chu J, Ganson KT, Testa A, Al-Shoaibi AAA, Jackson DB, Rodgers RF, He J, Baker FC, Nagata JM. Screen time, problematic screen use, and eating disorder symptoms among early adolescents: findings from the Adolescent Brain Cognitive Development (ABCD) Study. Eat Weight Disord 2024; 29:57. [PMID: 39231917 PMCID: PMC11374868 DOI: 10.1007/s40519-024-01685-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 08/21/2024] [Indexed: 09/06/2024] Open
Abstract
PURPOSE Emerging research evidence suggests positive relationships between higher screen time and eating disorders. However, few studies have examined the prospective associations between screen use and eating disorder symptoms in early adolescents and how problematic screen use may contribute to symptom development. METHODS We analyzed prospective cohort data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 10,246, 2016-2020, ages 9-14). Logistic regression analyses were used to estimate the longitudinal associations between baseline self-reported screen time and eating disorder symptoms in year two. Logistic regression analyses were also used to estimate cross-sectional associations between problematic screen use in year two (either problematic social media or mobile phone use) and eating disorder symptoms in year two. Eating disorder symptoms based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5) included fear of weight gain, self-worth tied to weight, engaging in compensatory behaviors, binge eating, and distress with binge eating. RESULTS Each additional hour of total screen time and social media use was associated with higher odds of fear of weight gain, self-worth tied to weight, compensatory behaviors to prevent weight gain, binge eating, and distress with binge eating two years later (odds ratio [OR] 1.05-1.55). Both problematic social media and mobile phone use were associated with higher odds of all eating disorder symptoms (OR 1.26-1.82). CONCLUSIONS Findings suggest greater total screen time, social media use, and problematic screen use are associated with more eating disorder symptoms in early adolescence. Clinicians should consider assessing for problem screen use and, when high, screen for disordered eating. LEVEL OF EVIDENCE Level III: Evidence obtained from well-designed cohort or case-control analytic studies.
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Affiliation(s)
- Jonathan Chu
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA
| | - Kyle T Ganson
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
| | - Alexander Testa
- Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Abubakr A A Al-Shoaibi
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA
| | - Dylan B Jackson
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - Rachel F Rodgers
- Department of Applied Psychology, Northeastern University, Boston, MA, USA
- Department of Psychiatric Emergency and Acute Care, Lapeyronie Hospital, Montpellier, France
| | - Jinbo He
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Guangdong, China
| | - Fiona C Baker
- Center for Health Sciences, SRI International, Menlo Park, CA, USA
- School of Physiology, University of the Witwatersrand, Braamfontein, Johannesburg, South Africa
| | - Jason M Nagata
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.
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3
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Caron MÈ, Maltais N, Corriveau S, Rassy J. The use of information and communication technologies by adolescents living with a mental illness in the past 5 years: Scoping review. Int J Ment Health Nurs 2024. [PMID: 38590128 DOI: 10.1111/inm.13329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 03/08/2024] [Accepted: 03/27/2024] [Indexed: 04/10/2024]
Abstract
The use of information and communication technologies (ICT) is a huge part of adolescents' lives, especially by those living with a mental illness. However, very few studies explore their experience with the use of ICT and how it affects their health. The purpose of this study was to better understand the use of ICT by adolescents living with a mental illness. A scoping review was undertaken using Arksey and O'Malley's method to explore this understudied topic. The following databases were searched: Medline, CINAHL and Psychology and Behavioural Sciences Collection. Studies published between 2017 and 2022 were included. Data were analysed using a data extraction and an analysis grid developed by the research team. Of 1984 articles, only seven met the inclusion criteria. These articles allowed for a better understanding of the type of mental illness these young ICT users had, the type of ICT they use and their overall experience using ICT. The diagnoses most associated with the use of these ICT were suicidal ideation, depression, anxiety and eating illnesss. Types of ICT used were very diverse and adolescents had both positive and negative experiences using these ICT. Very few interventions using ICT were developed according to the needs of adolescents with mental illness. These adolescents often cope with the help of ICT and can have an overall positive experience. Their experience can also be negative as some of them were exposed to suicide-related and violent content. Future research is needed to better understand the best ICT interventions for these young people.
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Affiliation(s)
- Marie-Ève Caron
- Faculté de médecine et sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Département des sciences de la santé, Université du Québec à Rimouski, Rimouski, Quebec, Canada
| | - Nathalie Maltais
- Département des sciences de la santé, Université du Québec à Rimouski, Rimouski, Quebec, Canada
- Centre de recherche sur le suicide, enjeux éthiques et pratiques de fin de vie (CRISE), Montreal, Quebec, Canada
- Réseau de recherche en interventions en sciences infirmières du Québec (RRISIQ), Montreal, Quebec, Canada
| | - Stacy Corriveau
- Faculté de médecine et sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Jessica Rassy
- Faculté de médecine et sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Centre de recherche sur le suicide, enjeux éthiques et pratiques de fin de vie (CRISE), Montreal, Quebec, Canada
- Réseau de recherche en interventions en sciences infirmières du Québec (RRISIQ), Montreal, Quebec, Canada
- Centre de recherche Charles-Le Moyne (CRCLM), Longueuil, Quebec, Canada
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4
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Motta M, Liu Y, Yarnell A. "Influencing the influencers:" a field experimental approach to promoting effective mental health communication on TikTok. Sci Rep 2024; 14:5864. [PMID: 38467750 PMCID: PMC10928193 DOI: 10.1038/s41598-024-56578-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 03/08/2024] [Indexed: 03/13/2024] Open
Abstract
A substantial body of social scientific research considers the negative mental health consequences of social media use on TikTok. Fewer, however, consider the potentially positive impact that mental health content creators ("influencers") on TikTok can have to improve health outcomes; including the degree to which the platform exposes users to evidence-based mental health communication. Our novel, influencer-led approach remedies this shortcoming by attempting to change TikTok creator content-producing behavior via a large, within-subject field experiment (N = 105 creators with a reach of over 16.9 million viewers; N = 3465 unique videos). Our randomly-assigned field intervention exposed influencers on the platform to either (a) asynchronous digital (.pdf) toolkits, or (b) both toolkits and synchronous virtual training sessions that aimed to promote effective evidence-based mental health communication (relative to a control condition, exposed to neither intervention). We find that creators treated with our asynchronous toolkits-and, in some cases, those also attending synchronous training sessions-were significantly more likely to (i) feature evidence-based mental health content in their videos and (ii) generate video content related to mental health issues. Moderation analyses further reveal that these effects are not limited to only those creators with followings under 2 million users. Importantly, we also document large system-level effects of exposure to our interventions; such that TikTok videos featuring evidence-based content received over half a million additional views in the post-intervention period in the study's treatment groups, while treatment group mental health content (in general) received over three million additional views. We conclude by discussing how simple, cost-effective, and influencer-led interventions like ours can be deployed at scale to influence mental health content on TikTok.
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Affiliation(s)
- Matt Motta
- Department of Health Law, Policy, & Management, Boston University School of Public Health, Boston, USA.
| | - Yuning Liu
- Center for Health Communication, Harvard University TH Chan School of Public Health, Boston, USA
| | - Amanda Yarnell
- Center for Health Communication, Harvard University TH Chan School of Public Health, Boston, USA
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Dahlgren CL, Sundgot-Borgen C, Kvalem IL, Wennersberg AL, Wisting L. Further evidence of the association between social media use, eating disorder pathology and appearance ideals and pressure: a cross-sectional study in Norwegian adolescents. J Eat Disord 2024; 12:34. [PMID: 38424579 PMCID: PMC10905800 DOI: 10.1186/s40337-024-00992-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 02/20/2024] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND Few studies have investigated how the plethora of contemporary social media (SM) platforms relate to, and influence eating disorder (ED) pathology, appearance ideals and pressure to conform to these ideals in youth. METHODS In this study, 1558 girls (53%) and boys (47%), predominantly within the 16-19 age range, completed an online questionnaire assessing SM use and perceived influence on appearance, ED pathology, internalization of appearance ideals and perceived appearance pressure. RESULTS Results showed that ED pathology was common, particularly in girls, and that internalization of body ideals was gender specific, a thin ideal being more prevalent in girls, and a muscular ideal being more common in boys. Results also showed a strong association between ED pathology and perceived pressure to conform to these appearance ideals. One fourth of the participants reported spending four hours or more on SM daily, and 80% of girls reported that SM, particularly Instagram and TikTok, had a negative influence on how they felt about their appearance. These girls had significantly higher levels of ED pathology and reported higher levels of appearance pressure from the media. CONCLUSION A clear pattern of associations between photo- and video specific SM platforms, ED pathology, internalization of body ideals and perceived pressure was found in this study. Adolescent girls appeared to be particularly at risk. The results illustrate an imperative need to keep addressing the potential risks of SM use in adolescents, and to continue monitoring the effect of SM on young people's view of themselves, their appearance, and their eating habits. Future studies should attempt to identify aspects of SM use that may be particularly detrimental for girls and boys in their formative years, but also those that may enhance adolescents' satisfaction and appreciation of their body and appearance. TRIAL REGISTRATION The study is registered in the Open Science Framework (Identifier: 10.17605/OSF.IO/5RB6P https://doi.org/10.17605/OSF.IO/5RB6P ).
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Affiliation(s)
- Camilla Lindvall Dahlgren
- Department of Psychology, Oslo New University College, Lovisenberggata 13, 0456, Oslo, Norway.
- Division of Mental Health and Addiction, Regional Department of Eating Disorders, Oslo University Hospital-Ullevål, Oslo, Norway.
| | - Christine Sundgot-Borgen
- Division of Mental Health and Addiction, Regional Department of Eating Disorders, Oslo University Hospital-Ullevål, Oslo, Norway
| | - Ingela Lundin Kvalem
- Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway
| | - Anne-Louise Wennersberg
- Division of Mental Health and Addiction, Regional Department of Eating Disorders, Oslo University Hospital-Ullevål, Oslo, Norway
| | - Line Wisting
- Division of Mental Health and Addiction, Regional Department of Eating Disorders, Oslo University Hospital-Ullevål, Oslo, Norway
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van Eeden AE, van Hoeken D, Hendriksen JMT, Hoek HW. Increase in incidence of anorexia nervosa among 10- to 14-year-old girls: A nationwide study in the Netherlands over four decades. Int J Eat Disord 2023; 56:2295-2303. [PMID: 37773004 DOI: 10.1002/eat.24064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 09/30/2023]
Abstract
OBJECTIVE This primary care study examined time trends in the incidence of anorexia nervosa (AN) and bulimia nervosa (BN) in the Netherlands across four decades. METHODS A nationwide network of general practitioners, serving approximately 1% of the total Dutch population, recorded newly diagnosed patients with AN and BN in their practices from 1985 to 2019 (2,890,978 person-years). DSM-IV diagnostic criteria were consistently used and the same psychiatrist was responsible for the final diagnostic decision. Incidence rates (IRs) were calculated for: the total population (all ages), females overall, and females per 5-year age category. Time trends in IRs were analyzed using JoinPoint regression analyses. RESULTS In four decades, the incidence of AN among 10- to 14-year-old females increased significantly from 8.6 to 38.6 per 100,000 person-years (average period percentage change [APPC] = 56.7; 95% confidence interval [CI] = 6.5-130.6. The overall incidence of AN was stable, with IRs ranging from 6.0 (95% CI = 4.3-8.1) to 8.4 (95% CI = 6.4-10.8). The IR of BN decreased significantly from 8.7 (95% CI = 6.7-11.0) to 3.2 (95% CI = 2.0-4.9) in the 2000s, before leveling off in the 2010s (IR 3.2; 95% CI = 2.0-4.8). DISCUSSION The incidence of AN among 10- to 14-year-old girls increased significantly over four decades. Both biological and sociocultural factors, for example, early pubertal timing and the impact of social media, might explain this. In other age groups and overall, the incidence of AN remained stable. The significant decrease of the incidence of BN in the previous decades halted in the last decade. PUBLIC SIGNIFICANCE An important finding of the present study is that for 10- to 14-year-old girls, the risk for developing anorexia nervosa has increased significantly over 40 years. More healthcare facilities for younger people are needed, and prevention programs could include social media use. For bulimia nervosa, the general decrease in the occurrence of new cases has halted in the 2010s.
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Affiliation(s)
- Annelies E van Eeden
- Parnassia Psychiatric Institute, The Hague, the Netherlands
- University Medical Center Groningen, Department of Psychiatry, University of Groningen, Groningen, the Netherlands
| | | | | | - Hans W Hoek
- Parnassia Psychiatric Institute, The Hague, the Netherlands
- University Medical Center Groningen, Department of Psychiatry, University of Groningen, Groningen, the Netherlands
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA
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Jarvers I, Ecker A, Schleicher D, Kandsperger S, Otto A, Brunner R. Anorexia nervosa during COVID-19: loss of personal control and alexithymia as important contributors to symptomatology in adolescent girls. J Eat Disord 2023; 11:180. [PMID: 37828587 PMCID: PMC10568752 DOI: 10.1186/s40337-023-00905-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 10/02/2023] [Indexed: 10/14/2023] Open
Abstract
BACKGROUND In the course of the COVID-19 pandemic, a steady increase in adolescent anorexia nervosa admissions has been observed. Contributing factors may have been uncontrollable changes in school attendance due to lockdowns and social restrictions. However, patients' reports on the impact of these factors have not been assessed in detail as of yet. Furthermore, alexithymia, the difficulty to identify and describe one's own emotions, has increased during the pandemic and is known to be heightened in eating disorders. Thus, it may have contributed to symptom severity in anorexia nervosa during the pandemic. METHODS The present study examined pandemic-related changes in social media use, body satisfaction, and perceived loss of control and their impact on depressive, anxious, and eating disorder symptomatology in a sample of adolescent girls with anorexia nervosa (n = 29) and healthy controls (n = 23). Additionally, the influence of current alexithymia as a cross-diagnostic risk factor was assessed. Adolescents answered questionnaires once shortly after admission to inpatient, outpatient, or daycare treatment. RESULTS An increase in perceived loss of control during the pandemic and heightened alexithymia explained a significant portion of variance in present depressive symptomatology, which in turn contributed to eating disorder symptomatology. CONCLUSIONS These relationships emphasize alexithymia and perceived loss of control as valuable constructs for early screenings and interventions.
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Affiliation(s)
- Irina Jarvers
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany.
| | - Angelika Ecker
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany
| | - Daniel Schleicher
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany
| | - Stephanie Kandsperger
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany
| | - Alexandra Otto
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany
| | - Romuald Brunner
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Regensburg, Universitaetsstraße 84, 93053, Regensburg, Germany
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Priftis N, Panagiotakos D. Screen Time and Its Health Consequences in Children and Adolescents. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1665. [PMID: 37892328 PMCID: PMC10605067 DOI: 10.3390/children10101665] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 10/05/2023] [Accepted: 10/06/2023] [Indexed: 10/29/2023]
Abstract
Nowadays, children and adolescents are exposed to digital media (DM) from an early age. Therefore, specific guidelines have been published by the World Health Organization, whose aim is to limit daily screen time (ST) viewing. However, during the COVID-19 pandemic, a rise in DM use, and consequently ST viewing, was observed. More and more aspects of modern life are thought to be affected by excessive ST viewing. Accordingly, the aim of this review is to document the health effects of excessive ST viewing on children and adolescents. A narrative review was performed in searchable databases. In total, 43 original articles were considered. Excessive ST viewing was correlated with increased risk for obesity and other cardiometabolic risk factors, mental health, unhealthy dietary habits and eating disorders, and problems in development and child-parent relationships. Sleep, physical activity, eyesight, headaches, and the musculoskeletal system were negatively affected as well. However, the effect of ST was weighted by the type of media used and the way types of media were used. Other confounding factors were reported. There is evidence to suggest a negative correlation between excessive ST and youth health exists. Nevertheless, more research is needed if this correlation is to be established.
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Affiliation(s)
- Nikos Priftis
- School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece;
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9
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Ward LM, Jerald MC, Grower P, Daniels EA, Rowley S. Primping, performing, and policing: Social media use and self-sexualization among U.S. White, Black, and Asian-American adolescent girls. Body Image 2023; 46:324-335. [PMID: 37451109 DOI: 10.1016/j.bodyim.2023.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 06/22/2023] [Accepted: 06/26/2023] [Indexed: 07/18/2023]
Abstract
Objectification theorists argue that routine sexual objectification, experienced interpersonally and via the media, encourages women and adolescent girls to value their external appearance and sexiness above other bodily experiences and competencies. Commonly, tests of this theory have linked exposure to sexualizing media content (i.e., TV, music videos, social media) to self-objectification and subsequently to consequences such as disordered eating among predominantly White samples. Do these analyses extend to U.S. girls of color and to broader well-being consequences? Using structural equation modeling, we tested theorized connections among 884 adolescent girls aged 13-18, including 391 White girls, 248 Black girls, and 245 Asian American girls. Participants completed surveys assessing their use of several social media platforms, social media engagement, self-sexualization, mental health symptoms, self-esteem, and body shame. We also examined age, racial identity, and racial composition of peer group as moderators. The model worked as expected for the full sample, with social media use and engagement predicting greater self-sexualization, which in turn was associated with diminished well-being. However, the model fit was worse for the White girls than for girls of color, and some constructs operated differently. Implications for future research with girls and possible media interventions are discussed.
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Affiliation(s)
| | | | - Petal Grower
- Department of Psychology, University of Michigan, USA
| | | | - Stephanie Rowley
- School of Education and Human Development, University of Virginia, USA
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10
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Davis HA, Kells MR, Roske C, Holzman S, Wildes JE. A reflexive thematic analysis of #WhatIEatInADay on TikTok. Eat Behav 2023; 50:101759. [PMID: 37295374 PMCID: PMC10526712 DOI: 10.1016/j.eatbeh.2023.101759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 05/01/2023] [Accepted: 05/26/2023] [Indexed: 06/12/2023]
Abstract
Eating-related content is common on TikTok, a popular video-based social media platform, but studies of eating-related content on TikTok are limited. Given the documented association between social media use and disordered eating, investigation of eating-related content on TikTok is needed. One subset of popular eating-related content is "What I Eat in a Day" (#WhatIEatInADay), in which a creator documents the food they eat over the assumed span of a single day. We sought to evaluate the content of TikTok #WhatIEatInADay videos (N = 100) using reflexive thematic analysis. Two primary types of videos emerged. First, Lifestyle videos (N = 60), which included aesthetic elements, presentations of clean eating, stylized meals, promotion of weight loss and the thin ideal, normalization of eating as a fat woman, and disordered eating content. Second, Eating Only videos (N = 40), which were primarily focused on food, and included upbeat music, an emphasis on highly palatable foods, displays of irony, emojis, and excessive consumption of food. Because viewing eating-related social media content has been associated with disordered eating, both types of TikTok #WhatIEatInADay videos may be harmful to vulnerable youth. Given the popularity of TikTok and #WhatIEatinADay, clinicians and researchers should consider the potential impact of this trend. Future research should examine the impact of viewing TikTok #WhatIEatInADay videos on disordered eating risk factors and behaviors.
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Affiliation(s)
- Heather A Davis
- Virginia Polytechnic Institute and State University, Department of Psychology, Blacksburg, VA, United States of America.
| | - Meredith R Kells
- University of Rochester School of Nursing, Rochester, NY, United States of America
| | - Chloe Roske
- Albert Einstein College of Medicine, Department of Psychiatry and Behavioral Sciences, Bronx, NY, United States of America
| | - Sam Holzman
- University of Chicago Medicine and Biological Sciences, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL, United States of America
| | - Jennifer E Wildes
- University of Chicago Medicine and Biological Sciences, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL, United States of America
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11
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Christensen Pacella KA, Chen Y, Forbush KT, Cushing CC, Swinburne Romine R. Prospectively predicting naturalistic exposure to fitspiration and thinspiration in young women with disordered eating by leveraging an ecological momentary assessment design. Eat Behav 2023; 50:101767. [PMID: 37295375 PMCID: PMC10526890 DOI: 10.1016/j.eatbeh.2023.101767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 05/23/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Although a growing body of research has examined the impacts of ED-salient content, such as fitspiration and thinspiration, on eating disorder (ED) symptoms, there is less known about the characteristics of who may be at risk for accessing this content on Instagram. Current research is limited by cross-sectional and retrospective designs. This prospective study used ecological momentary assessment (EMA) to predict naturalistic exposure to ED-salient content on Instagram. METHODS Female university students with disordered eating (N = 171, Mage = 20.23, SD = 1.71, range = 18-25) completed a baseline session, followed by a seven-day EMA protocol, in which they reported on Instagram use and exposure to fitspiration and thinspiration. Mixed-effects logistical regressions were used to predict exposure to ED-salient content on Instagram from four principal components (e.g., behavioral ED symptoms and trait social comparison) controlling for duration of Instagram use (i.e., dose) and day of study. RESULTS Duration of use was positively associated with all types of exposure. Purging/cognitive restraint and excessive exercise/muscle building prospectively predicted access to any ED-salient content and fitspiration only. Restricting positively predicted thinspiration only access. Purging/cognitive restraint positively predicted accessing fitspiration and thinspiration (dual exposure). Day of study was negatively associated with any exposure, fitspiration only, and dual exposure. CONCLUSIONS Baseline ED behaviors were differentially associated with exposure to ED-salient Instagram content; however, duration of use was also a significant predictor. Limiting use of Instagram may be important for young women with disordered eating to reduce probability of encountering ED-salient content.
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Affiliation(s)
| | - Yiyang Chen
- Department of Psychology, University of Kansas, Lawrence, KS, United States of America
| | - Kelsie T Forbush
- Department of Psychology, University of Kansas, Lawrence, KS, United States of America
| | - Christopher C Cushing
- Department of Psychology, University of Kansas, Lawrence, KS, United States of America
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12
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Ozimek P, Lainas S, Bierhoff HW, Rohmann E. How photo editing in social media shapes self-perceived attractiveness and self-esteem via self-objectification and physical appearance comparisons. BMC Psychol 2023; 11:99. [PMID: 37024985 PMCID: PMC10080933 DOI: 10.1186/s40359-023-01143-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 03/25/2023] [Indexed: 04/08/2023] Open
Abstract
BACKGROUND As photo editing behavior to enhance one?s appearance in photos becomes more and more prevalent on social network sites (SNSs), potential risks are increasingly discussed as well. The purpose of this study is to examine the relationship between photo editing behavior, self-objectification, physical appearance comparisons, self-perceived attractiveness, and self-esteem. METHODS 403 participants completed self-report questionnaires measuring the aformentioned constructs. A parallel-sequential multiple mediation model was conducted to examine the relationship between photo editing behavior and self-esteem considering multiple mediators. RESULTS The results indicate that photo editing behavior is negatively related to self-perceived attractiveness and self-esteem mediated via self-objectification and physical appearance comparisons. CONCLUSIONS The postulated mediation model was justified by our data. Thus, SNS users should be aware of potential negative consequences when using photo editing applications or filters.
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Affiliation(s)
- Phillip Ozimek
- Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum, Bochum, Germany.
| | - Semina Lainas
- Department of Social Psychology, Ruhr-Universität Bochum, Bochum, Germany
| | | | - Elke Rohmann
- Department of Social Psychology, Ruhr-Universität Bochum, Bochum, Germany
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13
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Dane A, Bhatia K. The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001091. [PMID: 36962983 PMCID: PMC10032524 DOI: 10.1371/journal.pgph.0001091] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 01/23/2023] [Indexed: 03/24/2023]
Abstract
Background Eating disorders are a group of heterogenous, disabling and deadly psychiatric illnesses with a plethora of associated health consequences. Exploratory research suggests that social media usage may be triggering body image concerns and heightening eating disorder pathology amongst young people, but the topic is under-researched as a global public health issue. Aim To systematically map out and critically review the existing global literature on the relationship between social media usage, body image and eating disorders in young people aged 10–24 years. Methods A systematic search of MEDLINE, PyscINFO and Web of Science for research on social media use and body image concerns / disordered eating outcomes published between January 2016 and July 2021. Results on exposures (social media usage), outcomes (body image, eating disorders, disordered eating), mediators and moderators were synthesised using an integrated theoretical framework of the influence of internet use on body image concerns and eating pathology. Results Evidence from 50 studies in 17 countries indicates that social media usage leads to body image concerns, eating disorders/disordered eating and poor mental health via the mediating pathways of social comparison, thin / fit ideal internalisation, and self-objectification. Specific exposures (social media trends, pro-eating disorder content, appearance focused platforms and investment in photos) and moderators (high BMI, female gender, and pre-existing body image concerns) strengthen the relationship, while other moderators (high social media literacy and body appreciation) are protective, hinting at a ‘self-perpetuating cycle of risk’. Conclusion Social media usage is a plausible risk factor for the development of eating disorders. Research from Asia suggests that the association is not unique to traditionally western cultures. Based on scale of social media usage amongst young people, this issue is worthy of attention as an emerging global public health issue.
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Affiliation(s)
- Alexandra Dane
- Institute for Global Health, University College London, London, United Kingdom
| | - Komal Bhatia
- Institute for Global Health, University College London, London, United Kingdom
- * E-mail:
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14
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Hart LM, Mitchison D, Fuller-Tyszkiewicz M, Giles S, Fardouly J, Jarman HK, Damiano SR, McLean SA, Prichard I, Yager Z, Krug I. "Can you see me?" Videoconferencing and eating disorder risk during COVID-19: Anxiety, impairment, and mediators. Int J Eat Disord 2023; 56:235-246. [PMID: 36331070 PMCID: PMC10100378 DOI: 10.1002/eat.23844] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The use of videoconferencing has increased during the pandemic, creating prolonged exposure to self-image. This research aimed to investigate whether eating disorder (ED) risk was associated with videoconferencing performance for work or study and to explore whether the use of safety behaviors and self-focused attention mediated the relationship between ED risk and perceived control over performance anxiety, impaired engagement, or avoidance of videoconferencing for work or study. METHOD In 2020, an online survey was distributed within Australia to those aged over 18 years via academic and social networks, measuring: use of videoconferencing for work/study, demographics, ED risk, safety behaviors for appearance concerns, self-focused attention, perceived control over performance anxiety, perceived engagement impairment, and avoidance of videoconferencing. A total of 640 participants (77.3% female, Mage = 26.2 years) returned complete data and were included in analyses. RESULTS 245 participants (38.7%) were considered at-risk for EDs (SCOFF > 2). Those at-risk reported significantly more safety behaviors, self-focused attention, impaired engagement, and avoidance, plus lower perceived control over performance anxiety than those not at-risk. Multiple mediation models found the effects of ED risk on control over performance anxiety, impaired engagement, and avoidance were partially mediated by safety behaviors and self-focused attention. DISCUSSION Our cross-sectional findings suggest videoconferencing for work/study-related purposes is associated with performance anxiety, impaired engagement, and avoidance among individuals at-risk for EDs. Poorer videoconferencing outcomes appear more strongly related to social anxiety variables than ED status. Clinicians and educators may need to provide extra support for those using videoconferencing. PUBLIC SIGNIFICANCE Because videoconferencing often involves seeing your own image (via self-view) we wondered whether the appearance concerns experienced by those with eating disorders (EDs) might interfere with the ability to focus on or to contribute to work/study videoconferencing meetings. We found that although those with EDs experience more impairments in their videoconferencing engagement/contribution, these were linked just as strongly to social anxiety as they were to appearance concerns.
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Affiliation(s)
- Laura M Hart
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.,EMBodiED Research, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia.,The Body Confident Collective, Coffs Habour, New South Wales, Australia
| | - Deborah Mitchison
- Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, New South Wales, Australia
| | | | - Sarah Giles
- Melbourne School of Psychological Sciences, University of Melbourne, Parkville, Victoria, Australia
| | | | - Hannah K Jarman
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Stephanie R Damiano
- EMBodiED Research, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia
| | - Siân A McLean
- EMBodiED Research, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia
| | - Ivanka Prichard
- The Body Confident Collective, Coffs Habour, New South Wales, Australia.,College of Nursing & Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Zali Yager
- The Body Confident Collective, Coffs Habour, New South Wales, Australia.,Institute for Health and Sport, Victoria University, Footscray, Victoria, Australia
| | - Isabel Krug
- Melbourne School of Psychological Sciences, University of Melbourne, Parkville, Victoria, Australia
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15
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Papageorgiou A, Cross D, Fisher C. Sexualized Images on Social Media and Adolescent Girls' Mental Health: Qualitative Insights from Parents, School Support Service Staff and Youth Mental Health Service Providers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:433. [PMID: 36612754 PMCID: PMC9819033 DOI: 10.3390/ijerph20010433] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 12/23/2022] [Accepted: 12/24/2022] [Indexed: 06/17/2023]
Abstract
This research explored adults' perceptions of how sexualized images typically found on social media might influence adolescent girls' mental health, what support girls might need should they experience mental health difficulties, and how such difficulties could be prevented or reduced. Qualitative data were collected using semi-structured in-depth interviews with parents of adolescent girls (n = 11) and those who provide support to them: school support service staff (n = 7) and youth mental health service providers (n = 10) located in Perth, Western Australia. All three participant groups perceived sexualized images typically found on social media as exacerbating poor mental health among adolescent girls. Two interrelated themes, emerged with participants describing the 'potential for comparison' and 'pressure to conform' they believed girls encounter on social media that influences their mental health. Participants also explained how they perceived 'counteracting negative influences' related to sexualized images on social media could prevent or reduce the potential for mental health harms among girls, and the importance of adults and services 'keeping up to date' and being 'approachable and trustworthy' when describing the support they believed girls might need. The findings of this study have important implications for the development of health promotion programs focused on social media use and mental health among adolescent girls.
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Affiliation(s)
- Alana Papageorgiou
- Telethon Kids Institute, The University of Western Australia, Perth 6009, Australia
- School of Population and Global Health, The University of Western Australia, Perth 6009, Australia
| | - Donna Cross
- Telethon Kids Institute, The University of Western Australia, Perth 6009, Australia
| | - Colleen Fisher
- School of Population and Global Health, The University of Western Australia, Perth 6009, Australia
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16
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Sampedro-Piquero P, Zancada-Menéndez C, Bernabéu-Brotons E, Moreno-Fernández RD. The Relationship between Binge Drinking and Binge Eating in Adolescence and Youth: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:232. [PMID: 36612554 PMCID: PMC9819376 DOI: 10.3390/ijerph20010232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 12/14/2022] [Accepted: 12/20/2022] [Indexed: 06/17/2023]
Abstract
Adolescence and youth are critical periods in which alcohol consumption is usually initiated, especially in the form of binge drinking. In recent years, it is increasingly common to find adolescents and young people who also present binge behaviors towards unhealthy food with the aim of alleviating their anxiety (emotional eating) and/or because of impulsive personality. Despite the social and health relevance of this issue, it remains scarcely studied and more preventive research needs to be developed. Our meta-analysis study aimed to evaluate the relationship and co-occurrence of both binge behaviors during adolescence and young adulthood to clarify the link between binge drinking and eating. Selective literature search on different online databases was performed. We identified discrete but significant results regarding the direct association between binge drinking and binge eating in correlation coefficients and odds ratio. Future research should focus on the common psychological background and motives behind these problematic behaviors owing to their clinical implications for effective prevention and treatment.
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Affiliation(s)
- Patricia Sampedro-Piquero
- Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - Clara Zancada-Menéndez
- Facultad de Ciencias de la Salud, Universidad Internacional de La Rioja (UNIR), 26006 Logroño, Spain
| | - Elena Bernabéu-Brotons
- Facultad de Educación y Psicología, Universidad Francisco de Vitoria, 28223 Pozuelo de Alarcón, Spain
| | - Román D. Moreno-Fernández
- Facultad de Educación y Psicología, Universidad Francisco de Vitoria, 28223 Pozuelo de Alarcón, Spain
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17
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Stieger S, Graf HM, Riegler SP, Biebl S, Swami V. Engagement with social media content results in lower appearance satisfaction: An experience sampling study using a wrist-worn wearable and a physical analogue scale. Body Image 2022; 43:232-243. [PMID: 36201860 DOI: 10.1016/j.bodyim.2022.09.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 09/21/2022] [Accepted: 09/22/2022] [Indexed: 11/15/2022]
Abstract
Social media use is consistently associated with more negative body image, but much of this literature is cross-sectional and/or lacks ecological validity. To overcome these limitations, we examined associations between everyday social media engagement and appearance satisfaction using an experience sampling method. Fifty participants from Central Europe completed a 14-day experience sampling phase in which they reported their appearance satisfaction at two random time-points each day, as well as following active engagement with social media content, using a wrist-worn wearable and a physical analogue scale (PAS; i.e., angle of a participant's forearm between flat and fully upright as a continuous response scale). Results indicated that engagement with social media content was significantly associated with lower appearance satisfaction. Additionally, we found that engagement with the content of known others was associated with significantly lower appearance satisfaction than engagement with the content of unknown others. These effects were stable even after controlling for participant demographics, active vs. passive daily social media use, and body image-related factors. These results provide evidence that everyday social media engagement is associated with lower appearance satisfaction and additionally provides preliminary support for the use of a PAS in body image research using an experience sampling method.
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Affiliation(s)
- Stefan Stieger
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria.
| | - Hannah M Graf
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Stella P Riegler
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Sophie Biebl
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom; Centre for Psychological Medicine, Perdana University, Serdang, Malaysia
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18
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Choukas-Bradley S, Roberts SR, Maheux AJ, Nesi J. The Perfect Storm: A Developmental-Sociocultural Framework for the Role of Social Media in Adolescent Girls' Body Image Concerns and Mental Health. Clin Child Fam Psychol Rev 2022; 25:681-701. [PMID: 35841501 PMCID: PMC9287711 DOI: 10.1007/s10567-022-00404-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2022] [Indexed: 12/04/2022]
Abstract
In this theoretical review paper, we provide a developmental-sociocultural framework for the role of social media (SM) in adolescent girls' body image concerns, and in turn, depressive symptoms and disordered eating. We propose that the features of SM (e.g., idealized images of peers, quantifiable feedback) intersect with adolescent developmental factors (e.g., salience of peer relationships) and sociocultural gender socialization processes (e.g., societal over-emphasis on girls' and women's physical appearance) to create the "perfect storm" for exacerbating girls' body image concerns. We argue that, ultimately, body image concerns may be a key mechanism underlying associations between adolescent girls' SM use and mental health. In the context of proposing this framework, we provide empirical evidence for how SM may increase adolescent girls' body image concerns through heightening their focus on (1) other people's physical appearance (e.g., through exposure to idealized images of peers, celebrities, and SM influencers; quantifiable indicators of approval); and (2) their own appearance (e.g., through appearance-related SM consciousness; exposure to idealized self-images; encouraging over-valuing of appearance; and peer approval of photos/videos). Our framework highlights new avenues for future research on adolescent girls' SM use and mental health, which recognize the central role of body image.
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Affiliation(s)
- Sophia Choukas-Bradley
- Department of Psychology, University of Pittsburgh, 3137 Sennott Square, 210 South Bouquet Street (Main office, 3rd floor), Pittsburgh, PA, 15213, USA.
- Department of Psychological and Brain Sciences, University of Delaware, 105 The Green, Newark, DE, 19716, USA.
| | - Savannah R Roberts
- Department of Psychological and Brain Sciences, University of Delaware, 105 The Green, Newark, DE, 19716, USA
| | - Anne J Maheux
- Department of Psychological and Brain Sciences, University of Delaware, 105 The Green, Newark, DE, 19716, USA
| | - Jacqueline Nesi
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA
- Rhode Island Hospital, 1 Hoppin St., Suite 204, Providence, RI, 02903, USA
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19
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Zimmer-Gembeck MJ, Hawes MT, Scott DRA, Campbell MT, Webb DHJ. Adolescents’ online appearance preoccupation: A 5-year longitudinal study of the influence of peers, parents, beliefs, and disordered eating. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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20
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Kim BR, Mackert M. Social media use and binge eating: An integrative review. Public Health Nurs 2022; 39:1134-1141. [PMID: 35294990 DOI: 10.1111/phn.13069] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 02/24/2022] [Accepted: 02/27/2022] [Indexed: 11/28/2022]
Abstract
Despite binge eating being important to public health, no recent reviews have been conducted to produce a comprehensive synthesis of current literature on the relationship between social media use and binge eating. The aims of this review were: (1) to standardize the measurement of social media use in recent research, (2) to identify eating types that include binge-eating concepts, and (3) to identify the relationships between social media use and binge eating. This is an integrative review of studies conducted from 2016 to 2021 on binge eating and social media use. Searches were conducted in PubMed, PsycInfo, and Web of Science; eight studies were included in this integrative review. Included studies found direct or indirect effects of social media use on binge eating. The more participants use social media, the more likely they are to have increased appetite or intention to eat, which can lead to binge eating. The recent binge-eating studies indicated a significant relationship between social media use and binge eating. Interventions for binge eating should be developed with an understanding of individuals' social media use.
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Affiliation(s)
- Bo Ra Kim
- School of Nursing, The University of Texas at Austin, Austin, Texas
| | - Michael Mackert
- Center for Health Communication, The University of Texas at Austin, Austin, Texas
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21
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Harriger JA, Evans JA, Thompson JK, Tylka TL. The dangers of the rabbit hole: Reflections on social media as a portal into a distorted world of edited bodies and eating disorder risk and the role of algorithms. Body Image 2022; 41:292-297. [PMID: 35378338 DOI: 10.1016/j.bodyim.2022.03.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 03/23/2022] [Indexed: 10/18/2022]
Abstract
The relationship between social media usage and body image has been well-established in the literature; however, social media companies' use of algorithms may intensify this association, as algorithms provide viewers with personalized content that is often more extreme, less monitored, and designed to keep users engaged for longer periods of time. This article details the recent media coverage of algorithms, revelations by former social media employees regarding the problematic usage of algorithms, and revelations that social media companies are aware of the harm posed by their implementation of algorithms, particularly for young, vulnerable users. We provide recommendations for influencers, educators, researchers, clinicians, parents, and users, and conclude that it is ultimately the responsibility of the social media corporations to protect and enhance the well-being of their users.
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Affiliation(s)
| | - Joshua A Evans
- Social Science Division, Pepperdine University, Malibu, CA, USA
| | - J Kevin Thompson
- Department of Psychology, University of South Florida, Tampa, FL, USA
| | - Tracy L Tylka
- Department of Psychology, Ohio State University, Columbus, OH, USA
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22
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Bray B, Bray C, Bradley R, Zwickey H. Binge Eating Disorder Is a Social Justice Issue: A Cross-Sectional Mixed-Methods Study of Binge Eating Disorder Experts' Opinions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6243. [PMID: 35627779 PMCID: PMC9141064 DOI: 10.3390/ijerph19106243] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/14/2022] [Accepted: 05/17/2022] [Indexed: 02/07/2023]
Abstract
BACKGROUND Binge eating disorder is an autonomous DSM-V diagnosis characterized by discrete rapid consumption of objectively large amounts of food without compensation, associated with loss of control and distress. Environmental factors that contribute to binge eating disorder continue to evolve. This mixed-methods cross-sectional study assessed whether there is consensus among experts in the field about environmental factors that influence adult binge eating disorder pathology. METHODS Fourteen expert binge eating disorder researchers, clinicians, and healthcare administrators were identified internationally based on federal funding, PubMed-indexed publications, active practice in the field, leadership in relevant societies, and/or clinical and popular press distinction. Semi-structured interviews were recorded anonymously and analyzed by ≥2 investigators using reflexive thematic analysis and quantification. RESULTS Identified themes included: (1) systemic issues and systems of oppression (100%); (2) marginalized and under-represented populations (100%); (3) economic precarity and food/nutrition insecurity/scarcity (93%); (4) stigmatization and its psychological impacts (93%); (5) trauma and adversity (79%); (6) interpersonal factors (64%); (7) social messaging and social media (50%); (8) predatory food industry practices (29%); and (9) research/clinical gaps and directives (100%). CONCLUSIONS Overall, experts call for policy changes around systemic factors that abet binge eating and for greater public education about who can have binge eating disorder. There is also a call to take and account for the narratives and life experiences of individuals with binge eating disorder to better inform our current understanding of the diagnosis and the environmental factors that impact it.
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Affiliation(s)
- Brenna Bray
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR 97201, USA; (R.B.); (H.Z.)
| | - Chris Bray
- Wilder Research Division, Amherst H. Wilder Foundation, Saint Paul, MN 55104, USA;
| | - Ryan Bradley
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR 97201, USA; (R.B.); (H.Z.)
- Herbert Wertheim School of Public Health, University of California, San Diego, CA 97037, USA
| | - Heather Zwickey
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR 97201, USA; (R.B.); (H.Z.)
- Herbert Wertheim School of Public Health, University of California, San Diego, CA 97037, USA
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23
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Barney A, Bruett LD, Forsberg S, Nagata JM. Avoidant Restrictive Food Intake Disorder (ARFID) and Body Image: a case report. J Eat Disord 2022; 10:61. [PMID: 35509026 PMCID: PMC9069799 DOI: 10.1186/s40337-022-00583-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Accepted: 04/01/2022] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Avoidant Restrictive Food Intake Disorder (ARFID) is a relatively new eating disorder diagnosis, and there is need to better understand this disorder's presentation. Diagnostic criteria for ARFID require that there are no body image distortions. People with ARFID symptoms may have body image concerns that require careful consideration and more information about the interplay of these is needed to help clinicians appropriately diagnose and manage ARFID. CASE PRESENTATION This clinical observation reports a case of ARFID in a nine-year-old with severe malnutrition who positively views her small size and values thinness. The patient reported that her own desire for thinness was influenced by social media beauty ideals and praise of thinness witnessed in social situations. Despite this, the motivation for avoidant and restrictive eating behaviors was low appetitive drive, fear of trying new foods, and fear of adverse consequences from eating. CONCLUSIONS Although concerning, the patient's body image was not of clinical significance as a motivating factor for the disordered eating behaviors. Body image dissatisfaction is common. The requirement to exclude body image distortions in the diagnostic criteria for ARFID may require consideration of the pervasiveness of societal body ideals to which young people are exposed.
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Affiliation(s)
- Angela Barney
- Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, 3333 California Street, Suite 245, San Francisco, CA, 94118, USA.
| | - Lindsey D Bruett
- Eating Disorders Program, Department of Psychiatry, University of California San Francisco, 401 Parnassus Ave, San Francisco, CA, 94143, USA
| | - Sarah Forsberg
- Eating Disorders Program, Department of Psychiatry, University of California San Francisco, 401 Parnassus Ave, San Francisco, CA, 94143, USA
| | - Jason M Nagata
- Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, 3333 California Street, Suite 245, San Francisco, CA, 94118, USA
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24
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Li S, Cui G, Yin Y, Tang K, Chen L, Liu X. Prospective Association Between Problematic Mobile Phone Use and Eating Disorder Symptoms and the Mediating Effect of Resilience in Chinese College Students: A 1-Year Longitudinal Study. Front Public Health 2022; 10:857246. [PMID: 35570941 PMCID: PMC9092370 DOI: 10.3389/fpubh.2022.857246] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 03/24/2022] [Indexed: 12/19/2022] Open
Abstract
A previous cross-sectional study found that problematic mobile phone use (PMPU) was associated with students' eating disorder symptoms. However, since the cross-sectional study cannot infer the causality and the direction of effect, the longitudinal relationship between the two and the mechanism behind this relationship are unclear. Therefore, the present study explores the prospective association between PMPU and eating disorder symptoms and related mediation mechanisms using a 1-year longitudinal study of 1,181 college students (from December 2019 [T1] to December 2020 [T2]). Survey tools used include the Mobile Phone Addiction Tendency Scale, the 10-item Connor-Davidson resilience scale, and the 12 item Short Form of the Eating Disorder Examination Questionnaire. The longitudinal relationship between PMPU and eating disorder symptoms and the mediating effect of resilience was analyzed using a cross-lagged model. The results showed that PMPU (β = 0.086, P < 0.01) and resilience (β = -0.145, P < 0.01) at T1 predicted eating disorder symptoms at T2, but not vice versa. PMPU was bidirectionally associated with resilience, and the prediction effect of PMPU at T1 to resilience at T2 (β = -0.151, P < 0.001) was higher than the prediction effect of resilience at T1 to PMPU at T2 (β = -0.134, P < 0.001). The standardized indirect effect of PMPU at T1 on eating disorder symptoms at T2 via resilience was significant (β = 0.022, 95% CI = 0.010~0.040, P < 0.001). Therefore, PMPU and resilience were predictive for eating disorder symptoms in college students, and resilience may play a mediating role in the prospective association between PMPU and eating disorder symptoms. This study provides new ideas and higher-level evidence for the development of prevention and intervention measures for college students' eating disorder symptoms.
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Affiliation(s)
- Shaojie Li
- Shandong University of Traditional Chinese Medicine, Jinan, China
- Xiangya School of Public Health, Central South University, Changsha, China
| | - Guanghui Cui
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Yongtian Yin
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Kaixuan Tang
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Lei Chen
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Xinyao Liu
- Shandong University of Traditional Chinese Medicine, Jinan, China
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25
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Mora F, Alvarez-Mon MA, Fernandez-Rojo S, Ortega MA, Felix-Alcantara MP, Morales-Gil I, Rodriguez-Quiroga A, Alvarez-Mon M, Quintero J. Psychosocial Factors in Adolescence and Risk of Development of Eating Disorders. Nutrients 2022; 14:nu14071481. [PMID: 35406094 PMCID: PMC9002868 DOI: 10.3390/nu14071481] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 03/08/2022] [Accepted: 03/28/2022] [Indexed: 02/01/2023] Open
Abstract
Background: current findings in the etiopathogenesis of eating disorders (ED) do not allow the formulation of a unique causal model. Currently, the main hypotheses about the etiopathogenesis are based on a multifactorial approach, considering both genetic and environmental factors. The aim of this study is to analyze the relationship between sociodemographic and behavioral factors, as well as self-esteem, in students of the first cycle of middle school and the probability of belonging to the risk group of eating disorders (ED) measured through the EAT-26 scale. Methods: The study target population consists of students of the first cycle of middle school. The instruments applied to the population consisted in: (1) a survey of sociodemographic data and behavioral variables; (2) Rosenberg’s self-esteem test; and (3) EAT Test (Eating Attitudes Test 26). Results: Of a total of 656 students belonging to eight educational centers in Madrid who were offered to participate in the study, 88.6% (n = 579) answered the whole questionnaire. The mean age of the participants was 13.7 years old. Of the participating adolescents, 57.3% were male and the remaining 42.7% (n = 260) were female. A significant relationship was observed between self-esteem and belonging to an ED risk group, with an OR = 0.910 (CI 95% 0.878−0.943). Hence, each one-point increase on the self-esteem dimension decreased the risk of belonging to an ED risk group by 9.5%. In the variables considered in the area of dysfunctional feeding patterns, the variables ‘number of meals’ (p < 0.01), ‘dieting’ (p < 0.01), and ‘drug consumption to lose weight’ (p < 0.01) were found to be related to the risk of belonging to the ED group. Conclusions: The results obtained in our research can help to establish explanatory models that include the understanding of the interaction of the different factors that influence the appearance and development of EDs. Therefore, these should be taken into consideration when developing ED preventive programs.
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Affiliation(s)
- Fernando Mora
- Department of Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, 28031 Madrid, Spain; (F.M.); (S.F.-R.); (M.P.F.-A.); (A.R.-Q.); (J.Q.)
- Department of Legal Medicine and Psychiatry, Complutense University, 28040 Madrid, Spain;
| | - Miguel A. Alvarez-Mon
- Department of Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, 28031 Madrid, Spain; (F.M.); (S.F.-R.); (M.P.F.-A.); (A.R.-Q.); (J.Q.)
- Department of Medicine and Medical Specialities, University of Alcala, 28801 Alcala de Henares, Spain;
- Correspondence:
| | - Sonia Fernandez-Rojo
- Department of Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, 28031 Madrid, Spain; (F.M.); (S.F.-R.); (M.P.F.-A.); (A.R.-Q.); (J.Q.)
| | - Miguel A. Ortega
- Department of Legal Medicine and Psychiatry, Complutense University, 28040 Madrid, Spain;
| | - Miriam P. Felix-Alcantara
- Department of Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, 28031 Madrid, Spain; (F.M.); (S.F.-R.); (M.P.F.-A.); (A.R.-Q.); (J.Q.)
| | | | - Alberto Rodriguez-Quiroga
- Department of Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, 28031 Madrid, Spain; (F.M.); (S.F.-R.); (M.P.F.-A.); (A.R.-Q.); (J.Q.)
| | - Melchor Alvarez-Mon
- Department of Medicine and Medical Specialities, University of Alcala, 28801 Alcala de Henares, Spain;
| | - Javier Quintero
- Department of Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, 28031 Madrid, Spain; (F.M.); (S.F.-R.); (M.P.F.-A.); (A.R.-Q.); (J.Q.)
- Department of Legal Medicine and Psychiatry, Complutense University, 28040 Madrid, Spain;
- Psikids, 28002 Madrid, Spain;
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26
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Jarman HK, McLean SA, Griffiths S, Teague SJ, Rodgers RF, Paxton SJ, Austen E, Harris E, Steward T, Shatte A, Khanh-Dao Le L, Anwar T, Mihalopoulos C, Parker AG, Yager Z, Fuller-Tyszkiewicz M. Critical measurement issues in the assessment of social media influence on body image. Body Image 2022; 40:225-236. [PMID: 35032949 DOI: 10.1016/j.bodyim.2021.12.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 12/16/2021] [Indexed: 02/06/2023]
Abstract
Progress towards understanding how social media impacts body image hinges on the use of appropriate measurement tools and methodologies. This review provides an overview of common (qualitative, self-report survey, lab-based experiments) and emerging (momentary assessment, computational) methodological approaches to the exploration of the impact of social media on body image. The potential of these methodologies is detailed, with examples illustrating current use as well as opportunities for expansion. A key theme from our review is that each methodology has provided insights for the body image research field, yet is insufficient in isolation to fully capture the nuance and complexity of social media experiences. Thus, in consideration of gaps in methodology, we emphasise the need for big picture thinking that leverages and combines the strengths of each of these methodologies to yield a more comprehensive, nuanced, and robust picture of the positive and negative impacts of social media.
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Affiliation(s)
- Hannah K Jarman
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, Australia; Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia.
| | - Siân A McLean
- The Bouverie Centre, School of Psychology & Public Health, La Trobe University, Melbourne, Australia
| | - Scott Griffiths
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Samantha J Teague
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, Australia; Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia
| | - Rachel F Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France
| | - Susan J Paxton
- School of Psychology & Public Health, La Trobe University, Melbourne, Australia
| | - Emma Austen
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Emily Harris
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Trevor Steward
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Adrian Shatte
- School of Engineering, Information Technology & Physical Sciences, Federation University, Melbourne, Australia
| | - Long Khanh-Dao Le
- Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia
| | - Tarique Anwar
- Department of Computing Technologies, Swinburne University of Technology, Melbourne, Australia
| | - Cathrine Mihalopoulos
- Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia
| | - Alexandra G Parker
- Institute for Health and Sport, Victoria University, Melbourne, Australia; Orygen and Centre for Youth Mental Health, University of Melbourne, Australia
| | - Zali Yager
- Institute for Health and Sport, Victoria University, Melbourne, Australia
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, Australia; Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia
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27
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Saul J, Rodgers RF, Saul M. Adolescent Eating Disorder Risk and the Social Online World: An Update. Child Adolesc Psychiatr Clin N Am 2022; 31:167-177. [PMID: 34801153 DOI: 10.1016/j.chc.2021.09.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The role of traditional media (television and magazines) in creating eating disorder risk has long been a topic of discussion and research, but the proliferation of social media and rapid increase in the use of the Internet by adolescents generates new dynamics and new risks for the development and maintenance of eating disorders. Recent research describes the relationship between Internet and social media use and eating disorders risk, with the greatest associations found among youth with high levels of engagement and investment in photo-based activities and platforms. Here, we review different types of online content and how they are relevant to eating disorders and consider the theoretical frameworks predicting relationships between Internet and social media and eating disorders, before examining the empirical evidence for the risks posed by the online content in the development and maintenance of eating disorders. We describe proeating disorder content specifically and examine the research related to it; we then consider the implications of such content, highlight directions for future research, and discuss possible prevention and intervention strategies.
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Affiliation(s)
- Jenna Saul
- Rogers Behavioral Health, 34700 Valley Road, Oconomowoc, WI 53066, USA; Child and Adolescent Psychiatry Consulting, Marshfield, WI, USA.
| | - Rachel F Rodgers
- 404 INV, Department of Applied Psychology Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France
| | - McKenna Saul
- University of Wisconsin, Parkside, 900 Wood Road, Advising and Career Center, Kenosha, WI 53144, USA
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28
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The light and the dark side of social media use: Depression, anxiety, and eating attitudes among adolescents. PSIHOLOGIJA 2022. [DOI: 10.2298/psi210516001g] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
In the current study, we explored the links between social networking activity, eating attitudes (EA), anxiety, and depression among adolescents. We used a cross-sectional design. Our sample consisted of 532 males and females, aged 12 to 15 (M = 13.55, SD = 0.90), from the Eastern side of Romania. We analyzed our data using three different pathways to explore these relationships on the overall sample, as well as the at-risk for eating disorders (ED) group (n = 134), and the non-ED-risk (n = 398) samples. The results suggested that depressive and anxiety symptoms partially mediated the relationship between social networking and eating attitudes in the overall group and in the not-at-risk for ED group, but not in the at-risk for ED sample. When controlling for gender, social networking use partially mediated the relationship between anxiety and depressive symptoms and eating attitudes in the overall group and the not-at-risk for ED group, and a total mediating effect within this relationship in the at-risk ED sample was also found. In adolescents with symptoms of potential ED, social networking use seemed to have a protective role compared to the not-at-risk sample. The present study suggested that social networking use might increase the chances of developing unhealthy eating attitudes in adolescents who are not-at risk to develop an eating disorder, but, at the same time, it might play a protective role (instead of a harmful one) for adolescents who already developed such symptoms. Results are discussed concerning their clinical and practical implication for adolescents? physical and mental health, especially during the COVID?19 pandemic, and the potential protective role of social media use for adolescents with ED symptoms.
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29
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Vandenbosch L, Fardouly J, Tiggemann M. Social media and body image: Recent trends and future directions. Curr Opin Psychol 2021; 45:101289. [PMID: 35030460 DOI: 10.1016/j.copsyc.2021.12.002] [Citation(s) in RCA: 76] [Impact Index Per Article: 25.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/25/2021] [Accepted: 12/02/2021] [Indexed: 01/26/2023]
Abstract
This review presents recent trends in social media and body image research, with a particular focus on different social media platforms, features unique to social media, and potentially positive content for body image. First, it was found that visual platforms (e.g. Instagram) were more dysfunctional for body image than more textual platforms (e.g. Facebook). Second, taking and editing (but not posting) selfies resulted in negative effects on body image. Positive comments intensified the effects of exposure to idealized content. Third, of the forms of potentially positive content examined in recent research (i.e. fitspiration, disclaimer labels, and body positivity), only body positivity content had a positive effect on body image. Recommendations for future research are offered.
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Affiliation(s)
- Laura Vandenbosch
- School for Mass Communication Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium.
| | - Jasmine Fardouly
- School of Psychology, UNSW Sydney, New South Wales, 2052, Australia.
| | - Marika Tiggemann
- College of Education, Psychology and Social Work, Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia.
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30
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Photo manipulation as a predictor of facial dissatisfaction and cosmetic procedure attitudes. Body Image 2021; 39:194-201. [PMID: 34481294 DOI: 10.1016/j.bodyim.2021.08.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 07/30/2021] [Accepted: 08/20/2021] [Indexed: 12/26/2022]
Abstract
Photo manipulation (editing photos prior to sharing them) has become increasingly popular on social media. While intended to enhance a photo's quality, this behaviour has been linked to heightened body image concerns. The present study investigated whether social media photo manipulation predicts facial dissatisfaction, attitudes towards cosmetic procedures, and intentions to undergo facial cosmetic procedures in young women, and the moderating role of self-discrepancy therein. Australian women (N = 227, 17-25 years) completed an online cross-sectional questionnaire. Social media photo manipulation was associated with greater facial dissatisfaction, cosmetic procedure attitudes/intentions, and appearance-based self-discrepancy. Photo manipulation was a significant predictor of cosmetic procedure attitudes and intentions, but not of facial dissatisfaction. Appearance-based self-discrepancy significantly moderated the relationship between photo manipulation and facial dissatisfaction, whereby the relationship between photo manipulation and facial dissatisfaction was stronger for those with lower self-discrepancy. Results highlight a key role for photo manipulation and appearance-based self-discrepancies in relation to facial dissatisfaction for young women. They also provide insight into predictors of cosmetic procedure intentions and attitudes. This signals a pressing need to develop effective intervention and prevention programs to help young women limit their appearance-based photo manipulation behaviours for use on social media.
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31
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de Valle MK, Gallego-García M, Williamson P, Wade TD. Social media, body image, and the question of causation: Meta-analyses of experimental and longitudinal evidence. Body Image 2021; 39:276-292. [PMID: 34695681 DOI: 10.1016/j.bodyim.2021.10.001] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 09/23/2021] [Accepted: 10/03/2021] [Indexed: 12/16/2022]
Abstract
This article presents four meta-analyses that can inform causality in the relationship between social media and body image; 24 experimental samples comparing the effect of appearance-ideal social media images to non-appearance-related conditions (n = 3816); 21 experimental samples examining the effect of contextual features (e.g., comments and captions) accompanying appearance-ideal social media images (n = 3482); 14 experimental samples investigating the effect of appearance-ideal images versus other appearance images on social media (n = 2641); and 10 longitudinal samples on social media use and body image (n = 5177). Social media appearance-ideal images had a moderate negative effect on body image (Hedges' g = -0.61, p < .01), were more damaging in higher- than lower-risk contexts (Hedges' g = -0.12, p < .01), and were moderately more impactful than other social media appearance images (Hedges' g = -0.68, p = .05). These effects were smaller but significant with outliers removed. Social media use had a very small, negative correlation with body image longitudinally (Fisher's Z = -0.08, p < .001). No significant moderators emerged. Clinicians should consider approaches to managing social media use, particularly exposure to appearance-ideal imagery, in case conceptualisation and psychoeducation for clients at risk of, or experiencing, body image disturbance.
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Affiliation(s)
- Madelaine K de Valle
- Discipline of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia.
| | - María Gallego-García
- Discipline of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia; Facultad de Ciencias Sociales y Humanas, Universidad Loyola Andalucía, Avda. de las Universidades, Dos Hermanas, Sevilla 41704, Spain
| | - Paul Williamson
- Discipline of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia
| | - Tracey D Wade
- Discipline of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia
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32
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Nesi J, Choukas-Bradley S, Maheux AJ, Roberts SR, Sanzari C, Widman L, Prinstein MJ. Selfie Appearance Investment and Peer Feedback Concern: Multi-Method Investigation of Adolescent Selfie Practices and Adjustment. PSYCHOLOGY OF POPULAR MEDIA CULTURE 2021; 10:488-499. [PMID: 35003884 PMCID: PMC8735707 DOI: 10.1037/ppm0000342] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
Abstract
Sharing "selfies" on social media is common among adolescents. The frequency with which adolescents post selfies may be less important than behaviors and cognitions underlying selfie-posting, and these practices may differ by gender. This multi-method study explored selfie practices in a school-based sample of 639 adolescents (M age=17.6; 53.5% female). Participants completed self-report measures of selfie practices, body esteem, depressive symptoms, and peer behaviors. In addition, a subset of participants' social media pages (n = 245) were observationally-coded for numbers of selfies, followers, and likes. Factor analyses revealed two distinct selfie practices: selfie appearance investment and selfie peer feedback concern. Girls posted selfies more frequently, and reported greater levels of appearance investment and concern over peer feedback on selfies compared to boys. Multiple group structural equation models indicated that for boys and girls, selfie appearance investment was associated with depressive symptoms. For girls only, selfie peer feedback concern was associated with excessive reassurance-seeking and lower body esteem. No associations were revealed between observationally-coded measures of selfie-posting frequency and psychosocial outcomes. Overall, findings suggest that frequency of selfie-posting may be less relevant for understanding adolescent adjustment than investment in and concern over the selfie-posting experience.
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Affiliation(s)
- Jacqueline Nesi
- Warren Alpert Medical School of Brown University, Dept. of Psychiatry & Human Behavior
- Bradley/Hasbro Research Center, Rhode Island Hospital
| | | | - Anne J. Maheux
- University of Delaware, Department of Psychological and Brain Sciences
| | | | - Christina Sanzari
- University at Albany, State University of New York, Department of Psychology
| | - Laura Widman
- North Carolina State University, Department of Psychology
| | - Mitchell J. Prinstein
- University of North Carolina at Chapel Hill, Department of Psychology and Neuroscience
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33
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Lee-Won RJ, Joo YK, Baek YM, Hu D, Park SG. “Obsessed with retouching your selfies? Check your mindset!”: Female Instagram users with a fixed mindset are at greater risk of disordered eating. PERSONALITY AND INDIVIDUAL DIFFERENCES 2020. [DOI: 10.1016/j.paid.2020.110223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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