An Exploratory Study of "Selfitis" and the Development of the Selfitis Behavior Scale

Discerning Selfiers: Differences between Taking and Sharing Selfies

Selfies provide unique opportunities to explore, document, and interact with the self through photography. However, the inherent intrapersonal affordance of self-portraiture becomes a unique manifestation of masspersonal theory when selfies are shared, a step that is often assumed but not unpacked in selfie research. Therefore, it is essential to understand when and for whom these intrapersonal and interpersonal moments evolve into masspersonal moments or communication episodes. This study uses a novel strategy to investigate selfie behavior-the likelihood of taking and sharing selfies-to assess individual differences between selfie-takers, or "selfiers". Discerning selfiers-people more likely to take than share selfies-report greater control and self-esteem compared to non-discerning selfiers, who are equally as likely to take as share selfies. Furthermore, control mediates the effect of selfier type on self-esteem; discerning selfiers report that others are not in control of their life, resulting in greater security regarding others' perceptions of them. The current findings reveal the unique effects of differential deployment of selfies.

The Link Between Problematic Instagram Use and Body-Image Investment Dimensions: The Mediating Role of Social Comparison on Instagram and the Need to Conceal Body Flaws

Objective

The negative effects of Problematic Instagram Use (PIU) on self-evaluations of one's appearance (i.e., body-image satisfaction-dissatisfaction) are well-known, whereas less explored is its role on body-image investment dimensions. By adopting the Social Comparison and the Self-discrepancies theories as the framework, the present study hypothesized that PIU negatively affects body investment and appearance management behaviours through the serial mediating role of actual appearance comparison on Instagram (IG) and the need to conceal body flaws. Gender, age and trait appearance comparison were controlled for.

Method

A convenience sample of 323 participants (F = 70.3%; M= 28.92 + 10.96) was recruited, and well-known self-report measures were administered online.

Results

The structural model produced good fit indices [χ2/df = 2.36, RMSEA = 0.065 (0.053 - 0.077), CFI = 0.962, SRMR = 0.038], and the variables accounted for 79% and 32% of the variance in body investment and appearance management behaviours, respectively. PIU was associated with body investment both directly and indirectly, whereas it affected appearance management behaviours only via appearance comparison on Ig. The tested alternative model has a poorer fit than the hypothesized model, and the former fitted significantly worse than the proposed one.

Conclusions

The present study represents a step toward a better understanding of the psychological mechanisms underlying the link between PIU and body image investment dimensions.

Do selfies make women look slimmer? The effect of viewing angle on aesthetic and weight judgments of women's bodies

Taking and posting selfies is a popular activity, with some individuals taking and sharing multiple selfies each day. The influence of the selfie angle, as opposed to more traditional photo angles such as the allocentric images we see in print media, on our aesthetic judgements of images of bodies has not been explored. This study compared the attractiveness and weight judgements that participants made of images of the same bodies taken from different visual angles over a series of four experiments (total N = 272). We considered how these judgements may relate to disordered eating thoughts and behaviours. Selfies were judged to be slimmer than images from other perspectives, and egocentric images were judged to be the least attractive. The way participants rated bodies seen from different perspectives was related to their own disordered eating thoughts and behaviours. These results contribute to our understanding of how we perceive the images we see on social media and how these might be related to how we feel about our own and other people's bodies.

A scoping literature review of the associations between highly visual social media use and eating disorders and disordered eating: a changing landscape

BACKGROUND

Although the etiology of eating disorders (ED) and disorder eating (DE) is multifactorial, exposure to highly visual social media (HVSM) may be an important contributor to the onset or worsening of DE and ED symptoms. We aim to understand HVSM use, ED, and DE with a particular focus on gender differences, as well as details of engagement on "selfies" in adolescents and young adults (AYA) through a scoping review of the literature.

METHODS

We conducted a literature search in Psycho ED, PubMed, MEDLINE of articles, including participants with DE/ED and users of HVSM, focused on AYA. Studies in which the study population did not include AYA, the SM platforms used did not include HVSM platforms, and the methodology to assess ED/HVSM use was not robust were excluded.

RESULTS

We found a strong relationship between HVSM and ED and DE with existing gender differences related to the nature of engagement and preference of content. The literature also shows effects of the specific mechanisms of use of these platforms involving "selfie" preparation and posting. Existing research is limited and consists of mostly cross-sectional studies with no uniform methodology and with participant populations that are not well-defined.

CONCLUSIONS

The use of unregulated and profit-driven SM platforms can increase risk for ED. To use these HVSM platforms for positive influence, there is a need to have more transparency, and involvement of clinicians, researchers, and educators.

PUBLIC SIGNIFICANCE

Due to HVSM's popularity among the AYA population, it is important to identify its effects on the development of DE and ED, as well as recognize any gender differences. Clinicians, parents, and other adults working with youth should be aware of HVSM's impact on DE/ED, as described in this review.

Social Media and Selfie-Related Mortality Amid COVID-19: Interrupted Time Series Analysis

BACKGROUND

COVID-19 had a considerable impact on mortality, but its effect on behaviors associated with social media remains unclear. As travel decreased due to lockdowns during the pandemic, selfie-related mortality may have decreased, as fewer individuals were taking smartphone photographs in risky locations.

OBJECTIVE

In this study, we examined the effect of the COVID-19 pandemic on trends in selfie-related mortality.

METHODS

We identified fatal selfie-related injuries reported in web-based news reports worldwide between March 2014 and April 2021, including the deaths of individuals attempting a selfie photograph or anyone else present during the incident. The main outcome measure was the total number of selfie-related deaths per month. We used interrupted time series regression to estimate the monthly change in the number of selfie-related deaths over time, comparing the period before the pandemic (March 2014 to February 2020) with the period during the pandemic (March 2020 to April 2021).

RESULTS

The study included a total of 332 selfie-related deaths occurring between March 2014 and April 2021, with 18 (5.4%) deaths during the pandemic. Most selfie-related deaths occurred in India (n=153, 46.1%) and involved men (n=221, 66.6%) and young individuals (n=296, 89.2%). During the pandemic, two-thirds of selfie-related deaths were due to falls, whereas a greater proportion of selfie-related deaths before the pandemic were due to drowning. Based on interrupted time series regression, there was an average of 1.3 selfie-related deaths per month during the pandemic, compared with 4.3 deaths per month before the pandemic. The number of selfie-related deaths decreased by 2.6 in the first month of the pandemic alone and continued to decrease thereafter.

CONCLUSIONS

Our findings indicate that the COVID-19 pandemic led to a marked decrease in selfie-related mortality, suggesting that lockdowns and travel restrictions likely prevented hazardous selfie-taking. The decrease in selfie-related mortality occurred despite a potential increase in social media use during the pandemic.

Assessment of Selfie addiction among undergraduate medical Students

Background: Selfie’ means “A photograph that one has taken of oneself or a self portrait photograph typically taken with a smart phone or digital camera and shared via social media”. Considering the dependency on Internet and selfie taking behavior among professional students, the study was undertaken. Aims and Objective- to determine the demographic profile of selfie users and different variables related to selfie taking and posting and its association with risky dangerous selfie. Material and Methods: A cross-sectional study conducted among 220 undergraduate medical students were using smartphone. Data was collected and analyzed using SPSS version 21. Results: Male students of middle class family of urban areas were more involved in taking selfie. Females were comparatively spending more time (2-3 hrs) on Internet (X2 =19.494 and p = .001).Total 14% students were taking 3-5 selfie and posted on social media(Statistically significant,X2 =7.882,p =0.019). 19(8.63%) participants admitted of taking dangerous selfie of which male 13(14.0%) more than female 06(8.4%).  Conclusion: Age and gender affects the number of selfies one clicks. This is developing a new mental disorder ‘selfitis’ as well as desire to take dangerous selfie. There is need of health awareness programme, IEC regarding importance of healthy life style.

The Mediating Role of Selfitis in the Associations between Self-Esteem, Problematic Social Media Use, Problematic Smartphone Use, Body-Self Appearance, and Psychological Distress among Young Ghanaian Adults

Selfie-related activities have become pervasive to the point that they may affect the mental health of people who engage in them. To ascertain this mechanism, this study examined the mediating role of selfitis in the associations between self-esteem, problematic social media use, problematic smartphone use, body-self appearance, and psychological distress among young Ghanaian adults. A total of 651 participants completed a questionnaire with measures on self-esteem, body-self appearance, problematic social media use, problematic smartphone use, depression, anxiety, stress, coping skills, and selfitis. There were direct associations between all the variables except between self-esteem and selfitis. In addition, selfitis mediated the associations between problematic social media use, problematic smartphone use, body-self appearance, and psychological distress except between self-esteem and psychological distress. These findings suggest that selfitis can serve as a pathway by which people who overly engage in problematic social media use, problematic smartphone use, and have poor body-self appearance may experience psychological distress. Hence, there is a need for health communicators, school authorities, and opinion leaders to educate young adults on the consequences of the problematic use of technology, especially for selfitis behaviour. Future studies can examine the factors that predict selfitis behaviour among adults.

Selfie phenomenon among a sample of Egyptian university students: rate and psychiatric correlates

Background

The selfie phenomenon is an emanating one, specifically affecting adolescents and young adults. It emerges as a reflection of a wide spectrum of neuropsychiatric disorders. Based on this, the current study aimed to assess the rate of the selfie phenomenon among Egyptian university students and its sociodemographic and psychiatric correlates. During the study procedure, we enrolled 200 undergraduate Egyptian university students from two different faculties and were assessed using the Selfie Behavioral Scale, Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Structured Clinical Interview for DSM-IV-TR Axis II Disorders, and Global Assessment of Functioning Scale.

Results

49.5% of the students being assessed had borderline selfitis with a higher rate among females. We found a highly significant association between the selfie phenomenon and depression, anxiety, obsessive-compulsive disorder, eating disorders, and other psychiatric disorders and personality disorders, and we also found that selfies had a significant negative association with the level of functioning among students.

Conclusions

Results concur with previous existing literature regarding the magnitude of the selfie phenomenon and its relationship with different psychiatric disorders and personality disorders.

Validation of the Social Media Disorder Scale using network analysis in a large representative sample of Czech adolescents

Background

The importance of studying the excessive use of social media in adolescents is increasing and so is the need for in-depth evaluations of the psychometric properties of the measurement tools. This study investigated the properties of the Social Media Disorder Scale (SMDS) in a large representative sample of Czech adolescents.

Methods

We analyzed the representative sample of 13,377 Czech adolescents (50.9% boys), 11-16 years old, who participated in the Health Behavior in School-aged Children (HBSC) survey (2017-18), using confirmatory factor analysis (CFA) and network models. Furthermore, we evaluated the measurement invariance and constructed the validity of the SMDS.

Results

We found support for a single dominant factor but not for strict unidimensionality. Several residual correlations were identified. The strongest were for: problems-conflicts-deceptions; persistence-escape; and preoccupation-tolerance-withdrawal. Girls, particularly 13- and 15-year-olds, scored higher than boys in the same age group, and 13- and 15-year-olds achieved higher scores than 11-year-olds, although some items were not invariant between the groups. The SMDS was positively related to other online activities, screen time, and falling asleep late, but negatively related to well-being and mental health.

Discussion and conclusions

The SMDS showed solid psychometric properties and construct validity. However, small violations of measurement invariance were detected. Furthermore, the network analysis showed important residual relationships between the items.

Disorders due to addictive behaviors: Further issues, debates, and controversies •

Two recent papers in the Journal of Behavioral Addictions by Brand et al. (2022), and Sassover and Weinstein (2022) both make interesting additions to the place of behavioral addictions in the more general addictive behaviors field. This commentary discusses some of the further nuances in the debates surrounding whether problematic engagement in social networking, pornography, and buying/shopping should be considered as possible 'disorders due to addictive behaviors' in the ICD-11. Particular emphasis in this commentary is placed on social network use disorder and its delineation. While there is growing evidence that addictions to sex, pornography, social network sites, exercise, work, and buying/shopping may be genuine disorders among a minority of individuals, none of these behaviors is likely to be included in formal psychiatric manuals in the near future until there is more high-quality data on all research fronts (e.g., epidemiological, neurobiological, psychological, and clinical).

Motivations for Online Expression, Willingness of Online Help-Seeking, and the Risk of Suicide Among Hong Kong Youths: A Mixed-Methods Study

Despite widespread interest in social media use, little is known about the heterogeneity of underlying motivations for online engagement among at-risk adolescents. This study adopted a mixed-methods approach to evaluate the motives of online expression among Hong Kong youths aged 15-19, as well as their relationships to online help-seeking willingness and suicide risks. In total, 6 focus groups and 12 individual interviews were conducted (N = 40) to elicit information regarding online expression purposes and to construct questionnaire items. The cross-sectional survey (N = 1,676) was undertaken subsequently to determine the prevalence of motives, and their correlations with online help-seeking willingness and suicide risks. Qualitative interviews revealed two key themes: major motivations for online expression, and features of online expression and help-seeking among suicidal youths. Quantitative analyses demonstrated the prevalence of each online expression purpose, with most reporting on "emotional expression" and "life sharing and documentation," but variations identified by gender, school academic banding, and suicide-related experience. Notably, an ordinal logistic regression model revealed that motives of "emotional expression" and "image building" were associated with increased suicide risks, while the purpose of "life sharing" was associated with decreased suicide risks. Those who expressed online for "self-expression" and "friend making" showed a stronger willingness for online help-seeking. These findings provide a more holistic overview of the purposes of online expression, which suggested the likelihood of mental health issues and the need for support. Such insight may facilitate the development of more effective suicide prevention strategies and online intervention services.

Factors Associated with Likelihood to Undergo Cosmetic Surgical Procedures Among Young Adults in the United States: A Narrative Review

Introduction/Goals

Over the past decade, cosmetic surgical procedures have become increasingly popular. This trend has been driven by procedural innovations as well as access to Internet and social media. Consequently, patients have been seeking cosmetic surgical procedures at younger ages. In this narrative review, studies assessing attitudes towards cosmetic surgical procedures among college-aged young adults were evaluated.

Methods

A search identified 20 studies published from 2002 to 2021 that focused on cosmetic surgical procedures among young adults. Each study used survey-based data to determine attitudes, acceptance, interests, perceptions, and beliefs about cosmetic surgical procedures among college-aged students in the United States.

Results

The proportion of college-aged participants who had undergone cosmetic surgical procedures ranged from 1.3% to 6.4% with surveys reporting that between 21 and 43% were interested in procedures in the future. In general, young women were more likely to express interest in cosmetic surgical procedures than young men. Studies consistently demonstrated an inverse relationship between body satisfaction and use of aesthetic procedures among this patient population. Other factors associated with acceptance and approval of cosmetic surgical procedures included importance of appearance to self-worth, concern with social standing and attractiveness, investment in appearance, media influence on body image, and positive attitudes towards celebrities. Exposure to cosmetic surgery advertising was correlated with increased approval of cosmetic surgical procedures, especially the perception that advertising influences "others" more than survey respondents themselves.

Conclusion

Interest in cosmetic surgical procedures continues to grow among young adults in the United States. In the future, this cohort is likely to become an increasingly important demographic to target for education, advertising, and research regarding cosmetic surgical procedures.

Loneliness, Escapism, and Identification With Media Characters: An Exploration of the Psychological Factors Underlying Binge-Watching Tendency

Nowadays, binge-watching (i.e., watching multiple episodes of a TV series in one session) has become a widespread practice of media consumption, raising concerns about its negative outcomes. Nevertheless, previous research has overlooked the underlying psychological mechanisms leading to binge-watching. In the present work, we investigated some of the psychological variables that could favor binge-watching tendencies in a sample of TV series viewers (N = 196). To this aim, psychological determinants of problematic digital technologies usage (i.e., feelings of loneliness), as well as some of the mechanisms related to the enjoyment of media contents (i.e., escapism and the identification with media characters), were considered as predictors of the tendency to binge-watch. Results indicated that higher feelings of loneliness were associated with higher levels of problematic digital technologies usage. Additionally, direct and indirect effects showed that only escapism – out of the four dimensions measuring the problematic use of Internet-related technologies – predicted participants’ stronger identification with media characters, which in turn promoted greater binge-watching tendencies. Overall, we suggest that binge-watching could be interpreted as a coping strategy for media escapists, who enjoy TV series as a privileged online space in which the need to escape finds its fulfillment, allowing them to manage loneliness by identifying with a fictitious character.

The infamous “Like” feature - A neuro perspective

With the recent rise of excessive use of social media and its damaging effects, there is an urgent need to systematically recognize how users behave towards the “Like” button, which has been considered the most toxic feature on social media. To date, scholars know little about the neurophysiological responses of users towards the ‘Like’ feature despite its pervasiveness. Thus, through the lens of cybernetic theory, this research measured user behavior towards the “Like” feature by experimenting with two neuro tools (i.e., electrocardiogram (EKG/ECG) and electroencephalography (EEG)). Sixteen participants, allocated within three separate groups, completed a simple experimental task of ‘’liking’’ content. Unexpectedly, the findings revealed that participants who frequently and infrequently received “Likes” shared similar biometrics (i.e., high neurophysiological activities). Furthermore, this research raised concerns over the underlying AI algorithms related to recommendation engines/systems.

The Overlap Between Problematic Smartphone Use and Problematic Social Media Use: a Systematic Review

Purpose of Review

Over the last decade, problematic smartphone use (PSU) and problematic social media use (PSMU) have emerged as new potential problematic behaviours. Several studies have suggested that smartphones are predominantly used for social purposes (i.e., using messaging apps and social networking sites). The aim of the current article is to provide a systematic review of the extant literature that has explicitly analysed the association between PSU and PSMU in order to examine study characteristics in terms of samples analysed and effect sizes of the associations reported. This systematic review is based on the ongoing debate about whether the smartphone can be considered as the medium of one or more problematic activities, including PSMU.

Recent Findings

Existing evidence suggests that the effect sizes of the associations between PSU and PSMU are medium to large and large across the 13 studies included, with the largest correlations observed between PSU and problematic WhatsApp use or general PSMU. Overall, reviewed results suggest a partial overlap between the two problematic behaviours.

Summary

PSU and PSMU are overlapped mostly because the smartphone is a common medium to use social media, especially concerning instant messaging apps like WhatsApp. Moreover, PSU should be preferentially studied with a focus on specific types of apps used rather than a more holistic phenomenon.

Externalizing autobiographical memories in the digital age

People externalize their autobiographical memories by creating representations that exist outside of their minds. Externalizations often serve personal and social functions, consistent with theorized functions of autobiographical memory. With new digital technologies, people are documenting more memories than ever and are sharing them with larger audiences. However, these technologies do not change the core cognitive processes involved in autobiographical memory, but instead present novel situations that affect how these processes are deployed. Smartphones allow events to be recorded as they unfold, thus directing attention and sometimes impairing memory. Social media increase the frequency of reviewing and sharing records which reactivate memories, potentially strengthening or updating them. Overall, externalization in the digital age changes what people attend to and remember about their own experiences.

Is Selfie Behavior Related to Psychological Well-being?

Background

The reasons and consequences of people's activity on social networks have not been sufficiently studied. Most studies have focused on identifying the dangers and risks associated with posting self-portraits on social networks, but it is an open question as to whether such behavior serves to increase people's psychological well-being.

Objective

We asked ourselves what are the main motives for publishing selfies and whether online activity contributes to psychological well-being.

Design

Our study involved 96 respondents from Moscow, mainly psycho logy students, who provided information about their activity on social networks, and completed questionnaires on their motivation, social support, and psychological well-being.

Results

Three main motives for publishing selfies were identified: 1) to increase self-esteem; 2) maintain social contacts; and 3) preserve and exchange information. The higher the ratio of selfies taken to preserve information, the higher was the user's psychological well-being. We found significant differences between the characteristics of those participants with high and low activity, and larger and smaller numbers of "friends" in social networks. For those with high activity, their sense of psychological well-being was largely determined by interaction with others. For these persons, communication (including with virtual contacts) was the important resource of well-being. The other group was less dependent on others, and for them, psychological well-being was not related to their activity on social networks.

Conclusion

Our results confirm the connection between the personality traits and characteristics of the respondents' network behavior and their psychological well-being. The study showed that the type of correlation constellation differs between groups of respondents depending upon how much or how little they are oriented toward social support.

The 10-Point Plan 2021: Updated Concepts for Improved Procedural Safety During Facial Filler Treatments

Dermal filler treatments require constant reassessment for improving and safeguarding the rapidly evolving aesthetic field. Suboptimal injection technique, patient selection and product knowledge have touted a concerning increase in filler complications, with new challenges such as the COVID-19 pandemic leading to new paradigms in the understanding, prevention, diagnosis and treatment of complications. The updated 10-point plan has been developed to curtail complications through consideration of causative factors, categorized as patient, product, and procedure-related. Patient-related factors include a preprocedural consultation with careful elucidation of skin conditions (acne, rosacea, dermatitis), systemic disease (allergies, autoimmune disease, underlying bacterial and viral disease (herpes simplex virus, COVID-19 infection), medications (antineoplastic drugs, recreational drugs) and previous cosmetic procedures (including fillers and energy-based devices). Patient assessment should include standardized photography and also evaluate the role of social media, ethnicity, gender, generational, and LGBTQ+ needs. Specified informed consent for both adverse events and their treatment is essential due to the increase in vascular complications, including the risk of blindness. Product-related factors include the powerful advantage of reversibility when using hyaluronic acid (HA) products. Product characteristics such as molecular weight and filler degradation should be understood. Product layering over late or minimally degradable fillers is still inadvisable due to the initial filler being teased into reactivity. Procedural factors such as consistent photographic documentation, procedural planning, aseptic non-touch technique (ANTT), knowledge of topographical anatomy and angiosomes, and technical dexterity including pinch anatomy and needle skills are of pivotal importance. The final section is dedicated to algorithms and checklists for managing and treating complications such as allergic hypersensitivity reactions, vascular events, infection, edema and late-onset adverse events (LOAEs). The updated 10-point plan is a methodical strategy aimed at further minimising the risk of dermal filler complications.

Adolescents’ selfie-taking and selfie-editing: A revision of the photo manipulation scale and a moderated mediation model

‘Selfie practices’ (e.g., editing, filtering, sharing) have become adolescents’ daily behaviors. The increasing centrality of online visual self-presentation might increase adolescents’ appearance-related concerns, problematic monitoring, and photo manipulation (PM). However, few studies focused on body image control in photos (BICP) and PM, and no studies evaluated the influence of selfie-expectancies on photo-taking and photo-editing. Consequently, two studies were conducted. Study1 psychometrically evaluated the PM scale (N = 1353). Study2 evaluated the mediating role of BICP and the moderating role of gender in the relationship between selfie-expectancies and PM (N = 453). The revised PM scale showed good psychometric properties. BICP mediated the relationship between selfie-expectancies and PM and being male significantly affected the relationship between the variables. Implications for adolescents’ appearance-related issues are discussed.

Selfie addiction: The impact of personality traits? A cross-sectional study among the Lebanese population

OBJECTIVES

To examine the relationship between personality traits (Neuroticism, Openness, Consciousness, Agreeableness, and Extraversion) and selfie addiction among Lebanese adults.

DESIGN/METHODS

A cross-sectional study, carried out between August 2017 and April 2018, enrolled 1206 community-dwelling participants.

RESULTS

Female gender (ORa = 2.79) and higher neuroticism (adjusted odds ratio [ORa] = 1.01) were significantly associated with moderate vs low selfie-taking. Higher openness (ORa = 0.96) was significantly associated with low selfie-taking. Female gender (ORa = 3.42) was significantly associated with intense vs low selfie-taking, whereas higher age (ORa = 0.93) and higher conscientiousness (ORa = 0.99) were significantly associated with lower intense selfie-taking.

PRACTICE IMPLICATIONS

This relationship can serve as a basis for other studies to better understand this new phenomenon and, later, to draw attention to a "selfie" practice that can deviate from the norm.

Addressing taxonomic challenges for Internet Use Disorders in light of changing technologies and diagnostic classifications. •

Drawing a distinction between mobile and non-mobile Internet Use Disorders is an important step to clarify blurred current concepts in the field of behavioral addictions. Similarly, future technological advances related to virtual or augmented reality, artificial intelligence or the Internet of things might lead to further modifications or new taxonomies. Moreover, diagnostic specifiers like offline/online might change with technological advances and trends of use. An important taxonomical approach might be to look for common structural characteristics of games and applications that will be amenable to new technical developments. Diagnostic and taxonomical approaches based on empirical evidence are important goals in the study of behavioral addictions.

Internet use disorders: What's new and what's not? •

This commentary critiques the recent paper by Montag et al. (2019) and (i) argues that there are a number of issues that are presented as contemporary but have been discussed in the internet addiction literature for over 20 years, (ii) argues that generalized internet use disorder (IUD)/smartphone use disorder (SmUD) and specific IUD/SmUD may mean different things to different scholars, (iii) suggests that online activities that involve content creation often utilize nonmobile devices, and (iv) suggests that there are some potentially problematic online behaviors that are not included as major activities in the proposed in Montag et al.'s taxonomy of internet-related problematic behaviors.

Selfitis Behavior: Assessing the Italian Version of the Selfitis Behavior Scale and Its Mediating Role in the Relationship of Dark Traits with Social Media Addiction

Research on selfie-related behavior has recently flourished. The present study expands theoretical and empirical work on phenomenon by assessing the psychometric properties of the Selfitis Behavior Scale among an Italian sample and by examining its unexplored mediating role in the relationships between dark triad traits and social media addiction. A total of 490 participants (53.1% females) completed a self-report survey including socio-demographics, the Selfitis Behavior Scale (SBS), the Short Dark Triad Scale (SD3), and the Bergen Social Media Addiction Scale (BSMAS). Results showed the SBS had a five-factor structure with good psychometrics properties in terms of reliability coefficients and measurement invariance across gender. In addition, findings from the path model supported the mediating role of selfitis behavior in the relationships of narcissism and psychopathy with social media addiction. Machiavellianism was found to be unrelated to selfitis behavior and social media addiction. The model shed light into the previous inconsistent findings on the associations between dark triad traits and social media addiction by taking into account the key role of selfitis behavior as an underlying mechanism. The findings may explain individual differences in personality traits associated with co-dependence (i.e., the combination of the dependence on self and others and social media addiction).

Prevalence and determinants of the dangerous selfie among medical and nursing students: a cross-sectional study from eastern India

BACKGROUND

Globally, there has been an exponential rise in smartphone use and selfie taking among youth. To make selfies exciting, dangerous selfies are often taken that may lead to catastrophic consequences, including death. This study aims to estimate the prevalence of dangerous selfies and to determine the factors associated with dangerous selfies among medical and nursing students in India.

METHODS

The study was conducted at the All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India, in April-August 2018. The inclusion criteria were students enrolled in the Bachelor of Medicine and Bachelor of Surgery (MBBS) and nursing courses of AIIMS, Bhubaneswar. Students who did not use smartphones were excluded from the study. The interview schedule and Selfitis Behaviour Scale (SBS) were used to collect information on sociodemographic variables, smartphone use and variables related to selfies and dangerous selfies. Forward stepwise logistic regression was undertaken with the probability of entry and removal as 0.05 and 0.10, respectively.

RESULTS

Of 633 eligible participants, 595 were included in the study. The mean (SD) age of the participants was 21.2 (1.6) years. More than half (56.8%) of the participants were female, 384 (64.5%) were medical students and 211 (35.5%) were nursing students. Nearly two-thirds of the participants (70.6%) preferred to take selfie. One hundred thirty three (40.3%) of the participants posted selfies on social media daily. The prevalence of dangerous selfies was 8.74% (95% CI: 6.73-11.28). Eight injury episodes while taking selfies were reported by seven (1.2%) participants. Being male (AOR 4.96, 95% CI 2.53-9.74), posting selfies on social media daily (AOR 3.33, 95% CI 1.71-6.47) and an SBS score > 75 (AOR 4.97, 95% CI 1.43-17.28) were independent predictors of dangerous selfies.

CONCLUSION

Nearly one in ten medical and nursing students reported having taken a dangerous selfie, and one in one hundred reported having been injured while attempting to take a selfie. Being male, posting selfies on social media daily and an SBS score > 75 were independent predictors of dangerous selfies. Further research is required to identify the community burden of dangerous selfies and to develop strategies to prevent selfie-related fatalities among youths.

Problematic Mobile Phone and Smartphone Use Scales: A Systematic Review

The popularity of smartphones is undeniable in nearly all facets of society. Despite the many benefits attributed to the technology, concern has grown over the potential for excessive smartphone use to become problematic in nature. Due to the growing concerns surrounding the recognized and unrecognized implications of smartphone use, great efforts have been made through research to evaluate, label and identify problematic smartphone use mostly through the development and administration of scales assessing the behavior. This study examines 78 existing validated scales that have been developed over the past 13 years to measure, identify or characterize excessive or problematic smartphone use by evaluating their theoretical foundations and their psychometric properties. Our review determined that, despite an abundance of self-report scales examining the construct, many published scales lack sufficient internal consistency and test-retest reliability. Additionally, there is a lack of research supporting the theoretical foundation of many of the scales evaluated. Future research is needed to better characterize problematic smartphone use so that assessment tools can be more efficiently developed to evaluate the behavior in order to avoid the excessive publication of seemingly redundant assessment tools.

Psychometric Properties of the Italian Version of the Smartphone Application-Based Addiction Scale (SABAS)

The aim of the present study was to test the psychometric properties of the Italian version of the Smartphone Application-Based Addiction Scale (SABAS; Csibi et al., International Journal of Mental Health and Addiction, 16, 393–403, 2018), a short and easy to use six-item tool for screening the risk of addiction to smartphone-based applications. A further goal was to explore the impact on smartphone addiction of several variables related to smartphone use habits, perceived quality of life, and sociability measures. The data were collected online from 205 Italian-speaking volunteers (128 males and 77 females aged 18 to 99 years). The psychometric instruments included in the study were the SABAS and the Nomophobia Questionnaire (NMP-Q). Psychometric testing showed that the six items included in the SABAS comprised a unidimensional factor with good reliability (Cronbach’s alpha = .890). Therefore, the SABAS appears to be a reliable instrument to assess the risk of addiction to smartphone apps. Moreover, longer daily time spent using the smartphone was found to be positively correlated with the total SABAS and NMP-Q scores, while perceived quality of life and self-reported sociability were found to be negatively correlated with such scores.

A 'Control Model' of Social Media Engagement in Adolescence: A Grounded Theory Analysis

Adolescents actively use social media, which engages them cognitively, emotionally, and behaviorally. However, the underlying psychological mechanisms of engagement have not been adequately addressed. The present study examined adolescents' psychological processes as these develop in their everyday interactions via social media. The sample comprised six focus groups with 42 adolescents from UK-based schools. Data were analyzed using constructivist grounded theory. The resulting concepts related to individual, social, and structurally related processes, highlighting a synergy between the processes underlying use and a gradual reduction of control as individual, social, and structurally led processes emerge, conceptualized as the 'control model' of social media engagement. The findings highlight a controlling aspect in engagement and a dynamic interplay between the processes as mutually determining the quality and the intensity of the interaction. Recommendations are provided for examining control as a main emotional, cognitive, and behavioral mechanism in problematic and/or addictive social media and smartphone use.

How do "selfies" impact adolescents' well-being and body confidence? A narrative review

Social media use has grown rapidly in recent years, with one of the most popular activities for young people being the taking, sharing, and browsing of digital self-photos, known as selfies. However, research has only recently begun to investigate selfies, and little is known about selfie practices in adolescents, or the associations between these practices and well-being and body confidence. This paper aimed to address this gap and conduct a narrative review of selfie practices and the relationships with well-being and body confidence in adolescents. No studies were found reporting on selfie practices and these relationships among children. However, taking selfies appears to be common practice among adolescents, although posting selfies online is less frequent. The studies reviewed indicate that certain aspects of selfie behaviors may be more problematic than others. Specifically, viewing selfies online appears to have a negative impact on adolescents' well-being and body confidence, at least in the short term in experimental contexts. Moreover, seeking and placing importance on feedback from others may also be a harmful aspect of selfie practices. Finally, consistent with research examining social media, social comparison has been identified in this emerging body of research as a potential mechanism which links selfie engagement to well-being and body confidence. To further advance understanding of the correlates and effects of selfie practices, research with children and with boys, and research focused on a wider range of indicators of well-being, is needed. Most importantly, prospective research is required to examine the directionality of links between selfie practices and well-being and body confidence.

Determining Symptomatic Factors of Nomophobia in Peruvian Students from the National University of Engineering

The use of cell phones has increased worldwide in the past few decades, particularly in children and adolescents. Using these electronic devices provides personal benefits. Communicating through cell phones was a very important factor in the socioeconomic progress of developed countries. However, it is beyond doubt that its indiscriminate use can bring up certain psychiatric disorders or cause some disorder in a person, within the phobic group of anxiety disorders called nomophobia; basically associated with anxiety, nervousness, discomfort, and distress when contact with the smartphone is lost, mainly in the youngest users. This research proposal aims to identify symptoms that have not yet been detected by unceasing cell phone use, considering that in Peru there are few studies of human health engineering and the physical mental health. For that reason, we sought to identify the symptomatic factors of nomophobia presented by students at the National University of Engineering and its interference with their academic life. To accomplish this study, we designed a questionnaire according to our reality with the use of focus groups techniques when the test was taken in class. Three symptomatic factors of nomophobia were identified: feelings of anxiety, compulsive smartphone use, and feelings of anxiety and panic. The study included a representative sample of 461 students in different years of study engineering (21% women, 79% men, over 17 years of age). Finally, given the widespread adoption of smartphones and their integration into educational environments, the results of this study can help educators understand students’ inclination to use their smartphones at all times.

Selfie Expectancies Among Adolescents: Construction and Validation of an Instrument to Assess Expectancies Toward Selfies Among Boys and Girls

Selfie-taking and posting is one of the most popular activities among teenagers, an important part of online self-presentation that is related to identity issues and peer relations. The scholarly literature emphasizes different yet conflicting motivations for selfie-behavior, stressing deeper analysis of psychological factors and the influence of gender and age. Expectancies are "explanatory device[s]" that can help us study adolescent behavior. However, no instruments have been devised that specifically explore the expectations teenagers have about selfies and their influence on selfie-frequency. The current study proposes a short and reliable instrument to identify teen expectancies about selfie-behavior. This instrument was validated using a sample of 646 Italian adolescents (14 to 19 years old) by means of Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). We also explore the relationship between selfie expectancies and selfie-frequency, as well as the role of gender in shaping selfies. Our results point toward a 7-factor model that characterizes expectations toward selfies as a multi-dimensional construct linked to both positive and negative perceptions of the nature and consequences of selfies. The overall model fitted the data sufficiently (χ2 = 5067.051, p 0.0000; CFI = 0.962; TLI = 0.954; RMSEA ≤ 0.05: 0.035; SRMR = 0.046), showing an adequate reliability of the scale (α = 0.830). Bivariate correlations between selfie expectancies and selfie-frequency (r = 0.338, p < 0.001) confirmed the convergent validity of the tool. Selfie-sharing is a common practice that is widespread among the participants in this study. Self-promotion represents a positive function of selfies. Selfies promote self-presentation and self-confidence, both in boys and girls. Moreover, selfie expectancies address sexual self-attractiveness, especially among boys. Despite the positive aspects of selfies, our results stress adolescent awareness of the negative consequences of this type of web-exposure. This is especially true among girls, whose selfie-behavior is, paradoxically, more frequent than boys. Self-management through selfie-posting is a positive outcome of selfie-behavior that plays a key role among adolescents, even though the dangers of manipulating selfies in order to garner approval from one's peers need to be considered. The positive psychometric properties of the measure point toward the need for further research on both generalized and specific selfie-behaviors.

Instagram addiction and the Big Five of personality: The mediating role of self-liking

Background and aims Recent research has suggested that social networking site use can be addictive. Although extensive research has been carried out on potential addiction to social networking sites, such as Facebook, Twitter, YouTube, and Tinder, only one very small study has previously examined potential addiction to Instagram. Consequently, the objectives of this study were to examine the relationships between personality, self-liking, daily Internet use, and Instagram addiction, as well as exploring the mediating role of self-liking between personality and Instagram addiction using path analysis. Methods A total of 752 university students completed a self-report survey, including the Instagram Addiction Scale (IAS), the Big Five Inventory (BFI), and the Self-Liking Scale. Results Results indicated that agreeableness, conscientiousness, and self-liking were negatively associated with Instagram addiction, whereas daily Internet use was positively associated with Instagram addiction. The results also showed that self-liking partially mediated the relationship of Instagram addiction with agreeableness and fully mediated the relationship between Instagram addiction with conscientiousness. Discussion and conclusions This study contributes to the small body of literature that has examined the relationship between personality and social networking site addiction and is one of only two studies to examine the addictive use of Instagram and the underlying factors related to it.