1
|
Mazzeo SE, Weinstock M, Vashro TN, Henning T, Derrigo K. Mitigating Harms of Social Media for Adolescent Body Image and Eating Disorders: A Review. Psychol Res Behav Manag 2024; 17:2587-2601. [PMID: 38978847 PMCID: PMC11229793 DOI: 10.2147/prbm.s410600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Accepted: 06/22/2024] [Indexed: 07/10/2024] Open
Abstract
Social media has negative effects on adolescent body image and disordered eating behaviors, yet adolescents are unlikely to discontinue engaging with these platforms. Thus, it is important to identify strategies that can reduce the harms of social media on adolescent mental health. This article reviews research on social media and adolescent body image, and discusses strategies to reduce risks associated with social media use. Topics covered include interventions aimed at mitigating social media's negative impacts, the body-positivity movement, and policies regulating adolescents' social media use. Overall, this review highlights specific factors (such as staffing, duration, modality, facilitator training, and cultural sensitivity) to consider when designing and implementing social media interventions targeting adolescents. This review also discusses psychosocial outcomes associated with body positivity on social media. Finally, policy efforts to reduce the negative impact of social media on adolescents' body image and eating behaviors are described. In sum, there is a strong need to conduct further research identifying optimal approaches to reduce the harms of social media for adolescent body image and eating behavior.
Collapse
Affiliation(s)
- Suzanne E Mazzeo
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
- Department of Pediatrics, Virginia Commonwealth University, Richmond, VA, USA
| | - Madison Weinstock
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Taryn Henning
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - Karly Derrigo
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| |
Collapse
|
2
|
de Lenne O, Vandenbosch L, Smits T, Eggermont S. Experimental research on non-idealized models: A systematic literature review. Body Image 2023; 47:101640. [PMID: 37871529 DOI: 10.1016/j.bodyim.2023.101640] [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: 07/07/2022] [Revised: 10/04/2023] [Accepted: 10/09/2023] [Indexed: 10/25/2023]
Abstract
Current literature on non-idealized models seems to offer mixed evidence on whether such models generate a positive body image and increase advertising effectiveness. To closely investigate this claim, we conducted a systematic review to summarize the empirical findings on the effects of non-idealized models on body image, well-being, and advertising outcomes among men and women. To contextualize these results, we also synthesized (1) the conceptualization of a non-idealized body size (i.e., labelling and operationalization), (2) the message accompanying the model (i.e., medium type and marketing intent), and (3) individual traits of participants tested as potential moderators. Three databases in different disciplines (i.e., ProQuest Psychology, Communication and Mass Media Complete, and Web of Science) were searched, and 86 unique studies were included in the review. While most studies found positive or null effects of non-idealized models on body image, well-being, and advertising outcomes, a small number of studies obtained negative results. These inconsistent findings could be explained by the large variety of labels and unclear operationalizations identified within our review. The conclusions of this review call for a clearer definition and measurement of non-idealized models.
Collapse
Affiliation(s)
- Orpha de Lenne
- School for Mass Communication Research (SMCR), Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000 Leuven, Belgium; Research Foundation Flanders (FWO-Vlaanderen), Egmontstraat 5, 1000 Brussels, Belgium
| | - Laura Vandenbosch
- School for Mass Communication Research (SMCR), Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000 Leuven, Belgium.
| | - Tim Smits
- Institute for Media Studies (IMS), Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000 Leuven, Belgium
| | - Steven Eggermont
- School for Mass Communication Research (SMCR), Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000 Leuven, Belgium
| |
Collapse
|
3
|
Weinbach N, Govier S, Stice E. Automatic pro-thin/anti-fat biases can develop without previous visual exposure to body shapes. Body Image 2023; 46:238-245. [PMID: 37364500 DOI: 10.1016/j.bodyim.2023.06.011] [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: 01/20/2023] [Revised: 06/15/2023] [Accepted: 06/16/2023] [Indexed: 06/28/2023]
Abstract
Endorsement of the thin beauty ideal increases risk for future body dissatisfaction and eating disorders among women. Visual-based media is theorized to be a central pathway through which the thin ideal is internalized. This internalization process results in formation of automatic pro-thin and anti-fat attitudes. However, it is often difficult to separate the contribution of visual-based media and other forms of communication in the creation of such attitudes. Using a novel auditory implicit association test, we show that women with congenital blindness with no previous exposure to body shapes develop automatic pro-thin and anti-fat attitudes to the same extent as sighted women. This result was replicated in studies conducted in two countries involving a combined total of 62 women with blindness and 80 sighted women. Results suggest that internalization of the thin ideal can occur without visual exposure to images of the thin beauty ideal or visual exposure to one's own body.
Collapse
Affiliation(s)
- Noam Weinbach
- School of Psychological Sciences, University of Haifa, Abba Khoushy Ave 199, Haifa 3498838, Israel.
| | - Sashi Govier
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, United States
| | - Eric Stice
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, United States
| |
Collapse
|
4
|
Bedrosova M, Kvardova N, Machackova H. Bystanders' Victim Blaming and Minimizing Consequences of Weight-Based Cyberhate Attacks: The Roles of anti-Fat Attitudes, Body-Positive Online Content, and Gender. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:6915-6941. [PMID: 36541163 DOI: 10.1177/08862605221140037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Physical appearance and, specifically, weight are common reasons for cyberhate attacks among adolescents. Using a between-subject experimental design, this study focuses on the bystanders of such attacks on Instagram. We investigate bystanders' assessments in the form of two moral disengagement (MD) mechanisms-victim blaming and minimizing consequences-and we compare the assessments of attacks that are diversified by the victim's weight (i.e., a victim who is plus-size and a victim who is thinner). We also examine the moderating roles of bystanders' prejudice against people who are plus-size in the form of the so-called anti-fat attitudes, their frequency of viewing body-positive online content, and gender. The study's data come from an online survey conducted in 2020 with a representative sample of 658 Czech adolescents, aged 13-18. We tested our hypotheses with structural equation modeling. The results show that the two MD mechanisms work differently. The victim's displayed weight affected the bystanders' tendency to victim blame: adolescents blamed the victim who is plus-size more than the victim who is thinner, but the victim's weight made no difference in minimizing the consequences of the incident. A moderating effect for anti-fat attitudes and gender was found for victim blaming. Bystanders with higher anti-fat attitudes and boys blamed the victim who is plus-size more than the victim who is thinner. On the other hand, there was no effect for the frequency of viewing body-positive online content for either of the MD mechanisms. The results are discussed with regard to the differences between the two mechanisms and the practical implications for educational and prevention programs for youth.
Collapse
Affiliation(s)
- Marie Bedrosova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Czech Republic
| | - Nikol Kvardova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Czech Republic
| | - Hana Machackova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Czech Republic
| |
Collapse
|
5
|
Fasoli F, Ogden J, Johnson S. Body Positivity or Humorous Parody? The Impact of Instagram Imagery on Body Image Concerns. THE JOURNAL OF PSYCHOLOGY 2023:1-24. [PMID: 37067529 DOI: 10.1080/00223980.2023.2198686] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/18/2023] Open
Abstract
Research has shown that Instagram imagery can affect women's body image. However, it remains unclear how Instagram images are perceived, and which type of images can have a positive impact on body image. In this study (N = 170), we examined whether exposure to body positive and humorous parody (vs. body ideal) imagery would be perceived as critiques of thin body ideals, would elicit photo-based activity in the form of "likes", and would positively affect women's body image. Results showed that both body positivity and humorous parody images elicited more "likes" and were perceived as critiquing thin body standards more than body ideal images. Moreover, women's body satisfaction and positive mood were higher after exposure to body positivity and humorous parody compared to exposure to body ideal images. Women exposed to humorous parody also reported a lower drive for thinness. These findings demonstrate that both body positivity and humorous parody can be considered critiques that improve body image.
Collapse
|
6
|
Curtis RG, Prichard I, Gosse G, Stankevicius A, Maher CA. Hashtag fitspiration: credibility screening and content analysis of Instagram fitness accounts. BMC Public Health 2023; 23:421. [PMID: 36864397 PMCID: PMC9979526 DOI: 10.1186/s12889-023-15232-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 02/07/2023] [Indexed: 03/04/2023] Open
Abstract
BACKGROUND Fitspiration is a social media phenomenon purported to inspire viewers to lead healthier lifestyles but can result in negative psychological outcomes such as body dissatisfaction. This study aimed to develop a tool to audit Instagram fitspiration accounts and screen for content that could have potentially negative psychological effects. METHODS This study developed and implemented an audit tool to (1) identify credible fitspiration accounts (i.e., accounts that do not portray potentially harmful or unhealthy content) and (2) describe the content of identified accounts. The most recent 15 posts of 100 leading Instagram fitspiration accounts were audited. Accounts were deemed non-credible and were excluded if they contained fewer than four fitness-related posts or portrayed nudity or inappropriate clothing, sexualisation or objectification, extreme body types, "thinspiration", or negative messages. RESULTS Many accounts contained fewer than four fitness-related posts (n = 41), sexualisation or objectification (n = 26), nudity or inappropriate clothing (n = 22), and/or extreme body types (n = 15). Three accounts failed on all four criteria, while 13, 10 and 33 failed on three, two, or one criterion, respectively. Therefore, only 41% of accounts were considered credible. Inter-rater reliability (percentage agreement and Brennan and Prediger's coefficient κq) was high (Stage 1: 92% agreement [95% CI 87, 97], κq 0.84 [95% CI 0.73, 0.95]; Stage 2: 93% agreement [95% CI 83, 100], κq 0.85 [95% CI 0.67, 1.00]). Account holders of credible fitspiration accounts were predominantly female (59%), aged 25-34 (54%), Caucasian (62%), and from the United States (79%). Half held a qualification related to physical activity or physical health (e.g., personal trainer, physiotherapy; 54%). Most included accounts included an exercise video (93%) and example workout (76%). CONCLUSION While many popular Instagram fitspiration accounts offered credible content such as example workouts, many accounts contained sexualisation, objectification or promotion of unhealthy or unrealistic body shapes. The audit tool could be used by Instagram users to ensure the accounts they follow do not portray potentially harmful or unhealthy content. Future research could use the audit tool to identify credible fitspiration accounts and examine whether exposure to these accounts positively influences physical activity.
Collapse
Affiliation(s)
- Rachel G Curtis
- Alliance for Research in Exercise, Nutrition and Activity, UniSA Allied Health and Human Performance, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia
| | - Ivanka Prichard
- College of Nursing and Health Sciences, SHAPE Research Centre, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001, Australia
| | - Georgia Gosse
- Alliance for Research in Exercise, Nutrition and Activity, UniSA Allied Health and Human Performance, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia
| | - Anna Stankevicius
- Alliance for Research in Exercise, Nutrition and Activity, UniSA Allied Health and Human Performance, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia
| | - Carol A Maher
- Alliance for Research in Exercise, Nutrition and Activity, UniSA Allied Health and Human Performance, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia.
| |
Collapse
|
7
|
Kvardova N, Machackova H, Smahel D. A moderated mediation model for body-positive online content and body image among adolescents. Body Image 2022; 42:370-374. [PMID: 35930872 DOI: 10.1016/j.bodyim.2022.07.002] [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: 08/31/2021] [Revised: 07/01/2022] [Accepted: 07/05/2022] [Indexed: 10/16/2022]
Abstract
Body-positive online content (BPOC) has recently become widespread, yet the factors that explain its association with body satisfaction have scarcely been studied. The current study investigates the indirect association between the self-reported frequency of viewing BPOC and body satisfaction through body appreciation and the moderating roles of body-ideal internalization, self-esteem, intentional searching, and gender. Utilizing survey data from 1530 Czech adolescents aged 13-18 (M=15.4, SD=1.7, 50 % girls), the present study found limited support for an indirect connection between the frequency of viewing BPOC and body satisfaction through body appreciation. Nonetheless, an indirect association appeared among adolescents with average and above-average frequencies for intentional searching for BPOC. Other investigated moderating factors were not significant. The present findings suggest that BPOC may be positively associated with body image, but only for those who deliberately search for it. The study highlights the importance of individual moderating factors in the context of BPOC and the remaining research gaps, such as the examination of its various types and aspects and their relationship with body image.
Collapse
Affiliation(s)
- Nikol Kvardova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Jostova 10, Brno.
| | - Hana Machackova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Jostova 10, Brno.
| | - David Smahel
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Jostova 10, Brno.
| |
Collapse
|
8
|
Rodgers RF, Paxton SJ, Wertheim EH. #Take idealized bodies out of the picture: A scoping review of social media content aiming to protect and promote positive body image. Body Image 2021; 38:10-36. [PMID: 33798800 DOI: 10.1016/j.bodyim.2021.03.009] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 03/14/2021] [Accepted: 03/17/2021] [Indexed: 02/07/2023]
Abstract
Much evidence has highlighted detrimental effects of social media on body image, and attention has turned towards identifying content that could support and promote positive body image. This study aimed to conduct a scoping review of the emerging evidence focused on social media content that might support positive body image. A total of n = 35 studies (21 experimental) examining social media were identified along with n = 11 studies not specifically focusing on social media but with clear implications. Overall, findings suggest that images that do not portray individuals are most helpful for body image, as well as those portraying appearances diverging from appearance ideals. Our review also identifies types of social media content that have so far not been found to protect body image, and those not sufficiently evaluated. Regarding textual captions and comments, the most promising avenue involves highlighting the contrived and unrealistic nature of social media content. However, empirical data are limited and not robust. Body acceptance-related statements have so far not been found to be helpful for body image, and findings regarding the usefulness of using social marketing strategies (such as hashtags) to identify content that may be more realistic is nascent and conflicted.
Collapse
Affiliation(s)
- Rachel F Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU, Montpellier, France.
| | - Susan J Paxton
- School of Psychology and Public Health, La Trobe University, Bundoora (Melbourne), VIC, Australia
| | - Eleanor H Wertheim
- School of Psychology and Public Health, La Trobe University, Bundoora (Melbourne), VIC, Australia
| |
Collapse
|
9
|
Vendemia MA, DeAndrea DC, Brathwaite KN. Objectifying the body positive movement: The effects of sexualizing and digitally modifying body-positive images on Instagram. Body Image 2021; 38:137-147. [PMID: 33887562 DOI: 10.1016/j.bodyim.2021.03.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 03/24/2021] [Accepted: 03/24/2021] [Indexed: 12/13/2022]
Abstract
The body positive movement on social media seeks to challenge narrow conceptualizations of beauty that media outlets traditionally perpetuate and reinforce. Through a 2 × 2 between-subjects online experiment, we examined how the nature and authenticity of body-positive imagery on social media affects female viewers and their evaluations of body-positive content (N = 425, Mage = 35.47, SDage = 13.52). Specifically, participants viewed and reacted to a series of 10 body-positive images of women on social media varying in their degree of sexualization (sexualized vs. non-sexualized) and evidence of digital photo modifications (modification icons vs. no modification icons). A control group that featured landscape images was also included. Results indicate body-positive images that are considered sexualized and are believed to be digitally modified can undercut the movement's intended aims: Participants who viewed body-positive images that were sexualized (vs. non-sexualized) and included photo modification icons (vs. no modification icons) reported greater endorsement of traditional beauty ideals (e.g., thinness) and thought the images were shared for self-serving reasons (e.g., to gain likes/shares/endorsements); these relationships were mediated by the extent to which viewers believed these images were sexualized and digitally modified. Further, results indicate that sexualized body-positive images can instigate sexual objectification of others and oneself. Those who viewed control images (vs. experimental body-positive images) produced significantly fewer sexually objectifying words about others and themselves. Implications for both viewers and producers (e.g., individuals, corporations) of body-positive imagery on social media are discussed in light of objectification theory.
Collapse
|
10
|
Levine MP. Prevention of eating disorders: 2020 in review. Eat Disord 2021; 29:1-17. [PMID: 34185629 DOI: 10.1080/10640266.2021.1909794] [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] [Indexed: 10/21/2022]
Abstract
Fifteen prevention-related publications in Eating Disorders during 2020 are reviewed. Two models frame this analysis: (1) the Mental Health Intervention Spectrum: health promotion → types of prevention → case identification and referral → treatment; and (2) parsing phases of prevention into a cycle: rationale, theory, and methodology, shaped by critical, integrative reviews → clarification of risk and protective factors → program innovation and feasibility studies → efficacy and effectiveness research → program dissemination. In this cycle the first two phases and the last phase inform advocacy for social policies supporting prevention. Ten articles comprising a special issue on yoga demonstrate the value of investing in translational prevention science that acknowledges (a) embodying experiences as a broad category of protective factors; (b) the utility of multidimensional theoretical models; and (c) social justice issues that advocacy efforts must address to make programs widely and equitably available. Other articles reviewed show, for example, that studies of emotion dysregulation and emotional eating are needed to enter a prevention cycle that moves us beyond body image (or weight/shape) concerns in defining high-risk groups and developing indicated prevention. Finally, implications of the absence of efficacy, effectiveness, dissemination, and advocacy studies are discussed.
Collapse
Affiliation(s)
- Michael P Levine
- Department of Psychology (Emeritus), Kenyon College, Gambier, Ohio, USA
| |
Collapse
|