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European Journal of Pediatrics

, Volume 174, Issue 4, pp 429–433 | Cite as

The urgent matter of online pro-eating disorder content and children: clinical practice

  • Kathleen Custers
Review

Abstract

During the last decade, much concern has been expressed about online pro-eating disorder communities (e.g., pro-anorexia websites and blogs) which encourage their users to engage in disordered eating behavior. The aim of the current paper is to reemphasize the importance of pro-eating disorder communities in light of the recent changes in the media landscape. With the increase of social networking sites, pro-anorexia messages have transplanted to more volatile and constantly changing media, such as Snapchat, Twitter, Facebook, Instagram, Pinterest, and many others. Most parents, educators, and health professionals are unaware of the sheer scope and nature of such pro-anorexia messages in these new contexts. The current paper will provide a review of pro-eating disorder websites, overview the effects of such websites on young people’s health, examine the emergence of these messages on social media platforms, and highlight a number of guidelines for clinicians and parents.

Conclusion: The dissemination of online pro-eating disorder content to different types of social networking sites is becoming an urgent issue.

What is Known:

Existing research on pro-eating disorder websites examines the prevalence and the content of these websites, and the effects of pro-eating disorder content on both clinical (eating disordered individuals) and non-clinical samples (non-eating disordered individuals).

The scope and nature of such anorexia messages is unknown to most adults, and many people (including parents and medical professionals) are insufficiently aware of the ease with which young people access, navigate, and use a wide range of online platforms.

What is New:

Pro-anorexia messages are no longer limited to websites that can be easily monitored, but instead have been transplanted to more volatile and constantly changing media such as Snapchat, Twitter, Facebook, Pinterest, and Tumblr which makes pro-eating disorder content much more easily accessible.

This paper wants to emphasize the implications of the presence of pro-eating disorder content on websites and social media. A number of guidelines for parents and clinicians are provided.

Keywords

Pro-anorexia Pro-eating disorders Eating disorders Internet Social networking sites Thinspiration 

Abbreviations

Pro-AN

Pro-anorexia

Pro-ED

Pro-eating disorder

Notes

Acknowledgments

The author wants to thank Jenna McNallie for critically reading the manuscript.

Conflict of interest

The author reveals no conflict of interest. This study was funded by the Research Foundation Flanders (FWO).

References

  1. 1.
    Bandura A (2002) Social cognitive theory of mass communication. In: Bryant J, Zillmann D (eds) Media effects: advances in theory and research. Lawrence Erlbaum, Hillsdale, pp 121–153Google Scholar
  2. 2.
    Bardone-Cone A, Cass K (2007) What does viewing a pro-anorexia website do? An experimental examination of website exposure and moderating effects. Int J Eat Disord 40:537–548CrossRefPubMedGoogle Scholar
  3. 3.
    Borzekowski DLG, Schenk S, Wilson JL, Peebles R (2010) eAna and e-Mia: a content analysis of pro-eating disorder web sites. Am J Public Health 100:1526–1534. doi: 10.2105/AJPH.2009.172700 CrossRefPubMedCentralPubMedGoogle Scholar
  4. 4.
    Chesley EB, Alberts JD, Klein JD, Kreipe RE (2003) Pro or con: anorexia nervosa and the internet. J Adolesc Health 32:123–124CrossRefGoogle Scholar
  5. 5.
    Csipke E, Horne O (2007) Pro‐eating disorder websites: users’ opinions. Eur Eat Disord Rev 15:196–206CrossRefPubMedGoogle Scholar
  6. 6.
    Custers K, Van den Bulck J (2009) Viewership of pro‐anorexia websites in seventh, ninth and eleventh graders. Eur Eat Disord Rev 17(3):214–219. doi: 10.1002/erv.910 CrossRefPubMedGoogle Scholar
  7. 7.
    Dias K (2003) Theana sanctuary: Women’s pro-anorexia narratives in cyberspace. J Int Women’s Stud 4:31–45Google Scholar
  8. 8.
    Gavin J, Rodham K, Poyer H (2008) The presentation of “pro-anorexia” in online group interactions. Qual Health Res 18(3):325–333. doi: 10.1177/1049732307311640 CrossRefPubMedGoogle Scholar
  9. 9.
    Greenberg L, D’Andrea G, Lorence D (2004) Setting the public agenda for online health search: a white paper and action agenda. J Med Internet Res 6–18. doi: 10.2196/jmir.6.2.e18
  10. 10.
    Harper K, Sperry S, Thompson JK (2008) Viewership of pro-eating disorder websites: association with body image and eating disturbances. Int J Eat Disord 41:92–95. doi: 10.1002/eat CrossRefPubMedGoogle Scholar
  11. 11.
    Jett S, LaPorte DJ, Wanchisn J (2010) Impact of exposure to pro‐eating disorder websites on eating behaviour in college women. Eur Eat Disord Rev 18(5):410–416. doi: 10.1002/erv.1009 CrossRefPubMedGoogle Scholar
  12. 12.
    Juarascio AS, Shoaib A, Timko CA (2010) Pro-eating disorder communities on social networking sites: a content analysis. Eatidisord 18(5):393–407. doi: 10.1080/10640266.2010.511918 Google Scholar
  13. 13.
    Kunst H, Groot D, Latthe PM, Latthe M, Khan KS (2002) Accuracy of information on apparently credible websites: survey of five common health topics. BMJ 324:581–582CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Levine MP (2012) Loneliness and eating disorders. J Psychol 146(1–2):243–257. doi: 10.1080/00223980.2011.606435 CrossRefPubMedGoogle Scholar
  15. 15.
    Lewis SP, Arbuthnott AE (2012) Searching for thinspiration: the nature of internet searches for pro-eating disorder websites. Cyberpsychol Behav 15:200–204. doi: 10.1089/cyber.2011.0453 CrossRefGoogle Scholar
  16. 16.
    Lewis SP, Arbuthnott AE (2014) Non-suicidal self-injury, eating disorders, and the Internet. In: Claes L, Muehlenkamp JJ (eds) Non-Suicidal Self-Injury in Eating Disorders. Springer, Berlin, pp 273–293CrossRefGoogle Scholar
  17. 17.
    Lowes J, Tiggemann M (2003) Body dissatisfaction, dieting awareness and the impact of parental influence in young children. Brit J Health Psych 8(2):135–147CrossRefGoogle Scholar
  18. 18.
    McCabe MP, Ricciardelli LA (2003) Body image and strategies to lose weight and increase muscle among boys and girls. Health Psychol 22(1):39–46. doi: 10.1037/0278-6133.22.1.39
  19. 19.
    McVey G, Tweed S, Blackmore E (2004) Dieting among preadolescent and young adolescent females. Can Med Assoc J 170(10):1559–1561. doi: 10.1503/cmaj.1031247 CrossRefGoogle Scholar
  20. 20.
    Mulveen R, Hepworth J (2006) An interpretative phenomenological analysis of participation in a pro-anorexia Internet site and its relationship with disordered eating. J Health Psychol 11:283–296. doi: 10.1177/1359105306061187 CrossRefPubMedGoogle Scholar
  21. 21.
    Norris ML, Boydell KM, Pinhas L, Katzman DK (2006) Ana and the Internet: a review of pro‐anorexia websites. Int J Eat Disord 39:443–447CrossRefPubMedGoogle Scholar
  22. 22.
    Peebles R, Wilson JL, Litt IF, Hardy KK, Lock JD, Mann JR, Borzekowski DLG (2012) Disordered eating in a digital age: eating behaviors, health, and quality of life in users of websites with pro-eating disorder content. J Med Internet Res 14:e148. doi: 10.2196/jmir.2023 CrossRefPubMedCentralPubMedGoogle Scholar
  23. 23.
    Read B (2011) Britney, Beyoncé, and me—primary school girls’ role models and constructions of the ‘popular’girl. Gend Educ 23(1):1–13CrossRefGoogle Scholar
  24. 24.
    Rideout VJ, FoehrUG, Roberts DF (2010) Generation M [superscript 2]: Media in the Lives of 8-to 18-Year-Olds. Henry J. Kaiser Family FoundationGoogle Scholar
  25. 25.
    Rouleau CR, Von Ranson KL (2010) Potential risk of pro-eating disorder websites. Clin Psychol Rev 31:525–531CrossRefPubMedGoogle Scholar
  26. 26.
    Schutz HK, Paxton SJ (2007) Friendship quality, body dissatisfaction, dieting and disordered eating in adolescent girls. Brit J Clin Psychol 46(1):67–83. doi: 10.1348/014466506X115993 CrossRefGoogle Scholar
  27. 27.
    Syed-Abdul S, Fernandez-Luque L, Jian WS et al (2013) Misleading health-related information promoted through video-based social media: anorexia on YouTube. J Med Internet Res 15:e30. doi: 10.2196/jmir.2237 CrossRefPubMedCentralPubMedGoogle Scholar
  28. 28.
    Tian Y, Robinson JD (2009) Incidental health information use on the Internet. Health Commun 24:41–29. doi: 10.1080/10410230802606984 CrossRefPubMedGoogle Scholar
  29. 29.
    Tong ST, Heinemann-LaFave D, Jeon J, Kolodziej-Smith R, Warshay N (2013) The Use of pro-ana blogs for online social support. Eat Disord 21:408–422. doi: 10.1080/10640266.2013.827538 CrossRefPubMedGoogle Scholar
  30. 30.
    Wilson JL, Peebles R, Hardy K, Litt IF (2006) Surfing for thinness: a pilot study of pro-eating disorder website usage in adolescents with eating disorders. Pediatrics 188:1635–1643. doi: 10.1542/peds. 2006-1133 CrossRefGoogle Scholar
  31. 31.
    Yeshua-Katz D, Martins N (2013) Communicating stigma: the pro-ana paradox. Health Com 28:499–508. doi: 10.1080/10410236.2012.699889 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Leuven School for Mass Communication ResearchKatholieke Universiteit LeuvenLeuvenBelgium

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