Eating Disorders in ‘Millennials’: Risk Factors and Treatment Strategies in the Digital Age
Abstract
Social media applications, known colloquially as “apps,” have quickly impacted the lives of young adults. There is evidence to support that suicide risk and social media use are correlated, which is of particular concern for individuals who struggle with body image, body dysmorphia, and eating disorders. These populations are already at a higher-risk for self-injurious behaviors and thoughts of suicide. In the treatment of eating disorders among emerging adults, known as Millennials, clinicians can feel disconnected to their clients when discussing and intervening in these new socialization structures that demand “perfection”. Understanding this population and its unique subset of challenges is essential in the digital age. This paper will explore common risk factors that precipitate eating disorder symptomology among this cohort, as well as offer a new perspective on treating the emerging adult population utilizing a values-based approach derived from Acceptance and Commitment Therapy (ACT).
Keywords
Eating disorders Millennials Young adults Adolescent psychology Social media Acceptance and Commitment Therapy ACTNotes
Compliance with Ethical Standards
Conflict of interest
Author declares that she has no conflict of interest.
Ethical Approval
This article does not contain any studies with human participants or animals performed by any of the authors.
References
- Ackard, D. M., Richter, S., Egan, A., & Cronemeyer, C. (2014). Poor outcome and death among youth, young adults, and midlife adults with eating disorders: An investigation of risk factors by age at assessment. The International Journal of Eating Disorders,47(7), 825–835.CrossRefGoogle Scholar
- Boyd, D. (2014). It’s complicated: The social lives of networked teens. New Haven, CT: Yale University Press.Google Scholar
- Carlyle, K. E., Guidry, J. P. D., Williams, K., Tabaac, A., & Perrin, P. B. (2018). Suicide conversations on Instagram: Contagion or caring? Journal of Communication in Healthcare,11(1), 12–18.CrossRefGoogle Scholar
- Errasti, J., Amigo, I., & Villadangos, M. (2017). Emotional uses of facebook and twitter: Its relation with empathy, narcissism, and self-esteem in Adolescence. Psychological Reports,120(6), 997–1006.CrossRefGoogle Scholar
- Fairburn, C. G. (2008). Eating disorders: The transdiagnostic view and the cognitive behavioral theory. In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 7–22). New York: Guilford.Google Scholar
- Fardouly, J., Diedrichs, P. C., Vartanian, L. R., & Halliwell, E. (2015). Social comparisons on social media: The impact of Facebook on young women’s body image concerns and mood. Body Image,13, 38–45.CrossRefGoogle Scholar
- Foerde, K., Steinglass, J. E., Shohamy, D., & Walsh, B. T. (2015). Neural mechanisms supporting maladaptive food choices in anorexia nervosa. Nature Neuroscience,18(11), 1571–1573.CrossRefGoogle Scholar
- Goldschmidt, A. B., Wall, M., Loth, K. A., & Neumark-Sztainer, D. (2015). Risk factors for disordered eating in overweight adolescents and young adults. Journal of Pediatric Psychology,40(10), 1048–1055.CrossRefGoogle Scholar
- Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavior therapy. Behavior Therapy,35, 639–665.CrossRefGoogle Scholar
- Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.Google Scholar
- Juarascio, A., Forman, E. M., & Herbert, J. (2010a). Acceptance and commitment therapy versus cognitive therapy for the treatment of comorbid eating pathology. Behavioral Modification,34(2), 175–190.CrossRefGoogle Scholar
- Juarascio, A., Shaw, J., Forman, E., Timko, C. A., Herbert, J., Butryn, M., et al. (2013). Acceptance and commitment therapy as a novel treatment for eating disorders: An initial test of efficacy and mediation. Behavioral Modification,37, 459–489.CrossRefGoogle Scholar
- Juarascio, A. S., Shoaib, A., & Timko, C. A. (2010b). Pro-eating disorder communities on social networking sites: A content analysis. Eating Disorders,18, 393–407.CrossRefGoogle Scholar
- Kaye, W. (2008). Neurobiology of anorexia and bulimia nervosa. Physiology & Behavior,94(1), 121–135.CrossRefGoogle Scholar
- Kendal, S., Kirk, S., Elvey, R., Catchpole, R., & Pryjmachuk, S. (2017). How a moderated online discussion forum facilitates support for young people with eating disorders. Health Expectations,20, 98–111.CrossRefGoogle Scholar
- Levallius, J., Clinton, D., Bäckström, M., & Norring, C. (2015). Who do you think you are? Personality in eating disordered patients. Journal of Eating Disorders,3, 3.CrossRefGoogle Scholar
- Liechty, J. M., & Lee, M. J. (2013). Longitudinal predictors of dieting and disordered eating among young adults in the U.S. The International Journal of Eating Disorders,46(8), 790–800.CrossRefGoogle Scholar
- Lin, L. Y., Sidani, J. E., Shensa, A., Radovic, A., Miller, E., Colditz, J. B., et al. (2016). Association between social media use and depression among U.S. young adults. Depression and Anxiety,33(4), 323–331.CrossRefGoogle Scholar
- Loth, K. A., MacLehose, R., Bucchianeri, M., Crow, S., & Neumark-Sztainer, D. R. (2014). Predictors of dieting and disordered eating behaviors from adolescence to young adulthood. Journal of Adolescent Health,55(5), 705–712.CrossRefGoogle Scholar
- Neumark-Sztainer, D. R., Wall, M. M., Haines, J. I., Story, M. T., Sherwood, N. E., & van den Berg, P. A. (2007). Shared risk and protective factors for overweight and disordered eating in adolescents. American Journal of Preventive Medicine,33(5), 359–369.CrossRefGoogle Scholar
- Neumark-Sztainer, D., Wall, M., Larson, N. I., Eisenberg, M. E., & Loth, K. (2011). Dieting and disordered eating behaviors from adolescence to young adulthood: Findings from a 10-year longitudinal study. Journal of the American Dietetic Association,111(7), 004–1011.CrossRefGoogle Scholar
- Pew Research Center. (2007). A portrait of “generation next” 2007. Retrieved from http://www.people-press.org/2007/01/09/a-portrait-of-generation-next/.
- Pratt, B. M., & Woolfenden, S. (2002). Interventions for preventing eating disorders in children and adolescents. Cochrane Database of Systematic Reviews,2, 1–10.Google Scholar
- Santarossa, S., & Woodruff, S. J. (2017). #SocialMedia: Exploring the relationship of social networking sites on body image, self-esteem, and eating disorders. Social Media + Society,3, 1–10.CrossRefGoogle Scholar
- Sonneville, K. R., Grilo, C. M., Richmond, T. K., Thurston, I. B., Jernigan, M., Gianini, L., et al. (2014). Prospective association between overvaluation of weight and binge eating among overweight adolescent girls. The Journal of Adolescent Health,56(1), 25–29.CrossRefGoogle Scholar
- Tempel, L. (2015). Danah Boyd: It’s complicated: The social lives of networked teens. Clinical Social Work Journal,43(2), 249.CrossRefGoogle Scholar
- Tiggemann, M. (2005). Body dissatisfaction and adolescent self-esteem: Prospective findings. Body Image,2(2), 129–135.CrossRefGoogle Scholar
- Tiggemann, M., & Miller, J. (2010). The internet and adolescent girls’ weight satisfaction and drive for thinness. Sex Roles,63(1–2), 79–90.CrossRefGoogle Scholar
- Tiggemann, M., & Slater, A. (2013). NetTweens: The internet and body image concerns in preteenage girls. The Journal of Early Adolescence,34(5), 606–620.CrossRefGoogle Scholar
- Tregarthen, J. P., Lock, J., & Darcy, A. M. (2015). Development of a smartphone application for eating disorder self-monitoring. The International Journal of Eating Disorders,48, 972–982.CrossRefGoogle Scholar
- van den Berg, P., Paxton, S. J., Keery, H., Wall, M., Guo, J., & Neumark-Sztainer, D. (2007). Body dissatisfaction and body comparison with media images in males and females. Body Image,4(3), 257–268.CrossRefGoogle Scholar
- Voelker, D. K., Reel, J. J., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: Current perspectives. Adolescent Health, Medicine and Therapeutics,6, 149–158.PubMedPubMedCentralGoogle Scholar