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Association between social media use, social appearance anxiety, and eating disorder risk in adolescents

Year: 2026
Type: article
Study design: Observational Study
Abstract: Introduction This study aimed to examine the relationships between social media use and social appearance anxiety, eating behavior, and eating disorders in adolescents. Methods In this study, a questionnaire including the social media use scale, social appearance anxiety scale, and eating disorder assessment questionnaire-short form was administered face-to-face to 309 adolescents. Results In total, 47.2% of participants were girls and 52.8% were boys, with an average age of 16.0 ± 0.9 years. The most commonly used social media applications are WhatsApp (83.2%) and Instagram (81.2%). The mean social appearance anxiety score of the girls (38.1 ± 16.8) was higher than that of the boys (30.8 ± 13.9). There was a positive relationship between social appearance anxiety and continuity of social media use, as well as the risk of eating disorders ( p < 0.05). There was also a positive relationship between social media use continuity and the risk of eating disorders ( p < 0.05). The continuous use of social media increased the likelihood of social appearance anxiety ( β = 0.963, 95% CI: 0.520–1.406); increased anxiety about social appearance was associated with a higher likelihood of developing an eating disorder ( β = 0.068, %95 CI: 0.053–0.083) ( p < 0.05). Conclusion Increased social media use in adolescents is associated with higher levels of social appearance anxiety and an increased risk of eating disorders. Educating adolescents about social media use may help reduce the incidence of eating disorders.
Language: English
Field: Psychology
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W7222295595
FWCI:
Cites: 36
Cited by:
Related to: 10