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Chen S, Zhang H, Gao M, Machado DB, Jin H, Scherer N, Sun W, Sha F, Smythe T, Ford TJ, Kuper H. Dose-Dependent Association Between Body Mass Index and Mental Health and Changes Over Time. JAMA Psychiatry 2024:2818401. [PMID: 38748415 PMCID: PMC11097104 DOI: 10.1001/jamapsychiatry.2024.0921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 03/06/2024] [Indexed: 05/18/2024]
Abstract
Importance Overweight and obesity affect 340 million adolescents worldwide and constitute a risk factor for poor mental health. Understanding the association between body mass index (BMI) and mental health in adolescents may help to address rising mental health issues; however, existing studies lack comprehensive evaluations spanning diverse countries and periods. Objective To estimate the association between BMI and mental health and examine changes over time from 2002 to 2018. Design, Setting, and Participants This was a repeated multicountry cross-sectional study conducted between 2002 and 2018 and utilizing data from the Health Behaviour in School-aged Children (HBSC) survey in Europe and North America. The study population consisted of more than 1 million adolescents aged 11 to 15 years, with all surveyed children included in the analysis. Data were analyzed from October 2022 to March 2023. Main Outcomes and Measures Mental health difficulties were measured by an 8-item scale for psychological concerns, scoring from 0 to 32, where a higher score reflects greater psychosomatic issues. BMI was calculated using weight divided by height squared and adjusted for age and sex. Data were fitted by multilevel generalized additive model. Confounders included sex, living with parents, sibling presence, academic pressure, the experience of being bullied, family affluence, screen time, and physical activity. Results Our analysis of 1 036 869 adolescents surveyed from 2002 to 2018, with a mean (SD) age of 13.55 (1.64) years and comprising 527 585 girls (50.9%), revealed a consistent U-shaped association between BMI and mental health. After accounting for confounders, adolescents with low body mass and overweight or obesity had increased psychosomatic symptoms compared to those with healthy weight (unstandardized β, 0.14; 95% CI, 0.08 to 0.19; unstandardized β, 0.27; 95% CI, 0.24 to 0.30; and unstandardized β, 0.62; 95% CI, 0.56 to 0.67, respectively), while adolescents with underweight had fewer symptoms (unstandardized β, -0.18; 95% CI, -0.22 to -0.15). This association was observed across different years, sex, and grade, indicating a broad relevance to adolescent mental health. Compared to 2002, psychosomatic concerns increased significantly in 2006 (unstandardized β, 0.19; 95% CI, 0.11 to 0.26), 2010 (unstandardized β, 0.14; 95% CI, 0.07 to 0.22), 2014 (unstandardized β, 0.48; 95% CI, 0.40 to 0.56), and 2018 (unstandardized β, 0.82; 95% CI, 0.74 to 0.89). Girls reported significantly higher psychosomatic concerns than boys (unstandardized β, 2.27; 95% CI, 2.25 to 2.30). Compared to primary school, psychosomatic concerns rose significantly in middle school (unstandardized β, 1.15; 95% CI, 1.12 to 1.18) and in high school (unstandardized β, 2.12; 95% CI, 2.09 to 2.15). Conclusions and Relevance Our study revealed a U-shaped association between adolescent BMI and mental health, which was consistent across sex and grades and became stronger over time. These insights emphasize the need for targeted interventions addressing body image and mental health, and call for further research into underlying mechanisms.
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Affiliation(s)
- Shanquan Chen
- International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Hao Zhang
- School of Public Health, Hangzhou Normal University, Hangzhou, China
| | - Min Gao
- Nuffield Department of Primary Care Health, University of Oxford, Oxford, United Kingdom
- National Institute for Health and Care Research Oxford Health Biomedical Research Centre, Oxford University Hospitals National Health Service Foundation Trust, Oxford, United Kingdom
| | - Daiane Borges Machado
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts
- Center of Data and Knowledge Integration for Health, Fiocruz, Salvador, Brazil
| | - Huajie Jin
- Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, London, United Kingdom
| | - Nathaniel Scherer
- International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Wei Sun
- School of Public Health, Hangzhou Normal University, Hangzhou, China
| | - Feng Sha
- Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, Guangdong, China
| | - Tracey Smythe
- International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, United Kingdom
- Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa
| | - Tamsin J. Ford
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
- Cambridgeshire and Peterborough National Health Service Foundation Trust, Cambridge, United Kingdom
| | - Hannah Kuper
- International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, United Kingdom
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Wang R, Ye B, Wang P. Appearance comparison on social networking sites and body shame: The role of negative body talk and perceived sociocultural influences on body image. J Health Psychol 2024:13591053241245100. [PMID: 38600686 DOI: 10.1177/13591053241245100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024] Open
Abstract
Social media platforms play a significant role in the lives of young people. While the usage of these platforms has grown, research exploring the challenges of body image remains limited. This study investigated whether initiating negative body talk functioned as an indirect pathway between appearance comparison on social media and body shame and whether perceived sociocultural influences from parents, friends, and media on body image moderated this indirect effect. An online cross-sectional survey of 795 Chinese college students (Mage = 20.17, SD = 1.65; 60% female, 40% male) was conducted. Negative body talk was a partial indirect pathway in the association, and this indirect effect was significant among those experiencing higher sociocultural pressures from all three sources. This study highlights the need for health psychology in understanding and addressing the mental health consequences associated with digital media and sociocultural influences on body image perception.
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Affiliation(s)
- Ruining Wang
- Jiangxi Normal University, China
- Central China Normal University, China
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Galeotti T, Marino C, Canale N, Scacchi L, Vieno A. Changing to Impress: Testing a Mediation Model from Instagram Self-presentation to Cosmetic Surgery. Aesthetic Plast Surg 2024; 48:764-773. [PMID: 37516709 PMCID: PMC10955015 DOI: 10.1007/s00266-023-03501-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 06/30/2023] [Indexed: 07/31/2023]
Abstract
BACKGROUND This study examined the relationship between false self-presentation on Instagram and consideration of cosmetic surgery through the mediating role of body image control in photos (BICP), photo manipulation, and body shame. We predicted that false self-presentation on Instagram was indirectly associated with cosmetic surgery intentions through the aforementioned constructs. METHODS A total of 504 young Italian adults (28.2% males, 18-30 years) completed an online survey. They completed a questionnaire containing the Self-presentation on Instagram Questionnaire, the Body Image Control in Photos Questionnaire-revised, the Photo Manipulation Scale, the Objectified Body Consciousness Scale, and the Acceptance of Cosmetic Surgery Scale. The pattern of associations between the constructs was analyzed via path analysis. RESULTS The results show that false self-presentation on Instagram was associated with photo manipulation, both directly and indirectly, through BICP. Furthermore, photo manipulation was linked to body shame, but neither of them was associated with cosmetic surgery intentions. Finally, false self-presentation on Instagram was associated with the consideration of cosmetic surgery only through the mediation of BICP. CONCLUSION Findings indicate that self-presentation styles might affect Instagram photo behaviors and individuals' cosmetic surgery intentions, suggesting that surgeons should fully examine patients' motivations before providing them with services. Furthermore, intervention programs encouraging users to present a more authentic version of themselves online might reduce the risk of self-objectification and reduce the consideration of procedures aimed at modifying one's body for purely aesthetic reasons. LEVEL OF EVIDENCE V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Tommaso Galeotti
- Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università degli Studi di Padova, Via Venezia, 8, 35131, Padova, Italy.
| | - Claudia Marino
- Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università degli Studi di Padova, Via Venezia, 8, 35131, Padova, Italy
| | - Natale Canale
- Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università degli Studi di Padova, Via Venezia, 8, 35131, Padova, Italy
| | - Luca Scacchi
- Dipartimento di Scienze Umane e Sociali, Università della Valle d'Aosta, Aosta, Italy
| | - Alessio Vieno
- Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università degli Studi di Padova, Via Venezia, 8, 35131, Padova, Italy
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4
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Zhang J, Marci T, Marino C, Canale N, Vieno A, Wang J, Chen X. Factorial validity of the problematic social media use scale among Chinese adults. Addict Behav 2024; 148:107855. [PMID: 37699324 DOI: 10.1016/j.addbeh.2023.107855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 08/10/2023] [Accepted: 09/02/2023] [Indexed: 09/14/2023]
Abstract
The Problematic Social Media Use Scale (PSMUS) is a promising self-report measure assessing problematic use of social media among adolescents and adults. However, data concerning its psychometrics are still scant, and adaptation in Eastern cultures is missing. This study aimed to test the factorial structure, internal consistency, and external validity of the Chinese version of the PSMUS in a sample of 672 adults (31% males) aged between 18 and 58. A series of confirmatory factor analyses supported the bifactor structure of the PSMUS, including a general factor and five specific independent components, namely preference for online social interactions, mood regulation, cognitive preoccupation, compulsive use, and negative outcomes. Hierarchical Omega supported the presence of a general factor, and also ancillary indexes suggested that the questionnaire is not strictly unidimensional. Subsequent structural equation modeling testing the incremental contribution of each PSMUS facet in predicting negative emotional states showed that, above and beyond the general factor, only one of the five dimensions (i.e., negative outcomes) significantly links to our criterion measure further support the use of an overall PSMU score. Moreover, results support the external validity of the questionnaire, given its positive association with depression, anxiety, and stress scores. The Chinese version of the PSMUS is a psychometric sound instrument to assess the level of PSMU in adults. Future research may evaluate the cross-cultural validity of the bifactor model and its associations with other assessment methods.
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Affiliation(s)
- Jiewen Zhang
- Department of Developmental and Social Psychology, University of Padua, Italy.
| | - Tatiana Marci
- Department of Developmental and Social Psychology, University of Padua, Italy
| | - Claudia Marino
- Department of Developmental and Social Psychology, University of Padua, Italy
| | - Natale Canale
- Department of Developmental and Social Psychology, University of Padua, Italy
| | - Alessio Vieno
- Department of Developmental and Social Psychology, University of Padua, Italy
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Çimke S, Yıldırım Gürkan D. Factors affecting body image perception, social media addiction, and social media consciousness regarding physical appearance in adolescents. J Pediatr Nurs 2023; 73:e197-e203. [PMID: 37722982 DOI: 10.1016/j.pedn.2023.09.010] [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: 01/07/2023] [Revised: 09/10/2023] [Accepted: 09/10/2023] [Indexed: 09/20/2023]
Abstract
PURPOSE This study was conducted cross-sectionally with the aim of determining the factors affecting adolescents' Appearance Related Social Media Consciousness Scale, Social Media Addiction Scale for Adolescents and Body Image Scale scores and the extent to which social media addiction and body image perception predict social media consciousness scores. DESIGN AND METHODS The population of this study consisted of adolescents between the ages of 12-18 years studying in the academic year 2022-2023. The study was completed with 1667 volunteer students. The Body Image Scale, Social Media Addiction Scale for Adolescents and Appearance Related Social Media Consciousness Scale were used to collect the data. RESULTS When the models were evaluated, it was determined that being female, increasing the time spent on the internet, sharing pictures frequently, using filters on pictures and being uncomfortable with the sharing of unfiltered pictures, and spending the most time on social media sites were strong predictors of Appearance Related Social Media Consciousness Scale, Social Media Addiction Scale for Adolescents and Body Image Scale scores. CONCLUSIONS As a result, in our study, as adolescents' negative body image perception and social media addiction increased, social media consciousness about appearance increased. PRACTICE IMPLICATIONS Nurses can determine risky groups according to the results of the study and organize trainings on body image perception, the effects of social media use and media literacy.
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Affiliation(s)
- Sevim Çimke
- Faculty of Health Sciences, Yozgat Bozok University, Turkey
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Fu W, Li R, Liang Y. The Relationship between Stress Perception and Problematic Social Network Use among Chinese College Students: The Mediating Role of the Fear of Missing Out. Behav Sci (Basel) 2023; 13:497. [PMID: 37366748 DOI: 10.3390/bs13060497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 05/31/2023] [Accepted: 06/08/2023] [Indexed: 06/28/2023] Open
Abstract
Based on the interaction of person-affect-cognition-execution model, this study examined the association between stress perception and problematic social network use among Chinese college students and explored the mediating effect of the fear of missing out (FoMO) on the relationship between stress perception and problematic social network use. A questionnaire survey was conducted among 554 students from nine universities in China. We found that stress perception was significantly positively correlated with problematic social network use and FoMO (r = 0.38, 0.46; p < 0.001), and FoMO was significantly positively correlated with problematic social network use (r = 0.45, p < 0.001). FoMO mediated the relationship between stress perception and problematic social network use. Conclusion: Stress perception has a negative impact on college students' problematic social network use via the mediating effect of FoMO. Practical implications that reveal the college students' problematic social network use were discussed as well.
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Affiliation(s)
- Wangqian Fu
- Faculty of Education, Beijing Normal University, Beijing 100875, China
| | - Rui Li
- School of Education, Beijing Sport University, Beijing 100091, China
| | - Yuqian Liang
- School of Social Development and Public Policy, Beijing Normal University, Beijing 100875, China
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7
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Dane A, Bhatia K. The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001091. [PMID: 36962983 PMCID: PMC10032524 DOI: 10.1371/journal.pgph.0001091] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 01/23/2023] [Indexed: 03/24/2023]
Abstract
Background Eating disorders are a group of heterogenous, disabling and deadly psychiatric illnesses with a plethora of associated health consequences. Exploratory research suggests that social media usage may be triggering body image concerns and heightening eating disorder pathology amongst young people, but the topic is under-researched as a global public health issue. Aim To systematically map out and critically review the existing global literature on the relationship between social media usage, body image and eating disorders in young people aged 10–24 years. Methods A systematic search of MEDLINE, PyscINFO and Web of Science for research on social media use and body image concerns / disordered eating outcomes published between January 2016 and July 2021. Results on exposures (social media usage), outcomes (body image, eating disorders, disordered eating), mediators and moderators were synthesised using an integrated theoretical framework of the influence of internet use on body image concerns and eating pathology. Results Evidence from 50 studies in 17 countries indicates that social media usage leads to body image concerns, eating disorders/disordered eating and poor mental health via the mediating pathways of social comparison, thin / fit ideal internalisation, and self-objectification. Specific exposures (social media trends, pro-eating disorder content, appearance focused platforms and investment in photos) and moderators (high BMI, female gender, and pre-existing body image concerns) strengthen the relationship, while other moderators (high social media literacy and body appreciation) are protective, hinting at a ‘self-perpetuating cycle of risk’. Conclusion Social media usage is a plausible risk factor for the development of eating disorders. Research from Asia suggests that the association is not unique to traditionally western cultures. Based on scale of social media usage amongst young people, this issue is worthy of attention as an emerging global public health issue.
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Affiliation(s)
- Alexandra Dane
- Institute for Global Health, University College London, London, United Kingdom
| | - Komal Bhatia
- Institute for Global Health, University College London, London, United Kingdom
- * E-mail:
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8
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van Oosten JM, Vandenbosch L, Peter J. Predicting the use of visually oriented social media: The role of psychological well-being, body image concerns and sought appearance gratifications. COMPUTERS IN HUMAN BEHAVIOR 2023. [DOI: 10.1016/j.chb.2023.107730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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9
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Yilmaz R, Sulak S, Griffiths MD, Yilmaz FGK. An Exploratory Examination of the Relationship Between Internet Gaming Disorder, Smartphone Addiction, Social Appearance Anxiety and Aggression Among Undergraduate Students. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2023. [DOI: 10.1016/j.jadr.2023.100483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
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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. Healthcare (Basel) 2022; 10:healthcare10122500. [PMID: 36554024 PMCID: PMC9778429 DOI: 10.3390/healthcare10122500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 11/23/2022] [Accepted: 12/06/2022] [Indexed: 12/14/2022] Open
Abstract
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.
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Schreurs L, Vandenbosch L. Different interactions with appearance-focused social media content and adolescents’ body dissatisfaction: A within-person perspective. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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12
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Jo H. Effects of Psychological Discomfort on Social Networking Site (SNS) Usage Intensity During COVID-19. Front Psychol 2022; 13:939726. [PMID: 35936310 PMCID: PMC9354781 DOI: 10.3389/fpsyg.2022.939726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 06/20/2022] [Indexed: 12/04/2022] Open
Abstract
To cope with the COVID-19 pandemic, many countries are implementing social measures. Social distancing, working from home, and non-face-to-face lectures have led to major changes in people's activities. Since face-to-face classes are restricted, students in higher education become to feel psychological and cognitive discomforts such as isolation and risk perception. The purpose of this study is to explore the effects of psychological discomforts on the social network site (SNS) usage intensity of University students. Using structural equation modeling (SEM), this study applied SmartPLS 3.3.9 to analyze 271 valid samples. The results show that the affective risk perception significantly affects social distancing attitude. Cognitive risk perception is positively related to social distancing intention. In addition, cabin fever syndrome influences SNS usage intensity, affective risk perception, and cognitive risk perception. In conclusion, psychological discomfort partially affects the intensity of SNS use. Therefore, the government should set policies by reflecting citizens' mental difficulties and SNS activities together. Moreover, companies are needed to carefully consider the risk of the sense of isolation when marketing to SNS users.
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Affiliation(s)
- Hyeon Jo
- Department of Strategic Planning, RealSecu, Busan, South Korea
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13
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Gao Q, Zheng H, Sun R, Lu S. Parent-adolescent relationships, peer relationships, and adolescent mobile phone addiction: The mediating role of psychological needs satisfaction. Addict Behav 2022; 129:107260. [PMID: 35151093 DOI: 10.1016/j.addbeh.2022.107260] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 12/05/2021] [Accepted: 01/19/2022] [Indexed: 12/12/2022]
Abstract
INTRODUCTION Prior studies have shown that parent-adolescent relationships and peer relationships may be important factors associated with adolescent mobile phone addiction (MPA). The present study aims to further explore the direct effects of parent-adolescent and peer relationships on adolescent MPA as well as the indirect effects through the mediating roles of autonomy, competence, and relatedness needs satisfaction. METHODS Our sample consisted of 1766 Chinese adolescents (53.10% male; Mage = 13.33, SD = 1.94, range from 10 to 18 years) who completed questionnaires regarding parent-adolescent relationships, peer relationships, psychological needs satisfaction, and MPA. SPSS 24.0 was used to analyze correlations among variables and Mplus 7.4 was used to test the structural equation model in this study. RESULTS (1) positive parent-adolescent relationships were negatively associated with adolescent MPA, while peer relationships did not show a significant association with MPA; (2) autonomy and competence needs satisfaction significantly mediated the effects of parent-adolescent and peer relationships on MPA, while the mediating role of relatedness need satisfaction between parent-adolescent and peer relationships and MPA was not significant; (3) the mediating effect of competence need satisfaction between peer relationships and MPA was significantly stronger than that between parent-adolescent relationships and MPA. CONCLUSIONS This study explored the different mechanisms by which parent-adolescent and peer relationships influence adolescent MPA. These discoveries may contribute to intervention and prevention programs for adolescent MPA.
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Affiliation(s)
- Qiufeng Gao
- Department of Sociology, School of Government, Shenzhen University, Shenzhen, China
| | - Haiyan Zheng
- Department of Sociology, School of Government, Shenzhen University, Shenzhen, China
| | - Ruimei Sun
- Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China; Center for Cognitive and Brain Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China.
| | - Sihan Lu
- Department of Sociology, School of Government, Shenzhen University, Shenzhen, China
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15
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Boursier V, Gioia F. Which are the Effects of Body-Objectification and Instagram-Related Practices on Male Body Esteem? A Cross-Sectional Study. CLINICAL NEUROPSYCHIATRY 2022; 19:8-19. [PMID: 35401765 PMCID: PMC8969847 DOI: 10.36131/cnfioritieditore20220103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVE According to the objectification framework, media pressure toward body models promotes the internalization of beauty ideals that negatively influence individuals' body image and self-esteem. Historically, women have been the main target of sociocultural pressures. However, research has recently suggested that self-objectification is a male phenomenon as well, which can be inscribed in men's body experiences. Nevertheless, fewer studies have specifically focused on the male experience and general consequences of body-objectification are yet to be extensively analyzed regarding males' body image features. The current cross-sectional study explores the consequences of body-objectification on male body esteem, specifically testing the predictive role of exercising/dietary habits, body-objectification features, and SNS-related practices on male body esteem. METHOD A total of 238 male participants (mean age = 24.28 years, SD = 4.32) have been involved in an online survey. Three hierarchical analyses were performed to test the influence of objectified body consciousness and social networking-related experiences (i.e. Instagram intensity use, photo manipulation, selfie feedback investment) on young men's body esteem with specific reference to the weight, appearance, and attribution features of the Body Esteem Scale. RESULTS Findings highlighted that body shame played an interesting key role, influencing negatively all the body esteem dimensions, thus highlighting that attention needs to be deserved on this feature of OBC regarding males' experience. On the contrary, appearance control-related dimensions positively influenced body esteem. Overall, findings confirmed that objectification theory can adequately mark a pathway by which media imagery is internalized also by men and may negatively affect their body esteem. CONCLUSIONS Despite some limitations, this study may contribute to enlarging our knowledge on male body image and self-objectification experience and support literature shattering the stereotype that body dissatisfaction is a "female-exclusive" issue. Likewise, beyond some questioning positions, these findings also encourage further exploration of a healthier "control dimension", including body appearance-related activities and beliefs.
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Affiliation(s)
- Valentina Boursier
- Department of Humanities, University of Naples “Federico II” via Porta di Massa, 1 – 80133 Naples, Italy,Corresponding author Dr. Valentina Boursier E-mail:
| | - Francesca Gioia
- Department of Humanities, University of Naples “Federico II” via Porta di Massa, 1 – 80133 Naples, Italy
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Revranche M, Biscond M, Husky MM. [Investigating the relationship between social media use and body image among adolescents: A systematic review]. Encephale 2021; 48:206-218. [PMID: 34801229 DOI: 10.1016/j.encep.2021.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 07/12/2021] [Accepted: 08/20/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVES This study aimed to update the scientific knowledge concerning the relationship between the use of social networking sites and body image among adolescents. METHODS A preregistered systematic review was conducted following PRISMA guidelines and allowed to include 30 peer-reviewed articles for qualitative analysis, consisting of 26 unique samples (n=31,331; Mage=14.89; SDage=1.07). The search was conducted on Pubmed, PsychInfo and Scopus focusing on studies that included any social network site use and body image measures while being based on general population adolescent samples. Social networking site use referred: 1) to any online activities such as browsing, posting, editing selfies, liking, commenting; 2) to any exposure to appearance-related content; or 3) to a measure of frequency use. The scope of social networking sites considered in the present review was extended to online video-sharing platforms and online dating applications due to their relationship with appearance. Body image as considered through MeSH terms referred to a wide range of possible outcomes including body and facial dissatisfaction, dysmorphophobia, body surveillance, self-objectification, body shame, weight concerns, self-monitoring. Any mental health outcome was extracted when available although its absence was not an exclusion criterion.. RESULTS Among the 30 studies included in the review, 22 were cross-sectional, seven were longitudinal and one had an experimental design. Overall, among studies based on unique samples, 18 studies included both males and females (n=28,081; Mage 14.84; SDage=1.06), seven were based exclusively on female samples (n=2,507; Mage 14.87; SDage=1.19), while one study recruited only male adolescents (n=743; Mage 15.90; SDage=0.54). Only six studies were based on representative samples. These studies reported a robust association between frequency of social networking site use and negative body image among both females and males. In addition, exposure to appearance-related content was also deleterious to body image. The association between the use of social media and negative body image may involve negative mental health outcomes, such as depressive symptoms, low body esteem and problematic use of social media. Measuring specific activities on social network sites or exposure to appearance-related content (e.g. selfies editing; selfies posting) may be more accurate than using a frequency of overall use (e.g. during the past month) when predicting body image. Studies addressing underlying processes supported that the relationship between use of social media and body image may not be direct but rather involve intermediary steps on both cognitive and social levels, namely internalization of the thin ideal, self-objectification, peer appearance-related feedback, ascendant social comparison with peers and celebrities. Also, it remains unclear whether mental health mediates this relationship. CONCLUSIONS The association between the use of social networking sites and negative body image is robustly supported in the literature. However, studies measuring frequency of overall use may instead be predicting negative body image with a nested measure of the use of social network sites, namely specific activities involving appearance-related content. Due to the observed discrepancies between self-reported frequency of social networking site use and actual use in methodological literature, future research may rather measure behaviors commonly encountered on a given platform. Furthermore, there is a need to distinguish specific site categories such as highly visual social media when focusing on body image outcomes. . Focusing on specific social media platforms may in turn lead to more targeted prevention regarding a safe utilization of social networking sites among adolescents. Despite the growing body of research concerning the association between social media and body image, the current review underlines that additional longitudinal and experimental studies are needed to investigate potential bidirectional effects, as well as studies based on representative samples to improve generalization to adolescent populations.
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Affiliation(s)
- M Revranche
- Laboratoire de psychologie EA4139, université de Bordeaux, 3, place de la Victoire, 33076 Bordeaux, France
| | - M Biscond
- Laboratoire de psychologie EA4139, université de Bordeaux, 3, place de la Victoire, 33076 Bordeaux, France
| | - M M Husky
- Laboratoire de psychologie EA4139, université de Bordeaux, 3, place de la Victoire, 33076 Bordeaux, France.
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17
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Vall-Roqué H, Andrés A, Saldaña C. The impact of COVID-19 lockdown on social network sites use, body image disturbances and self-esteem among adolescent and young women. Prog Neuropsychopharmacol Biol Psychiatry 2021; 110:110293. [PMID: 33662532 PMCID: PMC8569938 DOI: 10.1016/j.pnpbp.2021.110293] [Citation(s) in RCA: 57] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 02/24/2021] [Indexed: 12/21/2022]
Abstract
OBJECTIVE This study aimed to determine the impact of COVID-19 lockdown on social network sites (SNS) use and to explore whether SNS use is associated with body image disturbances and low self-esteem. METHODS A total of 2601 women living in Spain aged 14-35 years completed questionnaire measures of SNS use, self-esteem, body dissatisfaction and drive for thinness. In the survey, participants were asked about their use of SNS at the moment of answering the survey and before lockdown. RESULTS A statistically significant increase was found in the frequency of use of all studied SNS (Instagram, YouTube, TikTok, Twitter and Facebook) during lockdown, as well as in the number of women following appearance-focused Instagram accounts. Moreover, significant relationships were found between the frequency of Instagram use and body dissatisfaction, drive for thinness and low self-esteem in the younger age group (14-24), and between the frequency of Instagram use and drive for thinness in the older age group (25-35). Following appearance-focused accounts on Instagram was related to body dissatisfaction and drive for thinness in the younger group, and only to drive for thinness in the older group (25-35). Following appearance-focused accounts on Instagram and a higher frequency of use of Instagram significantly predicted higher levels of drive for thinness. CONCLUSION These results suggest that lockdown has had an impact on SNS use, and this might be linked to increased drive for thinness and eating disorder risk among adolescent and young women.
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Affiliation(s)
- Helena Vall-Roqué
- Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona. Passeig Vall d'Hebron, 171, 08035 Barcelona, Spain.
| | - Ana Andrés
- Faculty of Psychology, Education and Sport Sciences, Blanquerna, Ramon Llull University. C. Císter, 34, 08022 Barcelona, Spain.
| | - Carmina Saldaña
- Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona. Passeig Vall d'Hebron, 171, 08035 Barcelona, Spain; Institute of Neurosciences, University of Barcelona. Passeig Vall d'Hebron, 171, 08035 Barcelona, Spain.
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18
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Musetti A, Starcevic V, Boursier V, Corsano P, Billieux J, Schimmenti A. Childhood emotional abuse and problematic social networking sites use in a sample of Italian adolescents: The mediating role of deficiencies in self-other differentiation and uncertain reflective functioning. J Clin Psychol 2021; 77:1666-1684. [PMID: 33837547 PMCID: PMC8252635 DOI: 10.1002/jclp.23138] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 02/03/2021] [Accepted: 03/25/2021] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Childhood emotional abuse (CEA) is associated with various negative mental health outcomes. This study aimed to investigate the association between CEA and problematic social networking site (SNS) use in a sample of Italian adolescents. DESIGN Using structural equation modeling, the study examined whether the relationship between CEA and problematic SNS use was sequentially mediated by self-other differentiation and uncertain reflective functioning in 1308 Italian adolescents (628 males, age range 13-19 years). RESULTS A history of CEA was positively associated with problematic SNS use. Furthermore, deficiencies in self-other differentiation and uncertain reflective functioning partially mediated the relationship between CEA and problematic SNS use. CONCLUSIONS The present study provides additional insight into the psychological dynamics underpinning problematic SNS use among adolescents. The clinical implications of these findings are discussed.
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Affiliation(s)
- Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural IndustriesUniversity of ParmaParmaItaly
| | - Vladan Starcevic
- Faculty of Medicine and Health, Sydney Medical School, Nepean Clinical School, Discipline of PsychiatryUniversity of SydneySydneyNew South WalesAustralia
| | | | - Paola Corsano
- Department of Humanities, Social Sciences and Cultural IndustriesUniversity of ParmaParmaItaly
| | - Joël Billieux
- Institute of PsychologyUniversity of Lausanne, GeopolisLausanneSwitzerland
- Centre for Excessive GamblingLausanne University Hospitals (CHUV)LausanneSwitzerland
| | - Adriano Schimmenti
- Faculty of Human and Social SciencesUKE—Kore University of Enna, Cittadella UniversitariaEnnaItaly
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Ruiz MJ, Sáez G, Villanueva-Moya L, Expósito F. Adolescent Sexting: The Role of Body Shame, Social Physique Anxiety, and Social Networking Site Addiction. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2021; 24:799-805. [PMID: 34191601 DOI: 10.1089/cyber.2020.0719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The aim of this study was to analyze the relationship between body shame and participation in sexting among adolescents by examining the mediational roles of social physique anxiety and misuse of social networking sites (SNSs). Four hundred thirty-nine adolescents completed self-report measures for assessing their levels of body shame, social physique anxiety, SNS addiction symptoms, and sexting participation. Female adolescents reported higher scores in body shame, social physique anxiety, and SNS addiction symptoms, whereas male adolescents reported higher participation in sexting behaviors. In addition, gender did not moderate the relationship between body shame and higher sexting behaviors. Finally, the results showed an indirect (but not a direct) association between body shame and sexting behaviors through social physique anxiety and SNS addiction symptoms. These findings provide empirical evidence for the development of sexting prevention programs that are focused on body acceptance with the aim of reducing body shame, social physique anxiety, and SNS addiction.
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Affiliation(s)
- Manuel J Ruiz
- Department of Psychology and Anthropology, University of Extremadura, Badajoz, Spain
| | - Gemma Sáez
- Department of Psychology and Anthropology, University of Extremadura, Badajoz, Spain
| | - Laura Villanueva-Moya
- Department of Social Psychology, Mind, Brain and Behavioral Research Center (CIMCYC), Faculty of Psychology, University of Granada, Granada, Spain
| | - Francisca Expósito
- Department of Social Psychology, Mind, Brain and Behavioral Research Center (CIMCYC), Faculty of Psychology, University of Granada, Granada, Spain
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20
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Gioia F, McLean S, Griffiths MD, Boursier V. Adolescents’ selfie-taking and selfie-editing: A revision of the photo manipulation scale and a moderated mediation model. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01702-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Abstract‘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.
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21
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Gioia F, Fioravanti G, Casale S, Boursier V. The Effects of the Fear of Missing Out on People's Social Networking Sites Use During the COVID-19 Pandemic: The Mediating Role of Online Relational Closeness and Individuals' Online Communication Attitude. Front Psychiatry 2021; 12:620442. [PMID: 33679479 PMCID: PMC7930823 DOI: 10.3389/fpsyt.2021.620442] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 01/28/2021] [Indexed: 12/18/2022] Open
Abstract
Forced isolation induced by COVID-19 pandemic dramatically impacted individuals' well-being, reducing the opportunities for social encounters, consequently resulting in a greater use of social media in order to maintain social relationships. Although the range of friend-related activities appeared to be severely constrained during quarantine, the Fear of Missing Out (FoMO) needs to be carefully examined, especially in relation to problematic social networking site use (PSNSU). Indeed, FoMO might enhance individuals' need to stay connected and communicate with other people, leading to PSNSU, in order to face the fear of being invisible in the world of social media in circumstances of physical isolation. The present study sought to evaluate the predictive role of FoMO on PSNSU during the COVID-19 pandemic, testing the mediating effect of online relational closeness and online communication attitude. A total of 487 Italian adults (59.3% women), aged between 18 and 70 years (mean age = 29.85 years; SD = 9.76), responded to an online survey during the period of COVID-19 pandemic lockdown in Italy. The survey included self-report measures assessing perceived FoMO, online communication attitude, relational closeness with online friends, and PSNSU. Participants declared they spent significantly more time social networking during the pandemic, particularly women. The total model accounted for a significant amount of variance in participants' PSNSU [R 2 = 0.54; F (9, 447) = 58.285, p < 0.001). Despite the other people's social rewarding experiences had been drastically reduced by the lockdown, findings showed a direct effect of FoMO on PSNSU. Moreover, FoMO had an effect on online communication attitude and online relational closeness, although only online communication attitude predicted, in turn, PSNSU. Conversely, relational closeness on social networking sites did not predict PSNSU. The present study suggests that, during COVID-19 lockdown, FoMO levels may have strengthened attitudes toward online communication, which, in turn, may have put some individuals at risk of PSNSU.
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Affiliation(s)
- Francesca Gioia
- Department of Humanities, University of Naples Federico II, Naples, Italy
| | - Giulia Fioravanti
- Department of Health Sciences, School of Psychology, University of Florence, Florence, Italy
| | - Silvia Casale
- Department of Health Sciences, School of Psychology, University of Florence, Florence, Italy
| | - Valentina Boursier
- Department of Humanities, University of Naples Federico II, Naples, Italy
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22
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Griffiths MD. Internet use disorders: What's new and what's not? •. J Behav Addict 2020; 9:934-937. [PMID: 33011713 PMCID: PMC8969711 DOI: 10.1556/2006.2020.00072] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 09/05/2020] [Accepted: 09/14/2020] [Indexed: 12/24/2022] Open
Abstract
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.
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Affiliation(s)
- Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, School of Social Sciences, Nottingham Trent University, 50 Shakespeare Street, Nottingham NG1 4FQ, United Kingdom,Corresponding author.
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23
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Yao L, Niu G, Sun X. Body Image Comparisons on Social Networking Sites and Chinese Female College Students’ Restrained Eating: The Roles of Body Shame, Body Appreciation, and Body Mass Index. SEX ROLES 2020. [DOI: 10.1007/s11199-020-01179-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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24
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Caso D, Miriam C, Rosa F, Mark C. Unhealthy eating and academic stress: The moderating effect of eating style and BMI. Health Psychol Open 2020; 7:2055102920975274. [PMID: 33294205 PMCID: PMC7708726 DOI: 10.1177/2055102920975274] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
This study aimed to evaluate the relationship between stress and unhealthy eating among undergraduate students, considering the moderation effects of BMI, eating style, and nationality. A total of 748 Italian and French students completed self-report measures of academic stress, emotional eating, restrained eating, BMI, and unhealthy eating intake. Results showed that academic stress increased unhealthy food consumption in Italian students, whereas it reduced junk food consumption in French students. Negative emotional eating and BMI moderated, respectively, the impact of academic stress on sweet food intake and snacking. Finally, no clear support was found for the moderation role of restrained eating.
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Use of Instagram by Pre-Service Teacher Education: Smartphone Habits and Dependency Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17114097. [PMID: 32521781 PMCID: PMC7312577 DOI: 10.3390/ijerph17114097] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 06/04/2020] [Accepted: 06/06/2020] [Indexed: 11/22/2022]
Abstract
It is increasingly common to upload photographs on the Internet of sports practices carried out. However, this behavior can be related to smartphone addiction, which has become a global problem. In turn, the intensive use of the Instagram social network has begun to be linked to addictive behaviors on mobile devices. The purposes of this paper were to analyze the Instagram usage habits of future primary school teachers, to determine the influence of sociodemographic factors on intensive Instagram use and smartphone addiction, and to determine the influence of intensive Instagram use on smartphone addiction. For this purpose, a transversal design was adopted where two standardized scales were applied to a sample of university students of the Primary Education Degree of the University of Granada, Spain (n = 385). The results showed that the type of image most uploaded to this social network was the selfie, well above sport. Furthermore, the structural equation model highlighted the significant influence of the intensive use of Instagram and smartphone addiction. Finally, the implications and findings of this study are discussed, highlighting the importance of generating healthy habits regarding the use of technology.
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26
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Boursier V, Gioia F. Women's Pathological Narcissism and its Relationship with Social Appearance Anxiety: The Mediating Role of Body Shame. CLINICAL NEUROPSYCHIATRY 2020; 17:164-174. [PMID: 34908988 PMCID: PMC8662714 DOI: 10.36131/cnfioritieditore20200304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Attention to personal appearance and observers' judgments are integral components of narcissism. However, empirical evidence focused on the association between grandiose/vulnerable traits of narcissism and social appearance anxieties is limited. Moreover, body shame represents a topic of debated interest in the field of narcissism and women's experience of self-consciousness. The aim of the present study is to evaluate the unexplored relationship between covert and overt facets of pathological narcissism and social appearance anxiety, analyzing the mediating role of objectified body shame. METHOD Pathological vulnerable and grandiose narcissism, social appearance anxiety and body shame were assessed in a convenience sample of 775 young women (M=24.1, SD=4.52). RESULTS Body shame fully mediated the association between pathological narcissism and social appearance anxiety, especially for vulnerable narcissists' women. CONCLUSIONS As expected, vulnerable narcissism had a positive association with social appearance anxieties, and body shame acted as a mediating risky factor. Moreover, as hypothesized and differently from recent findings, also overt narcissism was related to body shame and appearance anxieties. These findings suggest that feelings of shame are essential to deeper understand the narcissistic core features and outcomes. Research and clinical implications are discussed.
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Affiliation(s)
- Valentina Boursier
- Department of Humanities, University of Naples “Federico II” Via Porta di Massa, 1 - 80133 Naples, Italy
| | - Francesca Gioia
- Department of Humanities, University of Naples “Federico II” Via Porta di Massa, 1 - 80133 Naples, Italy
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