The impact of no-makeup selfies on young women's body image

Attachment style to body dissatisfaction, restrained eating, and disordered eating in adolescent girls: Differential weight communication mediators

Body dissatisfaction and eating behaviors are disproportionately elevated amongst adolescent girls. Family relationships represent a context in which adolescent girls' body image issues emerge. Thus, we integrated attachment and confirmation theories to examine whether weight related supportive messages (i.e., acceptance and challenge) mediated the relationship between attachment style (i.e., anxiety and avoidance) and body image outcomes (i.e., body dissatisfaction (BD), restrained eating (RE), and disordered eating (DE)). Acceptance refers to weight related support that is characterized by warmth and accepting messages; challenge refers to weight related support that is characterized by instrumental assistance and problem-solving messages. A sample of 106 adolescent girls, ages 11 to 21, completed self-report measures on attachment (Relationship Structures Questionnaire), acceptance and challenge (weight related Parental Behavior Questionnaire), body dissatisfaction (Eating Disorders Inventory), and eating behaviors (Dutch Eating Behavior Questionnaire; Eating Disorder Diagnostic Scale). Attachment anxiety directly related to all body image outcomes, whereas attachment avoidance only directly related to RE. Attachment avoidance only related to BD and DE indirectly through perceived acceptance. Those with high anxiety endorsed lower perceived challenge, whereas avoidant individuals endorsed lower perceived acceptance and challenge. We concluded that attachment dimension characteristics to be either hyperactivated regarding relationships (i.e., anxiety), or deactivated and distant (i.e., avoidance), are associated with how individuals perceive support, and in turn, are related to body image and eating behavior outcomes. Further, we clarify the differential roles of acceptance and challenge. Although both supportive, acceptance encompasses a layer of warmth that is more meaningful in body image, particularly for avoidantly attached individuals. By integrating qualities of attachment and supportive weight communication, we reveal that potential pathways of attachment to body image and eating behaviors.

Retouched or Unaltered? That is the Question. Body Image and Acceptance of Cosmetic Surgery in Young Female Instagram Users

BACKGROUND

Viewing Instagram altered images of attractive women has negative effects on women's body image. This study examined the effects of exposure to a 'before' and 'after' retouched image, in combination with a disclaimer, on female Instagram users' thin-ideal internalization, body dissatisfaction and acceptance of cosmetic surgery.

METHODS

An experimental design with a control group without pretesting was adopted. Participants (N = 105) were randomly assigned to one of three groups: Group 1 was exposed to a replica of an Instagram post with an enhanced image of a woman; Group 2 was shown the same enhanced image and the original one in combination with a disclaimer that the enhanced image had been digitally edited; Group 3 (the control) was exposed to a neutral image.

RESULTS

The MANOVA showed that participants in Group 2 reported lower levels of thin-ideal internalization and acceptance of cosmetic surgery for social reasons compared to those in Group 1. Contrary to our hypothesis, the degree of body dissatisfaction was not significantly different among the three groups.

CONCLUSIONS

The present study could be promising for the development of brief interventions aimed at reducing the negative effects of Instagram exposure on young women's body image.

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 .

Why do people post when they or others are under risk or threat? Sociological and psychological reasons

Introduction

Advances in technology make it easier for users to post content on social media. People can post different types of content in digital environments. Sometimes, they post such content in risky situations. Accordingly, this study aims to determine the sociological and psychological reasons why people record dangerous occurrences where they or other people are under risk or threat and post these recordings on social media.

Methods

This study aimed to answer five research questions. a) Why do individuals use social media? b) Why do people post on social media? c) What types of posts do people share on social media? d) What are the possible psychological reasons that push people to share such occurrences on social media? e) Why do individuals feel the need to record and share dangerous occurrences while under risk or danger? This study was conducted on the basis of a case study design, and interviews were conducted with two psychiatrists, two specialist clinical psychologists, and two sociologists.

Results

After the interviews, the reasons why individuals use social media platforms and post on the said platforms were laid out. It can be argued that the most prominent reason behind individuals' tendency to post while under risk or threat is isolation and inability to help.

Intervening on Social Comparisons on Social Media: Electronic Daily Diary Pilot Study

BACKGROUND

Literature has underscored the dark aspects of social media use, including associations with depressive symptoms, feelings of social isolation, and diminished self-esteem. Social comparison, the process of evaluating oneself relative to another person, is thought to contribute to these negative experiences such that people with a stronger tendency to compare themselves with others are particularly susceptible to the detrimental effects of social media. Social media as a form of social connection and communication is nevertheless an inevitable-and arguably integral-part of life, particularly for young adults. Therefore, there is a need to investigate strategies that could alter the manner in which people interact with social media to minimize its detrimental effects and maximize the feelings of affiliation and connection.

OBJECTIVE

This pilot study examined the feasibility, acceptability, and effectiveness of a brief web-based intervention designed to alter engagement with social media and promote psychological well-being by encouraging social savoring as an alternative to social comparison. Social savoring was operationalized as experiencing joyful emotions related to the happiness of someone else's experiences (ie, feeling happy for someone else).

METHODS

Following an intensive longitudinal design, 55 college students (mean age 19.29, SD 0.93 years; n=43, 78% women and n=23, 42% White) completed baseline measures (individual differences, psychological well-being, connectedness, and social media use) and then 14 days of daily surveys on their social media activity and well-being. On day 8, the group that was randomized to receive the intervention watched a video instructing them on the skill of social savoring and was asked to practice this skill during days 8 to 14.

RESULTS

Overall, participants reported positive perceptions of the intervention. Participants who watched the intervention video reported significantly higher performance self-esteem (P=.02) at posttest than those in the control condition, after controlling for baseline levels. Participants also reported significantly higher state self-esteem (P=.01) on days in which they engaged in more social savoring while using social media, and the use of social savoring increased significantly (P=.01) over time, suggesting that participants found it helpful. Participants in both conditions reported significantly lower levels of social comparison (control: P=.01; intervention: P=.002) and higher levels of connectedness (control: P<.001; intervention: P=.001) at posttest than at baseline.

CONCLUSIONS

Initial evidence from this pilot study suggests that a web-based social savoring intervention may help minimize the potentially harmful consequences of social media use, at least in some domains. Future work is needed to examine the effectiveness and acceptance of this intervention in different age groups and in clinical samples that are in part characterized by higher levels of comparison with others (eg, people with eating disorders).

"I wanna look like the person in that picture": Linking selfies on social media to cosmetic surgery consideration based on the tripartite influence model

Based on the tripartite influence model, the present study linked investment in others' selfies on social media to facial dissatisfaction and cosmetic surgery consideration. We also tested the mediating role of appearance comparisons and general attractiveness internalization in these relationships. Additionally, potential gender differences in the proposed model were examined. A sample of 884 Chinese adolescents (mean age = 16.80 ± 0.92, ranging from 14 to 19 years old) completed self-reported measures of investment in others' selfies, appearance comparisons, general attractiveness internalization, facial dissatisfaction, and cosmetic surgery consideration. Results showed that investment in others' selfies was positively associated with facial dissatisfaction and cosmetic surgery consideration. Path analysis further revealed that investment in others' selfies was associated with appearance comparisons and general attractiveness internalization, which in turn were associated with facial dissatisfaction, and then facial dissatisfaction was related to cosmetic surgery consideration. Additionally, there were indirect associations between investment in others' selfies and cosmetic surgery consideration via general attractiveness internalization and facial dissatisfaction respectively, but not via appearance comparisons. No gender difference was found in the proposed model. Findings of the present study provide preliminary support for the tripartite influence model in the context of investment in others' selfies on social media and cosmetic surgery consideration and enrich the literature on body image and cosmetic surgery in the Chinese context.

Social Comparison and Female Adolescents' Selfie Behaviors: Body Surveillance as the Mediator and Self-Esteem as the Moderator

The current study aimed to examine whether body surveillance mediated the relation between social comparison and selfie behaviors, and whether this mediating process was moderated by self-esteem. A sample of 339 female adolescents were recruited to participate in the present study and completed self-report measures of selfie behaviors, upward and downward appearance comparisons with peers, self-objectification and self-esteem. Results indicated that body surveillance mediated the association between upward physical appearance comparison and selfie behaviors. In addition, self-esteem moderated the relation between body surveillance and selfie behaviors. These findings add to the extant literature by suggesting that selfies may be some new ways of body surveillance and physical appearance comparison, which have some theoretical and practical implications.

The impact of #beauty and #self-compassion tiktok videos on young women's appearance shame and anxiety, self-compassion, mood, and comparison processes

This study examined the impact of exposure to beauty, self-compassion, and travel (control) TikTok videos on young women's face-related appearance shame and anxiety, self-compassion, mood, upward appearance comparisons and thoughts. Undergraduate women (N = 115) were randomly assigned to view one of three compilation TikTok videos on either beauty tips, self-compassion strategies, or travel destinations. Upward appearance comparisons and thoughts were assessed at post-test only given the items related to video exposure; all other measures were assessed at pre- and post-test. Controlling for pre-test measures, results showed that face-related appearance shame and anxiety, and negative mood were higher, whereas self-compassion was lower in the beauty group relative to the travel control and self-compassion groups. Self-compassion was higher in the self-compassion group relative to the travel control. Women in the beauty group reported more upward appearance comparisons and appearance thoughts relative to women in the travel control and self-compassion groups. The self-compassion group reported more appearance thoughts relative to the travel control. Findings contribute to prior research by showing that brief exposure to beauty TikToks may have a negative effect on how young women feel about their appearance, but also how self-compassion videos may help young women feel more compassionate toward themselves.

Can following body positive or appearance neutral Facebook pages improve young women's body image and mood? Testing novel social media micro-interventions

Small changes to social media use could have a large impact across the population. The present study tested novel social media micro-interventions (i.e., brief content delivered in everyday life) in which young women (N = 159) were instructed to either (1) follow a body positive Facebook group, (2) follow an appearance neutral Facebook group, or (3) use Facebook as usual. Relevant content was posted to the Facebook groups three times per day for two weeks. Primary outcomes were trait body image (body dissatisfaction and appreciation) and mood, and secondary outcomes were trait self-objectification, appearance comparison tendency, and body activism. Outcomes were assessed across three timepoints: pre-test (T1), post-test (T2) after the 14-day intervention period, and follow-up (T3) 4-weeks after T2. Participants in both the body positive and appearance neutral conditions reported decreased body dissatisfaction from T1 to T2 (small-medium effects) and participants in the body positive condition reported decreased appearance comparisons from T1 to T2 (medium effect). There were no changes for those variables from T2 to T3. No other significant differences were found. Viewing a small number of body positive or appearance neutral posts on social media may be an effective inexpensive micro-intervention for improving young women's body image.

Exploring the quality of life of cosmetic users: A cross-sectional analysis from eight Arab countries in the Middle East

BACKGROUND

The use of cosmetic products is growing in dominance in the Arab population, making it essential to measure its effects on users. The production of cosmetics has been largely driven by consumerism and a bid to keep abreast with the latest trends in the beauty industry with less attention on how the users' quality of life (QoL) is affected.

AIMS

This study aims to investigate the effect of cosmetic products on users' quality of life in eight Arab countries.

METHODS

A cross-sectional study was carried out using an online data collection approach. A validated and specialist instrument tool called BeautyQoL, which consists of five domains and a total of 52 questions, was distributed to a sample of 2219 cosmetic users. Descriptive and inferential statistical analysis was done using SPSS® version 26.0.

RESULTS

The mean age of participants was 34 ± 11.25 years, and more women were represented in the sample (71%) than men. The majority of respondents had oily skin type (39.6%) and tan skin tone (30.4%). QoL through cosmetic use is computed with a mean score of 51 out of 100. The users' mean score satisfaction from cosmetic use is centred on attractiveness (56.1), followed by self-confidence (51.8). Cosmetics have a statistically significant effect on participants who are young adults, women, single, and employed with high income. As the respondents' skin tone deepens from very fair to dark, the mean score for each domain significantly increases, whereas when skin type changes from very oily to dry, the mean score for each domain decreases.

CONCLUSION

The effect of cosmetics on the users' QoL is limited, contrary to the narrative commonly portrayed in cosmetics' advertisements. Therefore, the use of cosmetics among the Arab population should be from an informed perspective of their specific needs instead of conforming to the viral trends pedaled by influencers and bloggers on social media, which might be irrelevant for them.

Does #beauty have a dark side? Testing mediating pathways between engagement with beauty content on social media and cosmetic surgery consideration

Beauty content on social media has grown exponentially, however research has yet to investigate its association with appearance concerns. This study drew on components of the tripartite influence model to test the associations between young women's engagement with beauty content on social media and cosmetic surgery consideration. A sample of 399 undergraduate women aged 17-25years (M_age = 19.36) completed measures of beauty social media engagement, upward appearance comparison, general attractiveness internalization, dysmorphic appearance concerns, and consideration of cosmetic surgery. Path analysis was used to test direct and indirect associations. In line with the tripartite influence model, results supported a serial mediation model that comprised significant paths from beauty social media engagement through in turn, upward appearance comparison, general attractiveness internalization, and dysmorphic appearance concerns, to cosmetic surgery consideration. However, neither general attractiveness internalization nor dysmorphic appearance concerns mediated the link between beauty social media engagement and consideration of cosmetic surgery. Findings provide new insights into the links between engagement with the growing beauty social media trend and cosmetic surgery consideration.

Effects of short-video use on undergraduates’ weight- loss intention: a regulatory mediation model

This research intends to explore the effects of short video use on college students’ weight loss intentions, and its intrinsic mechanism of action, based on the responses of 1268 students from three universities in southwest China to questionnaires with the instruments of a sports participation scale, body image scale, self-esteem scale and weight loss intention scale. The findings are listed as follows: 1) Short video use can significantly and positively predict weight loss intention; 2) Body image mediates the relationship between short video usage and weight loss intentions; 3) Self-esteem plays a regulatory effect as the direct path between short video use and weight loss intention as well as partial mediation effect of body image. The direct effect of short video use on weight loss intentions and the mediating effect of body image gradually increased with the decrease of self-esteem. The results of the study suggest that short video use can affect the weight loss intentions of college students through either a direct or indirect path created by the mediating role of body image. Meanwhile, the influence of self-esteem on weight loss intention can’t be ignored, which is another key factor that affects college students’ weight loss intentions beyond short video use and body image.

Digital modification and body image on social media: Disclaimer labels, captions, hashtags, and comments

Social media have become a major part of contemporary life. They are also a potent source of idealized and unrealistic imagery. Contributing to the lack of realism is the ability to digitally modify photos by applying a filter or editing software. One strategy suggested to counteract the negative consequences of idealized imagery on body image is the addition of a disclaimer label informing the viewer when an image has been digitally altered. The present paper brings together and presents an overview of the existing research on the consequences for body image of digital manipulation and the addition of disclaimers in a variety of types to images on social media. It concludes that disclaimers are an ineffective means of protecting body satisfaction against exposure to idealized social media images. Based on the overview, nine avenues for future research are identified.

The contrasting effects of body image and self-esteem in the makeup usage

Women wearing makeup are perceived by others as more attractive, competent, dominant, and more socially prestigious. Individuals differ in how much and how frequently they use makeup. Some studies show that women with lower self-esteem use more makeup, probably to hide imperfections. However, women with higher self-esteem can also use makeup to attract attention. This study verified whether social and general self-esteem and body image are associated with makeup usage in Brazilian women. We collected data from 1,483 women (Mage = 31.08; SD = 11.15) about body image (appearance orientation and appearance evaluation), social self-esteem, general self-esteem, and makeup usage (frequency of makeup usage, time spent applying makeup per day, and money spent on makeup per month). Appearance orientation positively predicted frequency of makeup usage, time spent applying makeup, and money spent on makeup, whereas appearance evaluation inversely predicted money spent on makeup per month. Social self-esteem and general self-esteem also positively predicted money spent on makeup, but in different directions. The results suggest that the significance given to appearance and social interactions are importantly associated with makeup usage in women.

Critical measurement issues in the assessment of social media influence on body image

Progress towards understanding how social media impacts body image hinges on the use of appropriate measurement tools and methodologies. This review provides an overview of common (qualitative, self-report survey, lab-based experiments) and emerging (momentary assessment, computational) methodological approaches to the exploration of the impact of social media on body image. The potential of these methodologies is detailed, with examples illustrating current use as well as opportunities for expansion. A key theme from our review is that each methodology has provided insights for the body image research field, yet is insufficient in isolation to fully capture the nuance and complexity of social media experiences. Thus, in consideration of gaps in methodology, we emphasise the need for big picture thinking that leverages and combines the strengths of each of these methodologies to yield a more comprehensive, nuanced, and robust picture of the positive and negative impacts of social media.

Broad conceptualisations of beauty do not moderate women's responses to body positive content on instagram

Body positive content on Instagram may act as an antidote to the frequent depictions of thin and digitally modified images of women. Body positivity challenges narrow ideals by promoting diverse appearances and encouraging body appreciation. We examined the effects of congruent body positive messaging (unedited images of a diverse range of women presented with and without body acceptance captions) on state body image. This was the first study to investigate the moderating role of trait broad conceptualisation of beauty; a core component of body positive content and theories. Women 18-30 years (N = 233) were randomly assigned to view Instagram images of diverse women (e.g., varied body sizes, shapes, skin colour), either presented with or without body positive captions, or cityscape images. Pre- and post-test measures were taken of state body appreciation, appearance satisfaction, and positive mood, in addition to social comparison measures. Body appreciation and positive mood increased in all conditions. Appearance satisfaction only increased in the body positive conditions, with a larger effect size in the caption condition. Holding broad conceptualisations of beauty did not moderate findings. Captions did not change direction or amount of social comparison. Findings suggest that congruent body positive content may increase appearance satisfaction in viewers.

Photo manipulation as a predictor of facial dissatisfaction and cosmetic procedure attitudes

Photo manipulation (editing photos prior to sharing them) has become increasingly popular on social media. While intended to enhance a photo's quality, this behaviour has been linked to heightened body image concerns. The present study investigated whether social media photo manipulation predicts facial dissatisfaction, attitudes towards cosmetic procedures, and intentions to undergo facial cosmetic procedures in young women, and the moderating role of self-discrepancy therein. Australian women (N = 227, 17-25 years) completed an online cross-sectional questionnaire. Social media photo manipulation was associated with greater facial dissatisfaction, cosmetic procedure attitudes/intentions, and appearance-based self-discrepancy. Photo manipulation was a significant predictor of cosmetic procedure attitudes and intentions, but not of facial dissatisfaction. Appearance-based self-discrepancy significantly moderated the relationship between photo manipulation and facial dissatisfaction, whereby the relationship between photo manipulation and facial dissatisfaction was stronger for those with lower self-discrepancy. Results highlight a key role for photo manipulation and appearance-based self-discrepancies in relation to facial dissatisfaction for young women. They also provide insight into predictors of cosmetic procedure intentions and attitudes. This signals a pressing need to develop effective intervention and prevention programs to help young women limit their appearance-based photo manipulation behaviours for use on social media.

#Beautyunedited: Is labeling unedited selfies helpful for body image and mood among young women?

Research has shown that social media content that has not been digitally altered may help support positive body image. However, the effects of adding labels to such images has received little research attention. This study compared the effects of selfies that were: edited, unedited, and unedited + labeled. A sample of 350 young women, mean age (SD) = 21.87 (2.28) years, were randomly allocated to one of three conditions and completed pre and post exposure measures of state body image and mood, as well as trait risk and protective factors. Findings revealed that participants allocated to the unedited + labeled condition reported greater increases in state appearance satisfaction as compared to those who viewed the edited selfies. In addition, participants with higher levels of social media literacy benefited most from the unedited + labeled selfies. Findings suggest that selfies bearing a label indicating that they have not been edited may be more helpful for body image among young women as comapred to edited selfies. Thus, labels could represent useful social marketing tools on social media and contribute to efforts to increase the realism of social media imagery.

Importance of Digital Communication in Adolescents' Development: Theoretical and Empirical Advancements in the Last Decade

The past decade saw a sharp increase in the use of smartphones and digital communication platforms. This manuscript reviews advancements in the study of digital communication and adolescent development over the last decade. We highlight theoretical models that seek to explain the power of digital media in adolescents' lives. We then examine research conducted over the last decade on five aspects of digital media: (1) potential to contribute to adolescent development, (2) associations with mental health, (3) differential impact of active versus passive social media use, (4) cyberbullying, and (5) sexting. We conclude with a discussion of potential opportunities and challenges for studying the role of digital communication in adolescents' development during the coming decade.

#Take idealized bodies out of the picture: A scoping review of social media content aiming to protect and promote positive body image

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.

Real beauty: Effects of a body-positive video on body image and capacity to mitigate exposure to social media images

OBJECTIVE

Recent industry-created social marketing campaigns have targeted positive body image; however, research investigating the effects of such social media campaigns on body image has largely neglected non-Western English-speaking groups. This study explored the effects on body image of a video produced by Dove for a Japanese audience 'Real Beauty ID', and its capacity to modify the effects of subsequent exposure to celebrity social media images of young women.

METHOD

Young women from Japan (n = 568), mean age (SD) = 25.38 (3.52) years, were randomly allocated to view either the Dove Real Beauty ID video, or a control video, followed by exposure to celebrity social media images (female celebrities or landscapes). Finally, participants reported on state and trait appearance-based comparisons, thin ideal internalization, body appreciation, and media similarity scepticism.

RESULTS

Among participants with high levels of thin ideal internalization, those who viewed the Dove Real Beauty ID video reported significantly lower satisfaction with body and facial features, as well as more negative mood (p < .05) compared with the control video. Little support emerged for the capacity of the Dove Real Beauty ID video to modify the effects of exposure to celebrity social media images, nor were these effects moderated by risk and resilience factors.

CONCLUSIONS

In sum, no usefulness emerged for the Dove Real Beauty ID video in promoting positive body image, and limited usefulness was seen in buffering the effects of exposure to celebrity social media images among Japanese young women. Given the reach of such interventions, exploring whether interventions that are culturally adapted and theoretically driven are more helpful is warranted.

Adolescents' selfie-activities and idealized online self-presentation: An application of the sociocultural model

Research has indicated that the taking and viewing of idealized selfies can result in negative body image outcomes. Given the negative consequences associated with selfie activities, it is important to explore factors that relate to idealized self-presentation on social media. Combining insights of sociocultural, social comparison, and objectification theory, we distinguished and examined four different pathways linking appearance media exposure to selfie-behavior (i.e., selfie taking/posting and selfie-investment and manipulation) via internalization and social media comparison. Additionally, we examined the protective role of positive peer body talk. A sample of 949 Belgian adolescents aged 14-18 (M_age = 15.45, SD = 1.37) participated in an online survey. Structural equation analyses showed that appearance-related media exposure was positively related to selfie-taking and -posting via internalization and social media comparison. Both internalization and social media comparison were positively related to selfie manipulation and selfie-investment. Additionally, results indicated a protective role of positive peer body talk against thin/athletic-ideal internalization. For adolescents who engaged in more positive body talk, watching appearance-related media content resulted in less thin/athletic-ideal internalization. Overall, the findings emphasize the crucial role of peers -and more specifically peer validation -in reinforcing and criticizing dominant appearance ideals and shaping the way adolescents present themselves online.

Muscles and bare chests on Instagram: The effect of Influencers' fashion and fitspiration images on men's body image

Despite men using social media in increasing numbers, as yet there has been little research addressing effects on men's body image. The aim of the present study was to investigate the effect of exposure to idealized male Instagram images on men's body satisfaction. Participants were 300 men aged 18-30 years who were randomly assigned to view clothed (fashion) images, bare-chested (fitspiration) images, or control images of scenery, posted by the same male Instagram Influencers. It was found that exposure to bare-chested and muscular images resulted in significantly lower body satisfaction relative to viewing clothed fashion images or scenery images, which did not differ from each other. The clothed and bare-chested conditions did not differ in amount of appearance-based social comparison, nor in reported inspiration to exercise or eat healthily. Nor was there any moderation of effects by muscular-ideal internalization. It was concluded that although they are vulnerable to some types of social media imagery, results typically obtained for women cannot simply be generalized to men.

#nomakeupselfie: The impact of natural no-makeup images and positive appearance comments on young women's body image

Presenting no-makeup selfies interspersed with idealized made-up images may be beneficial for women's body image. However, the impact of viewing only no-makeup selfies is still unknown, as is the influence of any positive appearance-related comments from others accompanying those images on social media. Thus, in the present study, we examined the impact of viewing either: (1) idealized images with appearance-related comments, (2) idealized images with appearance-neutral comments, (3) no-makeup images with appearance-related comments, or (4) no-makeup images with appearance-neutral comments, on young women's (N = 394) appearance satisfaction, mood, appearance comparison frequency, and perceived attainability. Viewing idealized selfies of attractive women reduced women's satisfaction with their overall and facial appearance. Viewing natural no-makeup images of those attractive women also reduced women's facial satisfaction but had no impact on overall appearance satisfaction. No-makeup selfies resulted in less frequent appearance comparisons and higher perceived attainability than idealized images. There was no impact of appearance-related comments on any of the outcomes. The results suggest that no-makeup images are less detrimental to young women's body image than idealized images.

#Loveyourbody: The effect of body positive Instagram captions on women's body image

One increasing trend on social media is the posting of body positive content that aims to challenge narrow beauty ideals and instead promote acceptance and appreciation of all bodies. The aim of the present study was to experimentally investigate the effect of body positive captions attached to Instagram images on young women's body image. Participants were 384 women aged 18-30 years randomly assigned to view Instagram images of thin or average-sized women containing either body positive captions or no captions. In contrast to prediction, the body positive captions had no effect on body dissatisfaction or body appreciation. There was a significant effect of image type, whereby the average images resulted in less body dissatisfaction and greater body appreciation than the thin images. A significant three-way interaction indicated that for women high on thin-ideal internalisation, body positive captions on average images led to greater body appreciation, but lower body appreciation when attached to thin images. The results suggest that the visual imagery of an Instagram post is a more potent contributor to body image than any accompanying text. Presenting a more diverse array of women's bodies on social media is likely a more effective way to foster body satisfaction and appreciation.

Unique associations of social media use and online appearance preoccupation with depression, anxiety, and appearance rejection sensitivity

Social media (SM) can create a climate of social comparison and preoccupation with appearance, which can pose risks for emotional problems, such as depression and social anxiety. In this study, 763 adolescents and young adults reported time spent and intensity of social media use and preoccupation with both general and appearance-related (AR) social media activities and content. Associations were investigated with markers of depression and social anxiety symptoms and appearance sensitivities - appearance anxiety and appearance rejection sensitivity (appearance-RS). Social media use was positively associated with symptoms of depression, social anxiety, appearance anxiety, and appearance-RS. General and AR preoccupation had unique and positive associations with depression and social anxiety symptoms and with appearance sensitivities. AR preoccupation was also found to strengthen the relationship between time spent on social media and appearance-RS. Although there were gender differences on all measures, with young women scoring higher on all measures, there was no evidence that gender moderated the effects of AR social media preoccupation. Findings support emerging evidence that social media engagement and behavior, particularly activities involving appearance comparisons and judgements, may be more of a risk to depression and social anxiety symptoms and appearance sensitivities than simply the frequency of social media use.

Visual and cognitive processing of thin-ideal Instagram images containing idealized or disclaimer comments

Recent studies have demonstrated that exposure to thin-ideal social media content is associated with decreased body satisfaction, and disclaimer comments have been a proposed intervention. This experiment uses eye-tracking methods to explore the effect of disclaimer comments on participants' processing of thin-ideal Instagram images. Women ages 18-35 (N = 181) were randomly assigned to view thin-ideal Instagram images paired with one of two caption types: traditional comments that idealized the images, or disclaimer comments that critiqued the images as unrealistic. Participants' eye movements were tracked during viewing. Following exposure, participants reported their anxiety about specific body regions, as well as their perceptions of social pressure for thinness. Post-test body anxiety and perceived pressure for thinness did not differ based on experimental condition. Results indicated some differences in message processing, with similar visual attention to the model across conditions but greater attention to the comment in the disclaimer condition. Attention to the model's thighs was associated with increased body anxiety about the thighs in both conditions, whereas attention to the model's waist was associated with increased body anxiety about the waist only in the Idealized Comment condition. This indicates that the disclaimer comments were somewhat, but not entirely, effective.

Uploading your best self: Selfie editing and body dissatisfaction

Social media have given rise to new forms of self-presentation, in particular, the posting of self-portrait photos, commonly known as "selfies." The aim of the present study was to experimentally investigate the relationship between selfie editing and body dissatisfaction. Participants were 130 women aged 18-30 years who were asked to view Instagram images of thin women or of average-sized women, with a view to inducing body dissatisfaction in the former group. Participants were then asked to take a selfie on an iPad and were given 10 min. to edit the selfie. They completed state measures of mood, body dissatisfaction, and facial dissatisfaction at baseline, after viewing the images, and after editing their selfies. It was found that although viewing the thin images increased negative mood and body/facial dissatisfaction, experimental condition had no effect on the time spent or extent of editing of the selfie. However, taking and editing the selfie resulted in increased negative mood and facial dissatisfaction in both groups. Further, the observed extent of editing predicted the degree of increase in facial dissatisfaction. It was concluded that investing heavily in and editing one's self-presentation on social media is a detrimental activity for young women.

Perth scoring system for assessment of the cleft lip

Background: Currently, there is no standardised assessment tool to assess facial aesthetics in cleft lip and palate surgery. Inter-centre comparison is hampered by the use of different aesthetic indices with low intra- and inter-rater reliability. Aim: The Perth scoring system is a new assessment tool for unilateral cleft lip which scores four key components of the cleft lip/nose repair: lip length, white roll, alar insertion point and vermillion. The aim of this study was to validate the Perth scoring system as a reliable and useful new assessment tool and to demonstrate the use of the scoring system to measure improvements after cleft lip revision. Method: Nineteen patients who underwent cleft lip revision by the senior author were selected. Pre- and postoperative photos were presented to a panel of raters to score. Scores were analysed to determine the intra-and inter-rater reliability and to compare outcomes. Results: Almost all patients (15/16) had improvement in scores (range 1.09–5.59) after cleft lip revision. Intra raters’ agreement scores from lowest to highest were: lip length (0.65), white roll (0.7), alar insertion point (0.78) and vermillion (0.78). The total intra-class correlation coefficient was 0.96 (0.94–0.98, 95% CI, P<0.000). Conclusion: This new scoring system is a valid and useful tool for assessment of the unilateral cleft lip. The high rate of intra- and inter-rater reliability allow it to serve as a useful tool to compare surgical outcomes both within and between centres. Further field testing with a larger cohort of patients is required.

Looking to the future: Priorities for translating research to impact in the field of appearance and body image

The field of body image and appearance research and practice is progressing; however, there is still work to be done to ensure broad societal impact. This article consolidates reflections from a range of established and early career experts in the field of appearance and body image, with a focus on stimulating and guiding future agenda setting and translation from research to impact. We conducted a thematic analysis of transcripts from nine recorded 5-minute presentations, delivered by researchers and clinicians as part of a special invited presentation session at a biennial international conference, 'Appearance Matters,' in the UK. Four themes were identified: Moving Beyond the Individual; Consolidation and Collaboration; Commitment to Implementation; and Positive and Protective Frameworks. These themes are discussed alongside recommendations for researchers and practitioners working in these fields to advance research, advocacy, and impact outside of academia.

The Happy American Body 2.0: Predictors of affective body satisfaction in two U.S. national internet panel surveys

The first national study of body image was reported four decades ago in the article The Happy American Body (Berscheid et al., 1973). To provide a modern follow-up to this study, we used two Internet panel surveys of U.S. adults to examine feelings about appearance (Survey 1: Married N = 1095; Single N = 5481) and weight, appearance, body, and muscle size/tone (Survey 2: N = 1601). Mean ages across samples for men and women ranged from 42-53. On the positive side, many men and women were somewhat-to-very satisfied with their appearance (67 %; 57 %), overall body (61 %; 46 %), weight (54 %; 42 %), and muscle tone/size (56 %; 41 %). Mean gender differences were small (Cohen's ds = 0.18-0.32), as were sexual orientation differences within each gender (ds = |0.00-0.25|). Looking at negative body image, fewer men than women were somewhat-to-very unhappy with their appearance among married (19 %; 29 %) and single participants (29 %; 35 %), and fewer men were somewhat-to-extremely dissatisfied with their appearance (18 %; 24 %), body (27 %; 39 %), weight (36 %; 49 %), muscle tone/size (27 %; 41 %). Nearly one-fifth of men (18 %) and one-fourth of women (27 %) were very-to-extremely dissatisfied with at least one of these traits, highlighting the importance of body image interventions.

Selfie-Viewing and Facial Dissatisfaction among Emerging Adults: A Moderated Mediation Model of Appearance Comparisons and Self-Objectification

With the visual turn in online communication, selfies have become common on social media. Although selfies as a way of self-representation provide people with more chances to express themselves, the adverse effects selfies could bring to users' body image need to be treated seriously. This study tested whether selfie-viewing behaviour on social media was related to facial dissatisfaction and whether appearance comparisons played a mediating role. Moreover, the self-objectification was examined as a moderator between selfie-viewing behaviour and facial dissatisfaction via appearance comparisons. Results showed that more selfie-viewing was associated with higher facial dissatisfaction, and this relationship was mediated by appearance comparisons. The study also found that self-objectification moderated the indirect relation between selfie-viewing and facial dissatisfaction via appearance comparisons. Gender differences were also found to affect the mediation model. Our research provides new insights into the interactions between social media use and perception of body image.

The effect of #enhancement-free Instagram images and hashtags on women's body image

Instagram is a popular social networking site where users can post and share photos. One increasing trend on the site is the posting of natural and unaltered images. The present study aimed to experimentally investigate the effect of enhancement-free (i.e., no makeup, no digital alteration) Instagram images and their accompanying hashtags on women's body image. Participants were 204 female undergraduate students who were randomly assigned to view one of three sets of Instagram images: standard (i.e., idealised) images, enhancement-free images, or the same set of enhancement-free images with hashtags indicating their enhancement-free nature. As predicted, exposure to enhancement-free images resulted in significantly lower facial dissatisfaction than exposure to the standard images. However, the addition of hashtags resulted in significantly greater facial dissatisfaction than the same enhancement-free images with no hashtags. There were no significant effects for body dissatisfaction. Effects on facial dissatisfaction were moderated by self-photo manipulation, whereby the difference between standard and enhancement-free images was greater for women who digitally manipulate their own photos. Overall, the findings suggest that, under some conditions, enhancement-free images have the potential to protect Instagram users against appearance concerns.

Selfie-viewing and facial dissatisfaction among Chinese adolescents: A moderated mediation model of general attractiveness internalization and body appreciation

The present study examined whether selfie-viewing (i.e., viewing other people's selfie posts and related likes/comments) on social networking sites (SNSs) was positively associated with adolescents' facial dissatisfaction and whether this association was mediated by general attractiveness internalization. We also tested whether the indirect link between selfie-viewing and facial dissatisfaction by general attractiveness internalization would be moderated by body appreciation. Furthermore, potential gender differences were explored. The model was tested with 1496 Chinese adolescent boys and girls who completed questionnaires regarding selfie-viewing, general attractiveness internalization, body appreciation, and facial dissatisfaction. Results indicated that selfie-viewing was positively related to facial dissatisfaction and this relationship was mediated by general attractiveness internalization. Furthermore, body appreciation moderated the indirect relation between selfie-viewing and facial dissatisfaction via general attractiveness internalization. Gender did not moderate the mediation model. Findings from the current study provide new insights into the relation between SNS use and body image and highlight the potential value of promoting body appreciation in the prevention of body image concerns.

How do "selfies" impact adolescents' well-being and body confidence? A narrative review

Social media use has grown rapidly in recent years, with one of the most popular activities for young people being the taking, sharing, and browsing of digital self-photos, known as selfies. However, research has only recently begun to investigate selfies, and little is known about selfie practices in adolescents, or the associations between these practices and well-being and body confidence. This paper aimed to address this gap and conduct a narrative review of selfie practices and the relationships with well-being and body confidence in adolescents. No studies were found reporting on selfie practices and these relationships among children. However, taking selfies appears to be common practice among adolescents, although posting selfies online is less frequent. The studies reviewed indicate that certain aspects of selfie behaviors may be more problematic than others. Specifically, viewing selfies online appears to have a negative impact on adolescents' well-being and body confidence, at least in the short term in experimental contexts. Moreover, seeking and placing importance on feedback from others may also be a harmful aspect of selfie practices. Finally, consistent with research examining social media, social comparison has been identified in this emerging body of research as a potential mechanism which links selfie engagement to well-being and body confidence. To further advance understanding of the correlates and effects of selfie practices, research with children and with boys, and research focused on a wider range of indicators of well-being, is needed. Most importantly, prospective research is required to examine the directionality of links between selfie practices and well-being and body confidence.