Do appearance comparisons mediate the effects of thinspiration and fitspiration on body dissatisfaction, happiness, and disordered eating urges in women's daily lives?

We examined whether thinspo and fitspo exposure predicted women's body dissatisfaction (BD), happiness, and disordered eating (DE) urges (binge-eating/purging, restrictive eating, and exercise) in daily life. A further aim was to assess whether these effects were stronger for thinspo versus fitspo exposure and whether upward appearance comparisons mediated the effect of thinspo-fitspo exposure on BD, happiness, and DE urges. Participants (N = 380 women) completed baseline measures and a 7-day ecological momentary assessment (EMA) investigating state-based experiences of thinspo-fitspo exposure, appearance comparisons, BD, happiness, and DE urges. Multilevel analyses revealed that thinspo-fitspo exposure was associated with greater BD and DE urges (but unrelated to happiness) at the same EMA time point. However, there was no association between thinspo-fitspo exposure and BD, happiness, and DE urges at the next EMA time-point. Thinspo relative to fitspo exposure was associated with greater BD (but unrelated to happiness and DE urges) at the same EMA time-point. The proposed mediation models were not supported in time-lagged analyses; such that upward appearance comparisons did not mediate the effects of thinspo-fitspo exposure on BD, happiness, and DE urges. Current findings provide novel micro-longitudinal data on the potentially direct detrimental effects of thinspo-fitspo exposure on women's daily lives.

Prospectively predicting naturalistic exposure to fitspiration and thinspiration in young women with disordered eating by leveraging an ecological momentary assessment design

OBJECTIVE

Although a growing body of research has examined the impacts of ED-salient content, such as fitspiration and thinspiration, on eating disorder (ED) symptoms, there is less known about the characteristics of who may be at risk for accessing this content on Instagram. Current research is limited by cross-sectional and retrospective designs. This prospective study used ecological momentary assessment (EMA) to predict naturalistic exposure to ED-salient content on Instagram.

METHODS

Female university students with disordered eating (N = 171, Mage = 20.23, SD = 1.71, range = 18-25) completed a baseline session, followed by a seven-day EMA protocol, in which they reported on Instagram use and exposure to fitspiration and thinspiration. Mixed-effects logistical regressions were used to predict exposure to ED-salient content on Instagram from four principal components (e.g., behavioral ED symptoms and trait social comparison) controlling for duration of Instagram use (i.e., dose) and day of study.

RESULTS

Duration of use was positively associated with all types of exposure. Purging/cognitive restraint and excessive exercise/muscle building prospectively predicted access to any ED-salient content and fitspiration only. Restricting positively predicted thinspiration only access. Purging/cognitive restraint positively predicted accessing fitspiration and thinspiration (dual exposure). Day of study was negatively associated with any exposure, fitspiration only, and dual exposure.

CONCLUSIONS

Baseline ED behaviors were differentially associated with exposure to ED-salient Instagram content; however, duration of use was also a significant predictor. Limiting use of Instagram may be important for young women with disordered eating to reduce probability of encountering ED-salient content.

Young women's dialectical responses to fitspiration and thinspiration: A qualitative study

With the popularity of image-based social media platforms like Instagram, researchers have begun to study relationships between social media and body image. Much of this research has used quantitative research methods, which cannot capture the rich, inner experiences of individuals. Given the dearth of qualitative research on what young women internally experience when viewing "Thinspiration" or "Fitspiration," this study used the consensual qualitative research (CQR) method, with the aim of capturing in their own words what young women feel and think in response to viewing fitspiration and thinspiration. Twelve young women viewed Fitspiration and Thinspiration profiles and were interviewed about these and similar everyday experiences. The CQR analytic team identified 10 general, 18 typical, and 11 variant domains (i.e., topic areas). An example general domain was "body image," under which the category "body dissatisfaction," fell; by viewing Thinspiration or Fitspiration, these young women were reminded how they are dissatisfied with how they see their own body or were prompted to believe others are reminded of this when viewing such content. An example typical domain was "diet/disordered eating"; several participants associated Thinspiration or Fitspiration with diet or disordered eating. From five of the 10 general domains emerged what we call an emergent dialectical theory of social media and body image. When viewing Thinspiration or Fitspiration, young women often seemed to feel or think two seemingly opposite things simultaneously within the topic areas of attainability, emotional reactions, social comparison, body image, and health.

Problematic usage of the internet and eating disorder and related psychopathology: A multifaceted, systematic review and meta-analysis

Eating disorders are widespread illnesses with significant impact. There is growing concern about how those at risk of eating disorders overuse online resources to their detriment. We conducted a pre-registered systematic review and meta-analysis of studies examining Problematic Usage of the Internet (PUI) and eating disorder and related psychopathology. The meta-analysis comprised n = 32,295 participants, in which PUI was correlated with significant eating disorder general psychopathology Pearson r = 0.22 (s.e. = 0.04, p < 0.001), body dissatisfaction r = 0.16 (s.e. = 0.02, p < 0.001), drive-for-thinness r = 0.16 (s.e. = 0.04, p < 0.001) and dietary restraint r = 0.18 (s.e. = 0.03). Effects were not moderated by gender, PUI facet or study quality. Results are in support of PUI impacting on eating disorder symptoms; males may be equally vulnerable to these potential effects. Prospective and experimental studies in the field suggest that small but significant effects exist and may have accumulative influence over time and across all age groups. Those findings are important to expand our understanding of PUI as a multifaceted concept and its impact on multiple levels of ascertainment of eating disorder and related psychopathology.

The "Little Red Riding Hood effect:" Fitspiration is just as bad as thinspiration for women's body satisfaction

Fitspiration is a popular form of social media which outwardly promotes the pursuit of health and strength rather than of thinness. Content analyses, however, suggest that it is thematically similar to thinspiration, which is primarily associated with thinness and presents disordered eating as a lifestyle choice. Exposure to both reduces body satisfaction, but their effect has not been compared. Further, positive body image may act as a protective factor by reducing engagement in appearance comparisons. Female undergraduate students (N = 331) were randomly assigned to view fitspiration, thinspiration, or travel images, followed by measures of state body satisfaction, state appearance comparison, and positive body image. Viewing fitspiration and thinspiration resulted in lower body satisfaction than did viewing travel images. However, whereas women with higher positive body image appeared protected from thinspiration by engaging in lower appearance comparisons than did women with lower positive body image, this same effect was not observed in women who viewed fitspiration. The fact that positive body image is not protective against fitspiration suggests that fitspiration is just as harmful, if not more, than is thinspiration and highlights the need for media literacy programs targeting fitspiration and so-called "healthy living" websites.

The differential impact of viewing fitspiration and thinspiration images on men's body image concerns: An experimental ecological momentary assessment study

To date, little is known about the impact of fitspiration and thinspiration exposure on men, as previous studies on these social media trends were primarily conducted on women. Male participants (n = 223) completed baseline measures of trait body image, then used a smartphone application to complete up to six state-based assessments daily for seven days. In each assessment, participants were randomly assigned to one of three image conditions (fitspiration, thinspiration, or neutral). Before and after viewing each image, they reported state body fat dissatisfaction, muscularity dissatisfaction, negative mood, and urge to engage in behaviours to reduce body fat and increase muscularity. Multi-level analyses revealed that compared to viewing neutral images, viewing fitspiration images increased men's body dissatisfaction, whereas viewing thinspiration images decreased body dissatisfaction. Viewing either fit- or thinspiration images also led to lower mood and greater urges to increase muscularity, whereas only fitspiration images increased urges to reduce body fat. Men with greater baseline muscularity dissatisfaction and higher appearance comparison were most vulnerable to muscularity dissatisfaction after viewing fitspiration images. Findings suggest the importance of limiting exposure to fitspiration imagery and implementing social media literacy programmes for men and well as women.

Thinspiration and fitspiration in everyday life: An experience sampling study

We used experience sampling to examine thinspiration and fitspiration in the everyday lives of women and men. Undergraduates (N = 108, 21% men) completed a 1-week smartphone-facilitated experience sampling protocol containing self-report measures of thinspiration and fitspiration exposure, body satisfaction, and affective functioning. Multi-level, gender-adjusted models examined the unique and interactive associations of exposure to thinspiration and fitspiration. Women reported a weekly average of 8.4 thinspiration exposures and 9.5 fitspiration exposures, while men reported 2.3 and 4.9 exposures, respectively. The median self-reported duration of each exposure was 2-3 min, with no difference in exposure duration between thinspiration and fitspiration. Unique thinspiration exposure was associated with lower body satisfaction, lower positive affect, and higher negative affect (Cohen's ds = |0.07-0.09|, small). Unique fitspiration exposure was associated with lower body satisfaction and positive affect (ds = |0.03-0.04|, small), but not negative affect. The pattern of associations for interactive exposure (i.e., exposure to both thinspiration and fitspiration) was near-identical to the pattern for unique thinspiration exposure (ds = |0.06-0.08|). We conclude that women and men exposed to thinspiration and fitspiration in their everyday lives may subsequently experience lower body satisfaction and poorer affective functioning.

How does exposure to thinspiration and fitspiration relate to symptom severity among individuals with eating disorders? Evaluation of a proposed model

Thinspiration and fitspiration are classes of social media content characterised by idealised depictions of excessively thin and overtly fit/lean bodies, respectively. It is currently unknown whether and how exposure to thinspiration and fitspiration relates to symptom severity within high-risk clinical populations. Thus, in a clinical sample of individuals with eating disorders, we evaluated a model explaining how exposure to thinspiration and fitspiration relates to eating disorder symptoms. Individuals with self-reported eating disorders (N = 228, 47% with anorexia, 93% female) completed measures of image-centric social media use, thinspiration and fitspiration exposure, physical appearance comparisons, and symptom severity. Results showed that more frequent use of image-centric social media was associated with more frequent exposures to both thinspiration and fitspiration. In turn, these exposures were associated with more frequent physical appearance comparisons, and through these, greater symptom severity. Physical appearance comparisons mediated the relationships of both thinspiration and fitspiration exposure with symptom severity. Exposure to fitspiration was more common than exposure to thinspiration. However, thinspiration exposure evidenced stronger associations with symptom severity than fitspiration exposure. In conclusion, our model provides a useful account of how eating disorder symptoms relate to thinspiration and fitspiration exposure, and to image-centric social media more generally.

Tweeting weight loss: A comparison of #thinspiration and #fitspiration communities on Twitter

Thinspiration and fitspiration represent contemporary online trends designed to inspire viewers towards the thin ideal or towards health and fitness respectively. The aim of the present study was to compare thinspiration and fitspiration communities on Twitter. A total of 3289 English-language tweets with hashtags related to thinspiration (n = 1181) and fitspiration (n = 2578) were collected over a two-week period. Network analysis showed minimal overlap between the communities on Twitter, with the thinspiration community more closely-connected and having greater information flow than the fitspiration community. Frequency counts and sentiment analysis showed that although the tweets from both types of accounts focused on appearance and weight loss, fitspiration tweets were significantly more positive in sentiment. It was concluded that the thinspiration tweeters, unlike the fitspiration tweeters, represent a genuine on-line community on Twitter. Such a community of support may have negative consequences for collective body image and disordered eating identity.

A content analysis of thinspiration images and text posts on Tumblr

Thinspiration is content advocating extreme weight loss by means of images and/or text posts. While past content analyses have examined thinspiration content on social media and other websites, no research to date has examined thinspiration content on Tumblr. Over the course of a week, 222 images and text posts were collected after entering the keyword 'thinspiration' into the Tumblr search bar. These images were then rated on a variety of characteristics. The majority of thinspiration images included a thin woman adhering to culturally based beauty, often posing in a manner that accentuated her thinness or sexuality. The most common themes for thinspiration text posts included dieting/restraint, weight loss, food guilt, and body guilt. The thinspiration content on Tumblr appears to be consistent with that on other mediums. Future research should utilize experimental methods to examine the potential effects of consuming thinspiration content on Tumblr.

Fitspiration and thinspiration: a comparison across three social networking sites

BACKGROUND

Fitspiration, or images and text promoting health and fitness, and thinspiration, or images and text promoting thinness, have both received criticism for their negative effects on body image and dieting behaviors. In this study, we critically examined and compared the content of fitspiration and thinspiration on three social networking sites (SNS).

METHODS

Fitspiration and thinspiration posts (N = 360) from three photo-sharing SNS (Instagram, Tumblr, and Twitter) were collected quasi-randomly on four days over two weeks. Image and associated text content were coded for variables related to weight and shape, muscularity, thin ideal, and eating. Chi-square and Fisher's exact tests compared content of fitspiration and thinspiration posts overall and among the three SNS.

RESULTS

Thinspiration images portrayed body parts more frequently than fitspiration (69.8% vs. 30.2%). Similarly, posts highlighting bony body features and references to mental illness appeared only in thinspiration. No differences were found between fitspiration and thinspiration posts with regard to sexual suggestiveness, appearance comparison, and messages encouraging restrictive eating. Fitspiration and thinspiration posts included similar images across the three SNS-focusing on appearance, sexually suggestive images, and restrictive eating-with three exceptions. Fitspiration posts exhibiting body positivity were found only on Tumblr. In thinspiration posts, references to mental illness were more frequent on Tumblr and Instagram than on Twitter, and bone emphasis was coded more frequently on Twitter than on Instagram.

CONCLUSIONS

Although fitspiration posts were less extreme than thinspiration posts on the whole, notable similarities in their content support that fitspiration endorses problematic attitudes towards fitness, body image, and restrictive eating in pursuit of a fit-and-thin body ideal.

A content analysis of thinspiration, fitspiration, and bonespiration imagery on social media

BACKGROUND

On social media, images such as thinspiration, fitspiration, and bonespiration, are shared to inspire certain body ideals. Previous research has demonstrated that exposure to these groups of content is associated with increased body dissatisfaction and decreased self-esteem. It is therefore important that the bodies featured within these groups of content are more fully understood so that effective interventions and preventative measures can be informed, developed, and implemented.

METHOD

A content analysis was conducted on a sample of body-focussed images with the hashtags thinspiration, fitspiration, and bonespiration from three social media platforms.

RESULTS

The analyses showed that thinspiration and bonespiration content contained more thin and objectified bodies, compared to fitspiration which featured a greater prevalence of muscles and muscular bodies. In addition, bonespiration content contained more bone protrusions and fewer muscles than thinspiration content.

CONCLUSIONS

The findings suggest fitspiration may be a less unhealthy type of content; however, a subgroup of imagery was identified which idealised the extremely thin body type and as such this content should also be approached with caution. Future research should utilise qualitative methods to further develop understandings of the body ideals that are constructed within these groups of content and the motivations behind posting this content.

Experiences of using pro-eating disorder websites: a qualitative study with service users in NHS eating disorder services

PURPOSE

Previous research into the impact of pro-eating disorder (pro-ED) websites has predominantly been undertaken using experimental and survey designs. Studies have used both clinical and non-clinical (college student) samples. The present study aimed to explore the underlying functions and processes related to the access and continued use of pro-ED websites within a clinical eating disorder population using a qualitative research design.

METHODS

Participants were recruited through NHS community mental health teams and specialist eating disorder services within South Wales, UK. Face-to-face semi-structured interviews were conducted with seven adult women in treatment for an eating disorder who had disclosed current or historic use of pro-ED websites. Interviewees ranged in age from 20 to 40 years (M = 31.2; SD = 7.8). Constructivist Grounded Theory was used to analyse interview transcripts.

RESULTS

Five key themes were identified within the data, namely fear; ambivalence; social comparisons; shame; and pro-ED websites maintaining eating disordered behaviour. The pro-ED websites appeared to offer a sense of support, validation and reassurance to those in the midst of an eating disorder, whilst simultaneously reinforcing and maintaining eating disordered behaviour.

CONCLUSION

Themes are discussed in relation to implications and recommendations for clinical practice. Limitations of the present study and suggestions for future research are also outlined.

Pro-eating disorder search patterns: the possible influence of celebrity eating disorder stories in the media

Pro eating disorder websites often contain celebrity-focused content (e.g., images) used as thinspiration to engage in unhealthy eating disorder behaviours. The current study was conducted to examine whether news media stories covering eating disorder disclosures of celebrities corresponded with increases in Internet searches for pro eating disorder material. Results indicated that search volumes for pro eating disorder terms spiked in the month immediately following such news coverage but only for particularly high-profile celebrities. Hence, there may be utility in providing recovery-oriented resources within the search results for pro-eating disorder Internet searches and within news stories of this nature.

Bones, body parts, and sex appeal: An analysis of #thinspiration images on popular social media

The present study extends research on thinspiration images, visual and/or textual images intended to inspire weight loss, from pro-eating disorder websites to popular photo-sharing social media websites. The article reports on a systematic content analysis of thinspiration images (N=300) on Twitter and Pinterest. Images tended to be sexually suggestive and objectifying with a focus on ultra-thin, bony, scantily-clad women. Results indicated that particular social media channels and labels (i.e., tags) were characterized by more segmented, bony content and greater social endorsement compared to others. In light of theories of media influence, results offer insight into the potentially harmful effects of exposure to sexually suggestive and objectifying content in large online communities on body image, quality of life, and mental health.