Content-Length: 2484 | pFad | https://www.jmir.org/article/export/bib/jmir_v14i5e148
@Article{info:doi/10.2196/jmir.2023, author="Peebles, Rebecka and Wilson, Jenny L and Litt, Iris F and Hardy, Kristina K and Lock, James D and Mann, Julia R and Borzekowski, Dina LG", title="Disordered Eating in a Digital Age: Eating Behaviors, Health, and Quality of Life in Users of Websites With Pro-Eating Disorder Content", journal="J Med Internet Res", year="2012", month="Oct", day="25", volume="14", number="5", pages="e148", keywords="Eating disorder; social network; anorexia nervosa; bulimia nervosa; pro-eating disorder website; pro-anorexia website; pro-bulimia website; pro-ED; pro-ana; pro-mia", abstract="Background: Much concern has been raised over pro-eating disorder (pro-ED) website communities, but little quantitative research has been conducted on these websites and their users. Objective: To examine associations between levels of pro-ED website usage, disordered eating behaviors, and quality of life. Methods: We conducted a cross-sectional, Internet-based survey of adult pro-ED website users. Main outcomes were Eating Disorder Examination Questionnaire (EDE-Q) and Eating Disorder Quality of Life (EDQOL) scores. Results: We included responses from 1291 participants; 1254 (97.13{\%}) participants were female. Participants had an average age of 22.0 years and a mean body mass index of 22.1 kg/m2; 24.83{\%} (296/1192) were underweight; 20.89{\%} (249/1192) were overweight or obese. Over 70{\%} of participants had purged, binged, or used laxatives to control their weight; only 12.91{\%} (163/1263) were in treatment. Mean EDE-Q scores were above the 90th percentile and mean EDQOL scores were in the severely impaired range. When compared with moderate and light usage, heavy pro-ED website usage was associated with higher EDE-Q global (4.89 vs 4.56 for medium and 4.0 for light usage, P < .001) and EDQOL total scores (1.64 vs 1.45 for medium and 1.25 for light usage, P < .001), and more extreme weight loss behaviors and harmful post-website usage activities. In a multivariate model, the level of pro-ED website usage remained a significant predictor of EDE-Q scores. Conclusions: Pro-ED website visitors reported many disordered eating behaviors, although few had been treated. Heavy users reported poorer quality of life and more disordered eating behaviors. ", issn="1438-8871", doi="10.2196/jmir.2023", url="http://www.jmir.org/2012/5/e148/", url="https://doi.org/10.2196/jmir.2023", url="http://www.ncbi.nlm.nih.gov/pubmed/23099628" }Fetched URL: https://www.jmir.org/article/export/bib/jmir_v14i5e148
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