IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Centro Regionale Per I Disturbi Della Nutrizione E Dell'Alimentazione in Età Evolutiva, U.O. Neuropsichiatria Dell'Età Pediatrica, Bologna, Italy.
Dipartimento Di Scienze Mediche E Chirurgiche, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
Ital J Pediatr. 2022 Jul 30;48(1):138. doi: 10.1186/s13052-022-01308-4.
Recent research has documented the potential associations existing between the use of social media (SM) and the occurrence/development and treatment of Eating Disorders (ED). However, the literature directly addressing the use of SM TikTok among children and adolescents with ED is still scarce.
In January-February 2021, during the second Italian national lockdown due to the SARS-CoV-2 pandemic, an anonymous paper survey was conducted in an Italian third-level center for ED in childhood and adolescence. Demographics, frequency of use of TikTok, frequently viewed topics and hashtags, experienced body-shaming, as well as the use of TikTok (active search, use of proposed contents) and perceived influences of this SM on eating attitudes and self-esteem were assessed. Groups of patients with different perceived SM-induced effects were compared to determine the frequency of their interaction with 3 specific contents (diet, Pro-Anorexia Nervosa (pro-Ana) and pro-ED recovery).
Seventy-eight patients (93.6% females, mean age 14.5 ± 2.1 years) were enrolled in the study. For 62.8%, TikTok represented the main SM, used for 1.4 ± 1.0 h/day, with diet (21.8%) as the most frequently used topic category. Pro-Ana and pro-ED recovery contents ("#foryou" and "#edrecovery" as the most frequent, respectively) were both actively searched by patients and proposed by the SM in a significant number of cases. For 59.0%, using TikTok reduced self-esteem, while 26.9% reported TikTok-related significant changes in their daily lives, and 3.8% reported experiences of body-shaming. Patients describing a negative effect of TikTok on their self-esteem more frequently searched and browsed "diet" (p = 0.007) and pro-ED recovery (p = 0.007) contents. Positive qualitative feedback on the SM was also reported.
This study documents the use of the SM TikTok among children and adolescents with ED. Individuals with a perceived negative effect of this SM on their self-esteem may show greater interaction with specific content. Further studies are needed to investigate the psychopathological factors influencing the relationship between ED and the use of SM.
最近的研究记录了社交媒体（SM）的使用与饮食失调（ED）的发生/发展和治疗之间存在的潜在关联。然而，关于儿童和青少年使用 SM TikTok 的文献仍然很少。
在 2021 年 1 月至 2 月期间，在因 SARS-CoV-2 大流行而导致的意大利第二次全国封锁期间，在一家意大利儿童和青少年 ED 的三级中心进行了一项匿名纸质调查。评估了人口统计学特征、TikTok 的使用频率、经常查看的主题和标签、经历过的身体羞辱，以及 TikTok 的使用（主动搜索、使用推荐内容）和对饮食态度和自尊心的感知影响。将具有不同感知 SM 诱导效果的患者组进行比较，以确定与 3 种特定内容（饮食、亲厌食症神经症（亲 Ana）和亲 ED 恢复）的互动频率。
研究共纳入 78 名患者（93.6%为女性，平均年龄 14.5±2.1 岁）。对于 62.8%的患者来说，TikTok 是主要的社交媒体，每天使用 1.4±1.0 小时，饮食（21.8%）是最常用的主题类别。亲 Ana 和亲 ED 恢复内容（分别为“#foryou”和“#edrecovery”）都被患者主动搜索，并且在大量情况下被 SM 推荐。对于 59.0%的患者来说，使用 TikTok 会降低自尊心，而 26.9%的患者报告说 TikTok 对他们的日常生活产生了重大影响，3.8%的患者报告说他们经历过身体羞辱。描述 TikTok 对自尊心产生负面影响的患者更频繁地搜索和浏览“饮食”（p=0.007）和亲 ED 恢复（p=0.007）内容。还报告了对 SM 的积极定性反馈。
本研究记录了 ED 儿童和青少年使用 SM TikTok。认为这种 SM 对自尊心有负面影响的个体可能会与特定内容进行更多互动。需要进一步的研究来调查影响 ED 和 SM 使用之间关系的心理病理因素。
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