Sauve Anouk, Silva Catarina, Costa Doriane, Da Fonseca David, Givaudan Marion, Charvin Isabelle, Bat-Pitault Flora
Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France.
Institute of Neuroscience Timone, CNRS, Aix-Marseille University, Marseille, France.
Eur Eat Disord Rev. 2025 May;33(3):503-510. doi: 10.1002/erv.3157. Epub 2024 Nov 30.
In recent years, social networks (SNs) have increasingly become a core activity adolescent's daily life. Their impact on mental health is an actual worldwide concern. This massive usage of social network has been suggested to increase the risk of depressive and anxiety disorders, as well as alterations in sleep quality and quantity. In particular, it has been suggested that it could increase concerns about body image and thereby encourage eating disorders. Aiming at further investigating these relations, this study examined, for the first time, the links between the clinical profile of adolescents with anorexia nervosa and SNs use patterns.
The sample included 131 adolescent girls with anorexia nervosa who completed an online survey assessing their SNs practices in terms of duration, intensity and function of SNs use, misuse and addictive tendencies, as well as the number of online peers. Clinical characteristics such as eating behaviours, body image perception, depression, anxiety and sleep quality were also assessed.
showed that adolescents with anorexia nervosa spend more than 3 h per day on SNs. Those spending 5 h per day or more preferred a passive use, with limited connection with peers and greater clinical difficulties. In addition, high problematic use of SNs significantly aggravated eating behaviour, dysmorphophobia, depressive symptoms and sleep impairment. The activities performed on SNs were not significantly associated with variations in clinical characteristics.
Presents findings suggests that a profile of social networking marked by a problematic, prolonged and passive use, is associated with more severe symptomatology in adolescent girls with anorexia nervosa. These first data could inspire professionals to encourage a SNs use favouring care and recovery, thereby supporting adolescents with an eating disorder but also their relatives.
近年来，社交网络日益成为青少年日常生活的核心活动。其对心理健康的影响是全球实际关注的问题。有人认为，社交网络的大量使用会增加患抑郁症和焦虑症的风险，以及睡眠质量和时长的改变。特别是，有人认为这可能会增加对身体形象的担忧，从而引发饮食失调。为了进一步研究这些关系，本研究首次考察了神经性厌食症青少年的临床特征与社交网络使用模式之间的联系。
样本包括131名患有神经性厌食症的青少年女孩，她们完成了一项在线调查，评估她们在社交网络使用的持续时间、强度和功能、滥用和成瘾倾向以及在线同龄人数量方面的社交网络行为。还评估了饮食行为、身体形象认知、抑郁、焦虑和睡眠质量等临床特征。
显示患有神经性厌食症的青少年每天花在社交网络上的时间超过3小时。那些每天花费5小时或更多时间的人更喜欢被动使用，与同龄人的联系有限，临床困难更大。此外，社交网络的高度问题性使用显著加剧了饮食行为、畸形恐惧症、抑郁症状和睡眠障碍。在社交网络上进行的活动与临床特征的变化没有显著关联。
目前的研究结果表明，以问题性、长时间和被动使用为特征的社交网络使用模式，与患有神经性厌食症的青少年女孩更严重的症状有关。这些初步数据可以激励专业人员鼓励有利于护理和康复的社交网络使用，从而支持患有饮食失调症的青少年及其亲属。
