Objective: This study was conducted to examine the relationship between eating disorder risk, social media, and psychological factors among high school students. Material and Methods: In this cross-sectional study, eating disorder risk was assessed using the Eating Attitudes Test-40 (EAT-40), fear of being disliked on social media was evaluated using the Social Media Fear of Dislike Scale (SMFDS), psychological factors were measured with the Depression, Anxiety and Stress Scale-42 (DASS-42) high school form. Results: According to the EAT-40 scale, 15.4% of students were at risk for eating disorders. Based on the DASS-42 scale, extremely severe levels of depression, anxiety, and stress were revealed in 18.3%, 21.5%, and 10.5% of students, respectively. Female students had higher levels of fear of being disliked on social media, depression, anxiety, and stress compared to male students; however, no significant difference was observed regarding eating disorder risk. A positive and significant correlation was found between eating disorder risk and fear of being disliked on social media, depression, anxiety, and stress values (r=0.215, p<0.001; r=0.217, p<0.001; r=0.302, p<0.001; r=0.245, p<0.001, respectively). Conclusion: The risk of eating disorders in high school students is associated with social media use and psychological factors. These findings emphasize the need for a more detailed examination of the effects of social media use and related psychological factors on eating behaviors.
Keywords: Adolescent; anorexia nervosa; social media; depression; anxiety
Amaç: Bu çalışma, lise öğrencileri arasında yeme bozukluğu riski, sosyal medya ve psikolojik faktörler arasındaki ilişkiyi incelemek amacıyla yürütülmüştür. Gereç ve Yöntemler: Kesitsel tipte olan bu araştırmada yeme bozukluğu riski, Yeme Tutum Testi-40 (YTT40) ile; sosyal medyada beğenilmeme korkuları, Sosyal Medya Beğenilmeme Korkusu Ölçeği ile; psikolojik faktörler ise Depresyon, Anksiyete ve Stres Ölçeği-42 (DASS-42) lise formu kullanılarak değerlendirilmiştir. Bulgular: YTT-40 ölçeğine göre öğrencilerin %15,4'ünde yeme bozukluğu riski, DASS-42 ölçeğine göre çok ileri düzeyde depresyon, anksiyete ve stres düzeyine sahip öğrencilerin sıklığı sırasıyla %18,3, %21,5 ve %10,5'tir. Kadın öğrencilerde sosyal medyada beğenilmeme korkusu, depresyon, anksiyete ve stres düzeyleri erkeklere kıyasla daha yüksek bulunmuş; ancak yeme bozukluğu riski açısından anlamlı bir fark gözlenmemiştir. Yeme bozukluğu riski ile sosyal medyada beğenilmeme korkusu, depresyon, anksiyete ve stres düzeyleri arasında pozitif yönde anlamlı ilişki bulunmuştur (sırasıyla; r=0,215, p<0,001; r=0,217, p<0,001; r=0,302, p<0,001; r=0,245, p<0,001). Sonuç: Lise öğrencilerinde yeme bozukluğu riski sosyal medya kullanımı ve psikolojik faktörler ile ilişkilidir. Bu bulgular, sosyal medya kullanımının ve psikolojik faktörlerin yeme davranışları üzerindeki etkilerinin daha ayrıntılı şekilde incelenmesi gerektiğini vurgulamaktadır.
Anahtar Kelimeler: Adölesan; anoreksiya nervoza; sosyal medya; depresyon; anksiyete
- Çaka SY, Çınar N, Altınkaynak, S. Adolesanda yeme bozuklukları [Eating disorders in adolescence]. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2018;7(1):203-9. [Link]
- Chisuwa N, O'Dea JA. Body image and eating disorders amongst Japanese adolescents. A review of the literature. Appetite. 2010;54(1):5-15. [Crossref] [PubMed]
- McLean SA, Paxton SJ. Body Image in the Context of Eating Disorders. Psychiatr Clin North Am. 2019;42(1):145-56. [Crossref] [PubMed]
- Faraji H, Fırat B. Yeme bozuklukları ve duygular. Fenerbahçe Üniversitesi Sosyal Bilimler Dergisi. 2022;2(1):153-74. [Link]
- López-Gil JF, García-Hermoso A, Smith L, Firth J, Trott M, Mesas AE, et al. Global Proportion of Disordered Eating in Children and Adolescents: A Systematic Review and Meta-analysis. JAMA Pediatr. 2023;177(4):363-72. [Crossref] [PubMed] [PMC]
- Alpaslan AH, Soylu N, Avci K, Coşkun KŞ, Kocak U, Taş HU. Disordered eating attitudes, alexithymia and suicide probability among Turkish high school girls. Psychiatry Res. 2015;226(1):224-9. [Crossref] [PubMed]
- Uzdil Z, Kayacan AG, Özyıldırım C, Kaya S, Kılınç GE, Ulus CA, et al. Adölesanlarda ortoreksiya nervoza varlığı ve yeme tutumunun incelenmesi [Investigation of orthorexia nervosa presence and eating attitude in adolescents]. 2019;4(1):8-13. [Link]
- Uchôa FNM, Uchôa NM, Daniele TMDC, Lustosa RP, Garrido ND, Deana NF, et al. Influence of the mass media and body dissatisfaction on the risk in adolescents of developing eating disorders. Int J Environ Res Public Health. 2019;16(9):1508. [Crossref] [PubMed] [PMC]
- Santarossa S, Woodruff SJ. #Socialmedia: exploring the relationship of social networking sites on body image, self-esteem, and eating disorders. Social media+ society. 2017;3(2). [Crossref]
- Shorey S, Ng ED, Wong CHJ. Global prevalence of depression and elevated depressive symptoms among adolescents: A systematic review and meta-analysis. Br J Clin Psychol. 2022;61(2):287-305. [Crossref] [PubMed]
- Sander J, Moessner M, Bauer S. Depression, anxiety and eating disorder-related impairment: moderators in female adolescents and young adults. Int J Environ Res Public Health. 2021;18(5):2779. [Crossref] [PubMed] [PMC]
- World Health Organization. Obesity: preventing and managing the global epidemic. Report on a WHO Consultation on Obesity. 1997. [Cited: January 19, 2024] Available from: [Link]
- Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med. 1979;9(2):273-9. [Crossref] [PubMed]
- Savaşır I, Erol N. Anoreksiya Nevroza Belirtileri İndeksi. Türk Psikoloji Dergisi. 1989;7:19-25. [Link]
- Söner O, Yılmaz O. Social media fear of dislike in adolescents: A scale development study. İstanbul Aydın Üniversitesi Sosyal Bilimler Dergisi. 2021;13(2):533-54. [Crossref]
- Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther. 1995;33(3):335-43. [Crossref] [PubMed]
- Bilgel N, Bayram N. Turkish Version of the depression anxiety stress scale (DASS- 42): psychometric properties. Nöropsikiyatri Arşivi. 2010;47(2):118-26. [Link]
- Akkuş Çutuk Z, Kaya M. Depresyon, anksiyete ve stres ölçeği (DASS-42) lise formu: Türkçe geçerlik ve güvenirliği [The depression anxiety and stress scale (DASS-42) high school form: the validity and reliability of Turkish version]. Elektronik Sosyal Bilimler Dergisi. 2018;17(68):1327-36. [Crossref]
- Galmiche M, Déchelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000-2018 period: a systematic literature review. Am J Clin Nutr. 2019;109(5):1402-13. [Crossref] [PubMed]
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington: American Psychiatric Association; 2013. [Crossref]
- Micali N, Hagberg KW, Petersen I, Treasure JL. The incidence of eating disorders in the UK in 2000-2009: findings from the General Practice Research Database. BMJ Open. 2013;3(5):e002646. [Crossref] [PubMed] [PMC]
- Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry. 2011;68(7):724-31. [Crossref] [PubMed]
- Nagl M, Jacobi C, Paul M, Beesdo-Baum K, Höfler M, Lieb R, et al. Prevalence, incidence, and natural course of anorexia and bulimia nervosa among adolescents and young adults. Eur Child Adolesc Psychiatry. 2016;25(8):903-18. [Crossref] [PubMed]
- Gandhi J, Battalwar R. Eating habits and night snacking patterns of young women at risk for eating disorders. Int J Physiol Nutr Phys Educ. 2019;4(1):1136-41. [Link]
- Wincana G, Rahmat W, Tatalia RG. Linguistic tendencies of anorexia nervosa on social media users Facebook (pragmatic study). JPDR. 2022;2(1):1-9. [Crossref]
- Ramírez-Cifuentes D, Freire A, Baeza-Yates R, Sanz Lamora N, Álvarez A, González-Rodríguez A, et al. Characterization of anorexia nervosa on social media: textual, visual, relational, behavioral, and demographical analysis. J Med Internet Res. 2021;23(7):e25925. Erratum in: J Med Internet Res. 2021;23(10):e33447. [Crossref] [PubMed] [PMC]
- Praet N, Stevens J, Casteels K, Toelen J. The association of social media use and eating behaviour of belgian adolescent girls diagnosed with anorexia nervosa-a qualitative approach. Children (Basel). 2024;11(7):822. [Crossref] [PubMed] [PMC]
- Yurtdaş-Depboylu G, Kaner G, Özçakal S. The association between social media addiction and orthorexia nervosa, eating attitudes, and body image among adolescents. Eat Weight Disord. 2022;27(8):3725-35. [Crossref] [PubMed]
- Melton TH, Croarkin PE, Strawn JR, McClintock SM. Comorbid anxiety and depressive symptoms in children and adolescents: a systematic review and analysis. J Psychiatr Pract. 2016;22(2):84-98. [Crossref] [PubMed] [PMC]
- Vannucci A, Ohannessian CM. Body image dissatisfaction and anxiety trajectories during adolescence. J Clin Child Adolesc Psychol. 2018;47(5):785-95. [Crossref] [PubMed] [PMC]
- Boursier V, Gioia F, Griffiths MD. Do selfie-expectancies and social appearance anxiety predict adolescents' problematic social media use? Computers in Human Behavior. 2020;110:106395. [Crossref]
- Blanchard L, Conway-Moore K, Aguiar A, Önal F, Rutter H, Helleve A, et al. Associations between social media, adolescent mental health, and diet: A systematic review. Obes Rev. 2023;24 Suppl 2:e13631. [Crossref] [PubMed]
- Ding N, Xu Z. China adolescents comparisons on social media andemotional eating: a moderated analysis. Child Adolesc Soc Work J. 2023;40(1):107-17. [Crossref]
- Caner N, Efe YS, Başdaş Ö. The contribution of social media addiction to adolescent LIFE: Social appearance anxiety. Curr Psychol. 2022;41(12):8424-33. [Crossref] [PubMed] [PMC]
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