Academic Journal
From social media to body image distress: Problematic internet use, exercise addiction, and enhancement drugs use across countries.
| Τίτλος: | From social media to body image distress: Problematic internet use, exercise addiction, and enhancement drugs use across countries. |
|---|---|
| Συγγραφείς: | Dores AR; 1CIR, Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida nº 400, 4200-072 Porto, Portugal.; 2Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal., Burkaukas J; 3Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania.; 9School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom., Stanyte A; 3Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania., Pranckeviciene A; 4Health Psychology Department, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania., Carvalho IP; 5Clinical Neurosciences and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal.; 6CINTESIS@RISE, Faculty of Medicine, University of Porto, Porto, Portugal., Zandonai T; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy.; 8Department of Pharmacology, Pediatrics and Organic Chemistry Miguel Hernandez University of Elche, Sant Joan, Alicante, Spain., Simonato P; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy., De Luca I; 9School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom., Carollo A; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy., Ábel KE; 10Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary., Szabo A; 21Faculty of Health and Sport Sciences, Széchenyi István University, Győr, Hungary., Kovácsik R; 10Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.; 11Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary., Fujiwara H; 12Department of Neuropsychiatry, Graduate School of Medicine, University of Kyoto, Kyoto, Japan.; 13Artificial Intelligence Ethics and Society Team, RIKEN Center for Advanced Intelligence Project, Saitama, Japan., Shibata M; 12Department of Neuropsychiatry, Graduate School of Medicine, University of Kyoto, Kyoto, Japan., Girleanu A; 14Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy., Melero Ventola AR; 15Department of Personality, Psychological Assessment and Treatment, Universidad de Salamanca, 37005, Salamanca, Spain., Santos-Labrador RM; 16Department of Didactics of Musical, Plastic and Corporal Expression, Universidad de Valladolid, 34004, Palencia, Spain., Bruno de Almeida Cunha N; 17Department of Pharmacobiology, University of Guadalajara, Guadalajara, Jalisco, México., Penazzi G; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy., Venturini S; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy., Castro F; 9School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom., Lazuras L; 18School of Psychology, Sport Science, & Wellbeing, University of Lincoln, Lincoln, UK., Esposito G; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy.; 9School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom., Demetrovics Z; 19Flinders University Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work, Flinders University, Bedford Park, South Australia, Australia.; 20Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar.; 10Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary., Corazza O; 7Addiction Science Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trento, Italy.; 9School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom. |
| Πηγή: | Journal of behavioral addictions [J Behav Addict] 2026 Jun 12; Vol. 15 (2), pp. 704-720. Date of Electronic Publication: 2026 Jun 12 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Akadémiai Kiado Country of Publication: Hungary NLM ID: 101602037 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2063-5303 (Electronic) Linking ISSN: 20625871 NLM ISO Abbreviation: J Behav Addict Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Budapest, Hungary : Akadémiai Kiadó |
| Ιατρικοί όροι (MeSH): | Body Image*/psychology , Social Media*/statistics & numerical data , Internet Addiction Disorder*/epidemiology , Exercise*/psychology , Behavior, Addictive*/epidemiology , Anxiety*/epidemiology , Internet Use*/statistics & numerical data , Performance-Enhancing Substances*, Japan/epidemiology ; Mexico/epidemiology ; Italy/epidemiology ; Singapore/epidemiology ; Humans ; Female ; Adult ; Male ; Young Adult ; Adolescent ; Cross-Cultural Comparison ; Digital Media ; Media Exposure ; Internet ; Prevalence |
| Περίληψη: | Background and Aims: Social media increasingly shapes body image by promoting often unattainable beauty ideals. Concurrently, targeted online marketing of image- and performance-enhancing drugs (IPEDs) exploits these vulnerabilities, intensifying anxiety and fostering maladaptive behaviours such as problematic usage of the internet (PUI), compulsive exercise, and IPEDs consumption. This study explores these behaviours across nine countries and examines how PUI, excessive exercise, and IPEDs use predict appearance anxiety, aiming to inform targeted prevention strategies for at-risk populations. Methods: A total of 3,514 participants from nine countries completed a web-based survey assessing sociodemographic data, appearance anxiety (AAI), problematic internet use (PIUQ-9), excessive exercise (EAI-R), and IPEDs intake. Results: Appearance-related anxiety was observed in 12% of the participants, with the highest prevalence in Mexico (20.7%), Japan (13.8%) and Italy (13.6%). Median PUI scores were highest in Mexico (22.57) and Singapore (21.59). Excessive exercise was reported by 3.6% with no significant country differences. IPEDs use was reported by 28.3% of the sample, with the highest rates in Japan (60.6%). Logistic regression analyses revealed that PUI, excessive exercise and IPEDs use were significant predictors of appearance-related anxiety. Discussion and Conclusions: The strong associations between PUI, excessive exercise, IPEDs use, and appearance anxiety underscore the complex interplay between online exposure, body image concerns and mental health. Cross-country differences suggest that socio-cultural factors influence appearance-related anxiety. These findings highlight the need for culturally sensitive interventions and policy measures that address the impact of digital media on body image, particularly to protect vulnerable populations. |
| Contributed Indexing: | Keywords: appearance anxiety; cultural variation; enhancement drugs; excessive exercise |
| Substance Nomenclature: | 0 (Performance-Enhancing Substances) |
| Entry Date(s): | Date Created: 20260612 Date Completed: 20260716 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13371743 |
| DOI: | 10.1556/2006.2025.00317 |
| PMID: | 42284098 |
| Βάση Δεδομένων: | MEDLINE |
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