Janet A Lydecker1, Carlos M Grilo2, Antonia Hamilton2, Rachel D Barnes2,3. 1. Department of Psychiatry, Yale School of Medicine, 301 Cedar Street, New Haven, CT, 06519, USA. janet.lydecker@yale.edu. 2. Department of Psychiatry, Yale School of Medicine, 301 Cedar Street, New Haven, CT, 06519, USA. 3. Health Psychology, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Abstract
PURPOSE: Eating-disorder psychopathology is associated with self-harm behaviors. With much time spent and many social interactions taking place online, self-cyberbullying has emerged as a new form of self-harm that is digital. The current study examined digital self-harm in adults and its associations with eating-disorder psychopathology and behaviors. METHODS: Participants were adults (N = 1794) who completed an online cross-sectional survey. Participants reported whether they had ever posted mean things about themselves online, whether they had ever anonymously bullied themselves online and completed measures of eating-disorder psychopathology and disordered eating behaviors. RESULTS: Digital self-harm was reported by adults across demographic characteristics and across the lifespan, although there were some significant differences in demographic characteristics associated with reported digital self-harm. Participants who engaged in digital self-harm were younger than those denying digital self-harm. Eating-disorder psychopathology and disordered eating behaviors were significantly higher among individuals reporting digital self-harm compared with age-matched controls. CONCLUSIONS: This was the first study to examine digital self-harm among adults and the first study to examine associations of digital self-harm with eating-disorder psychopathology and disordered eating behaviors. Importantly, digital self-harm is reported by adults and therefore is not limited to youth. Our findings that digital self-harm is associated with disordered eating suggests that digital self-harm is a clinically significant topic that needs further research to inform clinical practice and clinical research. LEVEL OF EVIDENCE: Level III, Evidence obtained from well-designed cohort or case-controlled analytic studies.
PURPOSE: Eating-disorder psychopathology is associated with self-harm behaviors. With much time spent and many social interactions taking place online, self-cyberbullying has emerged as a new form of self-harm that is digital. The current study examined digital self-harm in adults and its associations with eating-disorder psychopathology and behaviors. METHODS: Participants were adults (N = 1794) who completed an online cross-sectional survey. Participants reported whether they had ever posted mean things about themselves online, whether they had ever anonymously bullied themselves online and completed measures of eating-disorder psychopathology and disordered eating behaviors. RESULTS: Digital self-harm was reported by adults across demographic characteristics and across the lifespan, although there were some significant differences in demographic characteristics associated with reported digital self-harm. Participants who engaged in digital self-harm were younger than those denying digital self-harm. Eating-disorder psychopathology and disordered eating behaviors were significantly higher among individuals reporting digital self-harm compared with age-matched controls. CONCLUSIONS: This was the first study to examine digital self-harm among adults and the first study to examine associations of digital self-harm with eating-disorder psychopathology and disordered eating behaviors. Importantly, digital self-harm is reported by adults and therefore is not limited to youth. Our findings that digital self-harm is associated with disordered eating suggests that digital self-harm is a clinically significant topic that needs further research to inform clinical practice and clinical research. LEVEL OF EVIDENCE: Level III, Evidence obtained from well-designed cohort or case-controlled analytic studies.
Authors: Amanda M Raines; Joseph W Boffa; Nicholas P Allan; Nicole A Short; Norman B Schmidt Journal: Compr Psychiatry Date: 2014-11-06 Impact factor: 3.735
Authors: William E Copeland; Cynthia M Bulik; Nancy Zucker; Dieter Wolke; Suzet Tanya Lereya; Elizabeth Jane Costello Journal: Int J Eat Disord Date: 2015-09-04 Impact factor: 4.861
Authors: Nadia Micali; Francesca Solmi; Nicholas J Horton; Ross D Crosby; Kamryn T Eddy; Jerel P Calzo; Kendrin R Sonneville; Sonja A Swanson; Alison E Field Journal: J Am Acad Child Adolesc Psychiatry Date: 2015-06-05 Impact factor: 8.829