{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:13:01Z","timestamp":1788347581383,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1179321"],"award-info":[{"award-number":["1179321"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>TikTok has rapidly become one of the world's most influential social media platforms, distinguished by its algorithmically personalized video feed. Its design prioritizes continuous, engagement\u2010optimized content delivery, raising questions about how such environments may shape eating disorder risk, symptom maintenance, and recovery. This narrative review synthesizes emerging research on TikTok and eating disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a narrative review of studies identified through targeted database searches and reference screening. Findings were organized into four domains: (1) eating disorder\u2010relevant content on TikTok, (2) algorithmic systems structuring content distribution, (3) psychological and behavioral outcomes associated with content exposure, engagement, and creation, and (4) implications for clinical risk, recovery, and intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eating disorder\u2010relevant content on TikTok ranges from explicit pro\u2010eating disorder and pro\u2010recovery material to more socially normative dieting, fitness, and appearance\u2010focused content. Algorithm\u2010focused studies indicate that recommendation systems can disproportionately deliver such material to vulnerable users and may be more responsive to passive engagement signals (e.g., watch time) than to explicit actions (e.g., \u201cliking\u201d). Across study designs, greater exposure to and engagement with eating disorder\u2010related content appears to be associated with eating disorder symptoms and related phenomena. Personalized feeds may function as treatment barriers that warrant assessment in clinical settings, and psychoeducation about how recommendation systems operate may help clients recognize and disrupt harmful exposure cycles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>TikTok's algorithmically structured environment may interact with vulnerability to reinforce maladaptive comparison and behavioral cycles. Further longitudinal and clinically focused research is needed to clarify causal pathways and inform evidence\u2010based guidance for clinicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70119","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:30:27Z","timestamp":1777710627000},"page":"1863-1868","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>TikTok<\/scp>\n                    and Eating Disorders: A Narrative Review"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6366-3560","authenticated-orcid":false,"given":"Scott","family":"Griffiths","sequence":"first","affiliation":[{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4254-0876","authenticated-orcid":false,"given":"Sami","family":"Hondrogiannis","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1073-6371","authenticated-orcid":false,"given":"Noa","family":"Brittain","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_2_15_2_1","volume-title":"Proceedings of the International AAAI Conference on Web and Social Media (ICWSM) 2025 Workshop.","author":"Bickham C.","year":"2025"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0307597"},{"key":"e_1_2_15_4_1","unstructured":"Business of Apps.2025. \u201cTikTok Revenue and Usage Statistics.\u201d Business of Apps.https:\/\/www.businessofapps.com\/data\/tik\u2010tok\u2010statistics\/."},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2025.101877"},{"key":"e_1_2_15_6_1","volume-title":"Filterworld: How Algorithms Flattened Culture","author":"Chayka K.","year":"2024"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.18653\/v1\/2026.eacl-long.33"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001091"},{"key":"e_1_2_15_9_1","unstructured":"DataReportal.2025.\u201cTikTok Users Stats Data and Trends for 2025.\u201dhttps:\/\/datareportal.com\/essential\u2010tiktok\u2010stats."},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2025.108002"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2021.10.001"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24117"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/20563051251313855"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2024.101807"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23463"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/aps.70004"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24584"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2022.04.015"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010024\u201001163\u20100"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267997"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2022.09.006"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crbeha.2024.100156"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001187\u20107"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052\u2010022\u201001308\u20104"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2022.09.004"},{"key":"e_1_2_15_26_1","volume-title":"Scrolling Through Recovery: Youth\u2010Centred Priorities for Supporting Eating Disorder Recovery in the TikTok Era","author":"Sauerwein J.","year":"2025"},{"key":"e_1_2_15_27_1","unstructured":"Scanlon K.2020. \u201cThe App That Knows You Better Than You Know Yourself: An Analysis of the TikTok Algorithm.\u201d Medium; Chatbots Life.https:\/\/blog.chatbotslife.com\/the\u2010app\u2010that\u2010knows\u2010you\u2010better\u2010than\u2010you\u2010know\u2010yourself\u2010an\u2010analysis\u2010of\u2010the\u2010tiktok\u2010algorithm\u2010be12eefaab5a."},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24265"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2025.102024"},{"key":"e_1_2_15_30_1","unstructured":"TikTok.2024. \u201cHow TikTok Recommends Content.\u201d TikTok Help Center.https:\/\/support.tiktok.com\/en\/using\u2010tiktok\/exploring\u2010videos\/how\u2010tiktok\u2010recommends\u2010content."},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1145\/3613904.3642433"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.70119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.70119","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.70119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:16:04Z","timestamp":1788344164000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.70119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,2]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/eat.70119"],"URL":"https:\/\/doi.org\/10.1002\/eat.70119","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,2]]},"assertion":[{"value":"2026-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}