{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T07:01:50Z","timestamp":1793257310479,"version":"4.5.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eat Weight Disord"],"published-print":{"date-parts":[[2017,6]]},"DOI":"10.1007\/s40519-017-0364-2","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T07:25:13Z","timestamp":1488353113000},"page":"277-284","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":301,"title":["Instagram use is linked to increased symptoms of orthorexia nervosa"],"prefix":"10.1007","volume":"22","author":[{"given":"Pixie G.","family":"Turner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1640-7262","authenticated-orcid":false,"given":"Carmen E.","family":"Lefevre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2017,3,1]]},"reference":[{"key":"364_CR1","unstructured":"Ofcom (2015) Communications Market Report 2015. Ofcom"},{"key":"364_CR2","unstructured":"Freeman H (2015) Green is the new black: the unstoppable rise of the healthy-eating guru. Guardian"},{"key":"364_CR3","unstructured":"Marsh S, Campbell D (2016) Clean eating trend can be dangerous for young people, experts warn. Guardian"},{"key":"364_CR4","volume-title":"Health food junkies: orthorexia nervosa\u2013overcoming the obsession with healthful eating.","author":"S Bratman","year":"2000","unstructured":"Bratman S, Knight D (2000) Health food junkies: orthorexia nervosa\u2013overcoming the obsession with healthful eating. Broadway, New York"},{"issue":"10","key":"364_CR5","doi-asserted-by":"publisher","first-page":"e1002199","DOI":"10.1371\/journal.pcbi.1002199","volume":"7","author":"M Salath\u00e9","year":"2011","unstructured":"Salath\u00e9 M, Khandelwal S (2011) Assessing vaccination sentiments with online social media: implications for infectious disease dynamics and control. PLoS Comput Biol 7(10):e1002199","journal-title":"PLoS Comput Biol"},{"key":"364_CR6","unstructured":"Duggan M, Ellison NB, Lampe C, Lenhart A, Madden M (2015) Social media update 2014. Pew Research Center 9"},{"key":"364_CR7","unstructured":"Instagram Blog (2016) Instagram today: 500\u00a0million Windows to the world. http:\/\/blog.instagram.com\/post\/146255204757\/160621-news . 2016"},{"key":"364_CR8","unstructured":"Cowen and Company (2014) Younger users spend more daily time on social networks. http:\/\/www.emarketer.com\/Article\/Younger-Users-Spend-More-Daily-Time-on-Social-Networks\/1011592 . 2016"},{"key":"364_CR9","doi-asserted-by":"crossref","unstructured":"Hu Y, Manikonda L, Kambhampati S (2014) What we Instagram: a first analysis of Instagram photo content and user types. In: ICWSM","DOI":"10.1609\/icwsm.v8i1.14578"},{"key":"364_CR10","unstructured":"Sharma SS, De Choudhury M (2015) Measuring and characterizing nutritional information of food and ingestion content in instagram. In: Proceedings of the 24th International Conference on World Wide Web, 2015. ACM, pp 115\u2013116"},{"key":"364_CR11","unstructured":"The Hartman Group (2012) Clicks and cravings: the impact of social technology on food culture. http:\/\/www.unitedfreshshow.org\/files\/clicks_and_craving.june_lee.pdf . Accessed August 2016"},{"issue":"9","key":"364_CR12","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1089\/cyber.2015.0157","volume":"18","author":"E Lee","year":"2015","unstructured":"Lee E, Lee J-A, Moon JH, Sung Y (2015) Pictures speak louder than words: Motivations for using Instagram. Cyberpsychol Behav Soc Netw 18(9):552\u2013556","journal-title":"Cyberpsychol Behav Soc Netw"},{"key":"364_CR13","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.chb.2015.12.059","volume":"58","author":"P Sheldon","year":"2016","unstructured":"Sheldon P, Bryant K (2016) Instagram: Motives for its use and relationship to narcissism and contextual age. Comput Hum Behav 58:89\u201397","journal-title":"Comput Hum Behav"},{"issue":"4","key":"364_CR14","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1002\/da.22466","volume":"33","author":"JE Sidani","year":"2016","unstructured":"Sidani JE, Shensa A, Radovic A, Miller E, Colditz JB, Hoffman BL, Giles LM, Primack BA (2016) Association between social media use and depression among US young adults. Depress Anxiety 33(4):323\u2013331","journal-title":"Depress Anxiety"},{"key":"364_CR15","doi-asserted-by":"crossref","unstructured":"Carrotte ER, Vella AM, Lim MS (2015) Predictors of \u201cliking\u201d three types of health and fitness-related content on social media: a cross-sectional study. J Med Internet Res 17(8)","DOI":"10.2196\/jmir.4803"},{"issue":"5","key":"364_CR16","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1002\/eat.22254","volume":"47","author":"AG Mabe","year":"2014","unstructured":"Mabe AG, Forney KJ, Keel PK (2014) Do you \u201clike\u201d my photo? Facebook use maintains eating disorder risk. Int J Eat Disord 47(5):516\u2013523","journal-title":"Int J Eat Disord"},{"issue":"6","key":"364_CR17","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1002\/eat.20396","volume":"40","author":"AM Bardone-Cone","year":"2007","unstructured":"Bardone-Cone AM, Cass KM (2007) What does viewing a pro-anorexia website do? An experimental examination of website exposure and moderating effects. Int J Eat Disord 40(6):537\u2013548","journal-title":"Int J Eat Disord"},{"issue":"5","key":"364_CR18","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1089\/cyber.2014.0560","volume":"18","author":"K Lup","year":"2015","unstructured":"Lup K, Trub L, Rosenthal L (2015) Instagram# Instasad?: exploring associations among Instagram use, depressive symptoms, negative social comparison, and strangers followed. Cyberpsychol Behav Soc Netw 18(5):247\u2013252","journal-title":"Cyberpsychol Behav Soc Netw"},{"key":"364_CR19","unstructured":"Tiggemann M, Zaccardo M (2016) \u2018Strong is the new skinny\u2019: A content analysis of# fitspiration images on Instagram. J Health Psychol:1359105316639436"},{"issue":"155","key":"364_CR20","first-page":"571","volume":"39","author":"TG Morrison","year":"2004","unstructured":"Morrison TG, Kalin R, Morrison MA (2004) Body-image evaluation and body-image investment among adolescents: A test of sociocultural and social comparison theories. Adolescence 39(155):571","journal-title":"Adolescence"},{"key":"364_CR21","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.chb.2016.03.084","volume":"62","author":"M Pittman","year":"2016","unstructured":"Pittman M, Reich B (2016) Social media and loneliness: Why an Instagram picture may be worth more than a thousand Twitter words. Comput Hum Behav 62:155\u2013167","journal-title":"Comput Hum Behav"},{"key":"364_CR22","unstructured":"Rainey S (2016) How TV\u2019s new queens of healthy eating are serving up hogwash: Collagen soup. Eggs that are \u2018astrologically harvested\u2019 and why the Hemsley sisters don\u2019t have a shred of expertise between them. Daily Mail"},{"key":"364_CR23","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5\u00ae). American Psychiatric Pub","DOI":"10.1176\/appi.books.9780890425596"},{"key":"364_CR24","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.eatbeh.2015.12.006","volume":"21","author":"TM Dunn","year":"2016","unstructured":"Dunn TM, Bratman S (2016) On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eat Behav 21:11\u201317","journal-title":"Eat Behav"},{"key":"364_CR25","unstructured":"Koven NS, Abry AW (2015) The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatric Disease & Treatment 11"},{"issue":"1","key":"364_CR26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-244X-14-59","volume":"14","author":"M Varga","year":"2014","unstructured":"Varga M, Thege BK, Dukay-Szab\u00f3 S, T\u00fary F, van Furth EF (2014) When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 14(1):1","journal-title":"BMC Psychiatry"},{"issue":"4","key":"364_CR27","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/j.psym.2014.03.003","volume":"56","author":"RM Moroze","year":"2015","unstructured":"Moroze RM, Dunn TM, Holland JC, Yager J, Weintraub P (2015) Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal \u201corthorexia nervosa\u201d and proposed diagnostic criteria. Psychosomatics 56(4):397\u2013403","journal-title":"Psychosomatics"},{"issue":"3","key":"364_CR28","first-page":"283","volume":"19","author":"G Aruso\u011flu","year":"2008","unstructured":"Aruso\u011flu G, Kabakci E, K\u00f6ksal G, Merdol TK (2008) Orthorexia nervosa and adaptaon of ORTO-11 into Turkish. Turk J Psychiatry 19(3):283\u2013291","journal-title":"Turk J Psychiatry"},{"issue":"2","key":"364_CR29","doi-asserted-by":"publisher","first-page":"e28","DOI":"10.1007\/BF03327537","volume":"10","author":"L Donini","year":"2005","unstructured":"Donini L, Marsili D, Graziani M, Imbriale M, Cannella C (2005) Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord-Stud Anorex Bulim Obes 10(2):e28\u2013e32","journal-title":"Eat Weight Disord-Stud Anorex Bulim Obes"},{"issue":"4","key":"364_CR30","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1007\/s40519-014-0131-6","volume":"19","author":"JH Valera","year":"2014","unstructured":"Valera JH, Ruiz PA, Valdespino BR, Visioli F (2014) Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eat Weight Disord-Stud Anorex Bulim Obes 19(4):469\u2013472","journal-title":"Eat Weight Disord-Stud Anorex Bulim Obes"},{"issue":"4","key":"364_CR31","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1080\/03670244.2014.987920","volume":"54","author":"E Asil","year":"2015","unstructured":"Asil E, S\u00fcr\u00fcc\u00fco\u011flu MS (2015) Orthorexia nervosa in Turkish dietitians. Ecol Food Nutr 54(4):303\u2013313","journal-title":"Ecol Food Nutr"},{"issue":"1","key":"364_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12967-014-0221-2","volume":"12","author":"S Bo","year":"2014","unstructured":"Bo S, Zoccali R, Ponzo V, Soldati L, De Carli L, Benso A, Fea E, Rainoldi A, Durazzo M, Fassino S (2014) University courses, eating problems and muscle dysmorphia: are there any associations? J Transl Med 12(1):1","journal-title":"J Transl Med"},{"key":"364_CR33","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.appet.2016.11.028","volume":"109","author":"J Malmborg","year":"2017","unstructured":"Malmborg J, Bremander A, Olsson MC, Bergman S (2017) Health status, physical activity, and orthorexia nervosa: A comparison between exercise science students and business students. Appetite 109:137\u2013143","journal-title":"Appetite"},{"key":"364_CR34","unstructured":"Dunn TM, Gibbs J, Whitney N, Starosta A (2016) Prevalence of orthorexia nervosa is less than 1%: data from a US sample. Eat Weight Disord-Stud Anorex Bulim Obes:1\u20138"},{"key":"364_CR35","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1016\/j.appet.2016.07.010","volume":"108","author":"B Missbach","year":"2016","unstructured":"Missbach B, Dunn TM, K\u00f6nig JS (2016) We need new tools to assess Orthorexia Nervosa. A commentary on \u201cPrevalence of Orthorexia Nervosa among College Students Based on Bratman\u2019s Test and Associated Tendencies\u201d. Appetite 108:521","journal-title":"Appetite"},{"issue":"2","key":"364_CR36","doi-asserted-by":"publisher","first-page":"e127","DOI":"10.1007\/BF03325318","volume":"16","author":"C Ramacciotti","year":"2011","unstructured":"Ramacciotti C, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, Dell\u2019Osso L (2011) Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO-15). Eat Weight Disord-Stud Anorex Bulim Obes 16(2):e127\u2013e130","journal-title":"Eat Weight Disord-Stud Anorex Bulim Obes"},{"issue":"3","key":"364_CR37","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1111\/j.1600-0838.2008.00809.x","volume":"18","author":"A Kummer","year":"2008","unstructured":"Kummer A, Dias F, Teixeira A (2008) On the concept of orthorexia nervosa. Scand J Med Sci Sports 18(3):395\u2013396","journal-title":"Scand J Med Sci Sports"},{"issue":"2","key":"364_CR38","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1016\/j.chb.2011.11.001","volume":"28","author":"DJ Hughes","year":"2012","unstructured":"Hughes DJ, Rowe M, Batey M, Lee A (2012) A tale of two sites: Twitter vs. Facebook and the personality predictors of social media usage. Comput Hum Behav 28(2):561\u2013569","journal-title":"Comput Hum Behav"},{"issue":"2","key":"364_CR39","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1086\/209001","volume":"11","author":"TL Childers","year":"1984","unstructured":"Childers TL, Houston MJ (1984) Conditions for a picture-superiority effect on consumer memory. J Consum Res 11(2):643\u2013654","journal-title":"J Consum Res"},{"issue":"2","key":"364_CR40","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s40519-014-0171-y","volume":"20","author":"C Segura-Garcia","year":"2015","unstructured":"Segura-Garcia C, Ramacciotti C, Rania M, Aloi M, Caroleo M, Bruni A, Gazzarrini D, Sinopoli F, De Fazio P (2015) The prevalence of orthorexia nervosa among eating disorder patients after treatment. Eat Weight Disord-Stud Anorex Bulim Obes 20(2):161\u2013166","journal-title":"Eat Weight Disord-Stud Anorex Bulim Obes"}],"container-title":["Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s40519-017-0364-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s40519-017-0364-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s40519-017-0364-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T08:19:42Z","timestamp":1692692382000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s40519-017-0364-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,1]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["364"],"URL":"https:\/\/doi.org\/10.1007\/s40519-017-0364-2","relation":{},"ISSN":["1124-4909","1590-1262"],"issn-type":[{"value":"1124-4909","type":"print"},{"value":"1590-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,1]]},"assertion":[{"value":"22 November 2016","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2017","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2017","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Pixie Turner declares she has no conflict of interest. Carmen Lefevre declares she has no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the UCL ethics committee.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All participants gave their informed consent before starting the questionnaire.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}