{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:03:08Z","timestamp":1791298988102,"version":"4.1.0"},"reference-count":20,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The literature shows that social pressure promotes non-suicidal self-injury (NSSI) Eating disorders, along with self-injury, are also favored by underregulated social media. Tik Tok is one of the most used social media platforms among adolescents. It has been shown that the time young children spend on this platform doubled during the lockdown. The theme of anorexia is very common on this platform. While most \u201cpro-ana\u201d (pro-anorexia) videos, where users exchanged advice on how to pathologically lose weight, have been censored by the application, other \u201canti-pro-ana\u201d (anti-pro-anorexia) videos, officially aimed at raising awareness of the consequences of anorexia, have become increasingly popular. However, our case shows how even these safer videos paradoxically lead the users to emulate these \u201cguilty\u201d behaviors.<\/jats:p>","DOI":"10.3390\/ijerph18031041","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T09:59:40Z","timestamp":1611568780000},"page":"1041","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["The Paradox of Tik Tok Anti-Pro-Anorexia Videos: How Social Media Can Promote Non-Suicidal Self-Injury and Anorexia"],"prefix":"10.3390","volume":"18","author":[{"given":"Giuseppe","family":"Logrieco","sequence":"first","affiliation":[{"name":"Residency School of Pediatrics, University of Rome Tor Vergata, 00165 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Rosaria","family":"Marchili","sequence":"additional","affiliation":[{"name":"Department of Emergency, Acceptance and General Pediatrics, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, 00165 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Roversi","sequence":"additional","affiliation":[{"name":"Residency School of Pediatrics, University of Rome Tor Vergata, 00165 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9120-0424","authenticated-orcid":false,"given":"Alberto","family":"Villani","sequence":"additional","affiliation":[{"name":"Department of Emergency, Acceptance and General Pediatrics, Bambino Ges\u00f9 Children\u2019s Hospital, IRCCS, 00165 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Micali, N., Hagberg, K.W., Petersen, I., and Treasure, J.L. 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Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s40519-017-0364-2","article-title":"Instagram use is linked to increased symtomps of orthorexia nervosa","volume":"22","author":"Turner","year":"2017","journal-title":"Eat Weight Disord"},{"key":"ref_5","unstructured":"Bresnick, E. (2020, December 29). Intesified Play: Cinematic Study of Tiktok Mobile App. Available online: https:\/\/www.researchgate.net\/publication\/335570557_Intensified_Play_Cinematic_study_of_TikTok_mobile_app."},{"key":"ref_6","unstructured":"Yokota, S. (2020, December 29). A Look at TikTok Overtaking the World in 2019. Available online: https:\/\/en.lab.appa.pe\/2020-01\/a-look-at-tiktok-overtaking-the-world-in-2019.html."},{"key":"ref_7","unstructured":"(2020, December 29). 10 TikTok Statistics That You Need to Know in 2021 [Infographic]. Available online: https:\/\/www.oberlo.com\/blog\/tiktok-statistics."},{"key":"ref_8","unstructured":"Bartz, D. (2020, December 29). 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Disord., in press.","DOI":"10.1002\/eat.23463"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.2196\/jmir.2239","article-title":"Pro-Anorexia and Pro-Recovery Photo Sharing: A Tale of Two Warring Tribes","volume":"14","author":"Weber","year":"2012","journal-title":"J. Med. Internet. Res."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Cauberghe, V., and Van Wesenbeeck, I. (2020). How Adolescents use Social Media to cope with feeling of loneliness and Anxiety during Covid 19 Lockdown. Cyberpsychol. Behav. Soc. 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