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From social media to body image distress: Problematic internet use, exercise addiction, and enhancement drugs use across countries

dc.contributor.authorDores, Artemisa R.
dc.contributor.authorBurkaukas,Julius
dc.contributor.authorDores, Artemisa
dc.date.accessioned2026-06-22T15:14:59Z
dc.date.available2026-06-22T15:14:59Z
dc.date.issued2026-06-12
dc.description.abstractSocial 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. 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. 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. 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. Crosscountry 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.eng
dc.identifier.citationDores, A. R., Burkaukas, J., Stanyte, A., Pranckeviciene, A., Carvalho, I. P., Zandonai, T., Simonato, P., Luca, I. D., Carollo, A., Ábel, K. E., Szabo, A., Kovácsik, R., Fujiwara, H., Shibata, M., Girleanu, A., Ventola, A. R. M., Santos-Labrador, R. M., Cunha, N. B. de A., Penazzi, G., … Corazza, O. (2026). From social media to body image distress: Problematic internet use, exercise addiction, and enhancement drugs use across countries. Journal of Behavioral Addictions, 1(aop). https://doi.org/10.1556/2006.2025.00317
dc.identifier.doi10.1556/2006.2025.00317
dc.identifier.eissn2063-5303
dc.identifier.issn2062-5871
dc.identifier.urihttp://hdl.handle.net/10400.22/32508
dc.language.isoeng
dc.peerreviewedyes
dc.publisherAKJournals
dc.relationUID/5210/2025
dc.relation.hasversionhttps://www.akjournals.com/view/journals/2006/aop/article-10.1556-2006.2025.00317/article-10.1556-2006.2025.00317.xml
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectAppearance anxiety
dc.subjectExcessive exercise
dc.subjectEnhancement drugs
dc.titleFrom social media to body image distress: Problematic internet use, exercise addiction, and enhancement drugs use across countrieseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Behavioral Addictions
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameDores
person.givenNameArtemisa
person.identifier.ciencia-id6B12-301B-4A0F
person.identifier.orcid0000-0003-4595-9816
relation.isAuthorOfPublication6579b160-3747-4ab2-a590-9f7d03215fa7
relation.isAuthorOfPublication.latestForDiscovery6579b160-3747-4ab2-a590-9f7d03215fa7

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