Comunidades Pro-Ana y Pro-Mia: Revisión y propuestas de actuación desde la educación

Carmen Vizoso-Gómez

doi:10.18172/con.5812

Authors

Carmen Vizoso-Gómez University of Leon https://orcid.org/0000-0003-2549-8506

DOI:

https://doi.org/10.18172/con.5812

Keywords:

health education, pro-anorexia, pro-bulimia , eating disorders, systematic review

Abstract

Ana and Mia are pseudonyms used to refer to anorexia nervosa and bulimia nervosa, respectively. In the pro-Ana and pro-Mia communities, an apology for these eating disorders (ED) is created. The aim of this paper is to analyze the research about pro-Ana, pro-Mia and pro-ED websites. For this reason, a systematic review was carried out in WoS, Scopus and ERIC. 339 documents were registered and, after applying the selection criteria, 38 articles were included. Findings reveal that most of the papers have been published in the last seven years and that the most studied ED is anorexia. In addition, results confirm that pro-ED communities defend their own lifestyle, related to mental, physical, and social health disruptions. Finally, the proposals for media literacy and formal and non-formal education to promote health against eating disorders through actions in educational contexts are considered.

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References

*Alldred, P. y Fox, N. J. (2017). Young bodies, power and resistance: A new materialist perspective. Journal of Youth Studies, 20(9), 1161-1175. https://doi.org/10.1080/13676261.2017.1316362

Alonso-Tena, B., Calatayud, A. y Lucas, A. J. (2023). Programa Everybody has a body de prevención integrada de obesidad y trastornos de la conducta alimentaria en el área de educación física en la educación primaria. Retos, 49, 722-731. https://doi.org/10.47197/retos.v49.98391

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

Arija, V., Santi, M. J., Novalbos, J. P., Canals, J. y Rodríguez-Martín, A. (2022). Caracterización, epidemiología y tendencias de los trastornos de la conducta alimentaria. Nutrición Hospitalaria, 39(2), 8-15. https://doi.org/10.20960/nh.04173

Arnold, S., Correll, C. U. y Jaite, C. (2023). Frequency and correlates of lifetime suicidal ideation and suicide attempts among consecutively hospitalized youth with anorexia nervosa and bulimia nervosa: results from a retrospective chart review. Borderline Personality Disorder and Emotion Dysregulation, 10. https://doi.org/10.1186/s40479-023-00216-1

Arts, H., Lemetyinen, H. y Edge, D. (2020). Readability and quality of online eating disorder information. Are they sufficient? A systematic review evaluating websites on anorexia nervosa using DISCERN and Flesch Readability. International Journal of Eating Disorders, 53, 128-132. https://doi.org/10.1002/eat.23173

*Behar, A. R. (2010). La construcción cultural del cuerpo: El paradigma de los trastornos de la conducta alimentaria. Revista Chilena de Neuro-Psiquiatria, 48(4), 319-334. http://doi.org/10.4067/S0717-92272010000500007

Belmonte, S., de Diego, M. y Ruiz, P. M. (2022). Prevención de los trastornos de la conducta alimentaria en centros de educación secundaria. Nutrición Hospitalaria, 39(2), 86-92. https://doi.org/10.20960/nh.04183

*Borzekowski, D. L. G., Schenk, S., Wilson, J. L. y Peebles, R. (2010). E-ana and e-mia: A content analysis of pro-eating disorder web sites. American Journal of Public Health, 100(8), 1526-1534. https://doi.org/10.2105/AJPH.2009.172700

*Bragazzi, N. L., Prasso, G., Re, T. S., Zerbetto, R. y del Puente, G. (2019). A reliability and content analysis of Italian language anorexia nervosa-related websites. Risk Management and Healthcare Policy, 12, 145-151. https://doi.org/10.2147/RMHP.S193088

*Branley, D. B. y Covey, J. (2017). Pro-ana versus pro-recovery: A content analytic comparison of social media users' communication about eating disorders on Twitter and Tumblr. Frontiers in Psychology, 8. https://doi.org/10.3389/fpsyg.2017.01356

*Cantó-Milà, N. y Seebach, S. (2011). Ana's friends. friendship in online pro-ana communities. Sociological Research Online, 16(1). https://doi.org/10.5153/sro.2267

*Casilli, A. A., Rouchier, J. y Tubaro, P. (2014). How to build consensus in a health-oriented online community: Modeling a “pro-ana” forum. Revue Francaise de Sociologie, 55(4), 731-764. https://doi.org/10.3917/rfs.554.0731

*Casilli, A. A., Tubaro, P. y Araya, P. (2012). Ten years of ana: Lessons from a transdisciplinary body of literature on online pro-eating disorder websites. Social Science Information, 51(1), 120-139. https://doi.org/10.1177/0539018411425880

*Crowe, N. y Watts, M. (2016). ‘We're just like gok, but in reverse’: Ana girls – empowerment and resistance in digital communities. International Journal of Adolescence and Youth, 21(3), 379-390. https://doi.org/10.1080/02673843. 2013.856802

Cruzat, C., Haemmerli, C., Díaz, M., Pérez, C. y Goffard, J. P. (2012). Sitios Pro-ana y Pro-mia: Una aproximación reflexiva ante este fenómeno. Revista Argentina de Clínica Psicológica, 21(2),129-138.

de Almeida, T. C. y Guimarães, C. F. (2017). Os blogs pró-Ana e a experiência da anorexia no sexo masculino. Saude e Sociedade, 24(3), 1076-1088. https://doi.org/10.1590/S0104-12902015130142

*Deiana, F. (2011). Nadie dijo que fuera fácil ser una princesa: Una etnografía virtual de las webs Pro-ana. AIBR Revista de Antropologia Iberoamericana, 6(2), 215-252. https://doi.org/10.11156/aibr.060205

*Drtilova, H., Machackova, H. y Smahelova, M. (2022). Evaluation of web-based health information from the perspective of women with eating disorders: Thematic analysis. Journal of Medical Internet Research, 24(6). https://doi.org/10.2196/31148

*Dyke, S. (2013). Utilising a blended ethnographic approach to explore the online and offline lives of pro-ana community members. Ethnography and Education, 8(2), 146-161. https://doi.org/10.1080/17457823.2013.792505

*Feldhege, J., Moessner, M. y Bauer, S. (2021). Detrimental effects of online pro-eating disorder communities on weight loss and desired weight: Longitudinal observational study. Journal of Medical Internet Research, 23(10). https://doi.org/10.2196/27153

*Figueras, C. (2015). “I am a waste of breath, of space, of time”: Metaphors of self in a pro-anorexia group. Qualitative Health Research, 25(2), 189-204. https://doi.org/10.1177/1049732314550004

*Firkins, A., Twist, J., Solomons, W. y Keville, S. (2019). Cutting ties with pro-ana: A narrative inquiry concerning the experiences of pro-ana disengagement from six former site users. Qualitative Health Research, 29(10), 1461-1473. https://doi.org/10.1177/1049732319830425

*Fitzsimmons-Craft, E. E., Krauss, M. J., Costello, S. J., Floyd, G. M., Wilfley, D. E. y Cavazos-Rehg, P. A. (2020). Adolescents and young adults engaged with pro-eating disorder social media: Eating disorder and comorbid psychopathology, health care utilization, treatment barriers, and opinions on harnessing technology for treatment. Eating and Weight Disorders, 25(6), 1681-1692. https://doi.org/10.1007/s40519-019-00808-3

*Fox, N., Ward, K., y O'Rourke, A. (2005). Pro-anorexia, weight-loss drugs and the internet: An 'anti-recovery' explanatory model of anorexia. Sociology of Health and Illness, 27(7), 944-971. https://doi.org/10.1111/j.1467-9566.2005.00465.x

*Gerrard, Y. (2018). Beyond the hashtag: Circumventing content moderation on social media. New Media and Society, 20(12), 4492-4511. https://doi.org/10.1177/1461444818776611

*Giordani, R. C. F. y Silva, F. S. (2021). The ethereal bodies of pro-ana blogs: Emotional communities and spaces of sociability on the web. Ciencia e Saude Coletiva, 26, 5293-5301. https://doi.org/10.1590/1413-812320212611.3.34522019

Hambleton, A., Pepin, G., Le, A., Maloney, D., National Eating Disorder Research Consortium, Touyz, S. y Maguire, S. (2022). Psychiatric and medical comorbidities of eating disorders: Findings from a rapid review of the literature. Journal of Eating Disorders, 10(1). https://doi.org/10.1186/s40337-022-00654-2

Harrer, M., Adam, S. H., Messner, E. M., Baumeister, H., Cuijpers, P., Bruffaerts, R., Auerbach, R. P, Kessler, R. C., Jacobi, C., Taylor, C. B. y Ebert, D. D. (2020). Prevention of eating disorders at universities: A systematic review and meta‐analysis. International Journal of Eating Disorders, 53(6), 813-833. https://doi.org/10.1002/eat.23224

Lameiras-Fernández, M., Martínez-Román, R., Carrera-Fernández, M. V. y Rodríguez-Castro, Y. (2021). Sex Education in the Spotlight: What Is Working? Systematic Review. International Journal of Environmental Research and Public Health, 18(5). https://doi.org/10.3390/ijerph18052555

*Lladó, G., González-Soltero, R. y Blanco, M. J. (2017). Anorexia y bulimia nerviosas: Difusión virtual de la enfermedad como estilo de vida. Nutrición Hospitalaria, 34(3), 693-701. https://doi.org/10.20960/nh.469

Logrieco, G., Marchili, M. R., Roversi, M. y Villani, A. (2021). The paradox of TikTok anti-pro-anorexia videos: How social media can promote non-suicidal self-injury and anorexia. International Journal of Environmental Research and Public Health, 18(3), 1-4. https://doi.org/10.3390/ijerph18031041

*Lookingbill, V., Mohammadi, E. y Cai, Y. (2023). Assessment of accuracy, user engagement, and themes of eating disorder content in social media short videos. JAMA Network Open, 6(4). https://doi.org/10.1001/jamanetworkopen.2023.8897

*McCaig, D., Bhatia, S., Elliott, M. T., Walasek, L. y Meyer, C. (2018). Text-mining as a methodology to assess eating disorder-relevant factors: Comparing mentions of fitness tracking technology across online communities. International Journal of Eating Disorders, 51(7), 647-655. https://doi.org/10.1002/eat.22882

*Mento, C., Silvestri, M. C., Muscatello, M. R. A., Rizzo, A., Celebre, L., Praticò, M., Zoccali, R. A. y Bruno, A. (2021). Psychological impact of pro-anorexia and pro-eating disorder websites on adolescent females: A systematic review. International Journal of Environmental Research and Public Health, 18, 2186. https://doi.org/10.3390/ijerph18042186

*Mincey, K. A. y Hunnicutt, K. M. (2022). Exploring the experiences of people who engage with pro-eating disorder online media: A qualitative inquiry. International Journal for the Advancement of Counselling, 44(4), 660-679. https://doi.org/10.1007/s10447-022-09483-z

Moreno, A., Moraleda, J., Graell-Berna, M., Villa-Asensi, J. R., Álvarez, T., Lacruz-Gascón, T. y Sepúlveda, A. R. (2021). Modelo de interiorización y exteriorización para explicar el inicio de la psicopatología de los trastornos alimentarios en la adolescencia. Psicología Conductual, 29(1), 51-72. https://doi.org/10.51668/bp.8321103s

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372(71). https://doi.org/10.1136/bmj.n71

*Pagès, A. y Ocaña, M. (2019). Características y comportamientos que comparten las chicas pro-ANA. Un cambio de rumbo en la anorexia nerviosa. Metas de Enfermería, 22(3), 12-19. https://doi.org/10.35667/MetasEnf.2019.22.1003081387

*Peebles, R., Wilson, J. L., Litt, I. F., Hardy, K. K., Lock, J. D., Mann, J. R. y Borzekowski, D. L. G. (2012). Disordered eating in a digital age: Eating behaviors, health, and quality of life in users of websites with pro-eating disorder content. Journal of Medical Internet Research, 14(5). https://doi.org/10.2196/jmir.2023

*Pruccoli, J., de Rosa, M., Chiasso, L., Perrone, A. y Parmeggiani, A. (2022). The use of TikTok among children and adolescents with eating disorders: Experience in a third-level public Italian center during the SARS-CoV-2 pandemic. Italian Journal of Pediatrics, 48(1). https://doi.org/10.1186/s13052-022-01308-4

*Riley, S., Rodham, K. y Gavin, J. (2009). Doing weight: Pro-ana and recovery identities in cyberspace. Journal of Community and Applied Social Psychology, 19(5), 348-359. https://doi.org/10.1002/casp.1022

*Rzepko, A., Osińska, P. y Makowska, M. (2016). Am I thin enough? An introduction to anorexia nervosa. Face of this eating disorder in Poland. Health Problems of Civilization, 10(3), 7-14. https://doi.org/10.5114/hpc.2016.61359

Rodgers, R. F., Lowy, A. S., Halperin, D. M. y Franko, D. L. (2016). A meta-analysis examining the influence of pro-eating disorder websites on body image and eating pathology. European Eating Disorders Review, 24, 3-8. https://doi.org/10.1002/erv.2390

Rouleau, C. R. y Von Ranson, K. M. (2011). Potential risks of pro-eating disorder websites. Clinical Psychology Review, 31(4), 525-531. https://doi.org/10.1016/j. cpr.2010.12.005

Sánchez-Meca, J. y Botella, J. (2010). Revisiones sistemáticas y meta-análisis: herramientas para la práctica profesional. Papeles del Psicólogo, 31(1), 7-17.

Saul, J. S. y Rodgers, R. F. (2018). Adolescent eating disorder risk and the online world. Child and Adolescent Psychiatric Clinics of North America, 27(2), 221-228. https://doi.org/10.1016/j.chc.2017.11.011

*Schott, N. D., Spring, L. y Langan, D. (2016). Neoliberalism, pro-ana/mia websites, and pathologizing women: Using performance ethnography to challenge psychocentrism. Studies in Social Justice, 10(1), 95-115. https://doi.org/10.26522/ssj.v10i1.1320

*Seaber, E. (2016). Reading disorders: Pro-eating disorder rhetoric and anorexia life-writing. Literature and Medicine, 34(2), 484-508. https://doi.org/10.1353/lm. 2016.0023

*Sowles, S. J., McLeary, M., Optican, A., Cahn, E., Krauss, M. J., Fitzsimmons-Craft, E.E., Wilfley, D. E. y Cavazos-Rehg, P. A. (2018). A content analysis of an online pro-eating disorder community on reddit. Body Image, 24, 137-144. https://doi.org/10.1016/j.bodyim.2018.01.001

*Stammers, H. R. (2020). The theological language of anorexia: An argument for greater rapprochement between chaplains and physicians. Feminist Theology, 28(3), 282-296. https://doi.org/10.1177/0966735020906951

*Stapleton, K., Evans, S. L. y Rhys, C. S. (2019). Ana as God: Religion, interdiscursivity and identity on pro-ana websites. Discourse and Communication, 13(3), 320-341. https://doi.org/10.1177/1750481319835643

Suarez-Lledó, V. y Alvarez-Galvez, J. (2021). Prevalence of health misinformation on social media: Systematic review. Journal of Medical Internet Research, 23(1). https://doi.org/10.2196/17187

*Sukunesan, S., Huynh, M. y Sharp, G. (2021). Examining the pro-eating disorders community on twitter via the hashtag #proana: Statistical modeling approach. JMIR Mental Health, 8(7). https://doi.org/10.2196/24340

Torres-Castaño, A., Delgado-Rodríguez, J., Pino-Sedeño, T. D., Estaña, D., de Pascual, A. M., Toledo-Chávarri, A. y Serrano-Aguilar, P. (2022). Universal programs to prevent eating disorders in children and adolescents: A scoping review of ethical, legal, organizational and social impacts. European Eating Disorders Review, 30(6), 706-722. https://doi.org/10.1002/erv.2909

Tort-Nasarre, G., Pollina-Pocallet, M., Ferrer, Y., Ortega, M., Vilafranca, M. y Artigues-Barberà, E. (2023) Positive body image: a qualitative study on the successful experiences of adolescents, teachers and parents. International Journal of Qualitative Studies on Health and Well-being, 18:1. https://doi.org/10.1080/17482631.2023.2170007

Viguria, I., Alvarez-Mon, M. A., Llavero-Valero, M., del Barco, A. A., Ortuño, F. y Alvarez-Mon, M. (2020). Eating disorder awareness campaigns: Thematic and quantitative analysis using Twitter. Journal of Medical Internet Research, 22(7) https://doi.org/10.2196/17626

*Whitehead, K. L. (2010). “Hunger hurts but starving works”: A case study of gendered practices in the online pro-eating-disorder community. Canadian Journal of Sociology, 35(4), 595-626. https://doi.org/10.29173/cjs7976

*Yeshua-Katz, D. y Hård af Segerstad, Y. (2020). Catch 22: The paradox of social media affordances and stigmatized online support groups. Social Media and Society, 6(4). https://doi.org/10.1177/2056305120984476

*Yom-Tov, E., Brunstein-Klomek, A., Mandel, O., Hadas, A. y Fennig, S. (2018). Inducing behavioral change in seekers of pro-anorexia content using internet advertisements: Randomized controlled trial. JMIR Mental Health, 5. https://doi.org/10.2196/mental.8212