Digital self-harm is associated with disordered eating behaviors in adults

Eat Weight Disord. 2022 Aug;27(6):2129-2136. doi: 10.1007/s40519-021-01355-6. Epub 2022 Jan 23.

Abstract

Purpose: Eating-disorder psychopathology is associated with self-harm behaviors. With much time spent and many social interactions taking place online, self-cyberbullying has emerged as a new form of self-harm that is digital. The current study examined digital self-harm in adults and its associations with eating-disorder psychopathology and behaviors.

Methods: Participants were adults (N = 1794) who completed an online cross-sectional survey. Participants reported whether they had ever posted mean things about themselves online, whether they had ever anonymously bullied themselves online and completed measures of eating-disorder psychopathology and disordered eating behaviors.

Results: Digital self-harm was reported by adults across demographic characteristics and across the lifespan, although there were some significant differences in demographic characteristics associated with reported digital self-harm. Participants who engaged in digital self-harm were younger than those denying digital self-harm. Eating-disorder psychopathology and disordered eating behaviors were significantly higher among individuals reporting digital self-harm compared with age-matched controls.

Conclusions: This was the first study to examine digital self-harm among adults and the first study to examine associations of digital self-harm with eating-disorder psychopathology and disordered eating behaviors. Importantly, digital self-harm is reported by adults and therefore is not limited to youth. Our findings that digital self-harm is associated with disordered eating suggests that digital self-harm is a clinically significant topic that needs further research to inform clinical practice and clinical research.

Level of evidence: Level III, Evidence obtained from well-designed cohort or case-controlled analytic studies.

Keywords: Cyberbullying; Disordered eating; Self-harm; Weight.

MeSH terms

  • Adult
  • Bullying*
  • Cohort Studies
  • Cross-Sectional Studies
  • Feeding and Eating Disorders* / epidemiology
  • Humans
  • Internet
  • Self-Injurious Behavior* / epidemiology