DIGITAL SPACES AND EATING DISORDERS: A LITERATURE REVIEW ON THE IMPACT OF SOCIAL MEDIA ALGORITHMS AND MOBILE HEALTH APPLICATIONS ON RECOVERY
DOI:
https://doi.org/10.31435/ijitss.3(51).2026.6461Keywords:
Eating Disorders, Digital Psychiatry, Social Media Algorithms, Digital Exposome, Artificial Intelligence, Mobile HealthAbstract
Background: Digital spaces function as an active, structural determinant of eating disorder (ED) psychopathology, representing a modern "digital exposome" that poses significant psychiatric and systemic medical risks. While commercial social media algorithms often act as risk factors, the rapid evolution of digital psychiatry simultaneously offers new scalable therapeutic options.
Objectives: This literature review aims to examine the dual impact of modern digital environments, critically contrasting the pathogenic mechanisms of engagement-driven social media algorithms with the clinical efficacy of mobile health (mHealth), virtual reality (VR), and artificial intelligence (AI) interventions.
Methodology: A narrative review of recent literature (2019–2026) was conducted utilizing PRISMA-informed search strategies across primary medical and psychological databases. The synthesis integrated epidemiological meta-analyses, bibliometric trends, and randomized controlled trials (RCTs) evaluating both algorithmic harm and e-mental health therapeutics.
Results: Findings indicate that engagement-driven algorithms (e.g., the "TikTok paradox," mukbang trends) systemically exacerbate self-objectification and frequently precipitate severe somatic complications, including nephrological, cardiovascular, and metabolic crises, across diverse demographics, extending to physically active males. Conversely, adaptive mHealth applications, VR cue-exposure protocols, and Large Language Model (LLM) chatbots demonstrate significant preliminary efficacy in cognitive restructuring and symptom reduction. However, widespread clinical adoption remains hindered by poor user experience (UX) retention rates and severe ethical dilemmas regarding AI "hallucinations" and medical safety.
Conclusion: Mitigating the digital ED crisis necessitates a coordinated, multidisciplinary clinical approach, and highlights the urgent need to integrate routine "digital anamnesis" into primary and psychiatric care. Future imperatives include structural algorithmic regulation, the establishment of standardized AI safety frameworks, and the development of user-centric digital therapeutics to ethically redesign the digital exposome.
References
Baumann, H., Singh, B., Staiano, A. E., et al. (2025). Effectiveness of mHealth interventions targeting physical activity, sedentary behaviour, sleep or nutrition on emotional, behavioural and eating disorders in adolescents: A systematic review and meta-analysis. Frontiers in Digital Health, 7. https://doi.org/10.3389/fdgth.2025.1593677
Cavazos-Rehg, P., Fitzsimmons-Craft, E. E., Kasson, E., et al. (2026). Acceptability, feasibility, and preliminary effectiveness of a mobile app for teens with or at high risk for eating disorders: A three-arm pilot randomized controlled trial comparing self-help, guided self-help, and guided self-help with a social networking component. International Journal of Eating Disorders. https://doi.org/10.1002/eat.70105
Choi, R., Kim, T., Park, S., Kim, J. G., & Lee, S.-J. (2024). Private yet social: How LLM chatbots support and challenge eating disorder recovery. arXiv.
Corberán, M., Cobo, L., Garcia-Soriano, G., Segura, M., & Roncero, M. (2024). Preliminary efficacy data of a mobile app to address dysfunctional beliefs associated with eating disorders in adults. Behavioral Psychology/Psicología Conductual, 32(2), 381–402. https://doi.org/10.51668/bp.8324209n
Dege, G., Deliktaş, M., Gül, N., Yildirim, E., Yildirim, A., & Yıldız, M. (2026). A bibliometric analysis of eating disorders in adolescents. Journal of Eating Disorders. https://doi.org/10.1186/s40337-026-01695-7
Dubicka, B., Elvins, R., Inogbo, C., & Elgibaly, M. (2026). Social media use, body image, and eating disorder symptoms in children, adolescents, and young adults: A scoping review. BJPsych Open, 12(S1), S39–S40. https://doi.org/10.1192/bjo.2026.11235
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A "transdiagnostic" theory and treatment. Behaviour Research and Therapy, 41(5), 509–528. https://doi.org/10.1016/S0005-7967(02)00088-X
Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7(2), 117–140. https://doi.org/10.1177/001872675400700202
Flannery, O., Harris, K., & Kenny, U. A. (2020). An exploration into the impact of social networking site (SNS) use on body image and eating behavior of physically active men. Journal of Men's Studies, 1–24. https://doi.org/10.1177/1060826520913264
Fortunato, L., Gullo, S., Muscolino, A., et al. (2026). Relation between social media use and body image concerns and disordered eating in adolescence: A systematic review and meta-analysis. Adolescent Research Review. https://doi.org/10.1007/s40894-026-00285-7
Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: Toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x
Grywińska, W., Okońska, A., Kozakiewicz, J., Kościelecki, K., Kalisz, A., Skorulska, I., Mączewska, K., Długozima, P., Grzeszczuk, P., & Głowacka, A. (2025). Exploring the potential of virtual reality in eating disorder treatment. Quality in Sport, 39, 59141. https://doi.org/10.12775/QS.2025.39.59141
Guluzade, L., & Sas, C. (2024). Functionality and user review analysis of mobile apps for mindfulness eating and eating disorders. In Proceedings of the 2024 ACM Designing Interactive Systems Conference (pp. 1350–1371). Association for Computing Machinery. https://doi.org/10.1145/3643834.3661521
Howard, L. M., Ciaralli, S., Schillerberg, A. E., et al. (2025). Effectiveness of a dissonance-based body image intervention on eating pathology symptoms. Psi Chi Journal of Psychological Research, 30(1), 18–25. https://doi.org/10.24839/2325-7342.JN30.1.18
Jiotsa, B., Naccache, B., Duval, M., Rocher, B., & Grall-Bronnec, M. (2021). Social media use and body image disorders: Association between frequency of content engagement and disordered eating behaviors. International Journal of Environmental Research and Public Health, 18(11), 5641. https://doi.org/10.3390/ijerph18115641
Linardon, J., Shatte, A., Messer, M., Firth, J., & Fuller-Tyszkiewicz, M. (2020). E-mental health interventions for the treatment and prevention of eating disorders: An updated systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 88(11), 994–1007. https://doi.org/10.1037/ccp0000609
Logrieco, G., Marchili, M. R., Roversi, M., & 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), Article 1041. https://doi.org/10.3390/ijerph18031041
Mohammad Johari, M. H., & Tan, S. T. (2024). Internet addiction and its relationship with food choice motives and the risk of eating disorders among young adults in Malaysia. Scientific Reports, 14, Article 5643. https://doi.org/10.1038/s41598-024-56050-0
Nawaz, F. A., Riaz, M. M. A., Banday, N. u. a., Singh, A., Arshad, Z., Derby, H., & Sultan, M. A. (2024). Social media use among adolescents with eating disorders: A double-edged sword. Frontiers in Psychiatry, 15, Article 1300182. https://doi.org/10.3389/fpsyt.2024.1300182
Pehlivan, M. J., Miskovic-Wheatley, J., Le, A., Maloney, D., National Eating Disorders Research Consortium, Touyz, S. W., & Maguire, S. L. (2022). Models of care for eating disorders: Findings from a rapid review. Journal of Eating Disorders, 10, Article 166. https://doi.org/10.1186/s40337-022-00671-1
Pruccoli, J., De Rosa, M., Chiasso, L., Perrone, A., & 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), Article 138. https://doi.org/10.1186/s13052-022-01308-4
Sarda, E., El-Jor, C., Shankland, R., et al. (2025). Social media use and roles of self-objectification, self-compassion and body image concerns: A systematic review. Journal of Eating Disorders, 13(1). https://doi.org/10.1186/s40337-025-01353-4
Suhag, K., & Rauniyar, S. (2024). Social media effects regarding eating disorders and body image in young adolescents. Cureus, 16(4), e58674. https://doi.org/10.7759/cureus.58674
Tharwani, Z. H., Shaeen, S. K., Zahid, K., Ahmed, S., Naqrashi, R., Murtaza, A., Mughal, S., Hasanain, M., Anjum, M. U., Eljack, M. M. F., & Zaidi, S. W. (2025). Exploring the link between dopamine dysregulation and eating disorders: A narrative review. Journal of Neuroendocrinology, 37, e70070. https://doi.org/10.1111/jne.70070
Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt-Jepsen, M., Whelan, P., Golas, A. J., Morrison, J. F., & Birnbaum, M. L. (2021). The growing field of digital psychiatry: Current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry, 20(3), 318–335. https://doi.org/10.1002/wps.20883
Tregarthen, J., Kim, J. P., Sadeh-Sharvit, S., Neri, E., Welch, H., & Lock, J. (2019). Comparing a tailored self-help mobile app with a standard self-monitoring app for the treatment of eating disorder symptoms: Randomized controlled trial. JMIR Mental Health, 6(11), e14972. https://doi.org/10.2196/14972
von Ash, T., Huynh, R., Deng, C., & White, M. A. (2023). Associations between mukbang viewing and disordered eating behaviors. International Journal of Eating Disorders, 56(6), 1188–1198. https://doi.org/10.1002/eat.23915
Westmoreland, P., Krantz, M. J., & Mehler, P. S. (2016). Medical complications of anorexia nervosa and bulimia. The American Journal of Medicine, 129(1), 30–37. https://doi.org/10.1016/j.amjmed.2015.06.031
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