Evidence map›Paper›PMID 29414146›Full record

ArticleBody image2018

A content analysis of an online pro-eating disorder community on Reddit.

Shaina J Sowles, Monique McLeary, Allison Optican, Elizabeth Cahn, Melissa J Krauss, Ellen E Fitzsimmons-Craft, Denise E Wilfley, Patricia A Cavazos-Rehg

Open access · greenAbstract read
In one paragraph

Article in Body image, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
15.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 143 citations in OpenAlex.

  1. Article
  2. Autistic Burnout on Reddit: A Sisyphean Struggle with Daily Tasks.Journal of autism and developmental disorders · 2026
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  8. Review
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  10. Autistic Women's Experience of Motherhood: A Qualitative Analysis of Reddit.Journal of autism and developmental disorders · 2025
    Article
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  15. Abortion access barriers shared in "r/abortion" afterSexual and reproductive health matters · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Shaina J SowlesDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
Monique McLearyThe University of North Carolina at Greensboro, 1400 Spring Garden St, Greensboro, NC 27412, USA.
Allison OpticanDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
Elizabeth CahnDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
Melissa J KraussDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
Patricia A Cavazos-RehgDepartment of Psychiatry, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA. Electronic address: pcavazos@wustl.edu.
Washington University in St. Louis · USUniversity of North Carolina at Greensboro · US

Funding

The Social Interactome of Recovery: Social Media as Therapy DevelopmentR01DA039456 · NIDA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI BICKEL, WARREN K · 2014 to 2016
$1.7M
Implications of social media content and engagement for alcohol and marijuana useR01DA039455 · NIDA · WASHINGTON UNIVERSITY · PI CAVAZOS-REHG, PATRICIA A · 2014 to 2017
$1.3M
INVESTIGATING THE PROMOTION OF EATING DISORDERS ON TWITTER: IMPLICATIONS FOR ONLINE INTERVENTIONR21MH112331 · NIMH · WASHINGTON UNIVERSITY · PI CAVAZOS-REHG, PATRICIA A · 2017 to 2018
$419k
NIDA NIH HHS R01 DA039455NIDA NIH HHS R01 DA039456NIMH NIH HHS R21 MH112331
6 · The paper itself

Abstract

Pro-eating disorder communities provide a refuge for individuals with eating disorders (EDs) who are ambivalent about seeking treatment. We investigated a pro-ED community on Reddit, an anonymous social networking platform with topical forums, to identify expression of behaviors aligned with ED symptoms and support for these behaviors. A content analysis on four weeks of topic-specific discussion threads (N=125 comments, 115 replies to comments) was conducted to identify behaviors consistent with ED psychopathology and support for these behaviors (informational, tangible assistance, esteem/emotional support). Results indicated that the content aligned with expressions of clinically relevant ED psychopathology, with eating concerns (49/125) and shape concerns (47/125) being most prevalent. The majority (92/115) of replies provided esteem/emotional support to the comment author. Online interventions and/or recovery programs are needed to counteract reinforcing dialogue that occurs on social media sites, like Reddit, and promote ED recovery through supportive messages on these platforms.

Indexed as

Social MediaSocial NetworkingSocial SupportFeeding and Eating DisordersHumansInternetQualitative ResearchContent analysisDisordered eatingEating disorder symptomsRedditSocial mediaSocial support

Identifiers

PMID29414146
PMCPMC5869127
OpenAlexW2788145244

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.