Evidence map›Paper›PMID 41147729›Full record

Trial reportThe International journal of eating disorders2026

Addressing the Negative Impact of Social Media on Body Image: An Online Randomized Controlled Pilot Trial.

Gritt Ladwig, Kristine Schönhals, Hannah L Quittkat, Fanny Alexandra Dietel, Silja Vocks

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Trial
  2. TikTok and Eating Disorders: A Narrative Review.The International journal of eating disorders · 2026
    Review
  3. [Psychometric Properties of the German Body Image States Scale (BISS)].Psychotherapie, Psychosomatik, medizinische Psychologie · 2026
    Article
  4. Article
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

5 authors.

Gritt LadwigDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0009-0002-3776-2087
Kristine SchönhalsDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-7758-1726
Hannah L QuittkatDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0001-5046-0919
Fanny Alexandra DietelDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-9911-6155
Silja VocksDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0001-8498-9466

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious research has revealed negative effects of appearance-related social media content, such as fitspiration, on body satisfaction. However, specific interventions to reduce these detrimental effects are scarce. Therefore, this randomized controlled pilot trial investigated the efficacy of the four-week online intervention body image booster (BIBo), which aims to reduce the negative influence of social media on body image by addressing theoretically proposed underlying mechanisms.

methodN = 157 female participants with elevated eating disorder (ED) symptoms were randomly allocated to the BIBo training or a waitlist control condition (WLC). The final sample included n = 38 completers in the BIBo training group and n = 46 completers in the WLC. Before and after the four training sessions, ED symptoms and reactivity to fitspiration content were assessed, as well as body dissatisfaction, social comparison processes, and internalization of body ideals.

resultsBIBo participants showed significant pre-post reductions in ED symptoms (d = -0.72) and reactivity to fitspiration content (d = -0.58), while WLC participants showed no significant change. The same pattern of results emerged for upward social comparison (d = -0.59), appearance comparison on social media (d = -0.89), body dissatisfaction (d = -0.40), and internalization of a thin body ideal (d = -0.42). There were no pre-post changes in internalization of muscularity or attractiveness ideals in either the BIBo or the WLC group. DISCUSSION: Overall, the results suggest that BIBo is effective in altering pertinent outcome and mechanistic measures related to social media use and body image, demonstrating its therapeutic potential in the prevention and treatment of EDs.

Indexed as

Body DissatisfactionBody ImageFeeding and Eating DisordersSocial MediaAdultFemaleHumansPersonal SatisfactionPilot ProjectsYoung Adultbody imageeating disordersinterventionrandomized controlled pilot trialsocial media

Identifiers

PMID41147729
PMCPMC12884261

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.