Evidence map›Paper›PMID 41886096›Full record

ArticlePsychological research2026

Evaluating image modification as a harm reduction approach in content moderation.

Sarah Lewitzka, Alana Liebeknecht, Victoria M E Bridgland, Ella K Moeck, Reginald D V Nixon, Carolyn Semmler, Melanie K T Takarangi

Abstract read
In one paragraph

Article in Psychological research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sarah LewitzkaFlinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, South Australia, Australia.
Alana LiebeknechtFlinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, South Australia, Australia.
Victoria M E BridglandFlinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, South Australia, Australia.
Ella K MoeckSchool of Psychology, University of Adelaide, Adelaide, Australia.
Reginald D V NixonFlinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, South Australia, Australia.
Carolyn SemmlerSchool of Psychology, University of Adelaide, Adelaide, Australia.
Melanie K T TakarangiFlinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, South Australia, Australia. melanie.takarangi@flinders.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Content moderators are repeatedly exposed to disturbing material, leaving them susceptible to harm, including post-traumatic stress disorder (PTSD) symptoms. Currently, social media platforms such as Facebook allow moderators to modify (i.e., blur or greyscale) the visual features of images to mitigate the potential impact of the material. However, there is little empirical basis for this intervention. Therefore, we examined whether viewing disturbing images in blur or greyscale, compared to viewing unmodified images, would influence mock content moderators’ anxiety, affect, and image-related intrusions. In Study 1, we randomly allocated participants (n = 309) to view either greyscaled, blurred, or unmodified images within a simulated content moderation task. In Study 2, participants (n = 365) chose the format of images, aligning with the choice real world content moderators have. Participants in both studies recorded and rated problematic characteristics of image-related intrusions they experienced and completed pre- and post-task measures of state anxiety and positive and negative affect. Blurring and greyscaling did not reduce any negative effects of viewing disturbing images, even when participants chose to view blurred or greyscaled images (which was only 14% and 16% of the time, respectively). Participants may have imagined the absent visual features of blurred or greyscaled images, such that they still visualized these images as if they were unmodified. Our data indicate that fixed blurring and greyscaling, under the conditions tested, did not mitigate immediate adverse outcomes, highlighting the need for further research to ensure moderator protection strategies are grounded in robust empirical evidence.

Indexed as

AnxietyHarm ReductionSocial MediaStress Disorders, Post-TraumaticAdolescentAdultAffectFemaleHumansMaleRandom AllocationYoung Adult

Identifiers

PMID41886096
PMCPMC13021741

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.