Evidence map›Paper›PMID 42068158›Full record

ReviewThe International journal of eating disorders2026

TikTok and Eating Disorders: A Narrative Review.

Scott Griffiths, Sami Hondrogiannis, Noa Brittain

Abstract readReview
In one paragraph

Review 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. TikTok and Eating Disorders: A Narrative Review.The International journal of eating disorders · 2026
    Review
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

3 authors.

Scott GriffithsMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-6366-3560
Sami HondrogiannisMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0009-0002-4254-0876
Noa BrittainMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0009-0006-1073-6371

Funding

National Health and Medical Research Council 1179321
6 · The paper itself

Abstract

objectiveTikTok has rapidly become one of the world's most influential social media platforms, distinguished by its algorithmically personalized video feed. Its design prioritizes continuous, engagement-optimized content delivery, raising questions about how such environments may shape eating disorder risk, symptom maintenance, and recovery. This narrative review synthesizes emerging research on TikTok and eating disorders.

methodWe conducted a narrative review of studies identified through targeted database searches and reference screening. Findings were organized into four domains: (1) eating disorder-relevant content on TikTok, (2) algorithmic systems structuring content distribution, (3) psychological and behavioral outcomes associated with content exposure, engagement, and creation, and (4) implications for clinical risk, recovery, and intervention.

resultsEating disorder-relevant content on TikTok ranges from explicit pro-eating disorder and pro-recovery material to more socially normative dieting, fitness, and appearance-focused content. Algorithm-focused studies indicate that recommendation systems can disproportionately deliver such material to vulnerable users and may be more responsive to passive engagement signals (e.g., watch time) than to explicit actions (e.g., "liking"). Across study designs, greater exposure to and engagement with eating disorder-related content appears to be associated with eating disorder symptoms and related phenomena. Personalized feeds may function as treatment barriers that warrant assessment in clinical settings, and psychoeducation about how recommendation systems operate may help clients recognize and disrupt harmful exposure cycles. DISCUSSION: TikTok's algorithmically structured environment may interact with vulnerability to reinforce maladaptive comparison and behavioral cycles. Further longitudinal and clinically focused research is needed to clarify causal pathways and inform evidence-based guidance for clinicians.

Indexed as

Feeding and Eating DisordersSocial MediaAlgorithmsDigital MediaHumansMedia Exposurealgorithmseating disordersnarrative reviewreviewsocial mediaTikTok

Identifiers

PMID42068158
PMCPMC13536196

What OpenQuestion holds

Textmetadata
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.