Pro-Anorexia Websites: Content, Impact, and Explanations of Popularity

The increasing prevalence of anorexia nervosa is a major concern in contemporary society. Anorexia has been linked to forms of media such as television, and examined in relation to Internet-based methods of treatment. However, research about Internet sites actively promoting anorexia, known as ‘pro-ana sites’, is minimal. This literature review amassed articles about pro-ana sites, using psychology databases such as Medline and PsycINFO. The sites’ content was analyzed for components such as drug recommendations, ‘thinspiration,’ chat-rooms, site-creator information, and disclaimers. Patterns in content were also examined, and possible explanations for the sites’ popularity offered. An analytical overview of all the sites included in this review suggested that they were more effective in fulfilling the users’ need for a sense of community than they were in establishing any kind of comprehensive ‘pro-ana’ philosophy. Future research can explore the techniques by which these sites exploit that need for community, and apply them to online forms of treatment.

[1]  R. Kreipe,et al.  Pro or con? Anorexia nervosa and the internet , 2003 .

[2]  Maria Knight Lapinski,et al.  StarvingforPerfect.com: A Theoretically Based Content Analysis of Pro-Eating Disorder Web Sites , 2006, Health communication.

[3]  A. Bardone-Cone,et al.  What does viewing a pro-anorexia website do? An experimental examination of website exposure and moderating effects. , 2007, The International journal of eating disorders.

[4]  D. Giles,et al.  Constructing identities in cyberspace: the case of eating disorders. , 2006, The British journal of social psychology.

[5]  Emma Rich,et al.  Anorexic dis(connection): managing anorexia as an illness and an identity. , 2006, Sociology of health & illness.

[6]  E. Csipke,et al.  Pro-eating disorder websites: users' opinions. , 2007, European eating disorders review : the journal of the Eating Disorders Association.

[7]  Julie Hepworth,et al.  An Interpretative Phenomenological Analysis of Participation in a Pro-anorexia Internet Site and Its Relationship with Disordered Eating , 2006, Journal of health psychology.

[8]  D. Giles,et al.  Inside the “Pro-ana” Community: A Covert Online Participant Observation , 2007, Eating disorders.

[9]  MARY K. WALSTROM,et al.  "You Know, Who's the Thinnest?": Combating Surveillance and Creating Safety in Coping with Eating Disorders Online , 2000, Cyberpsychology Behav. Soc. Netw..

[10]  K. Boydell,et al.  Ana and the Internet: a review of pro-anorexia websites. , 2006, The International journal of eating disorders.

[11]  R. C. Hsiung E-therapy : case studies, guiding principles, and the clinical potential of the Internet , 2002 .

[12]  Rebecka Peebles,et al.  Surfing for Thinness: A Pilot Study of Pro–Eating Disorder Web Site Usage in Adolescents With Eating Disorders , 2006, Pediatrics.

[13]  S. Tierney The Dangers and Draw of Online Communication: Pro-Anorexia Websites and their Implications for Users, Practitioners, and Researchers , 2006, Eating disorders.

[14]  H. Hoek,et al.  Review of the prevalence and incidence of eating disorders. , 2003, The International journal of eating disorders.

[15]  A. Bardone-Cone,et al.  Investigating the impact of pro‐anorexia websites: a pilot study , 2006 .

[16]  Karen Dias,et al.  The Ana Sanctuary: Women’s Pro-Anorexia Narratives in Cyberspace , 2003 .

[17]  Eating disorders and the Internet: cure and curse , 2006, Eating and weight disorders : EWD.

[18]  Katie J. Ward,et al.  Pro-anorexia, weight-loss drugs and the internet: an "anti-recovery" explanatory model of anorexia. , 2005, Sociology of health & illness.