The effect of viewing idealised smile images versus nature images via social media on immediate facial satisfaction in young adults: A randomised controlled trial

Abstract

Introduction:

The objective of this randomised controlled trial (RCT) is to investigate the effect of a social networking site (SNS) on body dissatisfaction, facial and smile dissatisfaction, and face-related discrepancy, and whether these effects differ from the use of appearance-neutral Instagram images. We also aimed to investigate whether there are trends in increased self-reported use of social media and increased body dissatisfaction, facial and smile dissatisfaction, and face-related discrepancy.

Methods:

Undergraduate students were randomly allocated to an experimental group with idealised smile images or to a control group with neutral nature images. They completed pre-exposure questionnaires, then perused for 5 min their allocated images on individual Apple iPads via the Instagram application. Participants then completed the post-exposure surveys. The main outcome was facial dissatisfaction. Body dissatisfaction and total facial and body dissatisfaction were secondary outcomes. Simple randomisation was achieved with a computerised random number generator. Data were analysed using repeated measures ANOVA and multivariate regression analyses.

Results:

A total of 132 participants (mean age = 20.50 ± 2.21 years) were randomised to either the experimental group with idealised smile images (n=71) or the control group with neutral nature images (n=61). Baseline characteristics were similar between groups and no participants were lost. Exposure to ‘ideal’ facial images on social media decreases facial satisfaction (95% confidence interval [CI] = 0.85–1.05; P < 0.0001). Individuals with high baseline self-discrepancy scores are less satisfied with their facial features and body appearance (95% CI = 0.04–1.16; P = 0.036).

Conclusion:

This study shows that viewing SNSs with high visual media reduces satisfaction with facial appearance in the short term in men and women. This effect is greater in those with high self-discrepancy scores. Increased media usage was not correlated with increased dissatisfaction. Wearing braces or having had braces was shown not to influence post-exposure dissatisfaction.

Keywords

facial satisfaction facial dissatisfaction body satisfaction body dissatisfaction social media Instagram self-discrepancy internalisation

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References

Brown

Tiggeman

(2016) Attractive celebrity and peer images on Instagram: Effect on women’s mood and body image. Body Image 19: 37–43.

Cafri

Thompson

Ricciardelli

Mccabe

Smolak

Yesalis

(2005) Pursuit of the muscular ideal: Physical and psychological consequences and putative risk factors. Clinical Psychology Review 25: 215–239.

Cattell

(1973) Personality and mood by questionnaire. San Francisco, CA: Jossey-Bass Publishers.

Cohen

Newton-John

Slater

(2017) The relationship between Facebook and Instagram appearance-focused activities and body image concerns in young women. Body Image 23: 183–187.

Cohen

Newton-John

Slater

(2018) ‘Selfie’-objectification: The role of selfies in self-objectification and disordered eating in young women. Computers in Human Behavior 79: 68–74.

De Couto Nascimento

De Castro Ferreira Conti

De Almeida Cardoso

Valarelli

De Almeida-Pedrin

(2016) Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation. Angle Orthodontist 86: 839–845.

Dittmar

Beattie

Friese

(1996) Objects, decision considerations and self-image in men’s and women’s impulse purchases. Acta Psychologica 93: 187–206.

Duggan

Brenner

(2013) The Demographics of Social Media Users. Pew Research Center. Available at: https://www.pewresearch.org/internet/fact-sheet/social-media/.

eMarketer (2018) eMarketer Updates Worldwide Social Network User Figures. eMarketer. Available at: https://www.emarketer.com/Article/eMarketer-Updates-Worldwide-Social-Network-User-Figures/1016178 (accessed 17 July 2018).

10.

Fardouly

Diedrichs

Vartanian

Halliwell

(2015) Social comparisons on social media: The impact of Facebook on young women’s body image concerns and mood. Body Image 13: 38–45.

11.

Fardouly

Vartanian

(2015) Negative comparisons about one’s appearance mediate the relationship between Facebook usage and body image concerns. Body Image 12: 82–88.

12.

Festinger

(1954). A theory of social comparison processes. Human Relations 7: 117–140.

13.

Freud

(1923). The Ego and the Id. In: Strachey

, et al. (eds) The Standard Edition of the Complete Psychological Works of Sigmund Freud. Volume 7th. London: Hogarth Press.

14.

Gilbert

Price

Allan

(1995) Social comparison, social attractiveness and evolution: How may they be related? New Ideas in Psychology 13: 149–165.

15.

Grabe

Ward

Hyde

(2008) The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychological Bulletin 134: 460–476.

16.

Groesz

Levine

Murnen

(2002) The effect of experimental presentation of thin media images on body satisfaction: A meta-analytic review. International Journal of Eating Disorders 31: 1–16.

17.

Haahr

(2018) RANDOM.ORG: True Random Number Service. Available at: https://www.random.org (accessed 8 September 2017).

18.

Haferkamp

Kramer

(2011) Social comparison 2.0: examining the effects of online profiles on social-networking sites. Cyberpsychology, Behavior and Social Networking 14: 309–314.

19.

Heinberg

Thompson

(1995) Body Image and Televised Images of Thinness and Attractiveness: A Controlled Laboratory Investigation. Journal of Social and Clinical Psychology 14: 325–338.

20.

Higgins

Klein

Strauman

(1985) Self-concept discrepancy theory: A psychological model for distinguishing among different aspects of depression and anxiety. Social Cognition 3: 51–76.

21.

Holland

Tiggemann

(2016) A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image 17: 100–110.

22.

Imani

Jalali

Dinomohammadi

Nouri

(2018) The Effect of Orthodontic Intervention on Mental Health and Body Image. Open Access Macedonian Journal of Medical Sciences 6: 1132–1137.

23.

Internet Live Stats, part of Real Time Statistics Project (2018). Available at: http://www.internetlivestats.com/one-second/#instagram-band (accessed 10 January 2018).

24.

Jang

Han

Lee

Jia

Shih

(2016) Teens Engage More with Fewer Photos: Temporal and Comparative Analysis on Behaviors in Instagram. Proceedings of the 27th ACM Conference on Hypertext and Social Media, July 10–13, 2016. Halifax, Nova Scotia, Canada.

25.

Keery

van den Berg

Thompson

(2004) An Evaluation of the Tripartite Influence Model of body dissatisfaction and eating disturbance with adolescent girls. Body Image 1: 237–251.

26.

Kokich

Jr Kiyak

Shapiro

(1999). Comparing the perception of dentists and lay people to altered dental esthetics. Journal of Esthetic Dentistry 11: 311–324.

27.

Lenhart

(2015) Teen, Social Media & Technology Overview 2015. Pew Research Center. Available at: https://www.pewresearch.org/internet/2015/04/09/teens-social-media-technology-2015/.

28.

Leone

(2018) Which social media sites get the most engagement? Quintly. Available at: https://www.webstrategiesinc.com/blog/which-social-media-sites-get-the-most-engagement (accessed 6 July 2018).

29.

Mabe

Forney

Keel

(2014) Do you “like” my photo? Facebook use maintains eating disorder risk. International Journal of Eating Disorders 47: 516–523.

30.

Meier

Gray

(2014) Facebook photo activity associated with body image disturbance in adolescent girls. Cyberpsychology, Behavior and Social Networking 17: 199–206.

31.

Myers

Crowther

(2009) Social comparison as a predictor of body dissatisfaction: A meta-analytic review. Journal of Abnormal Psychology 118: 683–698.

32.

Norman

Monteiro

Salama

(2012). Sample size calculations: should the emperor’s clothes be off the peg or made to measure? BMJ 345: e5278.

33.

Office for National Statistics (2015) Harmonised Concepts and Questions for Social Data Sources Primary Principles Ethnic Group by the Government Statistical Service version 3.3. Available at: https://gss.civilservice.gov.uk/wp-content/uploads/2016/03/P3-Ethnic-Group-June-16-1.pdf.

34.

Rosen

Whaling

Carrier

Cheever

Rokkum

(2013) The Media and Technology Usage and Attitudes Scale: An empirical investigation. Computers in Human Behavior 29: 2501–2511.

35.

Rosenberg

(1979) Conceiving the self. New York: Basic Books.

36.

Saunders

Eaton

(2018). Snaps, Selfies, and Shares: How Three Popular Social Media Platforms Contribute to the Sociocultural Model of Disordered Eating Among Young Women. Cyberpsychology, Behavior and Social Networking 21: 343–354.

37.

Slade

Dewey

Newton

Brodie

Kiemle

(1990) Development and preliminary validation of the body satisfaction scale (BSS). Psychology & Health 4: 213–220.

38.

Smith

Anderson

(2018). Social Media Use in 2018. Pew Research Center. Available at: https://www.pewresearch.org/internet/2018/03/01/social-media-use-in-2018/.

39.

Tamplin

Mclean

Paxton

(2018) Social media literacy protects against the negative impact of exposure to appearance ideal social media images in young adult women but not men. Body Image 26: 29–37.

40.

Tiggemann

McGill

(2004) The role of social comparison in the effect of magazine advertisements on women’s mood and body dissatisfaction. Journal of Social and Clinical Psychology 23: 23–44.

41.

Tiggemann

Miller

(2010) The Internet and Adolescent Girls’ Weight Satisfaction and Drive for Thinness. Sex Roles 63: 79–90.

42.

Tiggemann

Slater

(2013a) NetGirls: the Internet, Facebook, and body image concern in adolescent girls. International Journal of Eating Disorders 46: 630–633.

43.

Tiggemann

Slater

(2013b) NetTweens. Journal of Early Adolescence 34: 606–620.

44.

Tiggemann

Zaccardo

(2015). “Exercise to be fit, not skinny”: The effect of fitspiration imagery on women’s body image. Body Image 15: 61–67.

45.

Tiggemann

Polivy

Hargreaves

(2009) The processing of thin ideals in fashion magazines: A source of social comparison or fantasy? Journal of Social and Clinical Psychology 28: 73–93.

46.

Turner

Lefevre

(2017) Instagram use is linked to increased symptoms of orthorexia nervosa. Eating and Weight Disorders 22: 277–284.

47.

van den Berg

Paxton

Keery

Wall

Guo

Neumark-Sztainer

(2007). Body dissatisfaction and body comparison with media images in males and females. Body Image 4: 257–268.

48.

van den Berg

Thompson

Obremski-Brandon

Coovert

(2002) The Tripartite Influence model of body image and eating disturbance: a covariance structure modeling investigation testing the mediational role of appearance comparison. Journal of Psychosomatic Research 53: 1007–1020.

49.

Vartanian

Dey

(2013) Self-concept clarity, thin-ideal internalization, and appearance-related social comparison as predictors of body dissatisfaction. Body Image 10: 495–500.

50.

Witt

Flores-Mir

(2011) Laypeople’s preferences regarding frontal dentofacial esthetics: tooth-related factors. Journal of the American Dental Association 142: 635–645.