Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos

Abstract Background This study seeks to investigate the impact of anorexia awareness videos on the perception of anorexic figures and pro-anorexia attitude among young females, considering the employed fear appeals and the presence of pro-anorexia content in danmu, an online commenting system preval...

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Main Authors: Mengsu Shi, Shuang Chen, Kexin Wang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-025-01200-6
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author Mengsu Shi
Shuang Chen
Kexin Wang
author_facet Mengsu Shi
Shuang Chen
Kexin Wang
author_sort Mengsu Shi
collection DOAJ
description Abstract Background This study seeks to investigate the impact of anorexia awareness videos on the perception of anorexic figures and pro-anorexia attitude among young females, considering the employed fear appeals and the presence of pro-anorexia content in danmu, an online commenting system prevalent in China. Methods An experiment was conducted employing a 3 (Fear level of video: low, medium, high) × 4 (Danmu type: no danmu, pro-anorexia, anti-anorexia, mixed pro- and anti-anorexia) between-participants design. A total of 633 female participants were randomly assigned to view one of the twelve videos and subsequently evaluated on fear arousal, pro-anorexia attitude and perception of the anorexic figure scales. Results A moderated moderated mediation model demonstrates that heightened fear levels of anorexia awareness videos were linked to a more adverse perception of individuals with anorexia, subsequently reducing pro-anorexia attitude. Furthermore, the fear level of an anorexia awareness video, aroused fear, and the type of danmu interacted in a three-way manner regarding the perception of anorexic individuals. The presence of pro-anorexia content in danmu counteracted the observed positive impact. Conclusions These results imply that anorexia awareness videos should strive to evoke appropriate levels of fear while also addressing the potential adverse effects of pro-anorexia danmu, which may glorify anorexic bodies and undermine the intended protective outcomes.
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series Journal of Eating Disorders
spelling doaj-art-c6b907a832ab4b6a9c4f81d131e0ec7b2025-02-09T12:04:07ZengBMCJournal of Eating Disorders2050-29742025-02-0113111510.1186/s40337-025-01200-6Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videosMengsu Shi0Shuang Chen1Kexin Wang2School of Journalism and Communication, Tsinghua UniversitySchool of Journalism and Communication, Tsinghua UniversityCollege of Media and International Culture, Zhejiang UniversityAbstract Background This study seeks to investigate the impact of anorexia awareness videos on the perception of anorexic figures and pro-anorexia attitude among young females, considering the employed fear appeals and the presence of pro-anorexia content in danmu, an online commenting system prevalent in China. Methods An experiment was conducted employing a 3 (Fear level of video: low, medium, high) × 4 (Danmu type: no danmu, pro-anorexia, anti-anorexia, mixed pro- and anti-anorexia) between-participants design. A total of 633 female participants were randomly assigned to view one of the twelve videos and subsequently evaluated on fear arousal, pro-anorexia attitude and perception of the anorexic figure scales. Results A moderated moderated mediation model demonstrates that heightened fear levels of anorexia awareness videos were linked to a more adverse perception of individuals with anorexia, subsequently reducing pro-anorexia attitude. Furthermore, the fear level of an anorexia awareness video, aroused fear, and the type of danmu interacted in a three-way manner regarding the perception of anorexic individuals. The presence of pro-anorexia content in danmu counteracted the observed positive impact. Conclusions These results imply that anorexia awareness videos should strive to evoke appropriate levels of fear while also addressing the potential adverse effects of pro-anorexia danmu, which may glorify anorexic bodies and undermine the intended protective outcomes.https://doi.org/10.1186/s40337-025-01200-6Anorexia nervosaFear appealDanmuPerception of the anorexic figureBody imageEating disorder
spellingShingle Mengsu Shi
Shuang Chen
Kexin Wang
Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos
Journal of Eating Disorders
Anorexia nervosa
Fear appeal
Danmu
Perception of the anorexic figure
Body image
Eating disorder
title Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos
title_full Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos
title_fullStr Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos
title_full_unstemmed Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos
title_short Healthy or skinny? The negotiation between fear appeal and danmu in anorexia awareness videos
title_sort healthy or skinny the negotiation between fear appeal and danmu in anorexia awareness videos
topic Anorexia nervosa
Fear appeal
Danmu
Perception of the anorexic figure
Body image
Eating disorder
url https://doi.org/10.1186/s40337-025-01200-6
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