“Actually an ED and not just a quirky aspect of autism”: TikTok as a forum and mediator of autistic food issues and eating disorders

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Alper, M., Rodgers, R. F., Rauchberg, J., Simpson, E., & Harrison, K. (2025). “Actually an ED and not just a quirky aspect of autism”: TikTok as a forum and mediator of autistic food issues and eating disorders. New Media & Society, 28(7), 3255-3273. https://doi.org/10.1177/14614448251339408

Publication date: 25 Jun 2025 Added to AutiHub: 11 Sep 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
5
Publication authors identified as autistic
1 / 5 (20.0%)

Abstract

Restrictive eating disorders (EDs) have among the highest mortality rate of any psychiatric disorder. To date, little research has investigated the role of digital media in sharing ED experiences and promoting recovery for autistic individuals, despite high autism rates among those with EDs and the potential for social media (SM) to provide resources and support for adolescent girls and young women living with EDs. Given this gap, we undertook an exploratory study to assess content pertaining to autistic people’s difficulties with food and eating on the leading SM app TikTok. We identified four main themes: (a) EDs and autism; (b) cognitive, sensory, and behavioral dimensions of autistic eating and body issues; (c) social, cultural, and economic aspects of autistic people’s food challenges; and (d) self-reported role of TikTok in autistic individuals’ coping with food/eating difficulties. Our study contributes several novel findings to research on digital media, mental health, and marginalized populations.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 17:55.

Cited references
76
With a DOI
69
Without a DOI, from raw bibliography text
7
3 / 76 (3.9%) cited references include at least one author identified as autistic.
References with data to complete
3 / 76 (3.9%)
References with detected author names
73 / 76 (96.1%)
Without detected author names
3
Without a structured title
3
Without a stable identifier
6
References with raw author names still to review
3
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
242
From DOI or external metadata
242
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
4
53 / 242 (21.9%) names are linked to an author already present in AutiHub. 189 / 242 (78.1%) names are not yet linked.
Names linked to a person identified as autistic
3 / 242 (1.2%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 3 / 53 (5.7%). Distinct people identified as autistic: 3 / 220 (1.4%).
  1. Emily S. Kuschner , Ian W. Eisenberg , Bako Orionzi , W. Kyle Simmons , Lauren Kenworthy , Alex Martin et al. (2015). A preliminary study of self-reported food selectivity in adolescents and young adults with autism spectrum disorder . Research in Autism Spectrum Disorders, 15-16, 53-59. Elsevier BV.
    Crossref OpenAlex OpenCitations
  2. Meryl Alper (2023). Kids Across the Spectrums . The MIT Press.
    Crossref OpenAlex OpenCitations
  3. Karri Gillespie-Smith , Gillian Hendry , Nicole Anduuru , Tracey Laird , Carrie Ballantyne (2021). Using social media to be ‘social’: Perceptions of social media benefits and risk by autistic young people, and parents . Research in Developmental Disabilities, 118, 104081. Elsevier BV.
    Crossref OpenAlex OpenCitations
  4. Rachel F Rodgers , Alice S. Lowy , Daniella M. Halperin , Debra L. Franko (2016). A Meta‐Analysis Examining the Influence of Pro‐Eating Disorder Websites on Body Image and Eating Pathology . European Eating Disorders Review, 24(1), 3-8. Wiley.
    Type: Article DOI: 10.1002/erv.2390 OpenAlex: https://openalex.org/W1602755252
    Crossref OpenAlex OpenCitations
  5. JungJa Park-Cardoso , Ana Paula Soares da Silva (2021). Preference to Eat Alone: Autistic Adults' Desire for Freedom of Choice for a Peaceful Space . Autism in Adulthood, 3(3), 257-265. SAGE Publications.
    Crossref OpenAlex OpenCitations
  6. Anselm L. Strauss , Juliet Corbin (1998). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory .
    Type: Book OpenAlex: https://openalex.org/W1658908529
    Crossref OpenAlex
  7. Diego Aragon-Guevara , Grace Castle , Elisabeth Sheridan , Giacomo Vivanti (2025). The Reach and Accuracy of Information on Autism on TikTok . Journal of Autism and Developmental Disorders, 55(6), 1953-1958. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  8. Yihe Wang , Kathryn E. Ringland (2023). Weaving Autistic Voices on TikTok: Utilizing Co-Hashtag Networks for Netnography . Computer Supported Cooperative Work and Social Computing, 254-258. ACM.
    Crossref OpenAlex OpenCitations
  9. Salvador Marí-Bauset , Itziar Zazpe , Amelia Mari-Sanchis , Agustín Llopis-González , María Morales-Suárez-Varela (2014). Food Selectivity in Autism Spectrum Disorders . Journal of Child Neurology, 29(11), 1554-1561. SAGE Publications.
    Crossref OpenAlex OpenCitations
  10. Jon Arcelus , Alex Mitchell , Jackie Wales , Søren Nielsen (2011). Mortality Rates in Patients With Anorexia Nervosa and Other Eating Disorders . Archives of General Psychiatry, 68(7), 724. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  11. Jennifer A. Harriger , Joshua A. Evans *Autistic author. Learn more… , J. Kevin Thompson , Tracy L. Tylka (2022). The dangers of the rabbit hole: Reflections on social media as a portal into a distorted world of edited bodies and eating disorder risk and the role of algorithms . Body Image, 41, 292-297. Elsevier BV.
    Crossref OpenAlex OpenCitations
  12. danah m. boyd , Nicole B. Ellison (2007). Social Network Sites: Definition, History, and Scholarship . Journal of Computer-Mediated Communication, 13(1), 210-230. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  13. Emily S. Au , Suzanne M. Cosh (2022). Social media and eating disorder recovery: An exploration of Instagram recovery community users and their reasons for engagement . Eating Behaviors, 46, 101651. Elsevier BV.
    Crossref OpenAlex OpenCitations
  14. Tracy L. Tylka , Jennifer A. Wilcox (2006). Are intuitive eating and eating disorder symptomatology opposite poles of the same construct? Journal of Counseling Psychology, 53(4), 474-485. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  15. Holly Avella (2024). “TikTok ≠ therapy”: Mediating mental health and algorithmic mood disorders . New Media & Society, 26(10), 6040-6058. SAGE Publications.
    Crossref OpenAlex OpenCitations
  16. Heather Westwood , Kate Tchanturia (2017). Autism Spectrum Disorder in Anorexia Nervosa: An Updated Literature Review . Current Psychiatry Reports, 19(7), 41-41. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  17. Katherine Gotham , Steven M. Brunwasser , Catherine Lord (2015). Depressive and anxiety symptom trajectories from school age through young adulthood in samples with autism spectrum disorder and developmental delay . Journal of the American Academy of Child and Adolescent Psychiatry, 54(5), 369-376.e3. Elsevier BV.
    Crossref OpenAlex
  18. Charli Babb , Janina Brede , Catherine R G Jones , Mair Elliott , Cathy Zanker , Kate Tchanturia et al. (2021). ‘It’s not that they don’t want to access the support... it’s the impact of the autism’: The experience of eating disorder services from the perspective of autistic women, parents and healthcare professionals . Autism, 25(5), 1409-1421. SAGE Publications.
    Crossref OpenAlex OpenCitations
  19. Angelica Fiuza , Rachel F Rodgers (2023). The effects of brief diet and anti-diet social media videos on body image and eating concerns among young women . Eating Behaviors, 51, 101811. Elsevier BV.
    Crossref OpenAlex OpenCitations
  20. Roni Enten Vissoker , Yael Latzer , Eynat Gal (2015). Eating and feeding problems and gastrointestinal dysfunction in Autism Spectrum Disorders . Research in Autism Spectrum Disorders, 12, 10-21. Elsevier BV.
    Crossref OpenAlex OpenCitations
  21. Brittany K. Bohrer , Una Foye , Tom Jewell (2020). Recovery as a process: Exploring definitions of recovery in the context of eating‐disorder‐related social media forums . International Journal of Eating Disorders, 53(8), 1219-1223. Wiley.
    Crossref OpenAlex OpenCitations
  22. Patricia M. Dietz , Charles E. Rose , Dedria McArthur , Matthew Maenner (2020). National and State Estimates of Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 50(12), 4258-4266. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  23. Sharon A. Cermak , Carol Curtin , Linda G. Bandini (2010). Food Selectivity and Sensory Sensitivity in Children with Autism Spectrum Disorders . Journal of the American Dietetic Association, 110(2), 238-246. Elsevier BV.
    Crossref OpenAlex OpenCitations
  24. Jessica L. Feuston , Michael Ann DeVito , Morgan Klaus Scheuerman , Katy Weathington , Marianna Benitez , Bianca Z. Perez et al. (2022). "Do You Ladies Relate?": Experiences of Gender Diverse People in Online Eating Disorder Communities . Proceedings of the ACM on Human-Computer Interaction, 6(CSCW2), 1-32. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3555145 OpenAlex: https://openalex.org/W4309618088
    Crossref OpenAlex OpenCitations
  25. Virginia Braun , Victoria Clarke (2022). Thematic Analysis . In Encyclopedia of Quality of Life and Well-Being Research (pp. 1-7). Springer International Publishing.
    Crossref OpenAlex
  26. Sonia Livingstone (2009). On the Mediation of Everything: ICA Presidential Address 2008 . Journal of Communication, 59(1), 1-18. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  27. Janina Brede , Charli Babb , Catherine Jones , Mair Elliott , Cathy Zanker , Kate Tchanturia et al. (2020). “For Me, the Anorexia is Just a Symptom, and the Cause is the Autism”: Investigating Restrictive Eating Disorders in Autistic Women . Journal of Autism and Developmental Disorders, 50(12), 4280-4296. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  28. A. D. Craig (2002). How do you feel? Interoception: the sense of the physiological condition of the body . Nature Reviews Neuroscience, 3(8), 655-666. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/nrn894 OpenAlex: https://openalex.org/W2142823391
    Crossref OpenAlex OpenCitations
  29. Claire M. Brown , Mark A Stokes (2020). Intersection of eating disorders and the female profile of autism . Psychiatric Clinics, 43(4), 735. Elsevier BV.
    Crossref OpenAlex
  30. Linda Charmaraman , J. Maya Hernandez , Rachel Hodes (2022). Marginalized and Understudied Populations Using Digital Media . In Handbook of Adolescent Digital Media Use and Mental Health (pp. 188-214). Cambridge University Press.
    Crossref OpenAlex OpenCitations
  31. Barney G. Glaser , Anselm L. Strauss , Elizabeth Strutzel (1968). The Discovery of Grounded Theory: Strategies for Qualitative Research . Nursing Research, 17(4), 364. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex
  32. Bucher T (2017). The SAGE Handbook of Social Media . The SAGE Handbook of Social Media, 223.
    Type: Other
    Crossref
  33. Geneviève Petitpierre , Anne-Claude Luisier , Moustafa Bensafi (2021). Eating behavior in autism: senses as a window towards food acceptance . Current Opinion in Food Science, 41, 210-216. Elsevier BV.
    Crossref OpenAlex OpenCitations
  34. Ian Hutchby (2001). Technologies, Texts and Affordances . Sociology, 35(2), 441-456. SAGE Publications.
    Crossref OpenAlex OpenCitations
  35. Fiona Fisher Bullivant , Sharleen Woods (2020). Autism and Eating Disorders in Teens . Jessica Kingsley Publishers.
    Crossref OpenAlex OpenCitations
  36. Grace Holland , Marika 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. Elsevier BV.
    Crossref OpenAlex OpenCitations
  37. Kristen M. Culbert , Cheryl L. Sisk , Kelly L. Klump (2021). A Narrative Review of Sex Differences in Eating Disorders: Is There a Biological Basis? Clinical Therapeutics, 43(1), 95-111. Elsevier BV.
    Crossref OpenAlex OpenCitations
  38. Tisha Dejmanee (2016). “Food Porn” as Postfeminist Play . Television & New Media, 17(5), 429-448. SAGE Publications.
    Crossref OpenAlex OpenCitations
  39. Laura Dondzilo , Rachel F Rodgers , Fanny Alexandra Dietel (2024). Association between engagement with appearance and eating related TikTok content and eating disorder symptoms via recommended content and appearance comparisons . International Journal of Eating Disorders, 57(2), 458-462. Wiley.
    Crossref OpenAlex OpenCitations
  40. Rachel Loomes , Laura Hull , Will Mandy (2017). What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis . Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466-474. Elsevier BV.
    Crossref OpenAlex OpenCitations
  41. Charmaz K (1983). Contemporary Field Research . Contemporary Field Research, 109.
    Type: Other
    Crossref
  42. Sue Fletcher-Watson , Francesca Happé (2019). Autism . Routledge.
    Crossref OpenAlex OpenCitations
  43. Michael Ann DeVito , Darren Gergle , Jeremy Birnholtz (2017). "Algorithms ruin everything" . Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems, 3163-3174. ACM.
    Crossref OpenAlex OpenCitations
  44. Cobbaert L Rose A (2023) Eating Disorders and Neurodivergence: A Stepped Care Approach. Available at: https://nedc.com.au/assets/NEDC-Publications/Eating-Disorders-and-Neurodivergence-A-Stepped-Care-Approach.pdf?2025050311
    Type: Other
    Crossref
  45. Alicja Jedrzejewska , Jessica Dewey (2022). Camouflaging in Autistic and Non-autistic Adolescents in the Modern Context of Social Media . Journal of Autism and Developmental Disorders, 52(2), 630-646. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  46. Jean Burgess , Alice Marwick , Thomas Poell (2018). The SAGE Handbook of Social Media . SAGE Publications Ltd.
    OpenAlex
  47. Laura Crane , Fern Adams , Georgia Harper , Jack Welch , Elizabeth Pellicano (2019). ‘Something needs to change’: Mental health experiences of young autistic adults in England . Autism, 23(2), 477-493. SAGE Publications.
    Crossref OpenAlex OpenCitations
  48. Calliope Holingue , Carol Newill , Li‐Ching Lee , Pankaj J. Pasricha , Daniele Fallin (2018). Gastrointestinal symptoms in autism spectrum disorder: A review of the literature on ascertainment and prevalence . Autism Research, 11(1), 24-36. Wiley.
    Type: Article DOI: 10.1002/aur.1854 OpenAlex: https://openalex.org/W2752524456
    Crossref OpenAlex OpenCitations
  49. David K. Sjöström , Tore de Mendonca Lindström , Sabina Kapetanovic , Emma Claesdotter‐Knutsson (2024). Helpful or Not? A Qualitative Study on Female Adolescents’ Experience of TikTok When Recovering From Anorexia Nervosa . International Journal of Eating Disorders, 57(11), 2217-2227. Wiley.
    Crossref OpenAlex OpenCitations
  50. Lindsay M. Howard , Kristin E. Heron , Rachel I. MacIntyre , Taryn A. Myers , Robin S. Everhart (2017). Is use of social networking sites associated with young women’s body dissatisfaction and disordered eating? A look at Black–White racial differences . Body Image, 23, 109-113. Elsevier BV.
    Crossref OpenAlex OpenCitations
  51. Heather A. Davis , Meredith R. Kells , Chloe Roske , Sam Holzman , Jennifer E. Wildes (2023). A reflexive thematic analysis of #WhatIEatInADay on TikTok . Eating Behaviors, 50, 101759. Elsevier BV.
    Crossref OpenAlex OpenCitations
  52. Catherine D. Tan (2018). “I'm a normal autistic person, not an abnormal neurotypical”: Autism Spectrum Disorder diagnosis as biographical illumination . Social Science & Medicine, 197, 161-167. Elsevier BV.
    Crossref OpenAlex OpenCitations
  53. Anthony Yeung , Enoch Ng , Elia Abi-Jaoude (2022). TikTok and Attention-Deficit/Hyperactivity Disorder: A Cross-Sectional Study of Social Media Content Quality . The Canadian Journal of Psychiatry, 67(12), 899-906. SAGE Publications.
    Crossref OpenAlex OpenCitations
  54. Ysabel Gerrard (2018). Beyond the hashtag: Circumventing content moderation on social media . New Media & Society, 20(12), 4492-4511. SAGE Publications.
    Crossref OpenAlex OpenCitations
  55. Anastasia Schaadhardt , Yue Fu , Cory Gennari Pratt , Wanda Pratt (2023). “Laughing so I don’t cry”: How TikTok users employ humor and compassion to connect around psychiatric hospitalization . Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems, 1-13. ACM.
    Crossref OpenAlex OpenCitations
  56. Claire M. Brown , Mark A Stokes (2020). Intersection of Eating Disorders and the Female Profile of Autism . Child and Adolescent Psychiatric Clinics of North America, 29(2), 409-417. Elsevier BV.
    OpenAlex
  57. Ilinka Nikolova , Andrea LaMarre (2023). “If I Unfollow Them, It's Not a Dig at Them”: A Narrative Analysis of Instagram Use in Eating Disorder Recovery . Psychology of Women Quarterly, 47(3), 387-401. SAGE Publications.
    Crossref OpenAlex OpenCitations
  58. Sarah L. Field , John R. E. Fox , Catherine R. G. Jones , Marc O. Williams (2023). “Work WITH us”: a Delphi study about improving eating disorder treatment for autistic women with anorexia nervosa . Journal of Eating Disorders, 11(1), 17. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  59. Amanda K. Greene , Hannah N. Norling (2023). “Follow to *actually* heal binge eating”: A mixed methods textual content analysis of #BEDrecovery on TikTok . Eating Behaviors, 50, 101793. Elsevier BV.
    Crossref OpenAlex OpenCitations
  60. Hester Hockin-Boyers , Stacey Pope , Kimberly Jamie (2021). Digital pruning: Agency and social media use as a personal political project among female weightlifters in recovery from eating disorders . New Media & Society, 23(8), 2345-2366. SAGE Publications.
    Crossref OpenAlex OpenCitations
  61. Jessica F. Saunders , Asia A. Eaton , Sabrina Aguilar (2020). From self(ie)-objectification to self-empowerment: The meaning of selfies on social media in eating disorder recovery . Computers in Human Behavior, 111, 106420. Elsevier BV.
    Crossref OpenAlex OpenCitations
  62. Victoria Clarke , Virginia Braun (2014). Thematic Analysis . In Encyclopedia of Critical Psychology (pp. 1947-1952). Springer New York.
    OpenCitations
  63. Diana Zulli , David James Zulli , David James Zulli , David James Zulli (2022). Extending the Internet meme: Conceptualizing technological mimesis and imitation publics on the TikTok platform . New Media & Society, 24(8), 1872-1890. SAGE Publications.
    Crossref OpenAlex OpenCitations
  64. Aaron Qi Yang Goh , Nicholas Yong Wai Lo , Courtney Davis , Elaine Chu Shan Chew (2022). #EatingDisorderRecovery: a qualitative content analysis of eating disorder recovery-related posts on Instagram . Eating and Weight Disorders-studies on Anorexia Bulimia and Obesity, 1(4), 11. Springer Science and Business Media LLC.
    Crossref OpenAlex
  65. Amanda K. Greene , Hannah N. Norling , Lisa M. Brownstone , Elana K. Maloul , Caity Roe , Sarah Moody (2023). Visions of recovery: a cross-diagnostic examination of eating disorder pro-recovery communities on TikTok . Journal of Eating Disorders, 11(1), 109-109. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  66. Todd Jackson , Xiaoxuan Ye , Brian J. Hall , Hong Chen (2021). “Have You Taken the A4 Challenge?” Correlates and Impact of a Thin Ideal Expression From Chinese Social Media . Frontiers in Psychology, 12, 669014-669014. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  67. Stephanie G. Harshman , Jenny Jo , Megan Kuhnle , Kristine Hauser , Helen Burton Murray , Kendra R. Becker et al. (2021). A Moving Target . The Journal of Clinical Psychiatry, 82(5). Physicians Postgraduate Press, Inc.
    Crossref OpenAlex OpenCitations
  68. Ashlee Milton , Leah Ajmani , Michael Ann DeVito , Stevie Chancellor (2023). “I See Me Here”: Mental Health Content, Community, and Algorithmic Curation on TikTok . Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems, 1-17. ACM.
    Crossref OpenAlex OpenCitations
  69. Jacopo Pruccoli , Marta De Rosa , Lucia Chiasso , Annalisa Perrone , Antonia Parmeggiani (2022). The use of TikTok among children and adolescents with Eating Disorders: experience in a third-level public Italian center during the SARS-CoV-2 pandemic . Italian Journal of Pediatrics, 48(1), 138-138. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  70. Phaedra Longhurst , Emily C. Woodworth , Isabel Cunha , Rachel F Rodgers (2024). #DisabledBodyPositivity: A content analysis of body positive Instagram posts in the disabled community . Body Image, 51, 101801. Elsevier BV.
    Crossref OpenAlex OpenCitations
  71. Litty Samuel , Katelynn Kuijpers , Amy Bleakley (2024). TherapyTok for Depression and Anxiety: A Quantitative Content Analysis of High Engagement TikTok Videos . Journal of Adolescent Health, 74(6), 1184-1190. Elsevier BV.
    Crossref OpenAlex OpenCitations
  72. Miserandino C (2003) The spoon theory. But You Don’t Look Sick. Available at: https://butyoudontlooksick.com/articles/written-by-christine/the-spoon-theory/
    Type: Other
    Crossref
  73. Pew Research Center (2024) Teens Social Media and Technology 2024. Available at: https://www.pewresearch.org/internet/2024/12/12/teens-social-media-and-technology-2024/
    Type: Other
    Crossref
  74. Radesky J (2023). Constant Companion: A Week in the Life of a Young Person’s Smartphone Use . Constant Companion: A Week in the Life of a Young Person’s Smartphone Use.
    Type: Other
    Crossref