Tanning addiction
Encyclopedia
Tanning addiction is a rare syndrome where an individual appears to have a physical or psychological addiction to sunbathing
Sun tanning
Sun tanning or simply tanning is the process whereby skin color is darkened or tanned. The process is most often a result of exposure to ultraviolet radiation from the sun or from artificial sources, such as a tanning bed, but can also be a result of windburn or reflected light...

 or the use of tanning beds. The mechanism of the addiction is unknown at this time.

Medical evidence

In 2005, a group of dermatologists published a study showing that frequent tanners experience a loss of control over their tanning schedule, displaying a pattern of addiction similar to smokers and alcoholics.

Biochemical evidence indicates that tanning addicts are addicted to an opioid release experienced during tanning. When frequent tanners took an endorphin
Endorphin
Endorphins are endogenous opioid peptides that function as neurotransmitters. They are produced by the pituitary gland and the hypothalamus in vertebrates during exercise, excitement, pain, consumption of spicy food, love and orgasm, and they resemble the opiates in their abilities to produce...

 blocker in a 2006 study, they experienced severe withdrawal symptoms, while infrequent tanners experienced no withdrawal symptoms under the same conditions.

Tanorexia

Tanorexia is the term often used to describe a condition in which a person participates in excessive outdoor sun tanning
Sun tanning
Sun tanning or simply tanning is the process whereby skin color is darkened or tanned. The process is most often a result of exposure to ultraviolet radiation from the sun or from artificial sources, such as a tanning bed, but can also be a result of windburn or reflected light...

 or excessive use of other skin tanning methods (such as tanning beds) to achieve a darker skin
Skin
-Dermis:The dermis is the layer of skin beneath the epidermis that consists of connective tissue and cushions the body from stress and strain. The dermis is tightly connected to the epidermis by a basement membrane. It also harbors many Mechanoreceptors that provide the sense of touch and heat...

 complexion because they perceive themselves as unacceptably pale. The syndrome is different than tanning addiction, although both may fit into the same syndrome and can be considered a subset of tanning addiction.

Although the term "tanorexia" has been commonly used by the media and several doctors to describe the syndrome, both the word and syndrome have not been widely accepted by the medical community, and is considered slang by many. The term was coined after the medical condition anorexia nervosa
Anorexia nervosa
Anorexia nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. Although commonly called "anorexia", that term on its own denotes any symptomatic loss of appetite and is not strictly accurate...

, a disorder characterized by low body weight and body image distortion with an obsessive fear of gaining weight. It can be likened to the common practice of adding the suffix "-oholic" (from the term alcoholic) to the end of any action or food someone enjoys extensively and often (e.g., "choc-aholic," "golf-oholic," "shop-aholic," etc.).

Serious cases of tanorexia can be considered dangerous because many of the more popular methods of tanning (such as those mentioned above) require prolonged exposure to UV
Ultraviolet
Ultraviolet light is electromagnetic radiation with a wavelength shorter than that of visible light, but longer than X-rays, in the range 10 nm to 400 nm, and energies from 3 eV to 124 eV...

 radiation, which is known to be a cause of many negative side effects, including skin cancer
Skin cancer
Skin neoplasms are skin growths with differing causes and varying degrees of malignancy. The three most common malignant skin cancers are basal cell cancer, squamous cell cancer, and melanoma, each of which is named after the type of skin cell from which it arises...

.

Extreme instances may be an indication of body dysmorphic disorder
Body dysmorphic disorder
Body Dysmorphic Disorder is a type of mental illness, a somatoform disorder, wherein the affected person is exclusively concerned with body image, manifested as excessive concern about and preoccupation with a perceived defect of his or her physical features...

 (BDD), a mental disorder in which one is extremely critical of his or her physique or self-image to an obsessive and compulsive degree. As it is with anorexia
Anorexia nervosa
Anorexia nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. Although commonly called "anorexia", that term on its own denotes any symptomatic loss of appetite and is not strictly accurate...

, a person with BDD is said to show signs of a characteristic called distorted body image. In layman's terms, anorexia sufferers commonly believe they are overweight, many times claiming they see themselves as "fat," when in reality, they are nutritionally underweight and physically much thinner than the average person. In the same way, a sufferer of "tanorexia" may believe him or herself to have a much lighter--even a pale--complexion when he or she is actually quite dark-skinned.

Neither tanning addiction nor tanorexia are covered under the latest edition of the DSM-IV, though they are most likely versions of similar problems already on record. To that end, a 2005 article in The Archives of Dermatology presents a case for UV light tanning addiction to be viewed as a type of substance abuse disorder.

Symptoms

Although the syndrome has not been officially described by the medical community, it may include the following reported symptoms: intense anxiety if a session of tanning is missed, competition among peers to see which can get the darkest tan, and chronic frustration about the color of one's skin, with the affected person being convinced his or her complexion is constantly lighter than it actually is.
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