Are Social Comparisons Detrimental for the Mood and Self-Esteem of Individuals with an Affective Disorder?

Exploring the association of social comparison with depression and anxiety: A systematic review and meta-analysis

Research has highlighted the role of social comparison processes in varying affect and psychological wellbeing. These processes can provide greater insight into cognitions and behaviours related to depression and anxiety disorders. This review aimed to examine the relationship of social comparison with depression and anxiety in clinically relevant samples, using a process-based approach. Studies of clinical and subclinical populations that utilized observational or experimental social comparison assessment were considered for review. A systematic literature search in Medline and PsycInfo databases produced 54 relevant studies (49 studies on adults and five on child and adolescent populations), 14 of which were suitable for a meta-analysis. A meta-analysis of the association of social comparison evaluation with depression and anxiety in clinical populations revealed weighted correlations of -0.53 and - 0.39, respectively. No subclinical studies were included in a meta-analysis due to a lack of comparable outcomes. Evidence suggests differences between depression and anxiety disorders in information seeking, where frequency and diversity of social comparisons vary; however, studies comparing disorders are lacking. Heterogeneity of experimental studies precluded inclusion in a meta-analysis. A narrative review of experimental data indicated depression and anxiety status is related to reactions to upward comparisons in the domains of affect and behaviour, where individual differences in evaluation can determine affective reactions and how comparison information is further sought. This review suggests social comparison has a significant association with depression and anxiety. However, the limited number of studies with clinical populations necessitates further research on social comparison processes in clinical samples.

[Mediators of Problematic Social Media Use in Adolescence as Possible Mechanisms of Change in Psychotherapy]

Mediators of Problematic Social Media Use in Adolescence as Possible Mechanisms of Change in Psychotherapy Social media are omnipresent in the lives of adolescents. Problematic use of social media has been linked to adverse mental health outcomes including depression, anxiety, suicidality, self-harm, body dissatisfaction and eating pathology. Preliminary evidence suggests that interventions aiming at reducing the amount of time spent in social media and changing dysfunctional beliefs about social media use are promising. However, the mechanisms of change of these interventions with regard to mental health remain unclear. Therefore, this review first provides an overview of the association between social media and mental health and then identifies mediators of this relationship as potential mechanisms of change of interventions targeting problematic media use in adolescents. The identified mediators encompass social comparison, decreased self-esteem, fear of missing out, sleep problems and increased rumination. Future studies should apply a longitudinal design, should investigate additional confounding variables (e. g. age, level of psychopathology) and should also focus on positive effects of social media use on mental health. Thereby, this line of research has the potential to improve our understanding how social media use exerts its effects and based thereupon to develop new or optimize current interventions on problematic social media use to improve mental health in adolescents by targeting the identified mediators.