Social Media as It Interfaces with Psychosocial Development and Mental Illness in Transitional Age Youth

Sleep, social media use and mental health in female adolescents aged 12 to 18 years old during the COVID-19 pandemic

BACKGROUND

Adolescents with high social media (SM) use experienced poor sleep quality and high anxiety and depression levels. The study aimed to investigate the characteristics of sleep, use of SM, mental health in female aged 12 to 18 years old, and to assess the association between poor sleep, SM usage, and mental health.

METHODS

In total, 219 Thai female adolescents were recruited between December 2019 and September 2020 and completed self-administrative questionnaires three periods of time (baseline, 3 months and 6 months later). The questionnaires included: the Pittsburgh Sleep Quality Index (PSQI), depression screening (PHQ-9), Screen for Child Anxiety Related Emotional Disorders (SCARED). Demographic and use of social media data were also included. Cochran's Q test, correlation coefficient, and binary logistic regression were performed.

RESULTS

Participants' mean age was 14.52 (range 12-17) years. Average Thai-PSQI global scores did not differ during 3 periods (p = 0.13) but average time of sleep latency, sleep duration, and SM usage were significant different (p = 0.002, p = 0.001, and p = < 0.001, respectively). There were positive correlations between PSQI scores and total SM usage at baseline (r = 0.14; P < 0.05) and 6 months (r = 0.20; P < 0.05). Anxiety, depression, and self-perception of poor sleep were significantly related to poor sleep quality during the 3 periods. After adjusting for confounding factors, depression and self-reported poor sleep were the only significant factors predicting poor sleep quality.

CONCLUSIONS

Poor sleep was associated with SM usage, depression, and anxiety in this population. Time-limited SM usage should be implemented for Thai female adolescents to improve sleep-related outcomes.

Anxiety and depression amongst youth as adverse effects of using social media : A Review

Social media use has become widely popularized in modern society and because of that, human interactions have drastically changed. In parallel, depression and anxiety have reached unprecedented levels among the youth, and concerns have emerged on social media use compromising mental health. The objectives of our review are to explore if there is a relation between social media and the development of those two disorders among youth, to highlight the patterns that could lead to them, and to give recommendations for future research.

Methods

Based on the Scale for the Assessment of Narrative Review Articles (SANRA) Criteria, the authors performed a search of all-time articles published in the Medline database using terms such as social media, social media use, problematic social media use, depression, anxiety, suicidality, self-harm, fear of missing out, cyberchondria, cyberbullying, sexting, and online shopping. The initial search yielded 184 924 articles. After review, 77 articles were included for discussion.

Results

Social media use is often associated with depression and anxiety. Different patterns are thought to predict poorer mental health outcomes like multitasking, emotional investment, appearance-based activities, passive media use, problematic social media use, cyberbullying, sexting, and disaster awareness.

Conclusion

Specific patterns of engagement with social media appear to be associated with poor mental health outcomes in youth. It is important for physicians to address social networks exposure in well-visits and for parents to communicate about it openly. However, more in-depth research needs to be done to determine a relation of causality.

Measuring the Impact of Social Media on Young People's Mental Health: Development and Validation of the Social Media-Induced Tendency Scale

Social media use has been linked to adverse health outcomes such as depression. To facilitate interventions, understanding the varied causes of depression is necessary. The authors developed a social media-induced depression tendency (SMIDT) scale for use with young people and aimed to validate it for young people in Nigeria. The study was conducted in three parts using an online survey (Google Forms) with purposive sampling targeting young people. Study 1 was an exploratory study that developed the SMIDT scale with 361 young people aged 16 to 26 years (mean age = 22.81). A concise measure of SMIDT was obtained. In study 2, confirmatory factor analysis was performed on the SMIDT with young people aged 17 to 25 years (mean age = 23.61). Construct, discriminant, and concurrent validities were established, and three factors were identified (sensitivity/attention seeking, worthlessness, and escapism/reality avoidance), which explained 55.87% of the variance. Study 3 tested the predictive validity of the scale. The results showed that the 15-item SMIDT scale had high internal consistency and satisfactory validity. The SMIDT scale can enable the assessment of factors associated with social media-induced depression tendency. The three factors identified in the scale provide insight into the factors contributing to depression associated with social media use. The SMIDT scale has the potential to help identify at-risk individuals and in-developing interventions to prevent or reduce social media-induced depression tendencies. However, this study only focused on young people in Nigeria. Additional studies using the SMIDT scale are required to assess its generalizability and applicability in evaluating other factors, such as quality of life among young people. Moreover, while social media use has been associated with adverse health outcomes, it is crucial to recognize that it can also positively affect mental health. Further research is necessary to explore the complex relationships between social media use and mental health outcomes.

Morningness-Eveningness and Problematic Online Activities

Online activities and problematic online behaviors have recently emerged as important research topics. However, only a few studies have explored the possible associations between these behaviors and morningness-eveningness. The authors examined whether eveningness predicts these distinct problematic online behaviors differently and directly or via mediators. The associations between eveningness and three different problematic online behaviors (problematic Internet use, problematic online gaming, and problematic social media use) were explored among a large sample of Hungarian young adults (N = 1729, 57.2% female, Mage = 22.01, SDage = 1.97) by using a self-report survey. Depression and the time spent engaging in online activities were assessed as possible mediators. The effects of age and sex were controlled for. Using structural equation modeling, the results supported the association between eveningness and the higher risk for all three problematic online behaviors and highlighted that these associations were mediated by depressive mood and time spent on the activities. In addition, eveningness also predicted PIU directly. Eveningness is a risk factor for problematic online behaviors not only because of the higher amount of time spent on the activities but also because of the worse mood associated with eveningness. The results highlight that it is important to examine the different types of online activity separately and explore the role of diverse risk factors, among them morningness-eveningness.

Envy, Social Comparison, and Depression on Social Networking Sites: A Systematic Review

This study aims to review the evidence for the reciprocal relationship between envy and social comparison (SC) on social networking sites (SNSs) and depression. We searched PsychINFO, PubMed, and Web of Science from January 2012 to November 2022, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 9 articles met our inclusion criteria. In all articles reviewed, a simple correlation was found between SC on SNSs, envy, and depression. Three cross-sectional studies successfully tested a model with envy as a mediator between SNSs and depression. The moderating role of additional variables such as self-efficacy, neuroticism, SC orientation, marital quality, and friendship type was also evident. The only two studies that were suitable to determine direction found that depression acted as a predictor rather than an outcome of SC and envy, and therefore depression might be a relevant risk factor for the negative emotional consequences of SNSs use.

The Influence of Social Media Interactions and Behaviors on Depressive Symptoms Among Sexual and Gender Minority Young Adults in the United States: Protocol for a Mixed Methods Longitudinal Study

BACKGROUND

Sexual and gender minority (SGM; ie, lesbian, gay, bisexual, transgender, and otherwise queer) young adults experience disparities in depression and other internalizing psychopathology. Although social media use is widespread and SGM people have more social media accounts and are more socially active on them than non-SGM individuals, few studies have examined the impact of social media on depression in this group.

OBJECTIVE

The PRIDE iM study will be the first longitudinal, mixed methods research conducted to determine the impact of social media interactions and behaviors as pathways to depressive symptoms among SGM young adults living in the United States.

METHODS

PRIDE iM uses a bookends variation of the longitudinal sequential mixed methods design. Participants will be recruited nationally from social media. First, between July 2019 and February 2020, we conducted a qualitative phase (T1) comprising web-based individual interviews (N=58) to inform the building and content of the quantitative survey. Second, from February 2022 to September 2022, we will conduct a series of web-based surveys (N=1000 at baseline) with 4 data points (T2-T5), each one collected every 6 to 8 weeks. Third, from October 2022 to December 2022, we will conduct a second qualitative phase (T6) of web-based interviews using outcome trajectories found in the longitudinal survey analyses to purposively sample survey participants and conduct web-based interviews to contextualize and explain survey findings. Qualitative data from T1 and T6 will be analyzed using a reflexive thematic analysis approach. As we sought to capture change over time in the association between the main predictors (ie, social media interactions and behaviors) and depressive symptoms, we propose analyzing T2 to T5 data using latent growth models with a structural equation modeling framework. Data integration at the method, interpretation, and reporting levels will be achieved through building and connecting and the use of a staged approach and joint displays, respectively. At all stages, we will assess the fit of data integration as recommended by the principles of best practice for mixed methods research in psychology.

RESULTS

Data collection will be completed by December 2022. Qualitative data analyses will be completed by March 2023, and quantitative analyses of the primary outcome of interest will be completed by June 2023.

CONCLUSIONS

PRIDE iM will confirm, reject, or uncover the presence of potential relationships between social media interactions and behaviors and depressive symptoms among SGM people. This study represents fundamental groundwork to develop social media-based interventions that target modifiable interactions and behaviors that are most likely to influence mental health outcomes, thus seizing the opportunity to merge the popularity of this medium among SGM people with evidence-based approaches.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

DERR1-10.2196/43627.

Mediated effects of insomnia in the association between problematic social media use and subjective well-being among university students during COVID-19 pandemic

Recently, the use of social media has penetrated many aspects of our daily lives. Therefore, it has stimulated much debate and polarisation regarding its impact on mental well-being. The present study investigated the association between problematic use of social media, subjective well-being, and insomnia's potential mediator. A proportionate random sample was collected from a Univerity in Algeria between March and April 2020.The participants (n=288; mean [SD] age = 20.83 [2.13]) involved 101 (35.1%) males. Nearly three-fourths of the participants (n=214; 74.3%) used up more-than three hours daily surfing on social media. Their mean (SD) score was 15.64 (4.80) on the Bergan Social Media Addiction Scale, 16.19 (9.15) on the Arabic Scale of Insomnia, and 28.13 (7.90) on the overall subjective well-being. Structural equation modeling (SEM) revealed an indirect correlation between problematic use of social media and the overall subjective well-being of users. Similarly, the indirect but not direct effects were found for the overall subjective well-being subdomains. Moreover, all SEM models have a satisfactory fit with the data. Based on the results, it can be concluded that insomnia appears to play an important role in mediating the association between subjective well-being and problematic social media use. This suggests the importance of tackling the issues of insomnia and problematic use of social media for university students. It also has important implications in dealing with the misuse of social media, especially during the covid-19 pandemic.

Predicting social media use intensity in late adolescence: The role of attachment to friends and fear of missing out

The vast majority of research on social media use (SMU) is focused on its negative effects while often disregarding that it can also help adolescents form and maintain a network of social relations and support. This study explores the possibility of predicting SMU intensity based on peer attachment dimensions (Trust, Communication, Alienation) and FoMO on a sample of adolescents (N = 557; M_age = 18.09; SD_age = _.275). The results show that Trust and Communication (merged in one dimension of Peer support) are positive predictors of SMU and that this effect is partly mediated by FoMO which was also found to be a positive predictor. Alienation was not a significant predictor in the first step of regression analysis, but it became significant upon the addition of FoMO. The indirect effects analysis showed that FoMO suppresses the effect of Alienation on SMU intensity - the stronger FoMO the smaller the effect of Alienation. To sum up, when there is trust and good communication in relationships with friends, but also Fear of missing out, there will be more intensive use of SM. In addition, although being alienated from friends can restrict the use of SM, this effect is diminished if there is Fear of missing out. Taken together, these results point to the role of peer attachment and FoMO in predicting the intensity of SMU which can be viewed not as a negative phenomenon but as a way of acquiring social capital and a means of preserving and maintaining already acquired social capital.

The Roles of Social Media Use and Friendship Quality in Adolescents' Internalizing Problems and Well-being

Adolescents spend increasing amounts of time using social media, but whether social media use has a beneficial or harmful role in internalizing problems and well-being during adolescence remains under debate. The present study explored associations of social media use and friendship quality with adolescents' internalizing problems and well-being both concurrently and longitudinally, including the exploration of interactive effects between social media use and friendship quality and the examination of gender differences. Online questionnaire data collected in Spring 2018 and Spring 2019 from 1,298 Dutch adolescents aged 11-17 years (mean age 13.7 ± 1.1 years, 53.2% girls) were used. Path analyses showed that, cross-sectionally, girls (not boys) who used social media more frequently had more internalizing problems and lower well-being. Boys and girls with higher-quality friendships reported fewer concurrent internalizing problems and higher concurrent and longitudinal well-being; the association with internalizing problems was significantly stronger for girls as for boys. We found no significant interaction between social media use and friendship quality. Thus, the present study indicates that social media use and friendship quality have unique roles in adolescents' internalizing problems and well-being. Furthermore, the findings support the importance of gender-specific approaches to decrease adolescents' internalizing problems and enhance their well-being.

Social Media-Driven Routes to Positive Mental Health Among Youth: Qualitative Enquiry and Concept Mapping Study

BACKGROUND

Social media influence almost every aspect of our lives by facilitating instant many-to-many communication and self-expression. Recent research suggests strong negative and positive impacts of social media exposure on youth mental health; however, there has been more emphasis on harmful relationships.

OBJECTIVE

Given the limited research on the benefits of social media for mental health, this qualitative study explored the lived experiences of youth to understand how social media use can contribute to positive mental health among youth.

METHODS

Using an interpretivist epistemological approach, 25 semistructured interviews and 11 focus group discussions were conducted with male and female youth of different ethnicities (aged 15 to 24 years) residing in Singapore, who were recruited through purposive sampling from the community. We conducted inductive thematic analysis and concept mapping to address the research aims.

RESULTS

We found that youth engaged in a wide range of activities on social media from connecting with family and friends to participating in global movements, and these served as avenues for building positive mental health. Based on participants' narratives, our analysis suggested that positive mental health among youth could be influenced by 3 features of social media consumption (connection with friends and their global community, engagement with social media content, and the value of social media as an outlet for expression). Through these, pathways leading to the following 5 positive mental health components were identified: (1) positive relationships and social capital, (2) self-concept, (3) coping, (4) happiness, and (5) other relevant aspects of mental health (for example, positivity and personal growth).

CONCLUSIONS

The study results highlight the integral role of social media in the lives of today's youth and indicate that they can offer opportunities for positive influence, personal expression, and social support, thus contributing to positive mental health among youth. The findings of our research can be applied to optimize engagement with youth through social media and enhance the digital modes of mental health promotion.

#Trending: A Systematic Review of Social Media Use’s Influence on Adolescent Anxiety and Depression

Background:

With new technological advancements, adolescents can obtain devices that give them virtually unlimited access to social media (SM) which may impact adolescent mental health.

Objectives:

This literature review aims to evaluate the influence of social media use on adolescent anxiety and depression.

Methods:

A literature search of PubMed from June 2010 through June 2020 was completed for the following MeSH terms: social media, adolescent, anxiety, depression, and mental health. English language articles that discussed adolescents aged 13 to 18 years, anxiety and/or depression and SM were included. Extracted data included the SM platform, impact on anxiety and depression, interventions, temporal and dose-response relationships, and observed versus self-reported usage.

Results:

The majority of articles positively associated depression (82.6%) and anxiety (78.3%) with SM use. depression corresponded with cyber-bullying (42.1%), negative social perspective (21.0%), diminished self-esteem (15.8%), and sleep disturbance (10.5%). Anxiety corresponded with a negative social perspective (44.4%), diminished self-esteem (33.3%), sleep disturbance (16.7%), and cyber-bullying (16.7%). Many studies suggested the use of interventions to reduce depression (72.7%) and anxiety (72.7%), such as screen time restrictions (n=6) and social support (n=4), but lacked evaluation of their implementation.

Conclusion:

Current literature suggests a positive association between adolescent SM use with anxiety and depression. Our study highlights the need for further investigation of temporal and dose-response associations between SM use and adolescent mental health, and the potential benefits of SM-driven interventions.

Feelings of Loneliness: Understanding the Risk of Suicidal Ideation in Adolescents with Internet Addiction. A Theoretical Model to Answer to a Systematic Literature Review, without Results

The Internet has become an essential tool for adolescents. It is part of their social integration within peers and supports their identity construction. The Internet can also become a source of addiction, especially when used as a coping strategy towards unpleasant life situations. Addiction to the Internet is often linked with an increase in the feeling of loneliness. The feeling of loneliness is an emotion present during adolescence. However, in excess, it can lead to suicidal ideation. Addiction to the Internet is also linked to an increased suicide risk. We questioned ourselves on the impact of the feeling of loneliness on the link between an excessive use of the Internet by adolescents and the risks of suicidal ideation. We attempted to find an answer to this question by performing a systematic review of the literature. We found no result matching our search criteria. We noted the absence of studies with regards to the interaction between the feeling of loneliness, addiction to the Internet and the risk of suicidal ideation amongst adolescents. We established a theoretical model which could be used as a lead for future research. We insist on the importance that studies need to be conducted in this domain, in order to enable us to establish efficient preventive measures for the risks of suicidal ideation amongst adolescents.

Attention control moderates the relationship between social media use and psychological distress

BACKGROUND

Research has suggested a potential link between social media use and psychological distress, though findings have been somewhat inconsistent. Importantly, relatively few studies have examined potential moderators of this relationship, and the majority have relied upon self-report social media use. The present study examined the potential moderating role of attention control, in the relationship between social media use and anxiety and employed an objective measure of social media use via smartphone data.

METHODS

Social media use was captured via participants smartphones over a one-week period. Inhibitory attention control was assessed via antisaccade task performance. In addition to a measure of psychological distress that was completed by participants (final n = 69, female = 35, male = 31, did not specify = 3).

RESULTS

Attention control, as indexed via total antisaccade accuracy, moderated the relationship between social media use and psychological distress. This relationship was such that those with lower levels of attention control showed a significant positive relationship between social media use and psychological distress, whereas no relationship was observed among those with average or high attention control.

LIMITATIONS

While capturing objective mobile social media data, future research could also benefit from incorporating usage data from computers and other devices.

CONCLUSIONS

The findings of this study highlight a potential important factor that may alter the impact of social media use on emotional wellbeing. One possible implication of this finding is that heavy social media use may have problematic mental health consequences specifically for those who experience difficulties with attention control.

#KidsAnxiety and the Digital World

This article discusses child onset anxiety disorders in conjunction with the risks and benefits of the rapidly changing digital world including screen time, social media, and potential treatment platforms. A section includes the impact of pandemic stressors including social distancing, quarantining, the association of the pandemic and youth mental health, and prolonged screen time.

Conceptualizations of Knowledge in Structuring Approaches to Moral Development: A Process-Relational Approach

Like other aspects of child development, views of the nature and development of morality depend on philosophical assumptions or worldviews presupposed by researchers. We analyze assumptions regarding knowledge linked to two contrasting worldviews: Cartesian-split-mechanistic and process-relational. We examine the implications of these worldviews for approaches to moral development, including relations between morality and social outcomes, and the concepts of information, meaning, interaction and computation. It is crucial to understand how researchers view these interrelated concepts in order to understand approaches to moral development. Within the Cartesian-split-mechanistic worldview, knowledge is viewed as representation and meaning is mechanistic and fixed. Both nativism and empiricism are based in this worldview, differing in whether the source of representations is assumed to be primarily internal or external. Morality is assumed to pre-exist, either in the genome or the culture. We discuss problems with these conceptions and endorse the process-relational paradigm, according to which knowledge is constructed through interaction, and morality begins in activity as a process of coordinating perspectives, rather than the application of fixed rules. The contrast is between beginning with the mind or beginning with social activity in explaining the mind.

Examining TikTok's Potential for Community-Engaged Digital Knowledge Mobilization With Equity-Seeking Groups

Social media is increasingly being leveraged by researchers to engage in public debates and rapidly disseminate research results to health care providers, health care users, policy makers, educators, and the general public. This paper contributes to the growing literature on the use of social media for digital knowledge mobilization, drawing particular attention to TikTok and its unique potential for collaborative knowledge mobilization with underserved communities who experience barriers to health care and health inequities (eg, equity-seeking groups). Setting the TikTok platform apart from other social media are the unique audiovisual video editing tools, together with an impactful algorithm, that make knowledge dissemination and exchange with large global audiences possible. As an example, we will discuss digital knowledge mobilization with trans and nonbinary (trans) communities, a population that experiences barriers to health care and is engaged in significant peer-to-peer health information sharing on the web. To demonstrate, analytics data from 13 selected TikTok videos on the topic of research on gender-affirming medicine (eg, hormonal therapy and surgeries) are presented to illustrate how knowledge is disseminated within the trans community via TikTok. Considerations for researchers planning to use TikTok for digital knowledge mobilization and other related community engagement with equity-seeking groups are also discussed. These include the limitations of TikTok analytics data for measuring knowledge mobilization, population-specific concerns related to community safety on social media, the spread of disinformation, barriers to internet access, and commercialization and intellectual property issues. This paper concludes that TikTok is an innovative social media platform that presents possibilities for achieving transformative, community-engaged knowledge mobilization among researchers, underserved health care users, and their health care providers, all of whom are necessary to achieve better health care and population health outcomes.

Contemporary Variables that Impact Sleep and Development in Female Adolescent Swimmers and Gymnasts

The effects of sleep on elite athletes in late adolescence and early adulthood have been well documented in a myriad of sports. However, there is underrepresentation of pre-pubertal and young female adolescent athlete research between the ages of 11-17, and specifically female gymnast and swimmers. Neglecting to understand how high energy demand at a young age relates to sleep and restoration may lead to developmental ramifications for this group, as they display physiological dysfunctions like delayed puberty, amenorrhea and are at risk for the female athlete triad or components of the triad. This review aims to summarize the contemporary variables of blue light emitting screens, social media, and caffeine on quality and quantity of sleep in young athletes while identifying gaps in the literature on how these factors impact the target group of young female swimmers and gymnasts.  The implications of this work include sleep hygiene recommendations for increasing duration and quality of sleep, as well as future research with respect to electronic device usage, social media participation, caffeine consumption, and sport engagement in female early adolescent athletes.

Temporal Associations Between Social Media Use and Depression

INTRODUCTION

Previous studies have demonstrated cross-sectional associations between social media use and depression, but their temporal and directional associations have not been reported.

METHODS

In 2018, participants aged 18-30 years were recruited in proportion to U.S. Census characteristics, including age, sex, race, education, household income, and geographic region. Participants self-reported social media use on the basis of a list of the top 10 social media networks, which represent >95% of social media use. Depression was assessed using the 9-Item Patient Health Questionnaire. A total of 9 relevant sociodemographic covariates were assessed. All measures were assessed at both baseline and 6-month follow-up.

RESULTS

Among 990 participants who were not depressed at baseline, 95 (9.6%) developed depression by follow-up. In multivariable analyses conducted in 2020 that controlled for all covariates and included survey weights, there was a significant linear association (p<0.001) between baseline social media use and the development of depression for each level of social media use. Compared with those in the lowest quartile, participants in the highest quartile of baseline social media use had significantly increased odds of developing depression (AOR=2.77, 95% CI=1.38, 5.56). However, there was no association between the presence of baseline depression and increasing social media use at follow-up (OR=1.04, 95% CI=0.78, 1.38). Results were robust to all sensitivity analyses.

CONCLUSIONS

In a national sample of young adults, baseline social media use was independently associated with the development of depression by follow-up, but baseline depression was not associated with an increase in social media use at follow-up. This pattern suggests temporal associations between social media use and depression, an important criterion for causality.

Social Media and Depression Symptoms: a Meta-Analysis

Social Networking Sites (SNS) have close to 3 billion users worldwide. Recently, however, SNS have come under media scrutiny for their potential association with depression. Two previous meta-analyses failed to find evidence for a robust concurrent association between SNS use and depression symptoms. However, these analyses focused primarily on the time spent using SNS. The current meta-analysis is the first to consider the multi-dimensional nature of SNS use, and examines separately the quantitative associations of depression symptoms to SNS use in three types of SNS studies examining three distinct constructs of SNS use: time spent using SNS, intensity of SNS use, and problematic SNS use. Sixty-two studies (N = 451, 229) met inclusion criteria. Depression symptoms were significantly, but weakly, associated with time spent using SNS (r = 0.11) and intensity of SNS use (r = 0.09). However, the association of depression symptoms to problematic SNS use was moderate (r = 0.29), was significantly higher than for time spent using SNS (Q_between = 35.85, p < 0.001) or intensity of SNS use (Q_between = 13.95, p < 0.001), and was not significantly moderated by age, gender, year of study publication, or mode of recruitment. These results suggest that future research examining causal models of the relation of SNS use and depression, as well as research on intervention and prevention, should focus in more detail on individuals who are engaging in a pattern of problematic SNS use.

Adolescents' Intense and Problematic Social Media Use and Their Well-Being in 29 Countries

PURPOSE

This study examined (1) whether intense and problematic social media use (SMU) were independently associated with adolescent well-being; (2) whether these associations varied by the country-level prevalence of intense and problematic SMU; and (3) whether differences in the country-level prevalence of intense and problematic SMU were related to differences in mobile Internet access.

METHODS

Individual-level data came from 154,981 adolescents (meanage = 13.5) from 29 countries that participated in the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey. Intense SMU was measured by the time spent on social media, whereas problematic SMU was defined by symptoms of addiction to social media. Mental (life satisfaction and psychological complaints), school (school satisfaction and perceived school pressure), and social (family support and friend support) well-being were assessed. Country-level data came from aggregated individual-level data and data from the Organisation for Economic Co-operation and Development (OECD) on Internet access.

RESULTS

Two-level regression analyses indicated that in countries with a lower prevalence of intense SMU, intense users reported lower levels of life satisfaction and family support and more psychological complaints than nonintense users. In contrast, in countries with a higher prevalence of intense SMU, intense users reported higher levels of family support and life satisfaction than nonintense users, and similar levels of psychological complaints. In all countries, intense users reported more friend support than nonintense users. The findings regarding problematic SMU were more consistent: In all countries, problematic users reported lower well-being on all domains than nonproblematic users. Observed differences in country-level prevalence rates of intense and problematic SMU could not be explained by mobile Internet access.

CONCLUSIONS

Adolescents reporting problematic SMU are particularly at risk of lower well-being. In many countries, intense SMU may be a normative adolescent behavior that contributes positively to specific domains of their well-being.

Patterns and Longitudinal Changes in Negative Emotions of People with Depression on Sina Weibo

Background: This study investigates negative emotional patterns of people with depression on Sina Weibo™ and gives an in-depth analysis of how their negative emotions change over time. Materials and Methods: A text classifier using deep learning methods was built to identify people on Sina Weibo with depression and associated negative emotions. The longitudinal changes in negative emotions were assessed using time series and cluster analysis. Results: Results indicate that people with depression (n = 616) were more active and expressed more negative emotions on social media compared with control users (n = 3,176). Furthermore, negative emotions of people with depression were mostly about their depression issues, such as treatment, hopelessness, suicidal ideation, or self-injury. Both groups of users usually expressed negative emotions in the late evening and early morning hours. Finally, longitudinal changes in negative emotions illustrate that users with depression tended to have relatively high negative emotions in the month when they started using social media to reveal their depression issues and that they exhibited three main evolutionary patterns of negative emotions on social media. Conclusions: Findings from the study could be used to track and monitor negative emotional states of people with depression on social media, in addition to providing an in-depth understanding of how negative emotions change over time, so that better intervention strategies can be adopted to assist them.

Increase in time spent on social media is associated with modest increase in depression, conduct problems, and episodic heavy drinking

INTRODUCTION

Adolescent use of social media has been linked to a range of negative outcomes, but it is still unclear whether the associations are spurious. To address this issue, we examined if within-individual change in time spent on social media was associated with within-individual changes in depression, conduct problems, and episodic heavy drinking in a sample of adolescents using first-differencing models (FD-models).

METHODS

A sample of 763 Norwegian adolescents (45.1% boys; mean age 15.22 years, standard deviation 1.44) completed two questionnaires 6-months apart. The associations between changes in time spent on social media and symptoms of depression, conduct problems, and frequency of episodic heavy drinking were estimated using FD-models, a statistical technique that effectively controls for all time-invariant individual factors. We also accounted for three time-variant putative confounders: frequency of sports practice, frequency of unsupervised leisure activities, and peer relationship problems.

RESULTS

Increases in time spent on social media were associated with increases in symptoms of depression (b = 0.13 [95% CI: 0.01, 0.24], p = 0.038), increases in conduct problems (b = 0.07 [95% CI: 0.02, 0.10], p = 0.007), and increases in episodic heavy drinking (b = 0.10 [95% CI: 0.06, 0.15], p < 0.001), after adjusting for changes in the three hypothesized confounders. The effect-sizes for these relationships were, however, quite modest.

CONCLUSION

Increased time spent on social media was modestly related to increases in depression, conduct problems, as well as frequency of episodic heavy drinking among adolescents.

Technological media and development

Purpose

The purpose of this paper is to characterize and identify the existing studies on the relationship between technological media and development

Design/methodology/approach

The authors conducted a systematic mapping study to identify and analyze the related literature. The authors identified 196 primary studies, dated from 2000 to 2017 and categorized them with respect to research focus, types of research and research method.

Findings

A total of 97 studies were identified and mapped, synthesizing the available evidence on the relationship between technological media and development. “Social development” with 54 articles and “communication” with 34 articles were the dominant research focus. Regarding the research type, “Solution proposal” is the most frequently employed research type. “Case study,” “discussion paper” and “interview,” respectively were the most used research methods. However, “SNA,” “focus group” and “time series” were used less often. “Solution proposal” was the most common research type between 2015 and 2017, and after that “philosophical paper” was the dominant research paper type. Further, the number of publications has increased between 2006 and 2017.

Originality/value

This mapping study is the first systematic exploration of the state-of-art on technological media-development nexus. The existing body of knowledge is limited to a few high quality studies.

For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities

BACKGROUND

Over 90% of adults in the United States have at least one social media account, and lesbian, gay, and bisexual (LGB) persons are more socially active on social media than heterosexuals. Rates of depression among LGB persons are between 1.5- and 2-fold higher than those among their heterosexual counterparts. Social media allows users to connect, interact, and express ideas, emotions, feelings, and thoughts. Thus, social media use might represent both a protective and a risk factor for depression among LGB persons. Studying the nature of the relationship between social media use and depression among LGB individuals is a necessary step to inform public health interventions for this population.

OBJECTIVE

The objective of this systematic review was to synthesize and critique the evidence on social media use and depression among LGB populations.

METHODS

We conducted a literature search for quantitative and qualitative studies published between January 2003 and June 2017 using 3 electronic databases. Articles were included if they were peer-reviewed, were in English, assessed social media use either quantitatively or qualitatively, measured depression, and focused on LGB populations. A minimum of two authors independently extracted data from each study using an a priori developed abstraction form. We assessed appropriate reporting of studies using the Strengthening the Reporting of Observational Studies in Epidemiology and the Consolidated Criteria for Reporting Qualitative Research for quantitative and qualitative studies, respectively.

RESULTS

We included 11 articles in the review; 9 studies were quantitative and cross-sectional and 2 were qualitative. Appropriate reporting of results varied greatly. Across quantitative studies, we found heterogeneity in how social media use was defined and measured. Cyberbullying was the most studied social media experience and was associated with depression and suicidality. Qualitative studies found that while social media provides a space to disclose minority experiences and share ways to cope and get support, constant surveillance of one's social media profile can become a stressor, potentially leading to depression. In most studies, sexual minority participants were identified inconsistently.

CONCLUSIONS

This review supports the need for research on the role of social media use on depression outcomes among LBG persons. Using social media may be both a protective and a risk factor for depression among LGB individuals. Support gained via social media may buffer the impact of geographic isolation and loneliness. Negative experiences such as cyberbullying and other patterns of use may be associated with depression. Future research would benefit from more consistent definitions of both social media use and study populations. Moreover, use of larger samples and accounting for patterns of use and individuals' experiences on social media may help better understand the factors that impact LGB mental health disparities.

Internet Use, Depression, and Anxiety in a Healthy Adolescent Population: Prospective Cohort Study

BACKGROUND

Psychiatric disorders, including conduct disturbances, substance abuse, and affective disorders, emerge in approximately 20% of adolescents. In parallel with the rise in internet use, the prevalence of depression among adolescents has increased. It remains unclear whether and how internet use impacts mental health in adolescents.

OBJECTIVE

We assess the association between patterns of internet use and two mental health outcomes (depression and anxiety) in a healthy adolescent population.

METHODS

A total of 126 adolescents between the ages of 12 and 15 years were recruited. Participants reported their typical computer and internet usage patterns. At baseline and one-year follow-up, they completed the Beck Depression Index for primary care (BDI-PC) and the Beck Anxiety Inventory for Primary Care (BAI-PC). Individual linear regressions were completed to determine the association between markers of internet use at baseline and mental health outcomes at one-year follow-up. All models controlled for age, gender, and ethnicity.

RESULTS

There was an inverse correlation between minutes spent on a favorite website per visit and BAI-PC score. No association was found between internet use and BDI-PC score.

CONCLUSIONS

There is no relationship between internet use patterns and depression in adolescents, whereas internet use may mitigate anxiety in adolescents with higher levels of baseline anxiety.

#KidsAnxiety and Social Media: A Review

This article reviews the available literature regarding the interaction between child and adolescent anxiety and electronic media. It reviews current research contributing to understanding of the correlation of youth anxiety with engagement in social media and other online platforms, including risk and protective factors. mHealth and eHealth prevention and treatment options, available via various digital resources, are discussed. Suggestions for mental health clinicians' assessment of client's online behaviors and a review of novel treatment options are provided. The article concludes with proposing healthy online technology interventions, including popups for overuse and identification of digitally enhanced posts.

Positive Impact of Social Media Use on Depression in Cancer Patients

Objective:

The focus of attention was the prevalence of depression among cancer patients using social networks. An attempt was made to determine if social media could help cancer patients overcome their stress and depression, causes of serious emotional and mental problems for them and their families.

Methods:

To ascertain the prevalence of depression among cancer patients with reference to use of social networks, 316 cancer patients in the Association of Cancer Patients and cancer-related centers in Tehran at 2015 were evaluated. Depression was measured using the Beck Depression Inventory. Data were analyzed by the Chi-square test with SPSS software.

Results:

Using the Beck criteria, 61% (N=192) of patients were depressed. Interestingly, a significant difference was observed between depression in users and non-users of social networks (p=0.001), 33.9% and 66.1% being affected, respectively.

Conclusion:

These results verified a high incidence of depression in cancer patients, but a beneficial effect of social network use. Therefore access to social networks should be promoted for prevention and amelioration of depression. Moreover, it is recommended that particular attention be paid to the patient sex and educational level in designing counseling and psychological skill training programs.