Advancing Our Understanding of the Associations Between Social Media Use and Well-Being

Role of social media in the presentation of disorders of gut-brain interaction: Review and recommendations

As clinicians involved in the care of patients with disorders of gut-brain interaction (DGBIs), we-and many colleagues-have the impression that social media are adversely shaping the nature, presentation, and ability to manage these disorders, especially at the severe end of the DGBI clinical spectrum. We turned to the research literature to see if these clinical impressions were corroborated but found it virtually nonexistent. Social media have rapidly become a ubiquitous, pervasive part of the lives of most people on the planet. Although they bring many benefits, they are also replete with health misinformation, reinforcement of abnormal sick-role behavior, and undermining of the legitimacy of psychological care. We first set out four reasons for concern about social media and DGBIs, particularly severe DGBIs. These reasons stem from phenomena described in medical fields outside DGBIs, but there is no reason to think DGBIs should be exempt from such phenomena. We then present the results of a literature search, which yielded only eight disparate recent empirical studies. We review these studies, which, although not uninformative, reveal a field in its infancy. We set out implications, most urgently multidisciplinary research directly addressing the role of social media and evaluation of interventions to mitigate its ill effects. Gastroenterological clinicians involved in DGBI care and research need to collaborate with experts in social media research, which is a very rapidly evolving, specialized field. Although knowledge is at an early stage, there are implications for specialist practice, education and training, and DGBI service delivery.

Body-Positive Instagram Exposure and Young Women's Body Image: The Mediating Role of Appearance Comparison and Broadly Conceptualizing Beauty

Evidence is mixed as to whether viewing body-positive content on social media can cultivate positive body image in women. Body-positive exposure has been linked to positive (e.g. body satisfaction) and negative (e.g. self-objectification) outcomes. To increase our understanding of the mechanisms underlying the relationship between body-positive social media exposure and positive body image, this study tested two mediators: upward appearance comparisons and broad conceptualization of beauty. Combining insights from social comparison theory, objectification theory, and the acceptance model of body appreciation, we examined whether broadly conceptualizing beauty and engaging in fewer upward appearance comparisons can connect body-positive exposure on Instagram to decreased body surveillance and increased body appreciation. A sample of 345 young women (Mage = 21.65, SD = 1.70) participated in an online survey. Parallel mediation analyses showed that higher relative exposure to body-positive content on Instagram was indirectly related to decreased body surveillance and increased body appreciation, via lower engagement in upward appearance comparisons and a broader conceptualizing beauty. Taken together, body-positive posts on Instagram can positively contribute to women's body image, if they stimulate protective filtering of idealized content, decrease the relevance of idealized models as comparison targets, and increase perceptions of unconditional body appreciation by others.

Can social connections become stressful? Exploring the link between social media use and perceived stress in cross-sectional and longitudinal analyses of 25,053 adults

BACKGROUND

Social media has become a dominant part of daily lives for many, but excessive use may lead to an experience of stress. Only relatively few studies have investigated social media's influence on mental health.

AIMS

We aimed to investigate whether social media use is associated with perceived stress and changes in perceived stress over 18 months.

METHODS

The study population consisted of 25,053 adults (mean age 42.8; 62% women) from the SmartSleep Study. Self-reported frequency of social media use, of 10 specific social media platforms, and of perceived stress (the Perceived Stress Scale 4 item) was obtained at baseline and 18-months follow-up (N = 1745). The associations were evaluated at baseline and follow-up using multiple linear regression models adjusted for potential confounders.

RESULTS

Compared to non-use, high social media use (at least every second hour) was associated with a slightly higher perceived stress level at baseline. No association was found between the frequency of social media use and changes in perceived stress during follow-up. Only small differences in these associations were noted across social media platforms.

CONCLUSIONS

Further studies are needed to comprehensively explore the relationship between excessive social media use and mental health, recognizing different characteristics across social media platforms.

'I tried to take my phone off my daughter, and i got hit in the face': a qualitative study of parents' challenges with adolescents' screen use and a toolbox of their tips

BACKGROUND

Concerns about adolescent screen use are often expressed but poorly understood, particularly in terms of how parents are supposed to respond in ways that balance safety, care and developing independence and autonomy. This qualitative study investigated parental perceptions and concerns about screen use of adolescents aged 13 to 17. Current strategies to manage screen use and barriers to doing so were explored, and parents were asked to outline recommended interventions for better outcomes.

METHODS

Interviews and focus groups were held with 33 adults in Auckland, Aotearoa New Zealand (mean age 48 years) who were parenting adolescents (mean age 14 years). Interviews were transcribed verbatim, then inductive analysis and interpretation by the research team distilled the key ideas and illustrative quotes. A table of recommendations for a practical 'toolbox' was developed from these in-depth conversations.

RESULTS

Parents reported extensive use of screens by their adolescents, constantly throughout the day (and night, instead of sleeping). Four areas of specific concern included: (1) addict-like behavior, (2) exposure to harmful (and inane) content, (3) living in a virtual world, and (4) negative impacts on physical, mental, and cognitive wellbeing. To manage adolescent screen use, family rules and restrictions (on time and place) were common. Some used technical control via software or accessing the adolescent's devices and/or accounts to check for inappropriate content (such as pornography). Communication about device use and self-regulation were important. Barriers to managing screen use included trying to avoid conflict with their child; difficulties with consistency or follow-through on rules; lack of technical knowledge; parental screen use that set a bad example; and device use needed for school or other purposes. Recommendations from parents are presented in a toolbox of tips and techniques they shared, and their 'wish list' for better access to practical, local, scientific information, examples of techniques that have worked for other families, tools for problematic behavior and risk (including how to begin conversations with adolescents about their concerns), and having schools and young people involved in developing interventions to build digital citizenship.

CONCLUSIONS

Rich, nuanced accounts from parents about adolescent screen use in their families and communities underpinned their practical ideas for more skillful responses to young people grappling with an addictive digital existence.