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Raphaely SG, Goldberg SB, Stowe ZN, Moreno MA. Association Between Parental Problematic Internet Use and Adolescent Depression. Child Psychiatry Hum Dev 2024:10.1007/s10578-024-01749-4. [PMID: 39150643 DOI: 10.1007/s10578-024-01749-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/05/2024] [Indexed: 08/17/2024]
Abstract
We examined the association between parental problematic internet use (PIU) and adolescent depression and whether this association varied based on internet-related rules. We recruited adolescents ages 13-18 and their parent using national Qualtrics panels (N = 4592 dyads). Measures included the Problematic and Risky Internet Use Screening Scale (PRIUSS-3), the Patient Health Questionnaire (PHQ-9), and the internet specific parenting practice scale (ISPPS). Parental PIU was associated with symptoms of adolescent depression, including suicidal ideation, even when controlling for adolescent PIU (β = 0.35, 95% CI [0.32, 0.38]). Time-related rules moderated this association in a non-linear way where the association was strongest when time-related rules were unclear / mid-range. The moderation effect was linear for content-related rules, where stricter rules were associated with a weaker association between parent PIU and adolescent depression. Results support clinicians assessing parent PIU when treating depressed adolescents and engaging parents in monitoring their adolescents' internet use content.
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Affiliation(s)
- Shiri G Raphaely
- Department of Psychiatry, University of Wisconsin, 6001 Research Blvd, Madison, WI, 53719, USA.
| | - Simon B Goldberg
- Department of Counseling Psychology, University of Wisconsin, Education Building 1000 Bascom Mall, Rm 335, Madison, WI, 53706, USA
- Center for Healthy Minds, 625 West Washington Ave, Madison, WI, 53703, USA
| | - Zachary N Stowe
- Department of Psychiatry, University of Wisconsin, 6001 Research Blvd, Madison, WI, 53719, USA
| | - Megan A Moreno
- Department of Pediatrics, University of Wisconsin, 600 Highland Ave, Madison, WI, 53792, USA
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Butler S. Young people on social media in a globalized world: self-optimization in highly competitive and achievement-oriented forms of life. Front Psychol 2024; 15:1340605. [PMID: 39035080 PMCID: PMC11258645 DOI: 10.3389/fpsyg.2024.1340605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 06/06/2024] [Indexed: 07/23/2024] Open
Abstract
Research investigating young people's social media use has been criticized for its limited theoretical foundations and scope. This paper elaborates young people's social media activity from a socio-ecological evolutionary perspective (SEE), where young people's online exchanges cannot be divorced from the highly competitive and achievement-oriented modern market cultures in which they live. In highly competitive and achievement-oriented forms of life, young people's social media environments are often constituted as dynamic and evolving extrinsically oriented ecological niches that afford for status and identity enhancement while also affording for peer approval, belongingness, and self-worth nested within, and subordinate to, these higher-order affordances. The extrinsic value organization of social media platforms that serve young people's status and identity-enhancement are embodied by a community of mutually interdependent criteria that are evolutionary-based, developmentally salient, and market-driven: physical attractiveness, high (educational and extracurricular) achievements, and material success. Young people's online signaling of these interdependent extrinsic criteria affords for status-allocation and self-enhancement, where each criteria becomes an arena for social competition and identity formation, enabling young people to build personal and optimal models of social success congruent with their own interests and abilities. Young people's status and identity enhancing signaling of these extrinsic criteria is moving toward increasingly idealized or perfect embodiments, informed by accelerating, short-term positive feedback processes that benefit from the technological affordances and densely rewarding peer environments instantiated on social media.
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Affiliation(s)
- Stephen Butler
- Department of Psychology, University of Prince Edward Island, Charlottetown, PE, Canada
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Engel E, Gell S, Heiss R, Karsay K. Social media influencers and adolescents' health: A scoping review of the research field. Soc Sci Med 2024; 340:116387. [PMID: 38039770 DOI: 10.1016/j.socscimed.2023.116387] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 09/29/2023] [Accepted: 10/30/2023] [Indexed: 12/03/2023]
Abstract
Social media influencers (SMIs) have become an important source of health information for adolescents. However, the lack of expertise and commercial interests of SMIs pose challenges for adolescent health. To gain a better understanding of these challenges, this scoping review aimed to synthesize existing research on the role of SMIs in adolescent health. Using the PRISMA-ScR approach, we conducted a comprehensive search of eight databases and screened articles based on predefined criteria. The final sample included 51 articles published between 2012 and 2022. Results revealed inconsistent definitions and classifications of SMIs. The most common topics included appearance, nutrition, and substance use, while mental and sexual health topics were underrepresented. The ability of SMIs to establish trustworthy relationships with their followers was highlighted in the reviewed studies, shedding light on potential benefits and challenges for adolescent health. However, most studies focused on the negative roles of SMIs, such as the promotion of unrealistic body images, unhealthy diets, substance use, and inaccurate diagnosis and treatment advice. In addition, inappropriate advertising of unhealthy products (e.g., junk food, tobacco products and alcohol) was identified as a major challenge. The reviewed studies identified stricter regulation and improved social media and health literacy as important avenues for policy action. Less attention was given to the potential positive impact of SMIs and how to effectively include them in health promotion campaigns. In addition, the majority of studies were conducted in the Global North and relied on quantitative approaches, resulting in a lack of representation of minority populations and male adolescents.
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Affiliation(s)
- Elena Engel
- University of Vienna, Department of Communication, Kolingasse 14-16, 1070 Vienna, Austria; MCI | The Entrepreneurial School©, Center for Social & Health Innovation, Universitätsstraße 15, 6020, Innsbruck, Austria.
| | - Sascha Gell
- University of Vienna, Department of Communication, Kolingasse 14-16, 1070 Vienna, Austria; MCI | The Entrepreneurial School©, Center for Social & Health Innovation, Universitätsstraße 15, 6020, Innsbruck, Austria.
| | - Raffael Heiss
- MCI | The Entrepreneurial School©, Center for Social & Health Innovation, Universitätsstraße 15, 6020, Innsbruck, Austria.
| | - Kathrin Karsay
- University of Vienna, Department of Communication, Kolingasse 14-16, 1070 Vienna, Austria.
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Yang JH, Huynh V, Leonard LD, Kovar A, Bronsert M, Ludwigson A, Wolverton D, Hampanda K, Christian N, Kim SP, Ahrendt G, Mathes DW, Tevis SE. Are Diagnostic Delays Associated with Distress in Breast Cancer Patients? Breast Care (Basel) 2023; 18:240-248. [PMID: 37900555 PMCID: PMC10601706 DOI: 10.1159/000529586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 02/02/2023] [Indexed: 10/31/2023] Open
Abstract
Introduction Receiving a new breast cancer diagnosis can cause anxiety and distress, which can lead to psychologic morbidity, decreased treatment adherence, and worse clinical outcomes. Understanding sources of distress is crucial in providing comprehensive care. This study aims to evaluate the relationship between delays in breast cancer diagnosis and patient-reported distress. Secondary outcomes include assessing patient characteristics associated with delay. Methods Newly diagnosed breast cancer patients who completed a distress screening tool at their initial evaluation at an academic institution between 2014 and 2019 were retrospectively evaluated. The tool captured distress levels in the emotional, social, health, and practical domains with scores of "high distress" defined by current clinical practice guidelines. Delay from mammogram to biopsy, whether diagnostic or screening mammogram, was defined as >30 days. Result 745 newly diagnosed breast cancer patients met inclusion criteria. Median time from abnormal mammogram to core biopsy was 12 days, and 11% of patients experienced a delay in diagnosis. The non-delayed group had higher emotional (p = 0.04) and health (p = 0.03) distress than the delayed group. No statistically significant differences in social distress were found between groups. Additionally, patients with higher practical distress had longer time interval between mammogram and surgical intervention compared to those with lower practical distress. Older age, diagnoses of invasive lobular carcinoma or ductal carcinoma in situ, and clinical anatomic stages 0-I were associated with diagnostic delay. Conclusion Patients with higher emotional or health-related distress were more likely to have timely diagnoses of breast cancer, suggesting that patients with higher distress may seek healthcare interventions more promptly. Improved understanding of sources of distress will permit early intervention regarding the devastating impact of breast cancer diagnosis.
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Affiliation(s)
- Jerry H. Yang
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Victoria Huynh
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Laura D. Leonard
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Alexandra Kovar
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Michael Bronsert
- Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Aurora, CO, USA
| | | | - Dulcy Wolverton
- Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Karen Hampanda
- Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO, USA
| | - Nicole Christian
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Simon P. Kim
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Gretchen Ahrendt
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - David W. Mathes
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Sarah E. Tevis
- Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
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Mougharbel F, Chaput JP, Sampasa-Kanyinga H, Hamilton HA, Colman I, Leatherdale ST, Goldfield GS. Heavy social media use and psychological distress among adolescents: the moderating role of sex, age, and parental support. Front Public Health 2023; 11:1190390. [PMID: 37397708 PMCID: PMC10310995 DOI: 10.3389/fpubh.2023.1190390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 05/24/2023] [Indexed: 07/04/2023] Open
Abstract
Background Despite increasing evidence that social media use is associated with adolescents' mental well-being, little is known about the role of various factors in modifying the effect of this association during adolescence. This study examined the association between social media use and psychological distress among adolescents and explored whether sex, age, and parental support moderate this association. Methods Data came from a representative sample of middle and high school students in Ontario, Canada. Cross-sectional analyses included 6,822 students derived from the 2019 Ontario Student Drug Use and Health Survey. Results Our results showed that 48% of adolescents used social media for 3 h or more per day, and 43.7% had moderate to severe psychological distress, with a higher prevalence among females (54%) than males (31%). After adjustment for relevant covariates, heavy social media use (≥3 h/day) was associated with increased odds of severe psychological distress [odds ratio (OR): 2.01; 95% confidence interval (CI):1.59-2.55]. The association of social media use with psychological distress was modified by age (p < 0.05) but not sex or parental support. The association was stronger among younger adolescents. Conclusion Heavy social media use is associated with higher levels of psychological distress, with younger adolescents being the most vulnerable. Longitudinal studies are recommended for future research to examine in more depth the role of sex, age, and parental support in the association between social media use and psychological distress to better determine the strength and of the association.
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Affiliation(s)
- Fatima Mougharbel
- School of Population Health, University of Ottawa, Ottawa, ON, Canada
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
| | - Hugues Sampasa-Kanyinga
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Hayley A. Hamilton
- Center for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, ON, Canada
| | - Ian Colman
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
- Center for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Scott T. Leatherdale
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
| | - Gary S. Goldfield
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
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Wang Y, Cao R, Peng X, Zhang L, Zhang Z, Fu L. Association between body image dissatisfaction and body anthropometric indices among Chinese children and adolescents at different developmental stages. Front Public Health 2022; 10:926079. [PMID: 36582367 PMCID: PMC9792862 DOI: 10.3389/fpubh.2022.926079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 11/25/2022] [Indexed: 12/15/2022] Open
Abstract
Objective Children at different developmental stages show different physical development and psychological cognitive characteristics and may pay different attention to body parts. The purpose of this study was to analyze the associations between body image dissatisfaction (BID) and body anthropometric indices (BAIs) among Chinese children and adolescents at different developmental stages. Methods A total of 609 Chinese primary and secondary school students aged 8-15 years (329 boys and 280 girls) were selected using stratified cluster sampling. The students' body height, sitting height (SH), weight, chest circumference (CC), hip circumference (HC), waist circumference (WC), scapular skinfold thickness (SST), triceps skinfold thickness (TST), and abdominal skinfold thickness (AST) were measured. Boys' testicular volumes and first spermatorrhea and girls' breast measures and menarche were assessed using the Tanner stage standard. A body shape questionnaire (BSQ) was used to survey the subject's BID. Results In boys with testicular volume < 4 ml, the hip-to-height ratio (HHR) was positively correlated with BSQ score (β = 8.17, P < 0.01). In boys with testicular volume ≥4 ml and nonfirst spermatorrhea, the HHR and SST were positively correlated with BSQ score (β = 2.51, P = 0.04; β = 4.98, P < 0.01). In boys with first spermatorrhea, weight was positively correlated with BSQ score (β = 10.30, P < 0.01). In girls with breast development < Tanner stage II, waist-to-height ratio (WHtR) was positively correlated with BSQ score (β = 5.12, P < 0.01); In girls with breast development ≥ Tanner stage II and nonmenarche, chest-to-sitting height ratio (CSHR) was positively correlated with BSQ score (β = 10.82, P < 0.01), and waist-to-hip ratio (WHR) was negatively correlated with BSQ score (β = -3.61, P = 0.04). In girls with menarche, WHtR and sitting height-to-height ratio (SHHR) were positively correlated with BSQ score (β = 6.09, P < 0.01; β = 2.05, P = 0.02). Conclusion The associations between body image dissatisfaction and anthropometric indices among Chinese children and adolescents at different developmental stages are different.
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Charmaraman L, Delcourt CG, Durrani S, Kapoor J, Richer AM, Xiao LF. The role of parents, other adults, peers and informal learning communities in shaping positive social media use in adolesent girls. INFORMATION AND LEARNING SCIENCES 2022; 123:399-420. [PMID: 36606076 PMCID: PMC9812663 DOI: 10.1108/ils-03-2022-0034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Purpose This study aims to introduce the concept of communities of social media practice where more experienced users provide guidance to female novice users, enacting a form of legitimate peripheral participation to "onboard" newcomers. Design/methodology/approach Through surveys with 968 early adolescents (average age was 13), the authors quantitatively explored sources and types of guidance for young social media users, popularity of conversation themes related to this guidance and how these conversations are associated with positive social media engagement. The authors qualitatively documented a case study of how a summer workshop of 17 students promotes positive social media use through a community of practice. Findings Although early adolescent girls reported that they more frequently talked to their parents about a wider range of social media topics, same-age peers and younger family members (e.g., siblings, cousins) were also frequent sources. Surprisingly, the authors also found that the source most strongly associated with positive social media use was the peer group. This case study of an intentional community of practice demonstrated how peers go from "peripheral" to "centered" in socializing each other for more positive social media use. Originality/value Unlike most prior scholarship on mediating social technology use, this study focuses on a critical developmental period (e.g. early adolescents), sources of guidance other than exclusively parents, explore the specific conversation topics that offer guidance and document an informal community of practice for girls that provides the training ground for peers and adult facilitators to codesign more positive social media spaces.
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Affiliation(s)
- Linda Charmaraman
- Wellesley Centers for Women, Wellesley College, Wellesley, Massachusetts, USA
| | | | - Sidrah Durrani
- Department of Developmental Psychology, Teachers College of Columbia University, New York, New York, USA
| | - Jyontika Kapoor
- Wellesley Centers for Women, Wellesley College, Wellesley, Massachusetts, USA
| | - Amanda M Richer
- Wellesley Centers for Women, Wellesley College, Wellesley, Massachusetts, USA
| | - Le Fan Xiao
- Wellesley Centers for Women, Wellesley College, Wellesley, Massachusetts, USA
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Abstract
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.
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Affiliation(s)
- Jenna Glover
- Pediatric Mental Health Institute, Children's Hospital Colorado, 13123 East 16th Avenue, B130, Aurora, CO 80045, USA; Department of Psychiatry, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, F546, Aurora, CO 80045, USA
| | - Merlin Ariefdjohan
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, F546, Aurora, CO 80045, USA
| | - Sandra L Fritsch
- Pediatric Mental Health Institute, Children's Hospital Colorado, 13123 East 16th Avenue, B130, Aurora, CO 80045, USA; Department of Psychiatry, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, F546, Aurora, CO 80045, USA.
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Hai R, Yang Y. Social Network Site Appearance Comparison's Prediction of Anxiety Among Chinese Females: The Mediation Effect of Body Area Satisfaction, Overweight Preoccupation, and Self-Esteem. Front Psychiatry 2022; 13:775782. [PMID: 35321227 PMCID: PMC8936083 DOI: 10.3389/fpsyt.2022.775782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 01/31/2022] [Indexed: 11/16/2022] Open
Abstract
Social network site appearance comparison refers to a tendency to compare the body image of one-self to others when using social network sites. It was found to be associated with negative emotions, for example, depression, among young females, and this association was mediated by body image and self-esteem. However, researches on the chain-mediating role of body image and self-esteem in anxiety had been limited. Therefore, the current study examined the chain-mediating role between social network site comparison and anxiety among 320 Chinese females, using the Social Network Site Appearance Comparison Scale (SNSACS), Multidimensional Body-Self Relations Questionnaire (MBSRQ), Self-esteem Scale (SES), and the anxiety subscale of Depression-Anxiety-Stress Scale (DASS). Results revealed that (1) SNSACS, SES, and DASS anxiety scores were significantly correlated with each other, and the scores of two MBSRQ subscale, that is, body area satisfaction and overweight preoccupation, were significantly correlated with SNSACS, SES, and DASS anxiety scores; (2) body area satisfaction and self-esteem played a chain-mediating role in the effect of social network site appearance comparison on anxiety; (3) overweight preoccupation and self-esteem played a chain-mediating role in the effect of social network site appearance comparison on anxiety. The findings may inspire new ideas for understanding how social comparison triggers anxiety and for developing methods to reduce anxiety derived from appearance comparison among Chinese females.
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Affiliation(s)
- Ri Hai
- School of Psychology, Beijing Sport University, Beijing, China
| | - Yin Yang
- School of Psychology, Beijing Sport University, Beijing, China
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