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Marzo RR, Jun Chen HW, Ahmad A, Thew HZ, Choy JS, Ng CH, Chew CLA, Heidler P, King I, Shrestha R, Rahman F, Rana JA, Khoshtaria T, Matin A, Todua N, Küçük Biçer B, Faller E, Tudy RA, Baldonado A, Penamante CA, Bahari R, Younus DA, Ismail ZM, Lotfizadeh M, Hassan SM, Iliya RS, Inyang AE, Maung Maung T, Oo WM, Myint O, Khadka A, Acharya S, Aye SS, Naing TW, Win MT, Kyaw YW, Thapa PP, Khanal J, Bhattacharya S, Abid K, Fahlevi M, Aljuaid M, El-Abasir RA, Elsayed MEG. The evolving role of social media in enhancing quality of life: a global perspective across 10 countries. Arch Public Health 2024; 82:28. [PMID: 38449000 PMCID: PMC10918911 DOI: 10.1186/s13690-023-01222-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 11/25/2023] [Indexed: 03/08/2024] Open
Abstract
BACKGROUND Excessive or inappropriate use of social media has been linked to disruptions in regular work, well-being, mental health, and overall reduction of quality of life. However, a limited number of studies documenting the impact of social media on health-related quality of life (HRQoL) are available globally. AIM This study aimed to explore the perceived social media needs and their impact on the quality of life among the adult population of various selected countries. METHODOLOGY A cross-sectional, quantitative design and analytical study utilized an online survey disseminated from November to December 2021. RESULTS A total of 6689 respondents from ten countries participated in the study. The largest number of respondents was from Malaysia (23.9%), followed by Bangladesh (15.5%), Georgia (14.8%), and Turkey (12.2%). The prevalence of social media users was over 90% in Austria, Georgia, Myanmar, Nigeria, and the Philippines. The majority of social media users were from the 18-24 age group. Multiple regression analysis showed that higher education level was positively correlated with all four domains of WHOQoL. In addition, the psychological health domain of quality of life was positively associated in all countries. Predictors among Social Media Needs, Affective Needs (β = -0.07), and Social Integrative Needs (β = 0.09) were significantly associated with psychological health. CONCLUSION The study illuminates the positive correlation between higher education levels and improved life quality among social media users, highlighting an opportunity for policymakers to craft education-focused initiatives that enhance well-being. The findings call for strategic interventions to safeguard the mental health of the global social media populace, particularly those at educational and health disadvantages.
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Affiliation(s)
- Roy Rillera Marzo
- Faculty of Humanities and Health Sciences, Curtin University, Miri, Malaysia.
- Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.
| | - Hana W Jun Chen
- International Medical School, Management and Science University, Shah Alam, Selangor, 40610, Malaysia
| | - Absar Ahmad
- College of Veterinary Science and Animal Husbandry, Birsa Agricultural University, Ranchi, Jharkhand, 834006, India
| | - Hui Zhu Thew
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Ja Shen Choy
- Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Chee Han Ng
- Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Chen Loong Alyx Chew
- Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Petra Heidler
- Institute International Trade and Sustainable Economy, University of Applied Sciences Krems, Krems an der Donau, Austria
- Department of Health Sciences, St. Pölten University of Applied Sciences, St. Pölten, Austria
| | - Isabel King
- Department of Exercise Physiology, School of Health, University of the Sunshine Coast, Sippy Downs, QLD, Australia
| | - Rajeev Shrestha
- Palliative Care and Chronic Disease, Green Pastures Hospital, PO Box 28, Pokhara, Province Gandaki, 33700, Nepal
| | - Farzana Rahman
- Department of Research & Administration, Bangladesh National Nutrition Council, Mohakhali, Dhaka, Bangladesh
| | - Jehan Akhter Rana
- Department of Coordination, National Nutrition Council, Mohakhali, Dhaka, Bangladesh
| | - Tornike Khoshtaria
- Faculty of Healthcare Economics and Management, University Geomedi, Tbilisi, Georgia
| | - Arian Matin
- School of Business, International Black Sea University, Tbilisi, Georgia
| | - Nugzar Todua
- School of Economics and Business, Tbilisi State University, Tbilisi, Georgia
| | - Burcu Küçük Biçer
- Department of Medical Education and Informatics, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Erwin Faller
- Pharmacy Department, School of Allied Health Sciences, San Pedro College, Davao City, Philippines
- Faculty of Health and Social Sciences, Bournemouth University, Poole, UK
| | - Randy A Tudy
- Faculty of the College of Education, University of Southeastern Philippines, Davao City, Philippines
| | - Aries Baldonado
- College of Nursing, Saint Alexius College, Koronadal City, Philippines
| | - Criselle Angeline Penamante
- Department of Psychology, College of Science, University of Santo Tomas, Manila, Philippines
- Department of Clinical Epidemiology, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines
| | - Rafidah Bahari
- Department of Psychiatry, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia
| | - Delan Ameen Younus
- Department of Medical Microbiology, College of Medicine, University of Duhok, Duhok, Iraq
| | - Zjwan Mohammed Ismail
- Department of Medical Laboratory Technology, Technical Health and Medical College, Erbil Polytechnique University, Erbil, Iraq
| | - Masoud Lotfizadeh
- Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Shehu Muhammad Hassan
- Department of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Nigeria
| | | | - Asari E Inyang
- School of Public Health, Imperial College London, London, UK
| | - Theingi Maung Maung
- Asian Institute of Medicine, Science and Technology, Bedong, Kedah, Malaysia
| | - Win Myint Oo
- ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand
| | - Ohnmar Myint
- Regional Public Health Department, Ayeyarwady Region, Pathein, Myanmar
| | - Anil Khadka
- Department of Public Health Modern Technical College Affiliated to Pokhara University, Lalitpur, Nepal
| | - Swosti Acharya
- Manmohan Cardiothoracic Vascular and Transplant Centre, Tribhuvan University Teaching Hospital, Kathmandu, 44600, Nepal
| | - Soe Soe Aye
- Department of Paediatrics, RCSI Program Perdana University, Kuala Lumpur, Malaysia
| | - Thein Win Naing
- Department of Community Medicine, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Malaysia
| | - Myat Thida Win
- Department of Internal Medicine, University of Cyberjaya, Cyberjaya, Malaysia
| | - Ye Wint Kyaw
- Faculty of Medicine, Nursing and Health Sciences, SEGi University, Petaling Jaya, Malaysia
| | | | - Josana Khanal
- Department of Public Health (Purbanchal University), Kathmandu, Nepal
| | - Sudip Bhattacharya
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Khadijah Abid
- Department of Ophthalmology and Visual Sciences, Aga Khan University Hospital, Karachi, Pakistan
| | - Mochammad Fahlevi
- Management Department, BINUS Online Learning, Bina Nusantara University, Jakarta, 11480, Indonesia
| | - Mohammed Aljuaid
- Department of Health Administration, College of Business Administration, King Saud University, Riyadh, Saudi Arabia.
| | - Radwa Abdullah El-Abasir
- Nuffield Department of Population Health, University of Oxford Richard Doll Building, Old Road Campus, Oxford, OX3 7LF, UK
| | - Mohamed E G Elsayed
- Department of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany
- Department of Psychiatry, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
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Ghanayem LK, Shannon H, Khodr L, McQuaid RJ, Hellemans KG. Lonely and scrolling during the COVID-19 pandemic: understanding the problematic social media use and mental health link among university students. Front Psychiatry 2024; 15:1247807. [PMID: 38356913 PMCID: PMC10864490 DOI: 10.3389/fpsyt.2024.1247807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 01/10/2024] [Indexed: 02/16/2024] Open
Abstract
Introduction Undergraduate university students experienced many academic and non-academic stressors during the first year of the coronavirus (COVID-19) pandemic, putting them at a greater risk of negative mental health outcomes. Reports worldwide have shown high incidences of depressive, anxiety, and stress scores among university students at the beginning of the pandemic. Emerging evidence also suggests that to cope with the stress and loneliness of the pandemic, many youth and young adults increased the amount of time they spent on social media platforms. Methods Undergraduate students participated in an online study aimed to understand the link between time spent on social media, coping through the use of social media and problematic social media use (PSMU) with mental health symptoms, such as stress, depression, anxiety, and loneliness, during the COVID-19 pandemic. Results While time spent on social media was only weakly associated with stress, depression, anxiety and loneliness scores, PSMU more strongly mapped onto these outcomes. Additionally, students who were coping highly using social media displayed elevated stress, depression, anxiety and loneliness levels in comparison to those reporting low levels of coping with social media. Finally, students who reported high levels of coping using social media displayed higher PSMU scores, with this relationship appearing more pronounced in students who had higher levels of loneliness. Conclusion These data support evidence that it is not necessarily time spent on social media but rather PSMU that is relevant for mental health symptoms, and that PSMU is exacerbated by loneliness. Moreover, the current results highlight the effects of maladaptive coping on mental health symptoms and PSMU among university students during the COVID-19 pandemic.
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Affiliation(s)
- Leen K. Ghanayem
- Department of Neuroscience, Carleton University, Ottawa, ON, Canada
- University of Ottawa Institute of Mental Health Research, Ottawa, ON, Canada
| | - Holly Shannon
- Department of Neuroscience, Carleton University, Ottawa, ON, Canada
- University of Ottawa Institute of Mental Health Research, Ottawa, ON, Canada
| | - Lida Khodr
- Department of Neuroscience, Carleton University, Ottawa, ON, Canada
| | - Robyn J. McQuaid
- Department of Neuroscience, Carleton University, Ottawa, ON, Canada
- University of Ottawa Institute of Mental Health Research, Ottawa, ON, Canada
- School of Psychology, University of Ottawa, Ottawa, ON, Canada
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Saffari M, Chang KC, Chen JS, Potenza MN, Yen CF, Chang CW, Huang PC, Tsai HC, Lin CY. Sleep Quality and Self-Stigma Mediate the Association Between Problematic Use of Social Media and Quality of Life Among People With Schizophrenia in Taiwan: A Longitudinal Study. Psychiatry Investig 2023; 20:1034-1044. [PMID: 37997331 PMCID: PMC10678148 DOI: 10.30773/pi.2023.0169] [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] [Received: 05/19/2023] [Revised: 07/10/2023] [Accepted: 08/28/2023] [Indexed: 11/25/2023] Open
Abstract
OBJECTIVE Problematic use of social media (PUSM) may affect sleep quality and self-stigma in people with schizophrenia and consequently reduce their quality of life (QoL). This longitudinal study investigated if sleep quality and self-stigma mediated relationships between PUSM and QoL. METHODS One-hundred-and-ninety-three outpatients with schizophrenia were recruited from a psychiatric center in Taiwan from April 2019 to August 2021 and participated in a longitudinal study at intervals of three months between measurements. QoL was assessed using the World Health Organization Quality of Life Questionnaire Brief Version; sleep quality using the Pittsburgh Sleep Quality Index; self-stigma using the Self-Stigma Scale-Short; and PUSM using the Bergen Social Media Addiction Scale. Via SPSS 20.0, general estimating equation models assessed temporal associations between variables. Via R software, mediating effects of self-stigma and sleep quality were examined through Monte Carlo simulations with 20,000 repetitions. RESULTS Mean scores of physical, psychological, social and environmental QoL ranged from 11.86 to 13.02. Mean scores of sleep quality and self-stigma were 9.1±4.5 and 2.2±0.8, respectively. Sleep quality and self-stigma were directly related to QoL (p<0.001) and mediated indirect relationships between PUSM and all components of QoL with a range of 95% confidence intervals spanning from -0.0591 to -0.0107 for physical QoL; -0.0564 to -0.0095 for psychological QoL; -0.0292 to -0.0035 for social QoL; and -0.0357 to -0.0052 for environmental QoL. CONCLUSION Sleep quality and self-stigma mediated relationships between PUSM and QoL in people with schizophrenia. Developing interventions targeting PUSM, sleep, and self-stigma may help improve QoL in people with schizophrenia.
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Affiliation(s)
- Mohsen Saffari
- Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Health Education Department, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Kun-Chia Chang
- Department of General Psychiatry, Jianan Psychiatric Center, Ministry of Health and Welfare, Tainan, Taiwan
- Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Jung-Sheng Chen
- Department of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
| | - Marc N Potenza
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
- Connecticut Mental Health Center, New Haven, CT, USA
- Connecticut Council on Problem Gambling, Wethersfield, CT, USA
- Child Study Center, Yale School of Medicine, New Haven, CT, USA
- Department of Neuroscience, Yale University, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
| | - Cheng-Fang Yen
- Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
- Department of Psychiatry, School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- College of Professional Studies, National Pingtung University of Science and Technology, Pingtung, Taiwan
| | - Ching-Wen Chang
- Graduate Institute of Social Work, National Taiwan Normal University, Taipei, Taiwan
| | - Po-Ching Huang
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Hsin-Chi Tsai
- Department of Psychiatry, School of Medicine, Tzu Chi University, Hualien, Taiwan
- Department of Psychiatry, Tzu Chi General Hospital, Hualien, Taiwan
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- University of Religions and Denominations, Qom, Iran
- Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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Wingerson MJ, Baugh CM, Provance AJ, Armento A, Walker GA, Howell DR. Changes in Quality of Life, Sleep, and Physical Activity During COVID-19: A Longitudinal Study of Adolescent Athletes. J Athl Train 2023; 58:887-894. [PMID: 36827615 PMCID: PMC11215709 DOI: 10.4085/1062-6050-0529.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
CONTEXT The abrupt cessation of school and sport participation during the COVID-19 pandemic may have negative implications for adolescent mental health. OBJECTIVES To (1) compare mental, physical, and social health and behaviors during pandemic-related stay-at-home mandates with the same measures collected 1 to 2 years earlier and (2) evaluate the relationships between physical activity and sleep during the pandemic and changes in anxiety, fatigue, and peer relationships between assessment times. DESIGN Cohort study. SETTING Pediatric sports medicine center. PATIENTS OR OTHER PARTICIPANTS A total of 39 high school athletes (25 adolescent girls, 14 adolescent boys; age = 16.2 ± 0.9 years). MAIN OUTCOME MEASURE(S) Patient-Reported Outcome Measurement System anxiety, fatigue, and peer relationships short forms and the Pittsburgh Sleep Quality Index were completed twice (initial assessment in May 2018 or 2019, follow-up assessment in May or June 2020). Frequency and duration of physical activity and frequency of interaction with other individuals (family, peers, sport coaches, etc) were self-reported at follow-up assessment for the 2 weeks before school or sport closure and the 2 weeks before questionnaire completion. RESULTS Higher levels of anxiety (5.5 ± 4.0 versus 3.6 ± 3.4 points; P = .003) and fatigue (5.4 ± 3.7 versus 2.3 ± 2.5 points; P < .001) and worse sleep quality (6.6 ± 2.9 versus 4.3 ± 2.3 points; P < .001) were observed during the pandemic compared with previous assessments. Reductions in physical activity were noted between assessments (exercise duration: 86.4 ± 41.0 versus 53.8 ± 30.0 minutes; P < .001). Sleep quality but not physical activity during the pandemic predicted changes in fatigue (P = .03, β = 0.44 [95% CI = 0.06, 0.83]) and peer relationships (P = .01, β = -0.65 [95% CI = -1.16, -0.15]) from initial to follow-up assessment. CONCLUSIONS Mental and physical health declined during stay-at-home mandates compared with assessments 1 to 2 years earlier. Physical activity behaviors and sources of social interaction underwent changes after school and sport cessation. Sleep quality may have provided some protection against declining adolescent mental health during the pandemic, although this relationship requires further investigation.
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Affiliation(s)
- Mathew J. Wingerson
- Department of Orthopedics, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora
| | - Christine M. Baugh
- Division of General Internal Medicine, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora
| | - Aaron J. Provance
- Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City
| | - Aubrey Armento
- Department of Orthopedics, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora
- Sports Medicine Center, Children’s Hospital Colorado, Aurora
| | - Gregory A. Walker
- Department of Orthopedics, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora
- Sports Medicine Center, Children’s Hospital Colorado, Aurora
| | - David R. Howell
- Department of Orthopedics, Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora
- Sports Medicine Center, Children’s Hospital Colorado, Aurora
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