Scrolling through adolescence: a systematic review of the impact of TikTok on adolescent mental health

Does TikTok Addiction exist? A qualitative study

Background

Problematic TikTok Use (PTU) is a psychological condition marked by compulsive and excessive engagement with the app, often characterized by prolonged scrolling, content interaction, and seeking user feedback.

Methods

This qualitative study, conducted from February to March 2024, explored factors driving TikTok addiction, its consequences, and strategies for mitigation. Data were collected through in-depth interviews and surveys with 56 participants (23 men, 33 women).

Results

Thematic analysis identified key addiction-related factors, including excessive time spent on the app, emotional attachment, and cognitive rumination over viewed content. Women demonstrated a higher likelihood of developing PTU, particularly when using TikTok for over six hours daily and displaying significant emotional and cognitive ties to its content. Despite its addictive potential, participants acknowledged positive aspects of TikTok, such as its capacity to disseminate cultural, educational, and artistic content. However, negative effects, including procrastination, attention deficits, and exposure to harmful content, were also noted.

Conclusion

This study highlights the dual nature of TikTok's impact, emphasizing the need for balanced use and targeted interventions to reduce addiction while leveraging its positive features.

Digital Detox Strategies and Mental Health: A Comprehensive Scoping Review of Why, Where, and How

Excessive use of social media (SM) platforms and digital technology (DT), often driven by habitual scrolling due to adaptive feed experiences, has been linked to anxiety, sleep disturbances, and obsessive-compulsive behaviors while also exacerbating mental health concerns. Yet, the role of "digital detox", defined as a voluntary reduction or temporary cessation of device use, remains only partially understood as both a clinical and lifestyle intervention. This comprehensive scoping review was conducted to consolidate existing research on digital detox interventions and evaluate contextual factors that may influence their effectiveness for mental health and well-being. A targeted keyword search for "digital detox" was conducted in the PubMed database on December 12, 2024, yielding 34 initial results. This review followed the approach recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) to identify, screen, and extract evidence from relevant studies as per pre-specified inclusion criteria. A total of 14 studies were found eligible, and data from these studies and their relevant references (totaling 640 citations) were extracted and synthesized. Our findings suggest that digital detox interventions may alleviate depression and problematic internet use, and individuals with higher baseline symptom severity appear to derive higher benefits. However, the impact on broader outcomes such as life satisfaction and overall well-being remains variable. Divergent intervention approaches, ranging from short-term SM abstinence to sustained, moderate device restrictions and individual differences in baseline severity of symptoms, coping styles, environmental pressures, and support systems, may contribute to different outcomes across various studies and systematic reviews. Overall, age, gender, baseline mental health, and range and duration of DT usage prior to detox are the key variables that may determine the effectiveness of digital detox interventions. Tailored DT usage in moderation, aligned with each individual's age, developmental stage, and academic needs, has greater benefits among younger populations, particularly adolescents and young adults, while mindful and regulated SM use is especially advantageous for female populations. However, other populations could also benefit, provided interventions address self-regulation challenges specific to adult lifestyles. Given the growing global prevalence of problematic smartphone use (PSU) and its documented comorbidity with psychiatric disorders, digital detox strategies have the potential to be integrated into clinical recommendations and policy initiatives. However, a framework for assessing intervention quality and long-term outcomes is essential.