Problematic Social Media Use: Results from a Large-Scale Nationally Representative Adolescent Sample

The longitudinal association between family functioning and problematic social media use among Chinese university students: Mediation via loneliness and a subgroup analysis by sex

Globally, problematic social media use (PSMU) is becoming increasingly common among university students. There is, however, a dearth of longitudinal studies investigating family functioning, loneliness, and PSMU. Based on the model of compensatory internet use, this study investigated the hypothesis that loneliness would mediate the longitudinal association between family functioning and PSMU among Chinese university students. It also explored whether there were sex differences in the associations between family functioning, loneliness, and PSMU. A total of 928 university students (45.7% male and 54.3% female; Mage = 20.71 years, SD = 1.21) completed the two-wave surveys. The Bergen Social Media Addiction Scale, the Chinese 6-item short version of the UCLA Loneliness Scale, and the Family APGAR Index were employed to evaluate PSMU, loneliness, and family functioning, respectively. Cross-lagged panel model analysis and multi-group analysis by sex were conducted. The study found that family functioning at T1 negatively predicted loneliness at T2 (β = -0.10, p = 0.001) and PSMU at T2 (β = -0.12, p < 0.001). Loneliness at T1 positively predicted PSMU at T2 (β = 0.13, p < 0.001). Loneliness significantly mediated the longitudinal association between family functioning and PSMU. Significant sex differences were found in the paths from loneliness at T1 to PSMU at T2 and from family functioning at T1 to PSMU at T2, with these associations being stronger in males than in females. The findings suggest that interventions aimed at enhancing family communication and emotional cohesion could be effective in reducing both loneliness and PSMU among university students.

Translation and validation of the Portuguese version of the internet severity and activities addiction questionnaire (ISAAQ-10) towards the identification of problematic social media use: A population study

BACKGROUND

Problematic usage of the internet (PUI) refers to a pattern of internet use that results in negative consequences in an individual's life. It encompasses a broad spectrum of activities, which require assessment in terms of both severity and diversity, for a comprehensive understanding. This study aimed to translate the Internet Severity and Activities Questionnaire (ISAAQ-10) into Portuguese, to analyze its psychometric properties and to explore the validity of the ISAAQ-10 social networking use activity score towards identifying problematic social media use.

METHODS

A snowball sampling method was used, with participants completing an online survey comprising sociodemographic questions and the Portuguese versions of the ISAAQ-10, Internet Addiction Test-10 (IAT-10), Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), and Bergen Social Media Addiction Scale (BSMAS). The psychometric analysis included internal reliability testing using Cronbach's alphas and test-retest reliability, a confirmatory factor analysis (CFA), and convergent validity testing between the ISAAQ-10 and IAT-10. The concurrent validity of the ISAAQ-10 was also examined.

RESULTS

A total of 590 young adults (85.1 % female), aged between 18 and 35 years, participated in this study. The ISAAQ-10 presented good internal consistency (α = 0.93), with a test-retest correlation of r = 0.865; 95 % CI: 0.669-0.939. and a unidimensional structure that explained 48.3 % of the total variance. The convergent validity of the ISAAQ-10's total score was established through a high Pearson's correlation (r = 0.574; p ≤ .001) with the IAT-10's total score. Pearson's correlations between the ISAAQ-10 gaming activity score and the IGDS9-SF (r = 0.873; p < .001), and between the ISAAQ-10 social networking use activity score and the BSMAS (r = 0.670; p < .001), respectively, supported the instrument's concurrent validity.

CONCLUSION

This work provides support for the Portuguese translation of the ISAAQ-10, which can be employed to identify the severity of problematic usage of the internet in a population sample. It also provides the first validation of the ISAAQ-10 social networking use activity score, which can be employed to identify problematic social media use within a predominately female university student sample. This study further establishes the ISAAQ-10 as a valid and reliable tool for population studies and, specifically, for the identification of problematic social media use.

Problematic Social Media Use or Social Media Addiction in Pediatric Populations

With the advent of smartphones and the popularization of social media sites at the beginning of the twenty-first century, children and adolescents have been exposed to a world of virtual interactions in social networking sites that are designed to increase engagement of the user for profit. In this article, we review the epidemiology of use of social media, its addictive features, and potential negative consequences of problematic use, and the research on current interventions known to reduce use. We also give recommendations spanning from the policy to the individual level for children to build a healthier relationship with these sites.

Problematic social media use and relationship to mental health characteristics in youth from the Texas Youth Depression and Suicide Research Network (TX-YDSRN)

BACKGROUND

The relationship between social media and mental health, particularly in youth, is an area of concern for researchers, clinicians, and parents. Rising rates of screen time have coincided with an increase in youth mental health issues, emphasizing the need to investigate the prevalence and clinical correlates of problematic social media use.

METHODS

Our sample is a 489-participant sub-sample of the Texas Youth Depression and Suicide Research Network (TX-YDSRN) Registry, which is comprised of Texas youth receiving care for depression, suicidal ideation and/or suicidal behaviors. Prevalence of problematic social media use was identified, and indicators of mental and physical health were compared in those with or without problematic use.

RESULTS

In our sample, 40.3 % of participants reported problematic social media use, and those with problematic use were more likely to report higher amounts of screen time. Relative to non-problematic users, problematic users endorsed more and higher depressive symptoms, anxiety, and suicidal thoughts, as well as poorer wellness factors. Participants with high duration and problematic use had poorer outcomes than those with low duration and non-problematic use.

LIMITATIONS

The cross-sectional design does not allow for control comparisons and is limited by use of a single time point. Data are mainly derived from self-report measures, and generalizability of the findings may be impacted by overrepresentation of white females in the sample.

CONCLUSIONS

As use increases, these data contribute to the empirical literature on the complex relationship between social media and mental wellbeing, suggesting problematic use is associated with poor mental health outcomes.

Impact of social media on the career choices of medical students and junior residents in Japan: a prospective study to strategize an increase in the number of aspiring surgeons

PURPOSE

To identify the most effective use of social media to increase the number of aspiring surgeons, we evaluated the impact of social media on the career choices of medical students and junior residents.

METHODS

We conducted a single-center prospective observational questionnaire-based study on medical students and junior residents from March, 2023 to August, 2024. Following overall aggregation, statistical intergroup comparisons were made between students and junior residents, as well as between those who were, or were not influenced by social media.

RESULTS

Among the 101 participants (77 students, 24 junior residents), approximately 75% reported that social media influenced their career choices. The most frequently used platforms were YouTube (85.1%), Instagram (71.3%), and X (67.3%). A total of 46.5% of the respondents expressed an interest in surgical specialties. Junior residents were more likely than students to gather information related to medicine (p = 0.0442). The group influenced by social media showed a higher interest in surgical specialties (p = 0.0475), and many desired parental leave policies to increase the number of surgeons (p = 0.0376).

CONCLUSION

Social media influences the career choices of medical students and junior residents, and its effective use could increase the number of aspiring surgeons.

Exploring the relationship between social media dependence and internet addiction among college students from a bibliometric perspective

Background

Social media use among college students often leads to psychological dependence, resulting in a rising number of internet addictions. The link between social media dependence and addiction is garnering increasing attention.

Objective

The aim of this study was to analyze and discuss the research trends and hotspots on social media dependence and internet disorder among college students by bibliometric methods.

Methods

Relevant studies on social media dependence and online addiction among college students were retrieved from the Web of Science (WoS) database spanning the years 2013 to 2024. We delineated the distribution of publications to identify the core productivity within the field. VOSviewer software was employed to conduct network visualization analyses of countries, authors, journals, and keywords, aiding in a comprehensive understanding of the research trends and hotspots in this domain.

Results

From the WoS database, we retrieved 302 publications, and 167 publications were included after screening. The findings revealed: (1) a steady increase in publications and citations, particularly accelerating after 2019. (2) The most productive journal is Computers in human behavior, the most productive research area is Psychology, and the most productive author, institution, and country are Professor Griffiths MD, Nottingham Trent University and China, respectively. (3) Collaborative network analysis indicated that there were multiple research groups in this field, yet the connections among countries and authors remain relatively limited. (4) Co-citation analysis of journals revealed that this field was interdisciplinary, primarily integrating psychology, psychiatry, and behavioral science. (5) Keyword analysis identified two major research hotspots: the relationship between college students' social media dependence and internet addiction, and the mediating factors influencing college students' social media dependence and internet addiction. The mechanism of internet addiction is an emerging research frontier.

Conclusion

This analysis outlines the progress and directions of research on college students' social media dependence and internet addiction. It offers a comprehensive examination of the latest frontiers and trends, providing theoretical support for regulating the use of electronic products and implementing mental health interventions in college students.

Exploring contributors to FoMO (fear of missing out) among university students: The role of social comparison, social media addiction, loneliness, and perfectionism

A growing number of studies have focused on understanding the phenomenon known as Fear of Missing Out (FoMO) and the factors contributing to it. This study examines the potential role of psychological variables that refer to self-evaluation in relation to others, such as social media addiction, social comparison, perfectionism, and loneliness. Hungarian university students (N = 255; 70.6 % females, aged between 18 and 35 years, Mage = 23.61 years; SD = 4.59) completed an online survey during the fall semester of the academic year 2023/2024. Based on correlation, multiple regression and path analysis, we found that social comparison was the strongest predictor of FoMO (β = 0.43, p < .001). While social media addiction (β = 0.20, p < .001), loneliness (β = 0.13, p < .01), and perfectionism (β = 0.14, p < .05) also contributed directly to FoMO, these variables also served as mediators in the link between social comparison and FoMO. These findings draw attention to the need for social skills training in which students can learn to successfully handle various social situations. In addition, mindfulness-based intervention may help them become more conscious during online activities and they can better understand the role of social comparison in concrete social situations. Developing educational materials for students to inform them about the nature of FoMO and how to manage it would also be useful to improve the users' digital resilience of users.

Examining the Roles of Problematic Internet Use and Emotional Regulation Self-Efficacy on the Relationship Between Digital Game Addiction and Motivation Among Turkish Adolescents

Digital game addiction and problematic internet use have emerged as significant issues, attracting growing attention from educators, psychologists, and policymakers. This study aimed to examine the mediating role of emotional regulation self-efficacy and the moderating role of problematic internet use in the effect of digital game addiction on academic motivation in Turkish adolescents. A correlational research method was utilized to address research questions. A total of 1156 high school students voluntarily participated in the study. Self-report questionnaires (the Short Academic Motivation Scale, Digital Game Addiction Scale, Regulatory Emotional Self-Efficacy Scale and Young's Internet Addiction Scale Short Form) were used to collect data in 2024. In the analysis of the data, Pearson Product Moment Correlation Coefficient, mediator and moderator analyses were conducted using statistical software. The analysis provided evidence of the negative effect of digital game addiction on academic motivation. Additionally, emotional regulation self-efficacy was found to partly mediate the relationship between digital game addiction and academic motivation. Furthermore, problematic internet use moderated the relationship between digital game addiction and academic motivation in adolescents. The results suggested enhancing adolescents' emotional regulation self-efficacy and reducing problematic internet use are crucial steps towards mitigating the negative effects of digital game addiction on academic motivation.

Investigating the Role of Avoidance Expectancies and Metacognitions About Social Compensation Through SNSs in the Pathway From Psychological Distress to Problematic Social Networking Sites Use

Problematic Social Networking Sites Use (PSNSU) develops along differential trajectories depending on different predisposing factors and motivations, one of which involves psychological distress. The present studies aimed at investigating (1) which distress dimension (i.e., depression, anxiety, and stress) is more linked to PSNSU, and (2) whether metacognitions about social compensation through social networking sites (SNSs) use and avoidance expectancies mediate these links. Two independent cross-sectional studies were conducted. Study 1 involved 1.637 social networking site users (Mage = 25.07 + 11.70; %Females = 59.9%). Results showed that users who report PSNSU symptoms were more likely to present symptoms of depression, anxiety, and stress, which accurately classified 83.05% of individuals with PSNSU symptoms. Depression and stress - but not anxiety - significantly predict PSNSU. A small subgroup of individuals with PSNSU symptoms who obtained normal scores on depression, anxiety, and stress scales was also identifiable. Study 2 was conducted to address the second aim. We recruited a new sample of 510 social networking site users (Mage = 32.62 ± 11.83; %Females = 57.5%) and focused on depression and social anxiety as psychological distress dimensions. Through Structural Equation Modeling, we found that depressive symptoms predicted PSNSU directly and indirectly via both metacognitions about social compensation through SNSs use and avoidance expectancies. Social anxiety predicted PSNSU only indirectly. The model explained 68% of the variance in PSNSU levels. These studies show that assessment of psychological distress may require priority when treating clients presenting with PSNSU. Avoidance and metacognitions related to the usefulness of SNSs use for social compensation should be the focus of interventions, especially when it comes to individuals with social anxiety symptoms. Yet, our first study also encourages considering pathways that may be independent of depression and anxiety, as a form of PSNSU unrelated to psychological distress was identified.

The associations between optimism, personal growth initiative and the latent classes of social media addiction

Introduction

Most previous studies have explored the risk antecedents of social media addiction, while few studies have focused on the protective factors that may decrease the risk of this behavioral disorder. By using a person-centered method, the current study focused on the effects of two protective factors (optimism and personal growth initiative) on the latent classes of social media addiction.

Methods

552 college students (248 females) participated in the current study, Mplus 8.3 software was adopted to conduct the latent class analysis.

Results

The results revealed that based on the scores of the Bergen Social Media Addiction Scale, social media users were classified into three subgroups: low-risk class, moderate-risk class, and high-risk class. The prevalence rate of social media addiction in college students was about 9.6%. Female gender was a positive predictor of the membership of a higher-risk class. Individuals with greater optimism and personal growth initiative were less likely to be classified in a higher-risk class.

Discussion

Mental health professionals or educators can use these results to design interventions targeting the two aspects to mitigate social media addiction, which may contribute to the positive development of young people.

What is it like to live with narcolepsy? A scoping review

BACKGROUND

Narcolepsy impacts quality of life (QoL) with its symptomatology in hobbies and everyday activities, work and productivity and has social and economic consequences. The aim of this review is to map and synthesize evidence about QoL in narcolepsy patients and to focus on research strategies and publications in the matter.

METHODS

A scoping review of articles published between 2014-2025. The initial search of WoS resulted in 7748 articles and 2583 in PubMed being screened for eligibility. Intervention, comorbidity, non-narcolepsy, prevalence and medical trials studies were excluded. We extracted data on bibliometric characteristics, research questions, sample and recruitment method, design, concepts and measures, and the main findings. Two independent reviewers did the screening and analyses. The analyzed data were consulted on with stakeholders to settle gaps, possibilities and directions for future research. This study followed the PRISMA-ScR guidelines.

RESULTS

Twenty papers were included in this study. There is an increasing trend in publishing studies focused on QoL in narcolepsy patients, but its spread is very limited across various audiences. Most of the studies assess the association of narcolepsy symptoms, treatment, mental health or nutritional status and QoL in narcolepsy patients. Most used was a questionnaire-based cross-sectional design comparing a control group vs narcolepsy patients recruited through regular follow up at a sleep clinic or national reference centers or patients' organization.

CONCLUSION

There is a need to spread knowledge beyond the neurology audience, to widen the scope of research beyond the burden of the symptoms and to employ explorative qualitative designs.

Problematic Media Use and Anxiety Symptoms in Adolescents: The Role of Age and Gender

BACKGROUND

Adolescence is a critical biopsychosocial adjustment period, with increased susceptibility to problematic media use (PMU) and associated risk-taking behaviors. The aim of the present study consisted of identifying the relationship between PMU (i.e., videogames, mobile phones, internet, and television) and anxiety in adolescents, considering the moderating effect of gender and age.

METHODS

A descriptive study using a national survey was conducted on a sample of 4034 participants.

RESULTS

Significant gender mean differences were found in PMU and anxiety, with large and moderate effect sizes for PMU (videogames) in males (d = 0.86) and anxiety in females (d = 0.67). Additionally, a direct positive relationship between age and anxiety was observed. Furthermore, PMU significantly predicted anxiety after controlling for age and gender in all cases. Gender had a significant and stronger moderating effect on PMU (television) and anxiety for the male subgroup. The moderating effect of age on PMU and anxiety was statistically significant and more pronounced at younger ages.

CONCLUSIONS

This research demonstrates the association between PMU and anxiety in adolescents, highlighting the need to further explore other moderating factors influencing mental health symptoms beyond age and gender. It is important to emphasize that mental health is a shared responsibility and not solely the domain of mental health professionals. Therefore, initiatives should be promoted to engage educators, parents, and policymakers in addressing this collective challenge.

Wanting and liking of Facebook functions and their correlation to problematic use

A key question about social media use is whether it constitutes an addiction. A possible frame of reference to investigate this question is the Incentive Sensitizations Theory (IST), as it provides a solid empirical background to understand the motivational and hedonic aspects of problematic behaviors. A central assumption of IST that addiction-related cues play a pivotal role in addictive behaviors has remained relatively understudied in the context of social media use. Given that social media platforms are multifaceted applications, the aim of this study was to explore motivational and hedonic responses associated with cues from different features of Facebook and their correlation with problematic use, analyzing survey data of 1436 respondents. The study primary focused on (1) the relationship between Facebook usage time/frequency, wanting and liking, and problematic use, and (2) the wanting and liking of 10 different Facebook notifications and their correlation to problematic use. Results aligned with predictions of IST, showing a positive correlation between wanting and usage time/frequency and problematic use, while marginal and inconsistent correlation was found with liking. Various Facebook functions contribute differently to its addictive potential, with social-communication features having the highest and general information features the lowest impact. In summary, the findings indicate that excessive Facebook use is primarily driven by compulsive tendencies rather than positive emotions. Although this study doesn't conclusively determine if Facebook use can turn into an addiction, it appears that there are strikingly similar dynamics to substance use within the self-reported reflection of the motivational and hedonic systems.

Social media addiction and borderline personality disorder: a survey study

Background and aims

Borderline personality disorder (BPD) is a serious and difficult to treat psychiatric condition characterized by affective and interpersonal instability, impulsivity, and self-image disturbances. Although the relationship between BPD and substance use disorders has been well-established, there has been considerably less research regarding behavioral addictions in this population. The purpose of this study is to determine the prevalence of social media addiction (SMA) among individuals with BPD and to explore whether it is related to aspects of disorder symptomology.

Methods

300 adults completed an online survey via Prolific. Individuals completed the McLean Screening Instrument for BPD (MSI-BPD), along with the Bergen Social Media Addiction Scale (BSMAS). Additionally, all participants reported how often they use social media for the following reasons: distraction from interpersonal problems, reassurance seeking, self-confidence issues, and anger/revenge.

Results

Of the 289 subjects that completed all measures, 38 (13.1%) screened positive for BPD. Individuals screening positive for BPD were more likely to meet criteria for SMA than controls, and they were more likely to report using social media for interpersonal distraction, reassurance seeking, self-confidence issues, and anger/revenge seeking than controls. Among individuals with BPD, SMA was positively associated with the frequency of each of these behaviors, except for anger/revenge seeking.

Discussion and conclusion

The results of this study demonstrate that SMA is common among the BPD population and may be related to aspects of disorder symptomology. Whether SMA worsens BPD symptoms or whether addressing SMA could lead to improvements in the BPD remains to be seen and is an important area for future research.

A Multi- Mediation Analysis on the Impact of Social Media and Internet Addiction on University and High School Students' Mental Health Through Social Capital and Mindfulness

INTRODUCTION

Social media addiction (SMA) and internet addiction (IA) are increasingly prevalent, impacting mental health (MH) globally. This study investigates the mediating roles of mindfulness and social capital (SC) in the relationship between SMA, IA, and MH among Ethiopian high school and university students, contributing to the Sustainable Development Goal (SDG) 3 of good health and well-being.

METHODS

A cross-sectional study was conducted with 1160 university and 1473 high school students in Dessie, Ethiopia. Participants completed validated questionnaires assessing SMA, IA, mindfulness, SC, and MH. Structural Equation Modeling (SEM) with a multi- mediation Model (SMM) was used to examine the hypothesized relationships.

RESULTS

SEM revealed that both SMA and IA had a direct negative effect on mindfulness, SC, and MH in in both high school and university students. Notably, mindfulness and SC significantly and positively predicted MH, indicating their protective role against the negative effects of SMA and IA. Furthermore, both mindfulness or SC fully or partially mediated the relationship between SMA, IA, and MH, highlighting their crucial role in explaining the association.

CONCLUSIONS

This study provides evidence for the crucial roles of mindfulness and SC in buffering the negative effects of SMA and IA on MH among Ethiopian students. The findings highlight the need for educational and health interventions that foster mindfulness and SC to enhance student mental health and promote a healthy digital environment. These results offer valuable insights for educators, health professionals, and policymakers in Ethiopia and other developing countries facing similar challenges.

Social Media Algorithms and Teen Addiction: Neurophysiological Impact and Ethical Considerations

Does it matter how many hours we spend scrolling through Instagram? This article examines the neurobiological impact of prolonged social media use, focusing on how it affects the brain's reward, attention, and emotional regulation systems. Frequent engagement with social media platforms alters dopamine pathways, a critical component in reward processing, fostering dependency analogous to substance addiction. Furthermore, changes in brain activity within the prefrontal cortex and amygdala suggest increased emotional sensitivity and compromised decision-making abilities. The role of artificial intelligence (AI) in this process is significant. AI-driven social media algorithms are designed solely to capture our attention for profit without prioritizing ethical concerns, personalizing content, and enhancing user engagement by continuously tailoring feeds to individual preferences. These adaptive algorithms are designed to maximize screen time, thereby deepening the activation of the brain's reward centers. This cycle of optimized content and heightened engagement accelerates the development of addictive behaviors. The interplay between altered brain physiology and AI-driven content optimization creates a feedback loop that promotes social media addiction among teenagers. This raises significant ethical concerns regarding privacy and the promotion of personalized content. This review article offers a comprehensive and in-depth analysis of the neurophysiological impact of social media on adolescents and the moral concerns governing them. It also provides solutions for ethical social media use and preventing addiction among teenagers.

Exploring the associations between symptom severity, metacognition, problematic social media use and cyberbullying in treatment naïve adolescents with Attention Deficit and Hyperactivity Disorder

This study investigates the relationship between ADHD symptom severity, metacognition, problematic social media use, and cyberbullying/cybervictimization in treatment-naïve adolescents. Understanding these relationships is vital for enhancing ADHD intervention strategies. Using a cross-sectional design, 97 adolescents meeting DSM-5 criteria for ADHD without any comorbidity and 97 healthy controls were assessed. Measures included the Metacognitions Questionnaire for Children, Social Media Disorder Scale, Revised Cyberbullying Inventory-II, and Revised Conners' Parent Rating Scale-Short. The comparisons were performed with independent samples' t tests and the associations were estimated by using Pearson's bivariate correlations and multiple regression analyses. Results revealed that adolescents with ADHD exhibited higher levels of dysfunctional metacognitions, problematic social media use, cyberbullying, and cybervictimization compared to controls. Regression analysis showed significant positive associations between ADHD symptoms, specific metacognitions (e.g., positive meta-worry, cognitive monitoring), and problematic social media use. This study, the first of its kind among treatment-naïve ADHD adolescents, provides valuable insights into the relationship between ADHD symptoms and particular metacognitions (i.e. positive meta-worry, cognitive monitoring) and problematic social media use. These findings contribute to a deeper understanding of ADHD in adolescence and may inform the development of targeted prevention and treatment strategies, particularly relevant given adolescents' susceptibility to social media's influence and their potential for cognitive flexibility in rehabilitation contexts.

Longitudinal trait and state-like differences in the components model of addiction: An illustration through social media addiction and work addiction

Background and aims

Conflicting findings have been reported for the longitudinal course of behavioral addictions, especially for social media addiction (SMA) and work addiction (WA). Therefore, evaluating whether these constructs are more trait-like or state-like might be informative. The aim of the present study was to examine the proportion of variance of SMA and WA symptoms (as defined by the components model of addiction) explained by trait and occasion-specific factors in addition to exploring cross-lagged relationships between SMA and WA.

Methods

Young adults from a representative sample who continuously used social media and worked at least 40 hours a week during the first three waves of the Budapest Longitudinal Study were included (N = 1,551; Females: 50.6%; Age: M = 27.7 years [SD = 4.40]). The Bergen Social Media Addiction Scale and the Bergen Work Addiction Scale were administered in all three waves.

Results

A latent state-trait model with a general trait factor was considered for both SMA and WA. Symptomatic variability in SMA was explained approximately equally by trait and state-like factors, while WA-related symptom variability was mostly attributed to state-like factors. SMA negatively predicted WA over time, while WA showed a positive cross-lagged effect on SMA.

Discussion and Conclusions

While the symptoms of WA were more state-like, the trait-like effects were stronger in SMA. Situational influences and previous symptom severities might have to be considered in the screening process.

Social media use, mental health and sleep: A systematic review with meta-analyses

BACKGROUND

The literature investigating the relationship between social media use, mental health, and sleep has produced inconsistent findings. Younger people spend more time on social media than other age groups, and are more likely to be impacted by social media use. This systematic review with meta-analysis aimed to synthesise the evidence on the associations between social media use, mental health, and sleep of young individuals.

METHODS

Electronic databases PubMed, Scopus and PsycINFO were searched using an established methodology and pre-determined search terms for studies that reported the association between social media use, mental health, and sleep.

RESULTS

The search yielded 6108 articles, of which 182 (n = 1,169,396) were eligible for the systematic review, and 98 (n = 102,683) could be included in the meta-analyses. The systematic review identified a high level of heterogeneity in the study results. Meta-analyses found small but significant positive associations between social media use, depression, and anxiety. In addition, problematic social media use was positively associated with depression, anxiety, and sleep problems, and negatively associated with wellbeing. Geographical location, anxiety measure type, study design, age, and gender were identified as potential moderators.

LIMITATIONS

Associations for specific social media platforms as well as some moderator effects were not examined due to an insufficient number of studies.

CONCLUSIONS

This study provides important evidence of an association between social media use/ problematic social media use, mental health, and sleep. The findings support future longitudinal research to identify the directions and underlying mechanisms of the inter-relationship between these variables.

The TikTok Addiction Scale: Development and validation

Background

There is an absence of valid and specific psychometric tools to assess TikTok addiction. Considering that the use of TikTok is increasing rapidly and the fact that TikTok addiction may be a different form of social media addiction, there is an urge for a valid tool to measure TikTok addiction.

Objective

To develop and validate a tool to measure TikTok addiction.

Methods

First, we performed an extensive literature review to create a pool of items to measure TikTok addiction. Then, we employed a panel of experts from different backgrounds to examine the content validity of the initial set of items. We examined face validity by performing cognitive interviews with TikTok users and calculating the item-level face validity index. Our study population included 429 adults who have been TikTok users for at least the last 12 months. We employed exploratory and confirmatory factor analysis to examine the construct validity of the TikTok Addiction Scale (TTAS). We examined the concurrent validity by using the Bergen Social Media Addiction Scale (BSMAS), the Patient Health Questionnaire-4 (PHQ-4), and the Big Five Inventory-10 (BFI-10). We used Cronbach's alpha, McDonald's Omega, Cohen's kappa, and intraclass correlation coefficient to examine reliability.

Results

We found that the TTAS is a six-factor 15-item scale with robust psychometric properties. Factor analysis revealed a six-factor structure, (1) salience, (2) mood modification, (3) tolerance, (4) withdrawal symptoms, (5) conflict, and (6) relapse, which accounted for 80.70% of the total variance. The concurrent validity of the TTAS was excellent since we found significant correlations between TTAS and BSMAS, PHQ-4, and BFI-10. Cronbach's alpha and McDonald's Omega for the TTAS were 0.911 and 0.914, respectively.

Conclusion

The TTAS appears to be a short, easy-to-use, and valid scale to measure TikTok addiction. Considering the limitations of our study, we recommend the translation and validation of the TTAS in other languages and populations to further examine the validity of the scale.

Enigma of social media use: complexities of social media addiction through the serial mediating effects of emotions and self-presentation

Introduction

Excessive social media use, though considered unhealthy, is no longer formally categorized as an addiction or disorder, leading to a lack of consensus on this behavior. It raises concerns regarding the exclusion of Internet Addiction Disorder from the DSM-5-TR due to insufficient empirical evidence. This study investigates the serial mediating effects of positive and negative affect, fear of missing out, and offline and online self-presentation in the relationship between social media use and social media addiction.

Method

The study was conducted in Hong Kong with 385 participants (84.2% F, age range = 18-60) of an online survey. This study administered the Social Media Use Scale, Positive and Negative Affect Schedule, Fear of Missing Out Scale, Presentation of Online Self Scale, and Bergen Social Media Addiction Scale.

Results

The results indicate that social media use plays a significant role in predicting both positive and negative affect. The findings further reveal that positive and negative affect, fear of missing out, and offline and online self-presentation act as serial mediators in the relationship between social media use and social media addiction. In other words, these variables work together in a sequential manner to mediate the impact of social media use on addiction. Additionally, the study indicates that social media use and social media addiction are fully mediated by both positive and negative affect, fear of missing out, and offline and online self-presentation.

Discussion

Social media use can evoke both positive and negative affect. The longer individuals are immersed in social media, the more their positive affect intensifies, exacerbating FoMO and fostering inconsistent offline and online self-presentation. Conversely, extended social media engagement can heighten negative affect, leading to anxiety about others having more rewarding experiences and concurrently inducing apprehension characterized by FoMO. To prevent addiction, the development of educational tools such as SimCity video games, scenario-based learning activities, and virtual reality experiences focused on social media use and social media addiction can offer a valuable opportunity for pre-exposure to the related risks and challenges.

Development of the psychopathological vulnerability index for screening at-risk youths: a Rasch model approach

Accumulating research on mental health emphasizes the general factor of psychopathology (p-factor) that unites various mental health issues. This study develops a psychopathological vulnerability assessment for youths, evaluating its psychometric properties and clinical utility. An umbrella review conceptualized multifactor psychopathological vulnerability, leading to a 57-item pool. A total of 11,224 individuals participated in this study. The resulting 22-item psychopathological vulnerability index (PVI) fitted the unidimensional Rasch model, demonstrating a person separation reliability of 0.78 and a Cronbach's alpha of 0.84. Cut-off points of 11 and 5, derived from latent class analysis, were used to distinguish vulnerable and high-protection populations. The PVI's concurrent and predictive hit rates ranged from 36.00% to 53.57% in clinical samples. The PVI concretized the vulnerability-stress model for identifying at-risk youths and may facilitate universal interventions by integrating the theoretical foundations of bifactor S-1 models with key symptoms from network models for theoretically grounded approaches.

Digital Media Use Preference Indirectly Relates to Adolescent Social Anxiety Symptoms Through Delta-Beta Coupling

Adolescence is a period of profound biological and social-emotional development during which social anxiety symptoms commonly emerge. Over the past several decades, the social world of teens has been transformed by pervasive digital media use (e.g., social media, messaging apps), highlighting the urgent need to examine links between digital media use and mental health. Prior work suggests that a preference to use digital media to communicate emotions, rather than face-to-face contexts, is associated with emotion regulation vulnerabilities. Difficulties with emotion regulation are a hallmark of elevated anxiety, and the maturation of frontal-subcortical circuitry underlying emotion regulation may make adolescents especially vulnerable to the possible detrimental effects of digital media use. The current study leveraged an emerging neurophysiological correlate of emotion regulation, delta-beta coupling, which captures cortical-subcortical coherence during resting state. We test links among digital media use preferences, delta-beta coupling, and anxiety symptoms with a sample of 80 adolescents (47 females; 33 males) ages 12-15 years (M = 13.9, SD = 0.6) (80% White, 2% Black/African American, 16% more than one race, 2% Hispanic/Latine). Youth had their EEG recorded during 6 min of resting-state baseline from which delta-beta coupling was generated. Youth self-reported their social anxiety symptoms and preferences for digital media use vs face-to-face modalities. Greater digital media use preferences for both positive and negative social-emotional communication were associated with elevated social anxiety symptoms indirectly through high delta-beta coupling. This suggests that neural regulatory imbalance may be a pathway through which adolescents' habitual preferences for digital media use over face-to-face communication relate to elevated social anxiety.

Mindful eating and orthorexia nervosa: How do they interact?

The present study explored the associations between orthorexia nervosa, social media addiction, emotion regulation difficulties, perfectionism and BMI with four facets of mindful eating, using path analysis to assess these relationships. A sample of 551 students (127 males, 424 females, mean age = 22.6 years) completed an online self-report questionnaire evaluating these constructs. Analyses revealed that mindful eating contributed to emotion dysregulation and orthorexia nervosa and was related to social media addiction. Significant indirect paths were identified from mindful eating, social media addiction and adaptive perfectionism through emotion dysregulation to maladaptive perfectionism. While no direct paths were observed between mindful eating and perfectionism, a direct path was found between adaptive perfectionism and orthorexia nervosa. These findings suggest a more nuanced understanding of eating behaviours is required. Individuals susceptible to eating disorders should approach mindful eating with caution and seek support from healthcare providers to ensure it is used in a way that supports overall wellbeing. Future research should aim to replicate and further clarify these associations to reveal the long-term effects of mindful eating.

Sense of Belonging at School and on Social Media in Adolescence: Associations with Educational Achievement and Psychosocial Maladjustment

Belongingness is a key factor in the psychological development and school adjustment of children and adolescents. Going beyond the existing literature, the present study evaluated the association between two sources of belongingness, namely sense of belonging at school (SOBAS) and on social media (SOBOSM), and both psychological maladjustment and educational achievement. Sample consisted of 698 early-to-late adolescents (52.3% female, mean age = 13.79 ± 2.09). Both SOBAS and SOBOSM showed negative direct associations with psychological maladjustment. SOBOSM showed a negative direct association with educational achievement. Social media addiction mediated the links between both SOBAS and SOBOSM and psychological maladjustment and education achievement. Overall, findings suggest that adolescents reporting high sense of belonging both at school and on social media may at lower risk for psychological maladjustment. However, adolescents reporting low SOBAS and high SOBOSM may also be a greater risk of SMA, possibly impacting their psychological health and school adjustement.

Examining problematic internet use, mattering, and distress in interpersonally vulnerable senior high school students: A longitudinal study during summer holidays and academic terms

BACKGROUND

Problematic Internet Use (PIU) among adolescents is a growing concern. This longitudinal study examined changes in PIU between summer holidays and the academic period among Chinese senior high school students (n = 710; Mage: 16.68, SD = 0.54; 50 % female), focusing on interpersonally vulnerable individuals.

METHODS

Anti-Mattering Scale (AMS) and UCLA Loneliness Scale was applied to identify the interpersonally vulnerable groups. Latent Profile Analysis (LPA), Mixed ANOVA and Network Analysis (NwA) were employed to identify differences and interrelationships between groups at the two described times, in terms of PIU, mattering, and distress.

RESULTS

An interpersonally vulnerable group was identified with higher PIU severity, lower mattering perception, higher fear of not mattering, and higher distress compared to their peers (21.5 % of the total analyzed sample). PIU levels were higher during holidays than the academic term for all groups. The interpersonally vulnerable group showed higher reductions in fear of not mattering and distress from holidays to academic period. NwA revealed the central role of loneliness and distress in mediating the relationships between mattering and PIU.

CONCLUSIONS

Interpersonally vulnerable adolescents are at higher risk for PIU, particularly during holidays. Targeted interventions promoting a sense of mattering and belonging are needed to mitigate PIU risk and support healthy development among this group.

Rates and psychological stress predictors of problematic internet use (PIU) during the COVID-19 pandemic in a racially diverse sample of young adults

BACKGROUND

Problematic internet use (PIU), which includes social media misuse (SMM) and gaming misuse (GM), is uncontrollable and associated with significant psychological impairment. PIU is a coping behavior for COVID-19-related stress. We explored distress-related predictors of PIU in a young adult racially diverse sample during the pandemic.

METHODS

Analyses used cross-sectional survey data (N = 1956). Psychological diagnoses, financial distress, COVID-19-related emotions, psychological distress, distress tolerance, social support, loneliness, SMM and GM were measured. Hierarchical multiple regressions identified predictors of PIU. Race-stratified exploratory analyses sought to understand if predictors held true across racial groups.

RESULTS

Low distress tolerance was associated with SMM and GM, as were depression symptoms, with racial differences observed. SMM was associated with younger age, and GM was associated with male gender. PTSD symptoms predicted more GM. SMM and GM rates varied between racial groups. COVID-19-related adjustment challenges and stress predicted SMM and GM respectively, with racial differences observed.

CONCLUSION

Individual psychological distress and low distress tolerance markedly increased PIU risk. Clinicians should screen for stress-related PIU risk factors and bolster distress tolerance in vulnerable patients. Comparing PIU to different forms of coping in a larger sample would further clarify groups differences in stress coping behaviors.

A comprehensive measure assessing different types of problematic use of the internet among Chinese adolescents: The Assessment of Criteria for Specific Internet-use Disorders (ACSID-11)

BACKGROUND

Problematic use of the internet (PUI) is prevalent, particularly among adolescents and young adults. Given the limited measures to assess specific types of PUI, which encompasses a broad spectrum of activities such as online gaming, social media use, pornography use, shopping, gambling, and web-streaming, Muller et al. (2022) developed the Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) to comprehensively assess different types of PUI (i.e., gaming, shopping, social media use, gambling, and pornography use). The present study aimed to validate the Chinese ACSID-11 among adolescents incorporating cross-cultural adaptations.

METHODS

Using forward-backward translation method, a culturally adapted version of the ACSID-11 was prepared. Then, a cross-sectional online survey was administered between September 8 and September 26, 2023. Adolescents, using a convenience sample (N = 11,492; mean age = 16.42 years [SD ± 0.91]; 59.1% male), were recruited from six schools to complete the translated ACSID-11, Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), and Smartphone Application Based Addiction Scale (SABAS) via an online platform. Pearson correlation coefficients assessed convergent/discriminant validity. Factor structure and measurement invariance were examined through confirmatory factor analysis (CFA) and multi-group CFA. Cronbach's alpha and McDonald's omega tested internal consistency.

RESULTS

Associations between the ACSID-11 components and other scales supported convergent validity (i.e., ACSID-11 gaming scale with IGDS9-SF [0.37 ≤ r ≤ 0.41]; social networks use scale with BSMAS [0.24 ≤ r ≤ 0.31]) and discriminant validity (i.e., online gambling scale with BSMAS [0.16 ≤ r ≤ 0.19] and with SABAS [0.11 ≤ r ≤ 0.13]). A four-factor solution indicated good fit with comparative fit index (CFI) ranging from 0.982 to 0.958. The ACSID-11 was measurement invariant across sexes (∆CFI = -0.001 to 0.000) and different levels of related addictive behaviors (∆CFI = -0.001 to 0.000). Both Cronbach's alpha and McDonald's omega (0.63 to 0.97) were acceptable for both frequency and intensity of responses.

CONCLUSIONS

The ACSID-11 is an appropriate scale to assess different kinds of PUI among Chinese adolescents and students. Psychometric assessment of the measure in other cultures and among clinical samples is recommended.

Orthorexic Tendency in Light of Eating Disorder Attitudes, Social Media Addiction and Regular Sporting Among Young Hungarian Women

This study examined a set of background psychological and other variables of orthorexic (ON) tendency in a sample of young women with special interest in healthy lifestyle. The sample consisted of female young adults (N = 310; aged 18-35 years; mean age = 24.3 years; SD = 4.97 years) who were recruited through social media health sites. Besides Orthorexia Nervosa Questionnaire (ORTO‑15), BMI, regular sporting activity, the following scales were used: Eating Disorder Inventory (EDI, drive for thinness, ineffectiveness and maturity fears); Bergen Social Media Addiction Scale (BSMAS); and The Proactive Coping Inventory. In this sample, 37.7% were at risk for ON. Eating disorder attitudes, regular sporting and social media addiction were the most relevant predictors of orthorexic tendency with drive for thinness being the strongest contributor (β = 0.54, p < 0.001). For young women with a special interest in healthy lifestyle, drive for thinness together with regular sporting, ON tendency may serve as a tool for achieving their goal. Social media addiction and other psychological problems (feeling of ineffectiveness or maturity fears) can also contribute to orthorexic rendency. It would be important to ask for support from qualified health professionals when changing nutritional practices.

Impact of Social Media Addiction Among Medical Students on Their Social Interaction, Well-Being, and Personality: A Comparative Study

Background Social media addiction has emerged as a growing concern, particularly among young adults, including medical students who face unique stressors and demands. The widespread usage of social media platforms can lead to addictive behaviors affecting mental health, academic performance, and interpersonal relationships. Understanding the relationship between social media addiction, personality traits, social interaction, and overall well-being is crucial for developing effective interventions to support this vulnerable group. Aim To study the relationship of social media addiction with social interaction, well-being, and personality in medical students. Materials and methods A cross-sectional study was conducted with 300 students from a medical institution, including both undergraduate and postgraduate levels. Data were collected through an online survey, administered via Google Forms. Social Media Addiction Scale-Student Form (SMA-SF), Social Interaction Anxiety Scale and Social Phobia Scale, Medical Student Well-Being Index (MSWBI), Three-Item Loneliness Scale (T-ILS), and Short Big Five Inventory Scale (BFI-10) were applied to all the participants. Results A total of 292 medical students participated in the study, comprising 122 males and 170 females. The analysis revealed that both male and female students exhibit similar levels of susceptibility to social media addiction, as evidenced by comparable scores on measures of social media addiction, social interaction anxiety, social phobia, loneliness, well-being, and personality traits. Regression analysis identified time spent on social media and agreeableness as significant predictors of social media addiction, with no signs of multicollinearity. These findings indicate that male and female medical students share similar psychological profiles, highlighting critical factors that influence social media usage within this population. Conclusion This study highlights a significant prevalence of social media addiction among medical students, affecting 76.7% (n = 224) of participants, with slightly higher rates observed among females (n = 132, 78%) compared to males (n = 92, 72%). This addiction correlates with adverse psychological traits such as heightened social interaction anxiety, social phobia, and loneliness, along with personality traits like neuroticism. Both genders exhibit similar susceptibility to addiction, influenced by factors such as time spent socializing and agreeableness. Addressing these findings through targeted interventions could improve medical students' overall well-being and mental health outcomes, underscoring the need for further research and effective strategies in academic settings.

The relationship between social media dependency and psychological distress due to misunderstanding and fear of COVID-19 in medical students

Improper use of social media during the COVID-19 outbreak, leading to fear and misunderstanding, can contribute to psychological disorders in vulnerable populations. This descriptive and analytical cross-sectional study was conducted in 2023 on 511 medical students of Babol University of Medical Sciences. Data were collected using demographic, psychological distress, fear and misunderstanding questionnaires related to COVID-19 and social media dependency. A total of 511 medical students, with an average age of Mean and S.D; 23.57 ± 3.03 participated in the study. The average psychological distress score was 23.82 ± 7.73 (out of 54), the average score of social media dependency was 17.53 ± 3.09 (out of 30), for the fear of COVID-19 was12.63 ± 2.56 (out of 35), and for the misperception of COVID-19 was 0.53 ± 0.09 (out of 18). Path analysis results) showed that direct path from improper use of social media to psychological distress is significant (P < 0.001, B = 0.19) but this relationship is not significant through fear and misperception related to COVID-19. Improper use of social media, identified as the strongest predictor, can directly increase psychological distress in medical students, without mediation through fear and misperception related to COVID-19. These findings should be taken into consideration when designing and evaluating interventions aimed at promoting mental health and fostering appropriate use of social media among students during disease outbreaks.

Family Function and Problematic Social Media Use Among Adolescents in Vocational Schools: A Moderated Mediation Model

With the outburst of social medias in current life, problematic use is prevalent in adolescents and has become a contemporary concern. Although family environment has been identified as a risk factor, little is known how family environment is associated with problematic social media use (PSMU). Drawing on Snyder's hope theory and Davis's cognitive-behavioral model, this study examines how family function is linked with PSMU via hope. The study also investigates the moderating effect of perceived social support (PSS) by analyzing how PSS, interacts with family function, affects hope and further influences PSMU. The moderated mediation analyses of data from 1373 adolescents from vocational schools (343 boys and 1030 girls, Mage = 15.56) reveal family function is negatively associated with adolescents' PSMU, and the association is partially mediated by hope. Furthermore, PSS buffers the negative relation between family function and hope.

Social Media Escapism in Poland: Adaptation of a Measure and its Relationship With Thought Suppression and Mental Health

Research indicates that social media use can lead to addiction, fear of missing out, higher stress levels, anxiety, and experiencing symptoms typical of depression. The purpose of the present study was to conduct a Polish adaptation of the Social Media Escapism Scale and to assess its associations with fear of missing out, Facebook addiction, thought suppression, and the experience of stress, anxiety, and symptoms typical of depression. Two studies were conducted, the first adaptive and the second testing associations. The first study included 383 participants aged 18 to 63 (M = 23.51; SD = 5.7). To adapt the scale, the following were used: the Bergen Facebook Addiction Scale, the fear of missing out Scale, and the demographic questionnaire. The second study included 417 participants aged 18 to 60 (M = 26.33; SD = 9.7). The study tested relationships using the same three scales used in the first study, and also Depression, Anxiety, Stress Scale, and the White Bear Suppression Scale. The Polish version of the Social Media Escapism Scale revealed a univariate structure with strong internal consistency (α = .91). The adapted scale was associated with fear of missing out and Facebook addiction. In study 2, the structural equation modeling analyses revealed that fear of missing out, Facebook addiction and escapism were positively related to thought suppression and the experience of anxiety, stress, and depression symptoms. In addition, thought suppression partially mediated the relationship between harmful media use and anxiety, stress, and depression. Furthermore, the findings reveal a positive correlation between escapism and several psychological constructs, including fear of missing out, Facebook addiction, as well as aspects of depression and suppression, thereby lending support to the convergent validity of the adapted measure under investigation. The results can be used in psychological intervention and developing support and treatment programs for social network addiction.

Exploring the interplay of weight-based teasing and sociodemographic factors in adolescent weight bias internalization

OBJECTIVE

Research has highlighted the potential adverse effects of weight bias internalization (WBI) on adolescents, but there has been little examination of WBI and sources of weight teasing (family, peers, or both) or across racial/ethnic diversity of adolescents. We aimed to examine the relationship between WBI and sources of weight teasing across sociodemographic characteristics and weight status in a diverse community sample of adolescents.

METHODS

Data were collected from a U.S. sample of 1859 adolescents aged 10-17 years (59% female; 43% White, 27% Black or African American, and 25% Latino). An online questionnaire was used to assess participants' experiences of weight teasing from family members, peers, or both, and their weight status, weight-related goals, WBI, and sociodemographic characteristics.

RESULTS

Adolescents experiencing weight teasing from both family and peers reported the highest levels of WBI, while those reporting no teasing exhibited the lowest levels. These patterns were observed across sex, race/ethnicity, weight status, and weight goals, and persisted after controlling for depressive symptoms. Notably, family influences played a salient role, with adolescents reporting higher WBI if teased by family only compared to teasing from peers only. Sex and racial differences were also observed in adolescents' experiences with weight-based teasing.

CONCLUSION

Our study reveals associations between adolescent weight-based teasing, WBI, and sociodemographic factors. Weight-based teasing, whether from family and peers or from family only, was associated with increased WBI. Interventions targeting weight stigma in youth should not be limited to peer-focused efforts, but should also emphasize supportive family communication.

Longitudinal associations between digital media use and ADHD symptoms in children and adolescents: a systematic literature review

Previous reviews have often shown a link between digital media ADHD symptom levels. However, longitudinal studies are needed to find stronger evidence of a causal effect as well as to determine the direction of effects. The aim of the present review (PROSPERO CRD42021262695) was therefore to provide a systematic review of studies meeting the following inclusion criteria: (1) include longitudinal data investigating associations between digital media (i.e., gaming and social media) and later ADHD symptoms or vice versa, (2) be published within the past 10 years (i.e., 2011 until June 2021), (3) be published in a peer-reviewed journal in English, and (4) include children or adolescents (age 0-17 years). After a systematic search in the Web of Science and PsycInfo databases, we included 28 studies, all with adequate or high quality. Results showed support for reciprocal associations between digital media and ADHD symptoms, with associations being more consistent for problematic use of digital media than for screen time. Thus, children with ADHD symptoms appear more vulnerable to developing high or problematic use of digital media (i.e., selection effects), and digital media also have effects on later ADHD symptom levels, either because of specific characteristics of digital media or because of indirect effects on, for example, sleep and social relations (i.e., media effects). However, it should be emphasized that further studies investigating potential moderators and mediators are needed if we are to better understand the complex associations between digital media and ADHD symptom levels.

Different Characteristics of Psychological and Sleep Symptoms Across Social Media Addiction and Internet Gaming Disorder in Chinese Adolescents- A Network Analysis

OBJECTIVE

Previous research has explored a variety of mental disorders associated with Internet Gaming Disoder (IGD) and Social Media Addiction (SMA). To date, few studies focused on the network characteristics and investigated mood and sleep symptoms across SMA and IGD of adolescence at a group-specific level. This study aims to identify different characteristics of IGD and SMA and further determine the group-specific psychopathology process among adolescents.

METHODS

We conducted a cross-sectional study to recruit a cohort of 7,246 adolescents who were scored passing the cutoff point of Internet Gaming Disorder Scale-Short Form and Bergen Social Media Addiction Scale, as grouped in IGD and SMA, or otherwise into the control group. Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item, and Pittsburgh Sleep Quality Index were assessed for the current study, and all assessed items were investigated using network analysis.

RESULTS

Based on the analytical procedure, the participants were divided into three groups, the IGD group (n=789), SMA group (n=713) and control group (n=5,744). The edge weight bootstrapping analysis shows that different groups of networks reach certain accuracy, and the network structures of the three groups are statistically different (pcontrol-IGD=0.004, pcontrol-SMA<0.001, pIGD-SMA<0.001). The core symptom of SMA is "feeling down, depressed, or hopeless", while IGD is "feeling tired or having little energy".

CONCLUSION

Although IGD and SMA are both subtypes of internet addiction, the psychopathology processes of IGD and SMA are different. When dealing with IGD and SMA, different symptoms should be addressed.

A Descriptive Study to Assess the Impact of Social Media Platforms on Mental Well Being among College Student at Selected College in Chennai

Social media has become an integrated part of daily life, with an estimated 3 billion social media users worldwide. The purpose of current study was to investigate to assess the impact of social media platforms on mental wellbeing among college student at selected college. A descriptive research design was used a study the Impact of social media Plat forms on mental wellbeing among college students. After obtaining the Institutional ethical approval, the investigator selected 300 samples by using randomized Sampling Technique. The samples who met the inclusion criteria were selected the study participants and obtained the written informed consent.

Classification of nomophobia among Chinese college students: Evidence from latent profile and ROC analysis

Background and aims

Nomophobia (NMP) is a contemporary digital ailment referring to the improper utilization of smartphones which can have significant impacts on the physical and mental health of college students. However, as a result of unclear cutoff points, the proportion of people with NMP may be exaggerated. This study therefore aimed to determine the critical value of NMP and assess the extent to which Chinese college students are impacted by NMP using the Nomophobia Questionnaire (NMP-Q).

Methods

Latent profile analysis (LPA) and the receiver operating characteristic curve (ROC) were combined to determine the critical value based on NMP-Q scores using a large sample of 3,998 college students (Mage = 20.58; SD = 1.87).

Results

Based on latent profile (i.e., at-risk NMP group), ROC revealed an optimal cut-off point of 73 (Sensitivity = 0.965, Specificity = 0.970, Accuracy = 0.968, AUC = 99.60%, Youden's index = 0.935), and the percentage of NMP students being 28.04%, with 1,121 participants identified as positive cases (probable cases). Positive cases were found to exhibit more severe depression and anxiety symptoms, with a higher proportion of females were observed in the positive group (N = 829; 73.95%).

Conclusions

These findings provide evidence that the proportion of NMP individuals may have been overestimated in the past. Furthermore, this study helps to validate the NMP-Q as a valid tool to identify NMP in college-aged individuals.

Relationships between experiences of humiliation on social networks, problematic phone use, and aggressive and altruistic behaviors in young adults

The purpose of this study was to analyze the relationships between cybervictimization in social networks, problematic smartphone use, aggressive behaviors, and prosocial altruistic tendencies in young adults. The sample consisted of 601 young adults (mean age = 19.96 years; SD = 2.27; 69.1% female) who were administered online assessments of experiences of humiliation on networks, problematic smartphone use, prosocial altruistic tendencies, and aggressiveness. Results indicated significant indirect effects of cyber victimization on aggressiveness and prosocial altruistic tendencies through problematic smartphone use. Problematic cell phone use explained the relationships between online humiliation and aggressive and prosocial altruistic behaviors. The results confirmed the positive relationship between cybervictimization and problematic cell phone use, consistent with previous research. However, the negative relationship between cybervictimization and altruistic prosocial tendencies was not corroborated. The findings emphasize the need to promote actions that foster social connectedness and interdependence among young individuals to develop their identity within the community.

Fear of missing out and problematic social media use: A serial mediation model of social comparison and self-esteem

Background and aim

Fear of Missing Out (FoMO) is consistently associated with problematic social media use (PSMU). Moreover, previous studies have shown a significant association between FoMO, self-esteem, and social comparison. However, there is a lack of studies that have investigated the relationship between, FoMO, social comparison, self-esteem, and PSMU in an integrated model. The present study hypothesized that FoMO may influence PSMU through the serial mediating role of social comparison and self-esteem.

Method

A cross-sectional survey study was conducted comprising 256 Italian university students (74.4% female), aged 18 to 38 years (M = 23.05 years; SD = 3.58). The participants completed an online survey assessing the variables of the study.

Results

Controlling for age and gender, the results showed positive associations between FoMO, social comparison, and PSMU, and a negative association between FoMO and self-esteem. Self-esteem was also negatively associated with PSMU. It was also found that social comparison and self-esteem sequentially mediated the association between FoMO and PSMU.

Conclusions

The present study contributes to understanding the mechanisms that underline the complex effects of FoMO on PSMU.

"Swipe & slice": decoding digital struggles with non-suicidal self-injuries among youngsters

Introduction

Nonsuicidal-self-injury (NSSI)-related content recently emerged on social networking sites (SNS), despite its relationship with NSSI conducts is still unclear.

Methods

Hence, the current population-based cross-sectional study investigated the interplay between SNS use, NSSI content engagement, risky social media challenges (RSMCs), in a sample of 404 young adults (aged 18-24), focusing on the influence of problematic social media use (PSMU) and fear of missing out (FoMO).

Results

Around 51.5% of the samplewas engaged inNSSI-related contents on SNS, being mostly females (p<0.001), younger (p=0.005), transgender people and nonbinary people (p=0.030) and those who displayed higher PSMU (p<0.001) or FoMO (p=0.031). Around 66.2% of the sample currently practice NSSIs, predominantly among females (p<0.001), those using BeReal (p=0.012), actively looking for NSSIrelated contents on SNS (p<0.001) to be part of a group (p=0.0025) or learn how to practice NSSI (p=0.025). PSMU (p<0.001) and FoMO (p<0.001) emerged as significant predictors of NSSI content engagement, particularly among active seekers. NSSI conducts were significantly predicted by FoMO (p<0.001) and Snapchat (p=0.044), while negatively predicted by male sex (p<0.001), higher educational level (p=0.019) and age at which NSSI-related contents were firstly looked for (p=0.028).

Discussion

These findings underline the need to implement preventivepolicies and targeted interventions to monitor NSSI-related contents on SNS, the impact of PSMU and FoMO on NSSI, particularly among youngsters.

Relationship between social media addiction and appearance-related social media consciousness in Turkish adolescents

PURPOSE

This study was aimed to investigate the relationship between social media addiction and appearance-related social media consciousness in adolescents.

DESIGN AND METHODS

This study was conducted in a relational-cross-sectional-descriptive model. The population of the study consists of high schools located in a provincial center in the eastern of Turkey. Cluster sampling method was applied, and the study was completed with 1009 adolescents. The research data were collected by using personal information form, Bergen Social Media Addiction Scale and Adolescents' Appearance-Related Social Media Consciousness Scale.

RESULTS

It was determined that the mean scores of adolescents' social media addiction and appearance-related social media consciousness were at a moderate level. It was determined that female adolescents had higher mean scores of social media addiction and appearance-related social media consciousness. The model established with structural equation modelling was found to be compatible with social media usage time, which was found to be related to the level of social media addiction and appearance-related social media consciousness.

CONCLUSIONS

It was found that there was a significant positive relationship between social media addiction and appearance-related social media consciousness. Time spent using social media was found to be a predictor of addiction and social media consciousness about appearance.

PRACTICE IMPLICATIONS

Pediatric nurses can educate adolescents about the potential risks of excessive use of social media and help them to act consciously. Suggest implementing school-based interventions to educate adolescents, especially females, about healthy social media use.

Social media addiction: associations with attachment style, mental distress, and personality

BACKGROUND

Social media bring not only benefits but also downsides, such as addictive behavior. While an ambivalent closed insecure attachment style has been prominently linked with internet and smartphone addiction, a similar analysis for social media addiction is still pending. This study aims to explore social media addiction, focusing on variations in attachment style, mental distress, and personality between students with and without problematic social media use. Additionally, it investigates whether a specific attachment style is connected to social media addiction.

METHODS

Data were collected from 571 college students (mean age = 23.61, SD = 5.00, 65.5% female; response rate = 20.06%) via an online survey administered to all enrolled students of Sigmund Freud PrivatUniversity Vienna. The Bergen Social Media Addiction Scale (BSMAS) differentiated between students addicted and not addicted to social media. Attachment style was gauged using the Bielefeld Partnership Expectations Questionnaire (BFPE), mental distress by the Brief Symptom Inventory (BSI-18), and personality by the Big Five Inventory (BFI-10).

RESULTS

Of the total sample, 22.7% of students were identified as addicted to social media. For personality, it was demonstrated that socially media addicted (SMA) students reported significantly higher values on the neuroticism dimension compared to not socially media addicted (NSMA) students. SMA also scored higher across all mental health dimensions-depressiveness, anxiety, and somatization. SMA more frequently exhibited an insecure attachment style than NSMA, specifically, an ambivalent closed attachment style. A two-step cluster analysis validated the initial findings, uncovering three clusters: (1) secure attachment, primarily linked with fewer occurrences of social media addiction and a lower incidence of mental health problems; (2) ambivalent closed attachment, generally associated with a higher rate of social media addiction and increased levels of mental health problems; and (3) ambivalent clingy attachment, manifesting a medium prevalence of social media addiction and a relatively equitable mental health profile.

CONCLUSIONS

The outcomes are aligned with previous research on internet and smartphone addiction, pointing out the relevance of an ambivalent closed attachment style in all three contexts. Therapeutic interventions for social media addiction should be developed and implemented considering these findings.

Smartphone and social network addiction in early adolescents: The role of self-regulatory self-efficacy in a pilot school-based intervention

BACKGROUND

Youths' online problematic behaviors, such as smartphone or social network sites (SNS) addiction, gained increasing attention nowadays, due to their impact on concurrent and later adjustment, such as emotional and/or behavioral problems, academic impairments, or relational issues.

AIMS

This study aims to evaluate the effectiveness of a pilot school-based intervention to contrast online addictive behaviors while fostering adolescents' self-regulative abilities.

MATERIALS & METHODS

The intervention started in January 2022 in an Italian junior high school located in Rome, and consisted of four meetings with students. A total sample of 462 15-year-old adolescents (Mage = 15.2; SD = 0.50; 41% females; Ncontrol = 214; Nintervention = 248) was considered. Within the latent difference score framework, we examined short-term changes from the pre-to-the-postintervention levels of SNS and smartphone addiction, and self-regulatory self-efficacy (SRSE) beliefs as a possible booster of the intervention's effectiveness.

RESULTS

Results showed a significant decrease in both online addictions (SNS and smartphone addiction), controlling for age, gender, sexual orientation, and socioeconomic status, because of the short-term efficacy of the project. The buffering effect of SRSE beliefs was further supported.

CONCLUSION

These findings emphasized the usefulness of promoting youths' self-regulative beliefs to contrast problematic tendencies, according to a Positive Youth Development perspective which focused on resources rather than only on the prevention of negative outcomes for youths' adjustment.

Altered functional brain networks in problematic smartphone and social media use: resting-state fMRI study

Nowadays, the limitless availability to the World Wide Web can lead to general Internet misuse and dependence. Currently, smartphone and social media use belong to the most prevalent Internet-related behavioral addiction forms. However, the neurobiological background of these Internet-related behavioral addictions is not sufficiently explored. In this study, these addiction forms were assessed with self-reported questionnaires. Resting-state functional magnetic resonance imaging was acquired for all participants (n = 59, 29 males) to examine functional brain networks. The resting-state networks that were discovered using independent component analysis were analyzed to estimate within network differences. Significant negative associations with social media addiction and smartphone addiction were found in the language network, the lateral visual networks, the auditory network, the sensorimotor network, the executive network and the frontoparietal network. These results suggest that problematic smartphone and social media use are associated with sensory processing and higher cognitive functioning.

Predicting anxiety, depression, and insomnia among Bangladeshi university students using tree-based machine learning models

Background and Aims

Mental health problem is a rising public health concern. People of all ages, specially Bangladeshi university students, are more affected by this burden. Thus, the objective of the study was to use tree-based machine learning (ML) models to identify major risk factors and predict anxiety, depression, and insomnia in university students.

Methods

A social media-based cross-sectional survey was employed for data collection. We used Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9) and Insomnia Severity Index (ISI-7) scale for measuring students' anxiety, depression and insomnia problems. The tree-based supervised decision tree (DT), random forest (RF) and robust eXtreme Gradient Boosting (XGBoost) ML algorithms were used to build the prediction models and their predictive performance was evaluated using confusion matrix and receiver operating characteristic (ROC) curves.

Results

Of the 1250 students surveyed, 64.7% were male and 35.3% were female. The students' ages ranged from 18 to 26 years old, with an average age of 22.24 years (SD = 1.30). Majority of the students (72.6%) were from rural areas and social media addicted (56.6%). Almost 83.3% of the students had moderate to severe anxiety, 84.7% had moderate to severe depression and 76.5% had moderate to severe insomnia problems. Students' social media addiction, age, academic performance, smoking status, monthly family income and morningness-eveningness are the main risk factors of anxiety, depression and insomnia. The highest predictive performance was observed from the XGBoost model for anxiety, depression and insomnia.

Conclusion

The study findings offer valuable insights for stakeholders, families and policymakers enabling a more profound comprehension of the pressing mental health disorders. This understanding can guide the formulation of improved policy strategies, initiatives for mental health promotion, and the development of effective counseling services within university campus. Additionally, our proposed model might play a critical role in diagnosing and predicting mental health problems among Bangladeshi university students and similar settings.

Social media addiction and depression and their predictors among university students

OBJECTIVES

Social media facilitate the interaction between individuals without regard to the distances between the users. Everybody who has access to internet can suffer from social media addiction. During COVID-19 pandemic there was an increase in social media usage among all population types and especially the university students, which would negatively affect their mental health. Therefore, this study aims at assessing social media addiction and depression among pharmacy students by using questionnaires specifically designed for this purpose.

METHODS

A cross-sectional study with convenience sampling was conducted from the start of November to the end of December 2021 among undergraduate pharmacy students in Mosul city, Iraq. An online questionnaire was adopted; it consisted of three parts, the first was for collecting socio-demographic and social media usage information, Social Media Addiction Questionnaire (SMAQ) was used in the second part to assess social media addiction of the participants, and the third part was comprised of the Patient Health Questionnaire (PHQ-9) to assess depression among students.

RESULTS

Six hundred-three students completed the questionnaire and constituted the final study sample. Instagram was the most used social media program among the students. About 38 % of the students were at risk of becoming addicted on social media, with only 8.4 % of them being minimally or not depressed. Additionally, positive significant correlation was observed between social media addiction and depression. Using social media for more than 4 h and poor academic performance were found to be predictors for social media addiction and depression.

CONCLUSIONS

Addiction to social media and depression are prevalent among pharmacy students in Iraq and the two are related to each other.

Oversharing on Social Media: Anxiety, Attention-Seeking, and Social Media Addiction Predict the Breadth and Depth of Sharing

Oversharing on social media by adolescents is a considerable problem in the digital age, and has the potential to instigate online shaming, cyberbullying, identity theft, and other security risks. To date, oversharing has not been comprehensively studied and there is scarce understanding of the possible psychological conditions that may underlie this maladaptive online behavior. This study aimed to measure online oversharing and its potential psychological correlates among adolescents. Data were collected from 352 Iranian adolescent social media users (270 girls and 82 boys; Mage = 16.38, SD = 1.71). The Online Oversharing Inventory, developed for this study, demonstrated unidimensionality and excellent internal consistency. Further results showed that boys overshared significantly more on social media than girls did. Anxiety, attention-seeking, and social media addiction were significantly associated with elevated levels of online oversharing. Results show that the Online Oversharing Inventory is a brief and robust tool for the assessment of high frequency self-disclosure on social media. The findings suggest that anxiety, attention-seeking, and problematic use of social media may predispose adolescents to overshare personal information online.

Characteristics and influencing factors of anticipated HIV stigma among HIV-negative/unknown MSM in China: A regression mixture model

BACKGROUND

Anticipated HIV stigma among men who have sex with men's (MSM) has a severe negative effect on their physical and mental health wellbeing and hence requires specific attention. The current study aims to identify the characteristics and the psychosocial influencing factors of anticipated HIV stigma in MSM using regression mixture model (RMM) and to determine the cut-off point of the seven-item Anticipated HIV Stigma Questionnaire (AHSQ) using the receiver operating characteristic (ROC) analysis.

METHODS

A cross-sectional study was conducted among HIV-negative/unknown MSM from Blued online platform in China from December 16th, 2020 to March 1st, 2021, enrolling 1394 participants. Data were collected on demographic characteristics, perceived social support, anticipated HIV stigma, depressive symptoms, and HIV knowledge. Latent profile analysis was performed to identify different profiles of anticipated HIV stigma level. Chi-square test, analysis of variance, and RMM analysis were conducted to explore the influencing factors in different profiles. ROC analyses were carried out to identify the cut-off value of anticipated stigma.

RESULTS

Among the participants, three profiles of anticipated stigma were identified: "low anticipated HIV stigma" (12.0%), "moderate anticipated HIV stigma" (52.1%), and "severe anticipated HIV stigma" (35.9%). RMM analysis showed that higher income and higher levels of knowledge were positively associated with moderate anticipated HIV stigma, whereas full-time job and social support were negatively associated with moderate anticipated HIV stigma; higher income, depressive symptoms, and knowledge were positively associated with severe anticipated HIV stigma, whereas minor ethnicity and social support were negatively associated with severe anticipated HIV stigma. ROC curve of the AHSQ showed that the optimal cut-off value of ≥16 could indicate positive anticipated HIV stigma.

CONCLUSION

The study focuses on the level of anticipated HIV stigma and its psycho-socio influencing factors among HIV-negative/unknown MSM. It provides evidence for implementing relevant psychological interventions to HIV-negative/unknown MSM.

Glow up: does a professional photoshoot intervention affect self-esteem and emotions among adolescent psychiatric patients?-A longitudinal intervention study

Background

Today, online communication is shaped by a billion-dollar social media (SM) and social networking site (SNS) industry. Visual content consumed by children and adolescents has been shown to influence behavioral patterns, state emotions, and self-esteem (SE). In this study, we introduced a novel intervention creating visual content through a professional photoshoot and investigated its impact on state emotions and SE in child and adolescent psychiatric (CAP) patients.

Methods

Standardized and validated self-rating questionnaires were used to assess SE, state emotions, coping mechanisms, psychopathological symptoms, and internet use behavior at baseline. SE and state emotions were monitored at different time points around a professional photoshoot within 45 CAP patients (30 female patients; mean age, 15.1 years) using a longitudinal design.

Results

Within-subject repeated-measures ANOVA and bootstrapped paired-sample t-tests showed a significant fluctuation in state emotions and SE throughout the intervention. Spearman correlations and univariate logistic regressions revealed that internalizing symptomatology and maladaptive coping significantly worsened the outcome of the intervention on state emotions and SE in girls. Internet-related variables heightened the positive effect of the intervention in boys and lowered SE in girls during the intervention.

Conclusion

The photo intervention had various gender-specific effects. Boys did benefit from the intervention in terms of longitudinal outcome on positive state emotions (PE) and SE, even positively influenced by SNS and SM. Thus, it might be concluded that online social comparison was processed more beneficial in boys. In contrast, when working with visual content in girls, psychopathology and coping must be considered. Internet consumption in general, especially SM and SNS, was related to low SE in girls. Nevertheless, when therapeutically accompanied, the "glow up moment" during the shoot (high on PE and SE; low on negative state emotions) could be used as an index moment for therapeutic reflection.