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Feb 20, 2024 · Recent studies suggest a causal link between teen social media use and reduced well-being. Now, some researchers are looking into possible mechanisms.
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Jun 17, 2024 · According to a research study of American teens ages 12-15, those who used social media over three hours each day faced twice the risk of having negative mental health outcomes, including depression and anxiety symptoms.
- kathy.katella-cofrancesco@yale.edu
- What the science suggests so far about the impact of platforms such as Facebook, Twitter or Instagram on your mental well-being. #LikeMinded. A special series about social media and well-being.
- STRESS. People use social media to vent about everything from customer service to politics, but the downside to this is that our feeds often resemble an endless stream of stress.
- MOOD. In 2014, researchers in Austria found that participants reported lower moods after using Facebook for 20 minutes compared to those who just browsed the internet.
- ANXIETY. Researchers have looked at general anxiety provoked by social media, characterised by feelings of restlessness and worry, and trouble sleeping and concentrating.
- Overview
- ‘We simply don’t know about cause and effect’
- Social media and mental health risk factors
- Questionable data
- Caution when interpreting research
- Social media use for better mental health
Over the last 20 years, social media has risen from relative obscurity to become a fully accepted and integrated part of everyday life. However, despite social media’s ubiquity, the research on how it affects mental health remains inconclusive.
So far, most research investigating the effects of social media on mental health has focused on the potential negative aspects.
For instance, a 2019 study involving 6,595 teenagers from the United States concludes that those who spend more than 3 hours per day on social media may have a higher risk of mental health problems than those who do not.
But the degree to which social media actually harms mental health is debatable. A recent review, available as a preprint, found that most studies investigating the link between social media and mental health demonstrate “weak” or “inconsistent” associations.
Another review found that while there may be a small negative association between social media use and mental health, the link is complex and depends on exactly how researchers define mental health and social media use.
Meanwhile, other research suggests that social media may even benefit mental health, especially for people belonging to LGBTQIA+ communities and those living with mental health conditions.
“One promising area of research is the role of online peer networks, where it appears that connecting online with others who share similar mental health challenges can offer important benefits for feeling less alone, learning coping skills, and being able to offer/receive emotional or informational support from others,” Dr. John Naslund, Ph.D., an instructor in global health and social medicine at Harvard Medical School, told MNT.
Dr. Niklas Johannes, a postdoctoral researcher in the Adolescent Well-Being in the Digital Age program at the University of Oxford in the United Kingdom, agreed that social media might be linked to some mental health benefits. However, he added that more research is necessary to confirm the direction in which this connection lies.
“There’s a lot of research out there that suggests social media are a useful tool to stay connected to others. In fact, those who use social media more also report feeling more social support. However, all of this comes with a huge caveat: We simply don’t know about cause and effect. It’s just as plausible that heavy social media users make more friends or that those with a lot of friends use more social media. It’s also plausible that both are true,” he explained.
Other research suggests that “how” a person uses social media rather than “how much” may have a stronger association with mental health outcomes.
“There is evidence that routine social media use in the general population is positively associated with mental health and social well-being, as long as one is not ’emotionally invested’ in the media, in which case the outcomes are negative,” Dan-Mircea Mirea, a doctoral candidate in psychology at Princeton University, and project coordinator at Mental Health for Romania, told MNT.
Dr. Gonneke Stevens, associate professor of social and behavioral sciences at Utrecht University in the Netherlands, agreed that “emotional investment” in social media use may be more indicative of mental health outcomes than how much a person uses it.
“For children and teens, I think the most compelling evidence is the research regarding cyberbullying on social media,” said Dr. Kya Barounis, a senior mental health researcher at the University of California, San Diego. “Cyberbullying is associated with symptoms of depression and suicidality. It may be a particular problem for youth who identify as sexual or gender minorities.”
Dr. Barounis also noted that social media use could displace other behaviors, such as sleep and exercise, which are “important for maintaining good mental health.” Researchers study this process through what is known as “displacement theory.”
To give an example, she said:“If a youth is staying up late each night on social media and not getting enough sleep, the lack of sleep can lead to feelings of irritability or depressed mood the next day.”
She cautioned, however, that this does not mean that social media use causes mental health conditions, noting that the relationship between chronic sleep problems and clinical depression in youth is complicated.
Dr. Naslund agreed that social media can perpetuate “targeted hate from others” or cyberbullying, which can have a negative effect.
He added that although research related to social media and mental health is generally mixed, “exposure to hateful content online — such as viewing or being targeted by derogatory content targeting race, ethnicity, or gender — is associated with poorer mental health and feelings of distress.”
Beyond the risk of cyberbullying and exposure to hate content, others say that it is important to interpret with caution any studies related to more generalized social media use because they are often based on unreliable data.
“There are multiple observational studies that find that social media use is negatively associated with mental health,” said Mirea.
“However,” he added, “there are also studies looking at similar datasets, or sometimes the same dataset with different methods, that find no effect. One study found only small negative associations between mental health and using digital/electronic technologies, including social media — about as large as regularly eating potatoes!”
“It seems that the conclusions are very much affected by how researchers analyze their data, which makes it hard to draw a concrete conclusion about to what extent social media has negative effects on mental health. A plausible explanation for these unclear findings is that social media use affects some people more and others less.”
– Dan-Mircea Mirea
To give an example of how difficult it can be to interpret studies on the mental health effects of social media, Dr. Craig Sewall, a postdoctoral fellow at the University of Pittsburgh, told MNT:
“There are two completely different stories being told about the effects of social media on well-being,” said Dr. Sewall. “In the popular media — where the vast majority of people get their information on this subject — the story is often some version of ‘social media is bad, especially for younger people.'”
Yet, he cautioned, “[t]he evidence cited in these popular media pieces is often cherry-picked, oversimplified, and overinterpreted — giving the impression to readers that social media causes harm to well-being.”
“On the other hand, in the scientific literature — which has a much smaller, niche readership — the story is much more complicated. The fundamental complexity of the issue combined with a litany of methodological issues and contradictory findings make it difficult, if not impossible, to conclude anything with confidence,” Dr. Sewall added.
“If anything, our best evidence to date suggests that social media does not have a meaningful impact on well-being. However, this story — that it’s very complicated, and there’s a lot we don’t know — does not generate many clicks,” he explained.
Dr. Barounis added that much research on the topic is based on people having symptoms of mental health issues, as opposed to receiving a formal diagnosis. “It’s really important to distinguish between symptoms of mental health problems versus a diagnosis of a mental health problem,” he explained. “One can have a few symptoms without having a full diagnosis. So far, a lot of researchers have examined the relationship between social media use and symptoms of depression or anxiety (as measured on a survey) in typically developing youth.”
“It is a mistake to interpret a positive relationship in these studies’ results as evidence that social media use causes youth to meet all of the criteria for a diagnosis of clinical anxiety or depression. Also, there is a measurement issue. Self-reports of time spent on social media may not be very accurate,” she explained.
Dr. Barounis recommended that parents or caregivers of children and adolescents “talk with their children about cyberbullying and take steps to address it if it is occurring.”
She further explained: “Parents can also monitor their child’s use to see if it is displacing healthier behaviors, like sleep and exercise. Simple steps, like limiting use before bedtime and charging mobile devices outside the bedroom, can help prevent social media use from disrupting sleep.”
“In terms of the pandemic, parents should remind youth that a lot of their friends and followers on social media may be feeling slightly anxious or depressed during these uncertain times. Youth can support these friends and followers by refraining from posting content that could be misinterpreted in a negative way (i.e., a joking comment in reaction to someone’s post that might come across as mean-spirited) or content that could increase anxiety.”
– Dr. Kya Barounis
Due to a lack of consensus on whether and how social media relates to mental health, some experts say that it is difficult to make specific recommendations.
“Unfortunately, the scientific evidence isn’t strong enough to make specific recommendations,” said Dr. Johannes. “I’d advise, just like with any other activity, to observe what’s good for the user. If I feel like I’m comparing myself with others and it isn’t good for me, then take more breaks and maybe focus on different functions of social media. If I feel lonely and know that going on social media makes me feel connected, go for it. It’s rather obvious advice, I’m afraid.”
- Annie Lennon
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- Michaeleen Doucleff
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