Social Media and Mental Health in Youth During COVID-19: A Narrative Review
Tiffany Field, PhD
University of Miami/Miller School of Medicine and Fielding Graduate University
Social media effects on youth during COVID-19 have been studied in the context of excessive use and mental health. Although some positive effects have been reported including connecting and social support, the COVID-19 research has typically noted negative effects including sedentary behavior, limited social interaction, depression and anxiety. This narrative review of eighteen COVID-19 publications on social media effects on youth includes sections on prevalence, on effects and on mediators/moderators of those effects. The prevalence of social media use by youth during COVID-19 has varied between 5% and 97% across 22 countries as a function of location, quarantine/lockdown, and type of social media, although the overall prevalence has significantly increased by 27% during the pandemic and has averaged 38% across studies. The most popular social media have been Facebook, What’s App, Instagram and Twitter. The prevalence of mental health symptoms has also varied across countries but has averaged 27% for anxiety, 34% for depression and 35% for stress. Mediators for the relationships between excessive social media and mental health symptoms have included rumination, psychological capital, sense of control and active use and moderators have included mindfulness, academic burnout and “flow”. Limitations of this literature are its sampling of self-reports from university students via cross-sectional surveys and confounding variables including pre-existing psychopathology, lockdown conditions, and sedentary behavior. Research is needed on the specific reasons for excessive social media use (e. g. information seeking, social interaction and escape from negative feelings including loneliness and touch deprivation) to inform intervention protocols for reducing this addictive behavior and its negative consequences on mental health symptoms in youth.
Keywords: Social media use, mental health, youth, COVID-19
How to cite this article:
Tiffany Field. Social Media and Mental Health in Youth During COVID-19: A Narrative Review. International Journal of Psychological Research and Reviews, 2021,4:54. DOI: 10.28933/ijprr-2021-08-2905
1. Rathbone, A.L. & Prescott, J. The use of mobile apps and SMS messaging as physical and mental health interventions: Systematic review. Journal of Medical Internet Research, 2017, 19(8):e295. Doi:10.2196/jmir.7740.
2. Kelders, S.M., Bohlmeijer, E.T., Pots, W.T.M. & van Gemert-Pijnen, J.E.W.C. Comparing human and automated support for depression: Fractional factorial randomized controlled trial.Behavior Research and Therapies, 2015;72:72-80. Doi:10.1016/j.brat.2015.06.014. Epub 2015 Jul 6.
3. Visnjic, A., Velickovic, V., Sokolovic, D., Stankovic, M., Mijatovic, K., Stojanovic, M. et al. Relationship between the manner of mobile phone use and depression, anxiety, and stress in university students. International Journal of Environmental Research and Public Health, 2018 15(4):697. Doi: 10.3390/ijerph15040697.
4. Kim, Y.J., Jang, H.M., Lee, Y., Lee, D. & Kim, D.J. Effects of internet and smartphone addictions on depression and anxiety-based propensity score matching analysis. International Journal of Environmental Research and Public Health, 2018 15(5):859. Doi:10.3390/ijerph15050859.
5. Field, T. (2020). Cell phone addiction in adolescents: A narrative review. Journal of Addiction and Adolescent Behavior, 3 (4), 12-22. DO10.3352/OAJAP.2020.03.00566.
6. Thomee, S. Mobile phone use and mental health. A review of the research that takes a psychological perspective on exposure. International Journal of Research and Public Health, 2018 15(12):2692. Doi: 10.3390/ijerph15122692.
7. Bhat, S., Pinto-Zipp, G., Upadhyay, H. & Polos, P.G. “To sleep perchance to tweet”: In-bed electronic social media use and its association with insomnia, daytime sleepiness, mood, and sleep duration in adults. Sleep Health, 2018 Apr;4(2):166-173. Doi: 10.10.16/j.sleh.2017.12.004. Epub 2018 Jan 17.
8. McDougall, M.A., Walsh, M., Wattier, K., Knigge, R., Miller, L., Stevermer, M. et al. The effect of social networking sites on the relationship between perceived social support and depression. Psychiatry Research, 2016 Dec 30;246:223-229. Doi: 10.1016/j.psychres.2016.09.018. Epub 2016 Sep 14.
9. Kim, Y.J., Jang, H.M., Lee, Y., Lee, D. & Kim, D.J. Effects of internet and smartphone addictions on depression and anxiety-based propensity score matching analysis. International Journal of Environmental Research and Public Health, 2018 15(5):859. Doi:10.3390/ijerph15050859.
10. Field, T. Internet addiction in adolescents: A narrative review. 2019. Journal of Addictions and Therapies, 1,1-11 DOI:10.29011/2577-1507/100020.
11. Soulioti, E., Stavropoulos, V., Christidi, S., Papastefanou, Y. & Roussos, P. The relationship of internet addiction with anxiety and depressive symptomology. Psychiatriki, Apr-Jun 2018;29(2):160-171. Doi: 10.22365/jpsych.2018.292.160.
12. Jun, H.J. & Kim, M.Y. What accounts for the relationship between internet use and suicidal ideation of Korean older adults? A mediation analysis. Journal of Geronatology. Series B. Psychology sciences and Social Sciences, 2017v;72(5):846-855. Doi: 10.1093/geronb/gbw163.
13. Yoon, S., Kleinman, M., Mertz, J. & Brannick, M. Is social network site usage related to depression? A meta-analysis of Facebook-depression relations. Journal of Affective Disorders, 2019;248:65-72. Doi: 10.1016/j.jad.2019.01.026. Epub 2019 Jan 27.
14. Brailovskaia, J., Margraf, J., Schillack, H. & Kollner, V. Comparing mental health of Facebook users and Facebook non-users in an inpatient sample in Germany. Journal of Affective Disorders, 2019 Dec 1;259:376-381. Do10.1016/j.jad.2019..08.078.Epub 2019 Aug 24.
15. Blachnio, A., Przepiorka, A. & Pantic, I. Internet use, Facebook intrusion, and depression: Results of a cross-sectional study. European Psychiatry, 2015 Sep;30(6):681-684. Doi: 10.1016/j.eurpsy.2015.04.002. Epub 2015.
16. Field, T. Facebooking in adolescents: A narrative review. 2019. Journal of Addiction and Adolescent Behavior , 3 (4), 1-11 DOI 10.33552/OAJAP.2020.03.600567.
17. Field, T., Poling, S., Mines, S., Bendell, D. & Veazey, C. (2020). Feeling isolated and lonely during a COVID-19 lockdown. Archives of Health Science, 4 (1), 1-9. DOI: 10:31829/2641:-7456/ahs 2020-4 (1)-121.
18. Stanton, R., To, Q., Khalesi, S., Williams, S., Alley, S., Thwaite, T., Fenning, A. & Vandelanotte, C. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults International Journal of Environmental Research and Public Health. 2020; 17(4065):4065 DOI 10.3390/ijerph17114065
19. Field, T., Mines, S., Poling, S., Diego, M., Bendell, D. & Veazey, C. . Anxiety and depression in a COVID-19 lockdown. Journal of Anxiety and Depression, 2020, 3 (2), 124-137.
20. Huang, Y. & Zhao, N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey, 2020, Psychiatry Research, 288, 112954.
21. Cellini, N., Canale, N. Mioni, G., & Costa, S. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy, Journal of Sleep Research 2020, doi. org/10.1111/jsr.1307422,
22. Field, T., Mines, S., Poling, S., Diego, M., Bendell, D. & Veazey, C. Stress and sleep disturbances in a COVID-19 lockdown. Psychology and Mental Health, 2020,4, 1-5. DOI: 10:31579/2637-8892/092.
23. Mines, S., Veazey, C., Poling, S., Field, T. & Bendell, D. PTSD symptoms, comorbid mental health and health behaviors during a COVID-19 lockdown. Annals of Psychiatry and Mental Health, 2020, 8(3), 1155-1159.
24. Baker, D. & Algorta, G.Cyberpsychology, Behavior, and Social Networking.Nov 2016.638-648.http://doi.org/10.1089/cyber.2016.0206
25.Hossain M.T, Ahammed B, Chanda SK, Jahan N, Ela MZ, Islam M.N.Social and electronic media exposure and generalized anxiety disorder among people during COVID-19 outbreak in Bangladesh: A preliminary observation. PLoS , 2020, 15(9): e0238974. https://doi.org/10.1371/
26. Jiang Y .Problematic Social Media Usage and Anxiety Among University Students During the COVID-19 Pandemic: The Mediating Role of Psychological Capital and the Moderating Role of Academic Burnout. Front. Psychol.,2021, 12:612007. doi: 10.3389/fpsyg.2021.612007
27.Wei Hong, Ru-De Liu, Yi Ding, Xinchen Fu, Rui Zhen, and Xiaotian Sheng.Cyberpsychology, Behavior, and Social Networking. 2021.282-287.http://doi.org/10.1089/cyber.2020.0387
28. Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS ONE,2021 15(4): e0231924. https://doi.org/ 10.1371/journal.pone.0231924
29. Goodyear, V.A., Boardley, I., Chiou, SY. et al. Social media use informing behaviours related to physical activity, diet and quality of life during COVID-19: a mixed methods study. BMC Public Health 21, 1333 ,2021. https://doi.org/10.1186/s12889-021-11398-0
30. Parker K, Uddin R, Ridgers ND, Brown H, Veitch J, Salmon J, Timperio A, Sahlqvist S, Cassar S, Toffoletti K, Maddison R, Arundell L. The Use of Digital Platforms for Adults’ and Adolescents’ Physical Activity During the COVID-19 Pandemic (Our Life at Home): Survey Study. J Med Internet Res. 2021 Feb 1;23(2):e23389. doi: 10.2196/23389. PMID: 33481759; PMCID: PMC7857525.
31. Boursier V, Gioia F, Musetti A and Schimmenti A Facing Loneliness and Anxiety During the COVID-19 Isolation: The Role of Excessive Social Media Use in a Sample of Italian Adults. Front. Psychiatry,2020, 11:586222. doi: 10.3389/fpsyt.2020.58622
32. Goodyear, V.A., Wood, G., Skinner, B. et al. The effect of social media interventions on physical activity and dietary behaviours in young people and adults: a systematic review. Int J Behav Nutr Phys Act 18, 72 ,2021. https://doi.org/10.1186/s12966-021-01138-3
33. Masciantonio A, Bourguignon D, Bouchat P, Balty M, Rimé B . Don’t put all social network sites in one basket: Facebook, Instagram, Twitter, TikTok, and their relations with well-being during the COVID-19 pandemic. PLoS ONE. 2021, 16(3): e0248384. https://doi.org/10.1371/journal.pone.0248384
34. Biernesser C, Montano G, Miller E, Radovic ASocial Media Use and Monitoring for Adolescents With Depression and Implications for the COVID-19 Pandemic: Qualitative Study of Parent and Child Perspectives JMIR Pediatr 2020;3(2):e2164doi: 10.2196/21644
35. Field, T., Poling, S., Mines, S., Bendell, D. & Veazey, C. Social media and psychological problems during a COVID-19 lockdown. International Journal of Psychology Research and Reviews, 2021, ISSN:2639-6041.
36. Ma Z et alMental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiology and Psychiatric Sciences, 2021, 29, e181, 1–10. https://doi.org/10.1017/S20457960200009
37. Islam MS, Sujan MSH, Tasnim R, Mohona RA, Ferdous MZ, Kamruzzaman S, Toma TY, Sakib MN, Pinky KN, Islam MR, Siddique MAB, Anter FS, Hossain A, Hossen I, Sikder MT and Pontes HM .Problematic Smartphone and Social Media Use Among Bangladeshi College and University Students Amid COVID-19: The Role of Psychological Well-Being and Pandemic Related Factors. Front. Psychiatry, 2021, 12:647386. doi: 10.3389/fpsyt.2021.64738
38. Shensa A, Escobar-Viera CG, Sidani JE, Bowman ND, Marshal MP, Primack BA. Problematic social media use and depressive symptoms among U.S. young adults: A nationally-representative study. Soc Sci Med. 2017 Jun;182:150-157. Doi;10.1016/j.socscimed.2017.03.061. Epub 2017 Apr 24. PMID: 28446367; PMCID: PMC5476225.
39. Zhao N and Zhou G . COVID-19 Stress and Addictive Social Media Use (SMU): Mediating Role of Active Use and Social Media Flow. Front. Psychiatry, 2021, 12:635546. doi: 10.3389/fpsyt.2021.635546
40. Brailovskaia, J., & Margraf, J. Predicting adaptive and maladaptive responses to the coronavirus (COVID-19) outbreak: A prospective longitudinal study. International Journal of Clinical and Health Psychology, 2020, 20(3), 181–191. https://doi.org/10.1016/j. ijchp.2020.06.002
41. Brailovskaia, J., Schillack, H., & Margraf, J. Tell me why are you using social media (SM)! Relationship between reasons for use of SM, SM flow, daily stress, depression, anxiety, and addictive SM use–An exploratory investigation of young adults in Germany. Computers, 2020.
42. Rogowska, A.M.; Pavlova, I.; Kuśnierz, C.; Ochnik, D.; Bodnar, I.; Petrytsa, P. Does Physical Activity Matter for the Mental Health of University Students during the COVID-19 Pandemic? J. Clin. Med. 2020, 9, 3494. https://doi.org/10.3390/jcm9113494
43. Field, T., Poling, S., Mines, S., Bendell, D. & Veazey, C. Touching and touch deprivation during a COVID-19 lockdown. International Journal of Psychological Research and Reviews,2020, escipub/ijprr-2020-10-2015.
44. Field, T., Mines, S., Poling, S. & Luiu, A. Social interaction and social media at airport departure gates. International Journal of Psychology Research and Reviews, 2021, 4:47. ISSN:2639-6041.
45. Brailovskaia, J., Strose, ¨ F., Schillack, H., Margraf, J., Less Facebook use–More well-being and a healthier lifestyle? An experimental intervention study. Comput. Hum. Behav., 2020, 108, 106332.
46. Field, T., Poling, S., Mines, S., Bendell, D. & Veazey, C. Exercise during a COVID-19 lockdown. Journal of Community Medicine and Public Health, 2020, 4 (3), 196-202.
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