• Anonymity can help individuals with stigmatizing conditions connect with others
• Young adults with mental illness commonly form online relationships
• Social media use in individuals with serious mental illness associated with greater community and civic engagement
• Individuals with depressive symptoms prefer communicating on social media than in-person
• Online conversations do not require iimnediate responses or non-verbal cues
Social media platforms offer near continuous opportunities to connect and interact with others, regardless of time of day or geographic location. This on demand ease of communication may be especially important for facilitating social interaction among individuals with mental disorders experiencing difficulties interacting in face-to-face settings. For example, impaired social functioning is a common deficit in schizophrenia spectrum disorders, and social media may facilitate communication and interacting with others for these individuals ( Torous & Keshavan, 2016 ). This was suggested in one study where participants with schizophrenia indicated that social media helped them to interact and socialize more easily ( Miller et al., 2015 ). Like other online communication, the ability to connect with others anonymously may be an important feature of social media, especially for individuals living with highly stigmatizing health conditions ( Berger, Wagner, & Baker, 2005 ), such as serious mental disorders ( Highton-Williamson, Priebe, & Giacco, 2015 ).
Studies have found that individuals with serious mental disorders ( Spinzy, Nitzan, Becker, Bloch, & Fennig, 2012 ) as well as young adults with mental illness ( Gowen, Deschaine, Gruttadara, & Markey, 2012 ) appear to form online relationships and connect with others on social media as often as social media users from the general population. This is an important observation because individuals living with serious mental disorders typically have few social contacts in the offline world, and also experience high rates of loneliness ( Badcock et al., 2015 ; Giacco, Palumbo, Strappelli, Catapano, & Priebe, 2016 ). Among individuals receiving publicly funded mental health services who use social media, nearly half (47%) reported using these platforms at least weekly to feel less alone ( Brusilovskiy, Townley, Snethen, & Salzer, 2016 ). In another study of young adults with serious mental illness, most indicated that they used social media to help feel less isolated ( Gowen et al., 2012 ). Interestingly, more frequent use of social media among a sample of individuals with serious mental illness was associated with greater community participation, measured as participation in shopping, work, religious activities or visiting friends and family, as well as greater civic engagement, reflected as voting in local elections ( Brusilovskiy et al., 2016 ).
Emerging research also shows that young people with moderate to severe depressive symptoms appear to prefer communicating on social media rather than in-person ( Rideout & Fox, 2018 ), while other studies have found that some individuals may prefer to seek help for mental health concerns online rather than through in-person encounters ( Batterham & Calear, 2017 ). In a qualitative study, participants with schizophrenia described greater anonymity, the ability to discover that other people have experienced similar health challenges, and reducing fears through greater access to information as important motivations for using the Internet to seek mental health information ( Schrank, Sibitz, Unger, & Amering, 2010 ). Because social media does not require the immediate responses necessary in face-to-face communication, it may overcome deficits with social interaction due to psychotic symptoms that typically adversely affect face-to-face conversations ( Docherty et al., 1996 ). Online social interactions may not require the use of non-verbal cues, particularly in the initial stages of interaction ( Kiesler, Siegel, & McGuire, 1984 ), with interactions being more fluid, and within the control of users, thereby overcoming possible social anxieties linked to in-person interaction ( Indian & Grieve, 2014 ). Furthermore, many individuals with serious mental disorders can experience symptoms including passive social withdrawal, blunted affect and attentional impairment, as well as active social avoidance due to hallucinations or other concerns ( Hansen, Torgalsbøen, Melle, & Bell, 2009 ); thus, potentially reinforcing the relative advantage, as perceived by users, of using social media over in person conversations.
There is growing recognition about the role that social media channels could play in enabling peer support ( Bucci et al., 2019 ; Naslund, Aschbrenner, et al., 2016b ), referred to as a system of mutual giving and receiving where individuals who have endured the difficulties of mental illness can offer hope, friendship, and support to others facing similar challenges ( Davidson, Chinman, Sells, & Rowe, 2006 ; Mead, Hilton, & Curtis, 2001 ). Initial studies exploring use of online self-help forums among individuals with serious mental illnesses have found that individuals with schizophrenia appeared to use these forums for self-disclosure, and sharing personal experiences, in addition to providing or requesting information, describing symptoms, or discussing medication ( Haker, Lauber, & Rössler, 2005 ), while users with bipolar disorder reported using these forums to ask for help from others about their illness ( Vayreda & Antaki, 2009 ). More recently, in a review of online social networking in people with psychosis, Highton-Williamson et al (2015) highlight that an important purpose of such online connections was to establish new friendships, pursue romantic relationships, maintain existing relationships or reconnect with people, and seek online peer support from others with lived experience ( Highton-Williamson et al., 2015 ).
Online peer support among individuals with mental illness has been further elaborated in various studies. In a content analysis of comments posted to YouTube by individuals who self-identified as having a serious mental illness, there appeared to be opportunities to feel less alone, provide hope, find support and learn through mutual reciprocity, and share coping strategies for day-to-day challenges of living with a mental illness ( Naslund, Grande, Aschbrenner, & Elwyn, 2014 ). In another study, Chang (2009) delineated various communication patterns in an online psychosis peer-support group ( Chang, 2009 ). Specifically, different forms of support emerged, including ‘informational support’ about medication use or contacting mental health providers, ‘esteem support’ involving positive comments for encouragement, ‘network support’ for sharing similar experiences, and ‘emotional support’ to express understanding of a peer’s situation and offer hope or confidence ( Chang, 2009 ). Bauer et al. (2013) reported that the main interest in online self-help forums for patients with bipolar disorder was to share emotions with others, allow exchange of information, and benefit by being part of an online social group ( Bauer, Bauer, Spiessl, & Kagerbauer, 2013 ).
For individuals who openly discuss mental health problems on Twitter, a study by Berry et al. (2017) found that this served as an important opportunity to seek support and to hear about the experiences of others ( Berry et al., 2017 ). In a survey of social media users with mental illness, respondents reported that sharing personal experiences about living with mental illness and opportunities to learn about strategies for coping with mental illness from others were important reasons for using social media ( Naslund et al., 2017 ). A computational study of mental health awareness campaigns on Twitter provides further support with inspirational posts and tips being the most shared ( Saha et al., 2019 ). Taken together, these studies offer insights about the potential for social media to facilitate access to an informal peer support network, though more research is necessary to examine how these online interactions may impact intentions to seek care, illness self-management, and clinically meaningful outcomes in offline contexts.
Many individuals living with mental disorders have expressed interest in using social media platforms for seeking mental health information ( Lal, Nguyen, & Theriault, 2018 ), connecting with mental health providers ( M. L. Birnbaum et al., 2017 ), and accessing evidence-based mental health services delivered over social media specifically for coping with mental health symptoms or for promoting overall health and wellbeing ( Naslund et al., 2017 ). With the widespread use of social media among individuals living with mental illness combined with the potential to facilitate social interaction and connect with supportive peers, as summarized above, it may be possible to leverage the popular features of social media to enhance existing mental health programs and services. A recent review by Biagianti et al (2018) found that peer-to-peer support appeared to offer feasible and acceptable ways to augment digital mental health interventions for individuals with psychotic disorders by specifically improving engagement, compliance, and adherence to the interventions, and may also improve perceived social support ( Biagianti, Quraishi, & Schlosser, 2018 ).
Among digital programs that have incorporated peer-to-peer social networking consistent with popular features on social media platforms, a pilot study of the HORYZONS online psychosocial intervention demonstrated significant reductions in depression among patients with first episode psychosis ( Alvarez-Jimenez et al., 2013 ). Importantly, the majority of participants (95%) in this study engaged with the peer-to-peer networking feature of the program, with many reporting increases in perceived social connectedness and empowerment in their recovery process ( Alvarez-Jimenez et al., 2013 ). This moderated online social therapy program is now being evaluated as part of a large randomized controlled trial for maintaining treatment effects from first episode psychosis services ( Alvarez-Jimenez et al., 2019 ).
Other early efforts have demonstrated that use of digital environments with the interactive peer-to-peer features of social media can enhance social functioning and wellbeing in young people at high risk of psychosis ( Alvarez-Jimenez et al., 2018 ). There has also been a recent emergence of several mobile apps to support symptom monitoring and relapse prevention in psychotic disorders. Among these apps, the development of PRIME (Personalized Real-time Intervention for Motivational Enhancement) has involved working closely with young people with schizophrenia to ensure that the design of the app has the look and feel of mainstream social media platforms, as opposed to existing clinical tools ( Schlosser et al., 2016 ). This unique approach to the design of the app is aimed at promoting engagement, and ensuring that the app can effectively improve motivation and functioning through goal setting and promoting better quality of life of users with schizophrenia ( Schlosser et al., 2018 ).
Social media platforms could also be used to promote engagement and participation in in-person services delivered through community mental health settings. For example, the peer-based lifestyle intervention called PeerFIT targets weight loss and improved fitness among individuals living with serious mental illness through a combination of in-person lifestyle classes, exercise groups, and use of digital technologies ( Aschbrenner, Naslund, Shevenell, Kinney, & Bartels, 2016 ; Aschbrenner, Naslund, Shevenell, Mueser, & Bartels, 2016 ). The intervention holds tremendous promise as lack of support is one of the largest barriers toward exercise in patients with serious mental illness ( Firth et al., 2016 ) and it is now possible to use social media to counter such. Specifically, in PeerFIT, a private Facebook group is closely integrated into the program to offer a closed platform where participants can connect with the lifestyle coaches, access intervention content, and support or encourage each other as they work towards their lifestyle goals ( Aschbrenner, Naslund, & Bartels, 2016 ; Naslund, Aschbrenner, Marsch, & Bartels, 2016a ). To date, this program has demonstrate preliminary effectiveness for meaningfully reducing cardiovascular risk factors that contribute to early mortality in this patient group ( Aschbrenner, Naslund, Shevenell, Kinney, et al., 2016 ), while the Facebook component appears to have increased engagement in the program, while allowing participants who were unable to attend in-person sessions due to other health concerns or competing demands to remain connected with the program ( Naslund, Aschbrenner, Marsch, McHugo, & Bartels, 2018 ). This lifestyle intervention is currently being evaluated in a randomized controlled trial enrolling young adults with serious mental illness from a variety of real world community mental health services settings ( Aschbrenner, Naslund, Gorin, et al., 2018 ).
These examples highlight the promise of incorporating the features of popular social media into existing programs, which may offer opportunities to safely promote engagement and program retention, while achieving improved clinical outcomes. This is an emerging area of research, as evidenced by several important effectiveness trials underway ( Alvarez-Jimenez et al., 2019 ; Aschbrenner, Naslund, Gorin, et al., 2018 ), including efforts to leverage online social networking to support family caregivers of individuals receiving first episode psychosis services ( Gleeson et al., 2017 ).
The science on the role of social media for engaging persons with mental disorders needs a cautionary note on the effects of social media usage on mental health and well being, particularly in adolescents and young adults. While the risks and harms of social media are frequently covered in the popular press and mainstream news reports, careful consideration of the research in this area is necessary. In a review of 43 studies in young people, many benefits of social media were cited, including increased self-esteem, and opportunities for self-disclosure ( Best, Manktelow, & Taylor, 2014 ). Yet, reported negative effects were an increased exposure to harm, social isolation, depressive symptoms and bullying ( Best et al., 2014 ). In the sections that follow (see Table 1 for a summary), we consider three major categories of risk related to use of social media and mental health. These include: 1) Impact on symptoms; 2) Facing hostile interactions; and 3) Consequences for daily life.
Studies consistently highlight that use of social media, especially heavy use and prolonged time spent on social media platforms, appears to contribute to increased risk for a variety of mental health symptoms and poor wellbeing, especially among young people ( Andreassen et al., 2016 ; Kross et al., 2013 ; Woods & Scott, 2016 ). This may partly be driven by the detrimental effects of screen time on mental health, including increased severity of anxiety and depressive symptoms, which have been well documented ( Stiglic & Viner, 2019 ). Recent studies have reported negative effects of social media use on mental health of young people, including social comparison pressure with others and greater feeling of social isolation after being rejected by others on social media ( Rideout & Fox, 2018 ). In a study of young adults, it was found that negative comparisons with others on Facebook contributed to risk of rumination and subsequent increases in depression symptoms ( Feinstein et al., 2013 ). Still, the cross sectional nature of many screen time and mental health studies makes it challenging to reach causal inferences ( Orben & Przybylski, 2019 ).
Quantity of social media use is also an important factor, as highlighted in a survey of young adults ages 19 to 32, where more frequent visits to social media platforms each week were correlated with greater depressive symptoms ( Lin et al., 2016 ). More time spent using social media is also associated with greater symptoms of anxiety ( Vannucci, Flannery, & Ohannessian, 2017 ). The actual number of platforms accessed also appears to contribute to risk as reflected in another national survey of young adults where use of a large number of social media platforms was associated with negative impact on mental health ( Primack et al., 2017 ). Among survey respondents using between 7 and 11 different social media platforms compared to respondents using only 2 or fewer platforms, there was a 3 times greater odds of having high levels of depressive symptoms and a 3.2 times greater odds of having high levels of anxiety symptoms ( Primack et al., 2017 ).
Many researchers have postulated that worsening mental health attributed to social media use may be because social media replaces face-to-face interactions for young people ( Twenge & Campbell, 2018 ), and may contribute to greater loneliness ( Bucci et al., 2019 ), and negative effects on other aspects of health and wellbeing ( Woods & Scott, 2016 ). One nationally representative survey of US adolescents found that among respondents who reported more time accessing media such as social media platforms or smartphone devices, there was significantly greater depressive symptoms and increased risk of suicide when compared to adolescents who reported spending more time on non-screen activities, such as in-person social interaction or sports and recreation activities ( Twenge, Joiner, Rogers, & Martin, 2018 ). For individuals living with more severe mental illnesses, the effects of social media on psychiatric symptoms have received less attention. One study found that participation in chat rooms may contribute to worsening symptoms in young people with psychotic disorders ( Mittal, Tessner, & Walker, 2007 ), while another study of patients with psychosis found that social media use appeared to predict low mood ( Berry, Emsley, Lobban, & Bucci, 2018 ). These studies highlight a clear relationship between social media use and mental health that may not be present in general population studies ( Orben & Przybylski, 2019 ), and emphasize the need to explore how social media may contribute to symptom severity and whether protective factors may be identified to mitigate these risks.
Popular social media platforms can create potential situations where individuals may be victimized by negative comments or posts. Cyberbullying represents a form of online aggression directed towards specific individuals, such as peers or acquaintances, which is perceived to be most harmful when compared to random hostile comments posted online ( Hamm et al., 2015 ). Importantly, cyberbullying on social media consistently shows harmful impact on mental health in the form of increased depressive symptoms as well as worsening of anxiety symptoms, as evidenced in a review of 36 studies among children and young people ( Hamm et al., 2015 ). Furthermore, cyberbullying disproportionately impacts females as reflected in a national survey of adolescents in the United States, where females were twice as likely to be victims of cyberbullying compared to males ( Alhajji, Bass, & Dai, 2019 ). Most studies report cross-sectional associations between cyberbullying and symptoms of depression or anxiety ( Hamm et al., 2015 ), though one longitudinal study in Switzerland found that cyberbullying contributed to significantly greater depression over time ( Machmutow, Perren, Sticca, & Alsaker, 2012 ).
For youth ages 10 to 17 who reported major depressive symptomatology, there was over 3 times greater odds of facing online harassment in the last year compared to youth who reported mild or no depressive symptoms ( Ybarra, 2004 ). Similarly, in a 2018 national survey of young people, respondents ages 14 to 22 with moderate to severe depressive symptoms were more likely to have had negative experiences when using social media, and in particular, were more likely to report having faced hostile comments, or being “trolled”, from others when compared to respondents without depressive symptoms (31% vs. 14%) ( Rideout & Fox, 2018 ). As these studies depict risks for victimization on social media and the correlation with poor mental health, it is possible that individuals living with mental illness may also experience greater hostility online compared to individuals without mental illness. This would be consistent with research showing greater risk of hostility, including increased violence and discrimination, directed towards individuals living with mental illness in in-person contexts, especially targeted at those with severe mental illnesses ( Goodman et al., 1999 ).
A computational study of mental health awareness campaigns on Twitter reported that while stigmatizing content was rare, it was actually the most spread (re-tweeted) demonstrating that harmful content can travel quickly on social media ( Saha et al., 2019 ). Another study was able to map the spread of social media posts about the Blue Whale Challenge, an alleged game promoting suicide, over Twitter, YouTube, Reddit, Tumblr and other forums across 127 countries ( Sumner et al., 2019 ). These findings show that it is critical to monitor the actual content of social media posts, such as determining whether content is hostile or promotes harm to self or others. This is pertinent because existing research looking at duration of exposure cannot account for the impact of specific types of content on mental health and is insufficient to fully understand the effects of using these platforms on mental health.
The ways in which individuals use social media can also impact their offline relationships and everyday activities. To date, reports have described risks of social media use pertaining to privacy, confidentiality, and unintended consequences of disclosing personal health information online ( Torous & Keshavan, 2016 ). Additionally, concerns have been raised about poor quality or misleading health information shared on social media, and that social media users may not be aware of misleading information or conflicts of interest especially when the platforms promote popular content regardless of whether it is from a trustworthy source ( Moorhead et al., 2013 ; Ventola, 2014 ). For persons living with mental illness there may be additional risks from using social media. A recent study that specifically explored the perspectives of social media users with serious mental illnesses, including participants with schizophrenia spectrum disorders, bipolar disorder, or major depression, found that over one third of participants expressed concerns about privacy when using social media ( Naslund & Aschbrenner, 2019 ). The reported risks of social media use were directly related to many aspects of everyday life, including concerns about threats to employment, fear of stigma and being judged, impact on personal relationships, and facing hostility or being hurt ( Naslund & Aschbrenner, 2019 ). While few studies have specifically explored the dangers of social media use from the perspectives of individuals living with mental illness, it is important to recognize that use of these platforms may contribute to risks that extend beyond worsening symptoms and that can affect different aspects of daily life.
In this commentary we considered ways in which social media may yield benefits for individuals living with mental illness, while contrasting these with the possible harms. Studies reporting on the threats of social media for individuals with mental illness are mostly cross-sectional, making it difficult to draw conclusions about direction of causation. However, the risks are potentially serious. These risks should be carefully considered in discussions pertaining to use of social media and the broader use of digital mental health technologies, as avenues for mental health promotion, or for supporting access to evidence-based programs or mental health services. At this point, it would be premature to view the benefits of social media as outweighing the possible harms, when it is clear from the studies summarized here that social media use can have negative effects on mental health symptoms, can potentially expose individuals to hurtful content and hostile interactions, and can result in serious consequences for daily life, including threats to employment and personal relationships. Despite these risks, it is also necessary to recognize that individuals with mental illness will continue to use social media given the ease of accessing these platforms and the immense popularity of online social networking. With this in mind, it may be ideal to raise awareness about these possible risks so that individuals can implement necessary safeguards, while also highlighting that there could also be benefits. For individuals with mental illness who use social media, being aware of the risks is an essential first step, and then highlighting ways that use of these popular platforms could also contribute to some benefits, ranging from finding meaningful interactions with others, engaging with peer support networks, and accessing information and services.
To capitalize on the widespread use of social media, and to achieve the promise that these platforms may hold for supporting the delivery of targeted mental health interventions, there is need for continued research to better understand how individuals living with mental illness use social media. Such efforts could inform safety measures and also encourage use of social media in ways that maximize potential benefits while minimizing risk of harm. It will be important to recognize how gender and race contribute to differences in use of social media for seeking mental health information or accessing interventions, as well as differences in how social media might impact mental wellbeing. For example, a national survey of 14- to 22-year olds in the United States found that female respondents were more likely to search online for information about depression or anxiety, and to try to connect with other people online who share similar mental health concerns, when compared to male respondents ( Rideout & Fox, 2018 ). In the same survey, there did not appear to be any differences between racial or ethnic groups in social media use for seeking mental health information ( Rideout & Fox, 2018 ). Social media use also appears to have a differential impact on mental health and emotional wellbeing between females and males ( Booker, Kelly, & Sacker, 2018 ), highlighting the need to explore unique experiences between gender groups to inform tailored programs and services. Research shows that lesbian, gay, bisexual or transgender individuals frequently use social media for searching for health information and may be more likely compared to heterosexual individuals to share their own personal health experiences with others online ( Rideout & Fox, 2018 ). Less is known about use of social media for seeking support for mental health concerns among gender minorities, though this is an important area for further investigation as these individuals are more likely to experience mental health problems and more likely to experience online victimization when compared to heterosexual individuals ( Mereish, Sheskier, Hawthorne, & Goldbach, 2019 ).
Similarly, efforts are needed to explore the relationship between social media use and mental health among ethnic and racial minorities. A recent study found that exposure to traumatic online content on social media showing violence or hateful posts directed at racial minorities contributed to increases in psychological distress, PTSD symptoms, and depression among African American and Latinx adolescents in the United States ( Tynes, Willis, Stewart, & Hamilton, 2019 ). These concerns are contrasted by growing interest in the potential for new technologies including social media to expand the reach of services to underrepresented minority groups ( Schueller, Hunter, Figueroa, & Aguilera, 2019 ). Therefore, greater attention is needed to understanding the perspectives of ethnic and racial minorities to inform effective and safe use of social media for mental health promotion efforts.
Research has found that individuals living with mental illness have expressed interest in accessing mental health services through social media platforms. A survey of social media users with mental illness found that most respondents were interested in accessing programs for mental health on social media targeting symptom management, health promotion, and support for communicating with health care providers and interacting with the health system ( Naslund et al., 2017 ). Importantly, individuals with serious mental illness have also emphasized that any mental health intervention on social media would need to be moderated by someone with adequate training and credentials, would need to have ground rules and ways to promote safety and minimize risks, and importantly, would need to be free and easy to access.
An important strength with this commentary is that it combines a range of studies broadly covering the topic of social media and mental health. We have provided a summary of recent evidence in a rapidly advancing field with the goal of presenting unique ways that social media could offer benefits for individuals with mental illness, while also acknowledging the potentially serious risks and the need for further investigation. There are also several limitations with this commentary that warrant consideration. Importantly, as we aimed to address this broad objective, we did not conduct a systematic review of the literature. Therefore, the studies reported here are not exhaustive, and there may be additional relevant studies that were not included. Additionally, we only summarized published studies, and as a result, any reports from the private sector or websites from different organizations using social media or other apps containing social media-like features would have been omitted. Though it is difficult to rigorously summarize work from the private sector, sometimes referred to as “gray literature”, because many of these projects are unpublished and are likely selective in their reporting of findings given the target audience may be shareholders or consumers.
Another notable limitation is that we did not assess risk of bias in the studies summarized in this commentary. We found many studies that highlighted risks associated with social media use for individuals living with mental illness; however, few studies of programs or interventions reported negative findings, suggesting the possibility that negative findings may go unpublished. This concern highlights the need for a future more rigorous review of the literature with careful consideration of bias and an accompanying quality assessment. Most of the studies that we described were from the United States, as well as from other higher income settings such as Australia or the United Kingdom. Despite the global reach of social media platforms, there is a dearth of research on the impact of these platforms on the mental health of individuals in diverse settings, as well as the ways in which social media could support mental health services in lower income countries where there is virtually no access to mental health providers. Future research is necessary to explore the opportunities and risks for social media to support mental health promotion in low-income and middle-income countries, especially as these countries face a disproportionate share of the global burden of mental disorders, yet account for the majority of social media users worldwide ( Naslund et al., 2019 ).
As we consider future research directions, the near ubiquitous social media use also yields new opportunities to study the onset and manifestation of mental health symptoms and illness severity earlier than traditional clinical assessments. There is an emerging field of research referred to as ‘digital phenotyping’ aimed at capturing how individuals interact with their digital devices, including social media platforms, in order to study patterns of illness and identify optimal time points for intervention ( Jain, Powers, Hawkins, & Brownstein, 2015 ; Onnela & Rauch, 2016 ). Given that most people access social media via mobile devices, digital phenotyping and social media are closely related ( Torous et al., 2019 ). To date, the emergence of machine learning, a powerful computational method involving statistical and mathematical algorithms ( Shatte, Hutchinson, & Teague, 2019 ), has made it possible to study large quantities of data captured from popular social media platforms such as Twitter or Instagram to illuminate various features of mental health ( Manikonda & De Choudhury, 2017 ; Reece et al., 2017 ). Specifically, conversations on Twitter have been analyzed to characterize the onset of depression ( De Choudhury, Gamon, Counts, & Horvitz, 2013 ) as well as detecting users’ mood and affective states ( De Choudhury, Gamon, & Counts, 2012 ), while photos posted to Instagram can yield insights for predicting depression ( Reece & Danforth, 2017 ). The intersection of social media and digital phenotyping will likely add new levels of context to social media use in the near future.
Several studies have also demonstrated that when compared to a control group, Twitter users with a self-disclosed diagnosis of schizophrenia show unique online communication patterns ( Michael L Birnbaum, Ernala, Rizvi, De Choudhury, & Kane, 2017 ), including more frequent discussion of tobacco use ( Hswen et al., 2017 ), symptoms of depression and anxiety ( Hswen, Naslund, Brownstein, & Hawkins, 2018b ), and suicide ( Hswen, Naslund, Brownstein, & Hawkins, 2018a ). Another study found that online disclosures about mental illness appeared beneficial as reflected by fewer posts about symptoms following self-disclosure (Ernala, Rizvi, Birnbaum, Kane, & De Choudhury, 2017). Each of these examples offers early insights into the potential to leverage widely available online data for better understanding the onset and course of mental illness. It is possible that social media data could be used to supplement additional digital data, such as continuous monitoring using smartphone apps or smart watches, to generate a more comprehensive ‘digital phenotype’ to predict relapse and identify high-risk health behaviors among individuals living with mental illness ( Torous et al., 2019 ).
With research increasingly showing the valuable insights that social media data can yield about mental health states, greater attention to the ethical concerns with using individual data in this way is necessary ( Chancellor, Birnbaum, Caine, Silenzio, & De Choudhury, 2019 ). For instance, data is typically captured from social media platforms without the consent or awareness of users ( Bidargaddi et al., 2017 ), which is especially crucial when the data relates to a socially stigmatizing health condition such as mental illness ( Guntuku, Yaden, Kern, Ungar, & Eichstaedt, 2017 ). Precautions are needed to ensure that data is not made identifiable in ways that were not originally intended by the user who posted the content, as this could place an individual at risk of harm or divulge sensitive health information ( Webb et al., 2017 ; Williams, Burnap, & Sloan, 2017 ). Promising approaches for minimizing these risks include supporting the participation of individuals with expertise in privacy, clinicians, as well as the target individuals with mental illness throughout the collection of data, development of predictive algorithms, and interpretation of findings ( Chancellor et al., 2019 ).
In recognizing that many individuals living with mental illness use social media to search for information about their mental health, it is possible that they may also want to ask their clinicians about what they find online to check if the information is reliable and trustworthy. Alternatively, many individuals may feel embarrassed or reluctant to talk to their clinicians about using social media to find mental health information out of concerns of being judged or dismissed. Therefore, mental health clinicians may be ideally positioned to talk with their patients about using social media, and offer recommendations to promote safe use of these sites, while also respecting their patients’ autonomy and personal motivations for using these popular platforms. Given the gap in clinical knowledge about the impact of social media on mental health, clinicians should be aware of the many potential risks so that they can inform their patients, while remaining open to the possibility that their patients may also experience benefits through use of these platforms. As awareness of these risks grows, it may be possible that new protections will be put in place by industry or through new policies that will make the social media environment safer. It is hard to estimate a number needed to treat or harm today given the nascent state of research, which means the patient and clinician need to weigh the choice on a personal level. Thus offering education and information is an important first step in that process. As patients increasingly show interest in accessing mental health information or services through social media, it will be necessary for health systems to recognize social media as a potential avenue for reaching or offering support to patients. This aligns with growing emphasis on the need for greater integration of digital psychiatry, including apps, smartphones, or wearable devices, into patient care and clinical services through institution-wide initiatives and training clinical providers ( Hilty, Chan, Torous, Luo, & Boland, 2019 ). Within a learning healthcare environment where research and care are tightly intertwined and feedback between both is rapid, the integration of digital technologies into services may create new opportunities for advancing use of social media for mental health.
As highlighted in this commentary, social media has become an important part of the lives of many individuals living with mental disorders. Many of these individuals use social media to share their lived experiences with mental illness, to seek support from others, and to search for information about treatment recommendations, accessing mental health services, and coping with symptoms ( Bucci et al., 2019 ; Highton-Williamson et al., 2015 ; Naslund, Aschbrenner, et al., 2016b ). As the field of digital mental health advances, the wide reach, ease of access, and popularity of social media platforms could be used to allow individuals in need of mental health services or facing challenges of mental illness to access evidence-based treatment and support. To achieve this end and to explore whether social media platforms can advance efforts to close the gap in available mental health services in the United States and globally, it will be essential for researchers to work closely with clinicians and with those affected by mental illness to ensure that possible benefits of using social media are carefully weighed against anticipated risks.
Dr. Naslund is supported by a grant from the National Institute of Mental Health (U19MH113211). Dr. Aschbrenner is supported by a grant from the National Institute of Mental Health (1R01MH110965-01).
Publisher's Disclaimer: This Author Accepted Manuscript is a PDF file of a an unedited peer-reviewed manuscript that has been accepted for publication but has not been copyedited or corrected. The official version of record that is published in the journal is kept up to date and so may therefore differ from this version.
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In April, the social psychologist Jonathan Haidt published an essay in The Atlantic in which he sought to explain, as the piece’s title had it, “Why the Past 10 Years of American Life Have Been Uniquely Stupid.” Anyone familiar with Haidt’s work in the past half decade could have anticipated his answer: social media. Although Haidt concedes that political polarization and factional enmity long predate the rise of the platforms, and that there are plenty of other factors involved, he believes that the tools of virality—Facebook’s Like and Share buttons, Twitter’s Retweet function—have algorithmically and irrevocably corroded public life. He has determined that a great historical discontinuity can be dated with some precision to the period between 2010 and 2014, when these features became widely available on phones.
“What changed in the 2010s?” Haidt asks, reminding his audience that a former Twitter developer had once compared the Retweet button to the provision of a four-year-old with a loaded weapon. “A mean tweet doesn’t kill anyone; it is an attempt to shame or punish someone publicly while broadcasting one’s own virtue, brilliance, or tribal loyalties. It’s more a dart than a bullet, causing pain but no fatalities. Even so, from 2009 to 2012, Facebook and Twitter passed out roughly a billion dart guns globally. We’ve been shooting one another ever since.” While the right has thrived on conspiracy-mongering and misinformation, the left has turned punitive: “When everyone was issued a dart gun in the early 2010s, many left-leaning institutions began shooting themselves in the brain. And, unfortunately, those were the brains that inform, instruct, and entertain most of the country.” Haidt’s prevailing metaphor of thoroughgoing fragmentation is the story of the Tower of Babel: the rise of social media has “unwittingly dissolved the mortar of trust, belief in institutions, and shared stories that had held a large and diverse secular democracy together.”
These are, needless to say, common concerns. Chief among Haidt’s worries is that use of social media has left us particularly vulnerable to confirmation bias, or the propensity to fix upon evidence that shores up our prior beliefs. Haidt acknowledges that the extant literature on social media’s effects is large and complex, and that there is something in it for everyone. On January 6, 2021, he was on the phone with Chris Bail, a sociologist at Duke and the author of the recent book “ Breaking the Social Media Prism ,” when Bail urged him to turn on the television. Two weeks later, Haidt wrote to Bail, expressing his frustration at the way Facebook officials consistently cited the same handful of studies in their defense. He suggested that the two of them collaborate on a comprehensive literature review that they could share, as a Google Doc, with other researchers. (Haidt had experimented with such a model before.) Bail was cautious. He told me, “What I said to him was, ‘Well, you know, I’m not sure the research is going to bear out your version of the story,’ and he said, ‘Why don’t we see?’ ”
Bail emphasized that he is not a “platform-basher.” He added, “In my book, my main take is, Yes, the platforms play a role, but we are greatly exaggerating what it’s possible for them to do—how much they could change things no matter who’s at the helm at these companies—and we’re profoundly underestimating the human element, the motivation of users.” He found Haidt’s idea of a Google Doc appealing, in the way that it would produce a kind of living document that existed “somewhere between scholarship and public writing.” Haidt was eager for a forum to test his ideas. “I decided that if I was going to be writing about this—what changed in the universe, around 2014, when things got weird on campus and elsewhere—once again, I’d better be confident I’m right,” he said. “I can’t just go off my feelings and my readings of the biased literature. We all suffer from confirmation bias, and the only cure is other people who don’t share your own.”
Haidt and Bail, along with a research assistant, populated the document over the course of several weeks last year, and in November they invited about two dozen scholars to contribute. Haidt told me, of the difficulties of social-scientific methodology, “When you first approach a question, you don’t even know what it is. ‘Is social media destroying democracy, yes or no?’ That’s not a good question. You can’t answer that question. So what can you ask and answer?” As the document took on a life of its own, tractable rubrics emerged—Does social media make people angrier or more affectively polarized? Does it create political echo chambers? Does it increase the probability of violence? Does it enable foreign governments to increase political dysfunction in the United States and other democracies? Haidt continued, “It’s only after you break it up into lots of answerable questions that you see where the complexity lies.”
Haidt came away with the sense, on balance, that social media was in fact pretty bad. He was disappointed, but not surprised, that Facebook’s response to his article relied on the same three studies they’ve been reciting for years. “This is something you see with breakfast cereals,” he said, noting that a cereal company “might say, ‘Did you know we have twenty-five per cent more riboflavin than the leading brand?’ They’ll point to features where the evidence is in their favor, which distracts you from the over-all fact that your cereal tastes worse and is less healthy.”
After Haidt’s piece was published, the Google Doc—“Social Media and Political Dysfunction: A Collaborative Review”—was made available to the public . Comments piled up, and a new section was added, at the end, to include a miscellany of Twitter threads and Substack essays that appeared in response to Haidt’s interpretation of the evidence. Some colleagues and kibbitzers agreed with Haidt. But others, though they might have shared his basic intuition that something in our experience of social media was amiss, drew upon the same data set to reach less definitive conclusions, or even mildly contradictory ones. Even after the initial flurry of responses to Haidt’s article disappeared into social-media memory, the document, insofar as it captured the state of the social-media debate, remained a lively artifact.
Near the end of the collaborative project’s introduction, the authors warn, “We caution readers not to simply add up the number of studies on each side and declare one side the winner.” The document runs to more than a hundred and fifty pages, and for each question there are affirmative and dissenting studies, as well as some that indicate mixed results. According to one paper, “Political expressions on social media and the online forum were found to (a) reinforce the expressers’ partisan thought process and (b) harden their pre-existing political preferences,” but, according to another, which used data collected during the 2016 election, “Over the course of the campaign, we found media use and attitudes remained relatively stable. Our results also showed that Facebook news use was related to modest over-time spiral of depolarization. Furthermore, we found that people who use Facebook for news were more likely to view both pro- and counter-attitudinal news in each wave. Our results indicated that counter-attitudinal exposure increased over time, which resulted in depolarization.” If results like these seem incompatible, a perplexed reader is given recourse to a study that says, “Our findings indicate that political polarization on social media cannot be conceptualized as a unified phenomenon, as there are significant cross-platform differences.”
Interested in echo chambers? “Our results show that the aggregation of users in homophilic clusters dominate online interactions on Facebook and Twitter,” which seems convincing—except that, as another team has it, “We do not find evidence supporting a strong characterization of ‘echo chambers’ in which the majority of people’s sources of news are mutually exclusive and from opposite poles.” By the end of the file, the vaguely patronizing top-line recommendation against simple summation begins to make more sense. A document that originated as a bulwark against confirmation bias could, as it turned out, just as easily function as a kind of generative device to support anybody’s pet conviction. The only sane response, it seemed, was simply to throw one’s hands in the air.
When I spoke to some of the researchers whose work had been included, I found a combination of broad, visceral unease with the current situation—with the banefulness of harassment and trolling; with the opacity of the platforms; with, well, the widespread presentiment that of course social media is in many ways bad—and a contrastive sense that it might not be catastrophically bad in some of the specific ways that many of us have come to take for granted as true. This was not mere contrarianism, and there was no trace of gleeful mythbusting; the issue was important enough to get right. When I told Bail that the upshot seemed to me to be that exactly nothing was unambiguously clear, he suggested that there was at least some firm ground. He sounded a bit less apocalyptic than Haidt.
“A lot of the stories out there are just wrong,” he told me. “The political echo chamber has been massively overstated. Maybe it’s three to five per cent of people who are properly in an echo chamber.” Echo chambers, as hotboxes of confirmation bias, are counterproductive for democracy. But research indicates that most of us are actually exposed to a wider range of views on social media than we are in real life, where our social networks—in the original use of the term—are rarely heterogeneous. (Haidt told me that this was an issue on which the Google Doc changed his mind; he became convinced that echo chambers probably aren’t as widespread a problem as he’d once imagined.) And too much of a focus on our intuitions about social media’s echo-chamber effect could obscure the relevant counterfactual: a conservative might abandon Twitter only to watch more Fox News. “Stepping outside your echo chamber is supposed to make you moderate, but maybe it makes you more extreme,” Bail said. The research is inchoate and ongoing, and it’s difficult to say anything on the topic with absolute certainty. But this was, in part, Bail’s point: we ought to be less sure about the particular impacts of social media.
Bail went on, “The second story is foreign misinformation.” It’s not that misinformation doesn’t exist, or that it hasn’t had indirect effects, especially when it creates perverse incentives for the mainstream media to cover stories circulating online. Haidt also draws convincingly upon the work of Renée DiResta, the research manager at the Stanford Internet Observatory, to sketch out a potential future in which the work of shitposting has been outsourced to artificial intelligence, further polluting the informational environment. But, at least so far, very few Americans seem to suffer from consistent exposure to fake news—“probably less than two per cent of Twitter users, maybe fewer now, and for those who were it didn’t change their opinions,” Bail said. This was probably because the people likeliest to consume such spectacles were the sort of people primed to believe them in the first place. “In fact,” he said, “echo chambers might have done something to quarantine that misinformation.”
The final story that Bail wanted to discuss was the “proverbial rabbit hole, the path to algorithmic radicalization,” by which YouTube might serve a viewer increasingly extreme videos. There is some anecdotal evidence to suggest that this does happen, at least on occasion, and such anecdotes are alarming to hear. But a new working paper led by Brendan Nyhan, a political scientist at Dartmouth, found that almost all extremist content is either consumed by subscribers to the relevant channels—a sign of actual demand rather than manipulation or preference falsification—or encountered via links from external sites. It’s easy to see why we might prefer if this were not the case: algorithmic radicalization is presumably a simpler problem to solve than the fact that there are people who deliberately seek out vile content. “These are the three stories—echo chambers, foreign influence campaigns, and radicalizing recommendation algorithms—but, when you look at the literature, they’ve all been overstated.” He thought that these findings were crucial for us to assimilate, if only to help us understand that our problems may lie beyond technocratic tinkering. He explained, “Part of my interest in getting this research out there is to demonstrate that everybody is waiting for an Elon Musk to ride in and save us with an algorithm”—or, presumably, the reverse—“and it’s just not going to happen.”
When I spoke with Nyhan, he told me much the same thing: “The most credible research is way out of line with the takes.” He noted, of extremist content and misinformation, that reliable research that “measures exposure to these things finds that the people consuming this content are small minorities who have extreme views already.” The problem with the bulk of the earlier research, Nyhan told me, is that it’s almost all correlational. “Many of these studies will find polarization on social media,” he said. “But that might just be the society we live in reflected on social media!” He hastened to add, “Not that this is untroubling, and none of this is to let these companies, which are exercising a lot of power with very little scrutiny, off the hook. But a lot of the criticisms of them are very poorly founded. . . . The expansion of Internet access coincides with fifteen other trends over time, and separating them is very difficult. The lack of good data is a huge problem insofar as it lets people project their own fears into this area.” He told me, “It’s hard to weigh in on the side of ‘We don’t know, the evidence is weak,’ because those points are always going to be drowned out in our discourse. But these arguments are systematically underprovided in the public domain.”
In his Atlantic article, Haidt leans on a working paper by two social scientists, Philipp Lorenz-Spreen and Lisa Oswald, who took on a comprehensive meta-analysis of about five hundred papers and concluded that “the large majority of reported associations between digital media use and trust appear to be detrimental for democracy.” Haidt writes, “The literature is complex—some studies show benefits, particularly in less developed democracies—but the review found that, on balance, social media amplifies political polarization; foments populism, especially right-wing populism; and is associated with the spread of misinformation.” Nyhan was less convinced that the meta-analysis supported such categorical verdicts, especially once you bracketed the kinds of correlational findings that might simply mirror social and political dynamics. He told me, “If you look at their summary of studies that allow for causal inferences—it’s very mixed.”
As for the studies Nyhan considered most methodologically sound, he pointed to a 2020 article called “The Welfare Effects of Social Media,” by Hunt Allcott, Luca Braghieri, Sarah Eichmeyer, and Matthew Gentzkow. For four weeks prior to the 2018 midterm elections, the authors randomly divided a group of volunteers into two cohorts—one that continued to use Facebook as usual, and another that was paid to deactivate their accounts for that period. They found that deactivation “(i) reduced online activity, while increasing offline activities such as watching TV alone and socializing with family and friends; (ii) reduced both factual news knowledge and political polarization; (iii) increased subjective well-being; and (iv) caused a large persistent reduction in post-experiment Facebook use.” But Gentzkow reminded me that his conclusions, including that Facebook may slightly increase polarization, had to be heavily qualified: “From other kinds of evidence, I think there’s reason to think social media is not the main driver of increasing polarization over the long haul in the United States.”
In the book “ Why We’re Polarized ,” for example, Ezra Klein invokes the work of such scholars as Lilliana Mason to argue that the roots of polarization might be found in, among other factors, the political realignment and nationalization that began in the sixties, and were then sacralized, on the right, by the rise of talk radio and cable news. These dynamics have served to flatten our political identities, weakening our ability or inclination to find compromise. Insofar as some forms of social media encourage the hardening of connections between our identities and a narrow set of opinions, we might increasingly self-select into mutually incomprehensible and hostile groups; Haidt plausibly suggests that these processes are accelerated by the coalescence of social-media tribes around figures of fearful online charisma. “Social media might be more of an amplifier of other things going on rather than a major driver independently,” Gentzkow argued. “I think it takes some gymnastics to tell a story where it’s all primarily driven by social media, especially when you’re looking at different countries, and across different groups.”
Another study, led by Nejla Asimovic and Joshua Tucker, replicated Gentzkow’s approach in Bosnia and Herzegovina, and they found almost precisely the opposite results: the people who stayed on Facebook were, by the end of the study, more positively disposed to their historic out-groups. The authors’ interpretation was that ethnic groups have so little contact in Bosnia that, for some people, social media is essentially the only place where they can form positive images of one another. “To have a replication and have the signs flip like that, it’s pretty stunning,” Bail told me. “It’s a different conversation in every part of the world.”
Nyhan argued that, at least in wealthy Western countries, we might be too heavily discounting the degree to which platforms have responded to criticism: “Everyone is still operating under the view that algorithms simply maximize engagement in a short-term way” with minimal attention to potential externalities. “That might’ve been true when Zuckerberg had seven people working for him, but there are a lot of considerations that go into these rankings now.” He added, “There’s some evidence that, with reverse-chronological feeds”—streams of unwashed content, which some critics argue are less manipulative than algorithmic curation—“people get exposed to more low-quality content, so it’s another case where a very simple notion of ‘algorithms are bad’ doesn’t stand up to scrutiny. It doesn’t mean they’re good, it’s just that we don’t know.”
Bail told me that, over all, he was less confident than Haidt that the available evidence lines up clearly against the platforms. “Maybe there’s a slight majority of studies that say that social media is a net negative, at least in the West, and maybe it’s doing some good in the rest of the world.” But, he noted, “Jon will say that science has this expectation of rigor that can’t keep up with the need in the real world—that even if we don’t have the definitive study that creates the historical counterfactual that Facebook is largely responsible for polarization in the U.S., there’s still a lot pointing in that direction, and I think that’s a fair point.” He paused. “It can’t all be randomized control trials.”
Haidt comes across in conversation as searching and sincere, and, during our exchange, he paused several times to suggest that I include a quote from John Stuart Mill on the importance of good-faith debate to moral progress. In that spirit, I asked him what he thought of the argument, elaborated by some of Haidt’s critics, that the problems he described are fundamentally political, social, and economic, and that to blame social media is to search for lost keys under the streetlamp, where the light is better. He agreed that this was the steelman opponent: there were predecessors for cancel culture in de Tocqueville, and anxiety about new media that went back to the time of the printing press. “This is a perfectly reasonable hypothesis, and it’s absolutely up to the prosecution—people like me—to argue that, no, this time it’s different. But it’s a civil case! The evidential standard is not ‘beyond a reasonable doubt,’ as in a criminal case. It’s just a preponderance of the evidence.”
The way scholars weigh the testimony is subject to their disciplinary orientations. Economists and political scientists tend to believe that you can’t even begin to talk about causal dynamics without a randomized controlled trial, whereas sociologists and psychologists are more comfortable drawing inferences on a correlational basis. Haidt believes that conditions are too dire to take the hardheaded, no-reasonable-doubt view. “The preponderance of the evidence is what we use in public health. If there’s an epidemic—when COVID started, suppose all the scientists had said, ‘No, we gotta be so certain before you do anything’? We have to think about what’s actually happening, what’s likeliest to pay off.” He continued, “We have the largest epidemic ever of teen mental health, and there is no other explanation,” he said. “It is a raging public-health epidemic, and the kids themselves say Instagram did it, and we have some evidence, so is it appropriate to say, ‘Nah, you haven’t proven it’?”
This was his attitude across the board. He argued that social media seemed to aggrandize inflammatory posts and to be correlated with a rise in violence; even if only small groups were exposed to fake news, such beliefs might still proliferate in ways that were hard to measure. “In the post-Babel era, what matters is not the average but the dynamics, the contagion, the exponential amplification,” he said. “Small things can grow very quickly, so arguments that Russian disinformation didn’t matter are like COVID arguments that people coming in from China didn’t have contact with a lot of people.” Given the transformative effects of social media, Haidt insisted, it was important to act now, even in the absence of dispositive evidence. “Academic debates play out over decades and are often never resolved, whereas the social-media environment changes year by year,” he said. “We don’t have the luxury of waiting around five or ten years for literature reviews.”
Haidt could be accused of question-begging—of assuming the existence of a crisis that the research might or might not ultimately underwrite. Still, the gap between the two sides in this case might not be quite as wide as Haidt thinks. Skeptics of his strongest claims are not saying that there’s no there there. Just because the average YouTube user is unlikely to be led to Stormfront videos, Nyhan told me, doesn’t mean we shouldn’t worry that some people are watching Stormfront videos; just because echo chambers and foreign misinformation seem to have had effects only at the margins, Gentzkow said, doesn’t mean they’re entirely irrelevant. “There are many questions here where the thing we as researchers are interested in is how social media affects the average person,” Gentzkow told me. “There’s a different set of questions where all you need is a small number of people to change—questions about ethnic violence in Bangladesh or Sri Lanka, people on YouTube mobilized to do mass shootings. Much of the evidence broadly makes me skeptical that the average effects are as big as the public discussion thinks they are, but I also think there are cases where a small number of people with very extreme views are able to find each other and connect and act.” He added, “That’s where many of the things I’d be most concerned about lie.”
The same might be said about any phenomenon where the base rate is very low but the stakes are very high, such as teen suicide. “It’s another case where those rare edge cases in terms of total social harm may be enormous. You don’t need many teen-age kids to decide to kill themselves or have serious mental-health outcomes in order for the social harm to be really big.” He added, “Almost none of this work is able to get at those edge-case effects, and we have to be careful that if we do establish that the average effect of something is zero, or small, that it doesn’t mean we shouldn’t be worried about it—because we might be missing those extremes.” Jaime Settle, a scholar of political behavior at the College of William & Mary and the author of the book “ Frenemies: How Social Media Polarizes America ,” noted that Haidt is “farther along the spectrum of what most academics who study this stuff are going to say we have strong evidence for.” But she understood his impulse: “We do have serious problems, and I’m glad Jon wrote the piece, and down the road I wouldn’t be surprised if we got a fuller handle on the role of social media in all of this—there are definitely ways in which social media has changed our politics for the worse.”
It’s tempting to sidestep the question of diagnosis entirely, and to evaluate Haidt’s essay not on the basis of predictive accuracy—whether social media will lead to the destruction of American democracy—but as a set of proposals for what we might do better. If he is wrong, how much damage are his prescriptions likely to do? Haidt, to his great credit, does not indulge in any wishful thinking, and if his diagnosis is largely technological his prescriptions are sociopolitical. Two of his three major suggestions seem useful and have nothing to do with social media: he thinks that we should end closed primaries and that children should be given wide latitude for unsupervised play. His recommendations for social-media reform are, for the most part, uncontroversial: he believes that preteens shouldn’t be on Instagram and that platforms should share their data with outside researchers—proposals that are both likely to be beneficial and not very costly.
It remains possible, however, that the true costs of social-media anxieties are harder to tabulate. Gentzkow told me that, for the period between 2016 and 2020, the direct effects of misinformation were difficult to discern. “But it might have had a much larger effect because we got so worried about it—a broader impact on trust,” he said. “Even if not that many people were exposed, the narrative that the world is full of fake news, and you can’t trust anything, and other people are being misled about it—well, that might have had a bigger impact than the content itself.” Nyhan had a similar reaction. “There are genuine questions that are really important, but there’s a kind of opportunity cost that is missed here. There’s so much focus on sweeping claims that aren’t actionable, or unfounded claims we can contradict with data, that are crowding out the harms we can demonstrate, and the things we can test, that could make social media better.” He added, “We’re years into this, and we’re still having an uninformed conversation about social media. It’s totally wild.”
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Feb 15, 2023
Got an essay assignment about the effects of social media we got you covered check out our examples and outlines below.
Social media has become one of our society's most prominent ways of communication and information sharing in a very short time. It has changed how we communicate and has given us a platform to express our views and opinions and connect with others. It keeps us informed about the world around us. Social media platforms such as Facebook, Twitter, Instagram, and LinkedIn have brought individuals from all over the world together, breaking down geographical borders and fostering a genuinely global community.
However, social media comes with its difficulties. With the rise of misinformation, cyberbullying, and privacy problems, it's critical to utilize these platforms properly and be aware of the risks. Students in the academic world are frequently assigned essays about the impact of social media on numerous elements of our lives, such as relationships, politics, and culture. These essays necessitate a thorough comprehension of the subject matter, critical thinking, and the ability to synthesize and convey information clearly and succinctly.
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We will provide various examples of social media essays so you may get a feel for the genre.
Here are 6 examples of Social Media Essays:
Introduction:.
The way we share information and build relationships has evolved as a direct result of the prevalence of social media in our daily lives. The influence of social media on interpersonal connections and conversation is a hot topic. Although social media has many positive effects, such as bringing people together regardless of physical proximity and making communication quicker and more accessible, it also has a dark side that can affect interpersonal connections and dialogue.
Connecting People Across Distances
One of social media's most significant benefits is its ability to connect individuals across long distances. People can use social media platforms to interact and stay in touch with friends and family far away. People can now maintain intimate relationships with those they care about, even when physically separated.
Improved Communication Speed and Efficiency
Additionally, the proliferation of social media sites has accelerated and simplified communication. Thanks to instant messaging, users can have short, timely conversations rather than lengthy ones via email. Furthermore, social media facilitates group communication, such as with classmates or employees, by providing a unified forum for such activities.
Decreased Face-to-Face Communication
The decline in in-person interaction is one of social media's most pernicious consequences on interpersonal connections and dialogue. People's reliance on digital communication over in-person contact has increased along with the popularity of social media. Face-to-face interaction has suffered as a result, which has adverse effects on interpersonal relationships and the development of social skills.
Decreased Emotional Intimacy
Another adverse effect of social media on relationships and communication is decreased emotional intimacy. Digital communication lacks the nonverbal cues and facial expressions critical in building emotional connections with others. This can make it more difficult for people to develop close and meaningful relationships, leading to increased loneliness and isolation.
Increased Conflict and Miscommunication
Finally, social media can also lead to increased conflict and miscommunication. The anonymity and distance provided by digital communication can lead to misunderstandings and hurtful comments that might not have been made face-to-face. Additionally, social media can provide a platform for cyberbullying , which can have severe consequences for the victim's mental health and well-being.
In conclusion, the impact of social media on relationships and communication is a complex issue with both positive and negative effects. While social media platforms offer many benefits, such as connecting people across distances and enabling faster and more accessible communication, they also have a dark side that can negatively affect relationships and communication. It is up to individuals to use social media responsibly and to prioritize in-person communication in their relationships and interactions with others.
Social media has revolutionized the way information is shared and disseminated. However, the ease and speed at which data can be spread on social media also make it a powerful tool for spreading misinformation and fake news. Misinformation and fake news can seriously affect public opinion, influence political decisions, and even cause harm to individuals and communities.
Misinformation and fake news are prevalent on social media platforms, where they can spread quickly and reach a large audience. This is partly due to the way social media algorithms work, which prioritizes content likely to generate engagement, such as sensational or controversial stories. As a result, false information can spread rapidly and be widely shared before it is fact-checked or debunked.
Social media can significantly impact public opinion, as people are likelier to believe the information they see shared by their friends and followers. This can lead to a self-reinforcing cycle, where misinformation and fake news are spread and reinforced, even in the face of evidence to the contrary.
Correcting misinformation and fake news on social media can be a challenging task. This is partly due to the speed at which false information can spread and the difficulty of reaching the same audience exposed to the wrong information in the first place. Additionally, some individuals may be resistant to accepting correction, primarily if the incorrect information supports their beliefs or biases.
In conclusion, the function of social media in disseminating misinformation and fake news is complex and urgent. While social media has revolutionized the sharing of information, it has also made it simpler for false information to propagate and be widely believed. Individuals must be accountable for the information they share and consume, and social media firms must take measures to prevent the spread of disinformation and fake news on their platforms.
Social media has become an integral part of modern life, with billions of people around the world using platforms like Facebook, Instagram, and Twitter to stay connected with others and access information. However, while social media has many benefits, it can also negatively affect mental health and well-being.
One of the key ways that social media can affect mental health is by promoting feelings of comparison and low self-esteem. People often present a curated version of their lives on social media, highlighting their successes and hiding their struggles. This can lead others to compare themselves unfavorably, leading to feelings of inadequacy and low self-esteem.
Another way that social media can negatively impact mental health is through cyberbullying and online harassment. Social media provides a platform for anonymous individuals to harass and abuse others, leading to feelings of anxiety, fear, and depression.
Despite its name, social media can also contribute to feelings of isolation. At the same time, people may have many online friends but need more meaningful in-person connections and support. This can lead to feelings of loneliness and depression.
Finally, social media can be addictive, leading to overuse and negatively impacting mental health and well-being. People may spend hours each day scrolling through their feeds, neglecting other important areas of their lives, such as work, family, and self-care.
In sum, social media has positive and negative consequences on one's psychological and emotional well-being. Realizing this, and taking measures like reducing one's social media use, reaching out to loved ones for help, and prioritizing one's well-being, are crucial. In addition, it's vital that social media giants take ownership of their platforms and actively encourage excellent mental health and well-being.
Social media has recently become increasingly crucial in political action and social movements. Platforms such as Twitter, Facebook, and Instagram have given people new ways to express themselves, organize protests, and raise awareness about social and political issues.
One of the most important uses of social media in political activity and social movements has been to raise awareness about important issues and mobilize action. Hashtags such as #MeToo and #BlackLivesMatter, for example, have brought attention to sexual harassment and racial injustice, respectively. Similarly, social media has been used to organize protests and other political actions, allowing people to band together and express themselves on a bigger scale.
A second method in that social media has been utilized in political activity and social movements is to unite like-minded individuals. Through social media, individuals can join online groups, share knowledge and resources, and work with others to accomplish shared objectives. This has been especially significant for geographically scattered individuals or those without access to traditional means of political organizing.
As a vehicle for political action and social movements, social media has faced many obstacles and restrictions despite its many advantages. For instance, the propagation of misinformation and fake news on social media can impede attempts to disseminate accurate and reliable information. In addition, social media corporations have been condemned for censorship and insufficient protection of user rights.
In conclusion, social media has emerged as a potent instrument for political activism and social movements, giving voice to previously unheard communities and galvanizing support for change. Social media presents many opportunities for communication and collaboration. Still, users and institutions must be conscious of the risks and limitations of these tools to promote their responsible and productive usage.
With billions of users each day on sites like Facebook, Twitter, and Instagram, social media has ingrained itself into every aspect of our lives. While these platforms offer a straightforward method to communicate with others and exchange information, they also raise significant concerns over data collecting and privacy. This article will examine the possible privacy issues posed by social media use and data-gathering techniques.
The gathering and sharing of personal data are significant privacy issues brought up by social media use. Social networking sites gather user data, including details about their relationships, hobbies, and routines. This information is made available to third-party businesses for various uses, such as marketing and advertising. This can lead to serious concerns about who has access to and uses our personal information.
The absence of user control over personal information is a significant privacy issue brought up by social media usage. Social media makes it challenging to limit who has access to and how data is utilized once it has been posted. Sensitive information may end up being extensively disseminated and may be used maliciously as a result.
Social media companies utilize the information they gather about users to target them with adverts relevant to their interests and usage patterns. Although this could be useful, it might also cause consumers to worry about their privacy since they might feel that their personal information is being used without their permission. Furthermore, there are issues with the integrity of the data being used to target users and the possibility of prejudice based on individual traits.
Using social media might spark worries about government surveillance. There are significant concerns regarding privacy and free expression when governments in some nations utilize social media platforms to follow and monitor residents.
In conclusion, social media use raises significant concerns regarding data collecting and privacy. While these platforms make it easy to interact with people and exchange information, they also gather a lot of personal information, which raises questions about who may access it and how it will be used. Users should be aware of these privacy issues and take precautions to safeguard their personal information, such as exercising caution when choosing what details to disclose on social media and keeping their information sharing with other firms to a minimum.
Our use of social media to communicate with loved ones, acquire information, and even conduct business has become a crucial part of our everyday lives. The extensive use of social media does, however, raise some ethical and privacy issues that must be resolved. The influence of social media use and data collecting on user rights, the accountability of social media businesses, and the need for improved regulation are all topics that will be covered in this article.
Social networking sites gather tons of personal data from their users, including delicate information like search history, location data, and even health data. Each user's detailed profile may be created with this data and sold to advertising or used for other reasons. Concerns regarding the privacy of personal information might arise because social media businesses can use this data to target users with customized adverts.
Additionally, individuals might need to know how much their personal information is being gathered and exploited. Data breaches or the unauthorized sharing of personal information with other parties may result in instances where sensitive information is exposed. Users should be aware of the privacy rules of social media firms and take precautions to secure their data.
Social media firms should ensure that they responsibly and ethically gather and use user information. This entails establishing strong security measures to safeguard sensitive information and ensuring users are informed of what information is being collected and how it is used.
Many social media businesses, nevertheless, have come under fire for not upholding these obligations. For instance, the Cambridge Analytica incident highlighted how Facebook users' personal information was exploited for political objectives without their knowledge. This demonstrates the necessity of social media corporations being held responsible for their deeds and ensuring that they are safeguarding the security and privacy of their users.
There is a need for tighter regulation in this field, given the effect, social media has on individual privacy as well as the obligations of social media firms. The creation of laws and regulations that ensure social media companies are gathering and using user information ethically and responsibly, as well as making sure users are aware of their rights and have the ability to control the information that is being collected about them, are all part of this.
Additionally, legislation should ensure that social media businesses are held responsible for their behavior, for example, by levying fines for data breaches or the unauthorized use of personal data. This will provide social media businesses with a significant incentive to prioritize their users' privacy and security and ensure they are upholding their obligations.
In conclusion, social media has fundamentally changed how we engage and communicate with one another, but this increased convenience also raises several ethical and privacy issues. Essential concerns that need to be addressed include the effect of social media on individual privacy, the accountability of social media businesses, and the requirement for greater regulation to safeguard user rights. We can make everyone's online experience safer and more secure by looking more closely at these issues.
In conclusion, social media is a complex and multifaceted topic that has recently captured the world's attention. With its ever-growing influence on our lives, it's no surprise that it has become a popular subject for students to explore in their writing. Whether you are writing an argumentative essay on the impact of social media on privacy, a persuasive essay on the role of social media in politics, or a descriptive essay on the changes social media has brought to the way we communicate, there are countless angles to approach this subject.
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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
This month, BBC Future is exploring social media’s impact on mental health and well-being – and seeking solutions for a happier, healthier experience on these platforms. Stay tuned for more stories , coming soon…
Share your tips for a happy life on social media with the hashtag #LikeMinded on Facebook, Twitter and Instagram.
This story is featured in BBC Future’s “Best of 2018” collection. Discover more of our picks .
Three billion people , around 40% of the world’s population, use online social media – and we’re spending an average of two hours every day sharing, liking, tweeting and updating on these platforms, according to some reports. That breaks down to around half a million tweets and Snapchat photos shared every minute.
With social media playing such a big part in our lives, could we be sacrificing our mental health and well-being as well as our time? What does the evidence actually suggest?
Since social media is relatively new to us, conclusive findings are limited. The research that does exist mainly relies on self-reporting, which can often be flawed, and the majority of studies focus on Facebook. That said, this is a fast-growing area of research, and clues are beginning to emerge. BBC Future reviewed the findings of some of the science so far:
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. In 2015, researchers at the Pew Research Center based in Washington DC sought to find out if social media induces more stress than it relieves.
In the survey of 1,800 people, women reported being more stressed than men. Twitter was found to be a “significant contributor” because it increased their awareness of other people’s stress.
But Twitter also acted as a coping mechanism – and the more women used it, the less stressed they were. The same effect wasn’t found for men, whom the researchers said had a more distant relationship with social media. Overall, the researchers concluded that social media use was linked to “modestly lower levels” of stress.
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. The study suggested that people felt that way because they saw it as a waste of time.
A good or bad mood may also spread between people on social media, according to researchers from the University of California , who assessed the emotional content of over a billion status updates from more than 100 million Facebook users between 2009 and 2012.
Bad weather increased the number of negative posts by 1%, and the researchers found that one negative post by someone in a rainy city influenced another 1.3 negative posts by friends living in dry cities. The better news is that happy posts had a stronger influence; each one inspired 1.75 more happy posts. Whether a happy post translates to a genuine boost in mood, however, remains unclear.
Researchers have looked at general anxiety provoked by social media, characterised by feelings of restlessness and worry, and trouble sleeping and concentrating. A study published in the journal Computers and Human Behaviour found that people who report using seven or more social media platforms were more than three times as likely as people using 0-2 platforms to have high levels of general anxiety symptoms.
That said, it’s unclear if and how social media causes anxiety. Researchers from Babes-Bolyai University in Romania reviewed existing research on the relationship between social anxiety and social networking in 2016, and said the results were mixed. They concluded that more research needs to be done.
While some studies have found a link between depression and social media use, there is emerging research into how social media can actually be a force for good.
Two studies involving more than 700 students found that depressive symptoms, such as low mood and feelings of worthlessness and hopelessness, were linked to the quality of online interactions. Researchers found higher levels of depressive symptoms among those who reported having more negative interactions.
A similar study conducted in 2016 involving 1,700 people found a threefold risk of depression and anxiety among people who used the most social media platforms. Reasons for this, they suggested, include cyber-bullying, having a distorted view of other people’s lives, and feeling like time spent on social media is a waste.
However, as BBC Future will explore this month in our #LikeMinded season, scientists are also looking at how social media can be used to diagnose depression, which could help people receive treatment earlier. Researchers for Microsoft surveyed 476 people and analysed their Twitter profiles for depressive language, linguistic style, engagement and emotion. From this, they developed a classifier that can accurately predict depression before it causes symptoms in seven out of 10 cases.
Researchers from Harvard and Vermont Universities analysed 166 people’s Instagram photos to create a similar tool last year with the same success rate.
Humans used to spend their evenings in darkness, but now we’re surrounded by artificial lighting all day and night. Research has found that this can inhibit the body’s production of the hormone melatonin, which facilitates sleep – and blue light, which is emitted by smartphone and laptop screens, is said to be the worst culprit. In other words, if you lie on the pillow at night checking Facebook and Twitter, you’re headed for restless slumber.
Last year, researchers from the University of Pittsburgh asked 1,700 18- to 30-year-olds about their social media and sleeping habits. They found a link with sleep disturbances – and concluded blue light had a part to play. How often they logged on, rather than time spent on social media sites, was a higher predictor of disturbed sleep, suggesting “an obsessive ‘checking’”, the researchers said.
The researchers say this could be caused by physiological arousal before sleep, and the bright lights of our devices can delay circadian rhythms. But they couldn’t clarify whether social media causes disturbed sleep, or if those who have disturbed sleep spend more time on social media.
Despite the argument from a few researchers that tweeting may be harder to resist than cigarettes and alcohol, social media addiction isn’t included in the latest diagnostic manual for mental health disorders.
That said, social media is changing faster than scientists can keep up with, so various groups are trying to study compulsive behaviours related to its use – for example, scientists from the Netherlands have invented their own scale to identify possible addiction.
And if social media addiction does exist, it would be a type of internet addiction – and that is a classified disorder. In 2011, Daria Kuss and Mark Griffiths from Nottingham Trent University in the UK have analysed 43 previous studies on the matter, and conclude that social media addiction is a mental health problem that “may” require professional treatment. They found that excessive usage was linked to relationship problems, worse academic achievement and less participation in offline communities, and found that those who could be more vulnerable to a social media addiction include those dependent on alcohol, the highly extroverted, and those who use social media to compensate for fewer ties in real life.
SELF-ESTEEM
Women’s magazines and their use of underweight and Photoshopped models have been long maligned for stirring self-esteem issues among young women. But now, social media, with its filters and lighting and clever angles, is taking over as a primary concern among some campaigning groups and charities.
Social media sites make more than half of users feel inadequate, according to a survey of 1,500 people by disability charity Scope, and half of 18- to 34-year-olds say it makes them feel unattractive.
A 2016 study by researchers at Penn State University suggested that viewing other people’s selfies lowered self-esteem, because users compare themselves to photos of people looking their happiest. Research from the University of Strathclyde, Ohio University and University of Iowa also found that women compare themselves negatively to selfies of other women.
But it’s not just selfies that have the potential to dent self-esteem. A study of 1,000 Swedish Facebook users found that women who spent more time on Facebook reported feeling less happy and confident. The researchers concluded: “When Facebook users compare their own lives with others’ seemingly more successful careers and happy relationships, they may feel that their own lives are less successful in comparison.”
But one small study hinted that viewing your own profile, not others, might offer ego boosts. Researchers at Cornell University in New York put 63 students into different groups. Some sat with a mirror placed against a computer screen, for instance, while others sat in front of their own Facebook profile.
Facebook had a positive effect on self-esteem compared to other activities that boost self-awareness. Mirrors and photos, the researchers explained, make us compare ourselves to social standards, whereas looking at our own Facebook profiles might boost self-esteem because it is easier to control how we’re presented to the world.
In a study from 2013, researchers texted 79 participants five times a day for 14 days, asking them how they felt and how much they’d used Facebook since the last text. The more time people spent on the site, the worse they felt later on, and the more their life satisfaction declined over time.
But other research has found, that for some people, social media can help boost their well-being . Marketing researchers Jonah Berger and Eva Buechel found that people who are emotionally unstable are more likely to post about their emotions, which can help them receive support and bounce back after negative experiences.
Overall, social media’s effects on well-being are ambiguous, according to a paper written last year by researchers from the Netherlands. However, they suggested there is clearer evidence for the impact on one group of people: social media has a more negative effect on the well-being of those who are more socially isolated.
RELATIONSHIPS
If you’ve ever been talking to a friend who’s pulled their phone out to scroll through Instagram, you might have wondered what social media is doing to relationships.
Even the mere presence of a phone can interfere with our interactions, particularly when we’re talking about something meaningful, according to one small study . Researchers writing in the Journal of Social and Personal Relationships tasked 34 pairs of strangers with having a 10-minute conversation about an interesting event that had happened to them recently. Each pair sat in private booths, and half had a mobile phone on the top of their table.
Those with a phone in eyeshot were less positive when recalling their interaction afterwards, had less meaningful conversations and reported feeling less close to their partner than the others, who had a notebook on top of the table instead.
Romantic relationships aren’t immune, either. Researchers at the University of Guelph in Canada surveyed 300 people aged 17-24 in 2009 about any jealousy they felt when on Facebook, asking questions such as, ‘How likely are you to become jealous after your partner has added an unknown member of the opposite sex?’.
Women spent much more time on Facebook then men, and experienced significantly more jealousy when doing so. The researchers concluded they “felt the Facebook environment created these feelings and enhanced concerns about the quality of their relationship”.
In a study involving 600 adults, roughly a third said social media made them feel negative emotions – mainly frustration – and envy was the main cause. This was triggered by comparing their lives to others’, and the biggest culprit was other people’s travel photos. Feeling envious caused an “envy spiral”, where people react to envy by adding to their profiles more of the same sort of content that made them jealous in the first place.
However, envy isn’t necessarily a destructive emotion – it can often make us work harder, according to researchers from Michigan University and the University of Wisconsin-Milwaukee. They asked 380 students to look at “envy-eliciting” photos and texts from Facebook and Twitter, including posts about buying expensive goods, travelling and getting engaged. But the type of envy the researchers found is “benign envy”, which they say is more likely to make a person work harder.
A study published in the American Journal of Preventive Medicine last year surveyed 7,000 19- to 32-year-olds and found that those who spend the most time on social media were twice as likely to report experiencing social isolation, which can include a lack of a sense of social belonging, engagement with others and fulfilling relationships.
Spending more time on social media, the researchers said, could displace face-to-face interaction, and can also make people feel excluded.
“Exposure to such highly idealised representations of peers’ lives may elicit feelings of envy and the distorted belief that others lead happier and more successful lives, which may increase perceived social isolation.”
CONCLUSIONS?
It’s clear that in many areas, not enough is known yet to draw many strong conclusions. However, the evidence does point one way: social media affects people differently, depending on pre-existing conditions and personality traits.
As with food, gambling and many other temptations of the modern age, excessive use for some individuals is probably inadvisable. But at the same time, it would be wrong to say social media is a universally bad thing, because clearly it brings myriad benefits to our lives.
We’ll be exploring this tension more over the next month, in a series of articles and videos in our special series #LikeMinded – and hopefully providing solutions that could help us all live a happier, healthier digital life.
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About two-thirds of Americans (64%) say social media have a mostly negative effect on the way things are going in the country today, according to a Pew Research Center survey of U.S. adults conducted July 13-19, 2020. Just one-in-ten Americans say social media sites have a mostly positive effect on the way things are going, and one-quarter say these platforms have a neither positive nor negative effect.
Those who have a negative view of the impact of social media mention, in particular, misinformation and the hate and harassment they see on social media. They also have concerns about users believing everything they see or read – or not being sure about what to believe. Additionally, they bemoan social media’s role in fomenting partisanship and polarization, the creation of echo chambers, and the perception that these platforms oppose President Donald Trump and conservatives.
This is part of a series of posts on Americans’ experiences with and attitudes about the role of social media in politics today. Pew Research Center conducted this study to understand how Americans think about the impact of social media on the way things are currently going in the country. To explore this, we surveyed 10,211 U.S. adults from July 13 to 19, 2020. Everyone who took part is a member of the Center’s American Trends Panel (ATP), an online survey panel that is recruited through national, random sampling of residential addresses. This way nearly all U.S. adults have a chance of selection. The survey is weighted to be representative of the U.S. adult population by gender, race, ethnicity, partisan affiliation, education and other categories. Read more about the ATP’s methodology .
Here are the questions used for this report, along with responses, and its methodology.
The public’s views on the positive and negative effect of social media vary widely by political affiliation and ideology. Across parties, larger shares describe social media’s impact as mostly negative rather than mostly positive, but this belief is particularly widespread among Republicans.
Roughly half of Democrats and independents who lean toward the Democratic Party (53%) say social media have a largely negative effect on the way things are going in the country today, compared with 78% of Republicans and leaners who say the same. Democrats are about three times as likely as Republicans to say these sites have a mostly positive impact (14% vs. 5%) and twice as likely to say social media have neither a positive nor negative effect (32% vs. 16%).
Among Democrats, there are no differences in these views along ideological lines. Republicans, however, are slightly more divided by ideology. Conservative Republicans are more likely than moderate to liberal Republicans to say social media have a mostly negative effect (83% vs. 70%). Conversely, moderate to liberal Republicans are more likely than their conservative counterparts to say social media have a mostly positive (8% vs. 4%) or neutral impact (21% vs. 13%).
Younger adults are more likely to say social media have a positive impact on the way things are going in the country and are less likely to believe social media sites have a negative impact compared with older Americans. For instance, 15% of those ages 18 to 29 say social media have a mostly positive effect on the way things are going in the country today, while just 8% of those over age 30 say the same. Americans 18 to 29 are also less likely than those 30 and older to say social media have a mostly negative impact (54% vs. 67%).
However, views among younger adults vary widely by partisanship. For example, 43% of Democrats ages 18 to 29 say social media have a mostly negative effect on the way things are going, compared with about three-quarters (76%) of Republicans in the same age group. In addition, these youngest Democrats are more likely than their Republican counterparts to say social media platforms have a mostly positive (20% vs. 6%) or neither a positive nor negative effect (35% vs. 18%) on the way things are going in the country today. This partisan division persists among those 30 and older, but most of the gaps are smaller than those seen within the younger cohort.
Views on the negative impact of social media vary only slightly between social media users (63%) and non-users (69%), with non-users being slightly more likely to say these sites have a negative impact. However, among social media users, those who say some or a lot of what they see on social media is related to politics are more likely than those who say a little or none of what they see on these sites is related to politics to think social media platforms have a mostly negative effect on the way things are going in the country today (65% vs. 50%).
Past Pew Research Center studies have drawn attention to the complicated relationships Americans have with social media. In 2019, a Center survey found that 72% of U.S. adults reported using at least one social media site. And while these platforms have been used for political and social activism and engagement , they also raise concerns among portions of the population. Some think political ads on these sites are unacceptable, and many object to the way social media platforms have been weaponized to spread made-up news and engender online harassment . At the same time, a share of users credit something they saw on social media with changing their views about a political or social issue. And growing shares of Americans who use these sites also report feeling worn out by political posts and discussions on social media.
When asked to elaborate on the main reason why they think social media have a mostly negative effect on the way things are going in this country today, roughly three-in-ten (28%) respondents who hold that view mention the spreading of misinformation and made-up news. Smaller shares reference examples of hate, harassment, conflict and extremism (16%) as a main reason, and 11% mention a perceived lack of critical thinking skills among many users – voicing concern about people who use these sites believing everything they see or read or being unsure about what to believe.
In written responses that mention misinformation or made-up news, a portion of adults often include references to the spread, speed and amount of false information available on these platforms. (Responses are lightly edited for spelling, style and readability.) For example:
“They allow for the rampant spread of misinformation.” –Man, 36
“False information is spread at lightning speed – and false information never seems to go away.” –Woman, 71
“Social media is rampant with misinformation both about the coronavirus and political and social issues, and the social media organizations do not do enough to combat this.” –Woman, 26
“Too much misinformation and lies are promoted from unsubstantiated sources that lead people to disregard vetted and expert information.” –Woman, 64
People’s responses that centered around hate, harassment, conflict or extremism in some way often mention concerns that social media contributes to incivility online tied to anonymity, the spreading of hate-filled ideas or conspiracies, or the incitement of violence.
“People say incendiary, stupid and thoughtless things online with the perception of anonymity that they would never say to someone else in person.” –Man, 53
“Promotes hate and extreme views and in some cases violence.” –Man, 69
“People don’t respect others’ opinions. They take it personally and try to fight with the other group. You can’t share your own thoughts on controversial topics without fearing someone will try to hurt you or your family.” –Woman, 65
“Social media is where people go to say some of the most hateful things they can imagine.” –Man, 46
About one-in-ten responses talk about how people on social media can be easily confused and believe everything they see or read or are not sure about what to believe.
“People believe everything they see and don’t verify its accuracy.” –Man, 75
“Many people can’t distinguish between real and fake news and information and share it without doing proper research …” –Man, 32
“You don’t know what’s fake or real.” –Man, 49
“It is hard to discern truth.” –Woman, 80
“People cannot distinguish fact from opinion, nor can they critically evaluate sources. They tend to believe everything they read, and when they see contradictory information (particularly propaganda), they shut down and don’t appear to trust any information.” –Man, 42
Smaller shares complain that the platforms censor content or allow material that is biased (9%), too negative (7%) or too steeped in partisanship and division (6%).
“Social media is censoring views that are different than theirs. There is no longer freedom of speech.” –Woman, 42
“It creates more divide between people with different viewpoints.” –Man, 37
“Focus is on negativity and encouraging angry behavior rather than doing something to help people and make the world better.” –Woman, 66
Far fewer Americans – 10% – say they believe social media has a mostly positive effect on the way things are going in the country today. When those who hold these positive views were asked about the main reason why they thought this, one-quarter say these sites help people stay informed and aware (25%) and about one-in-ten say they allow for communication, connection and community-building (12%).
“We are now aware of what’s happening around the world due to the social media outlet.” –Woman, 28
“It brings awareness to important issues that affect all Americans.” –Man, 60
“It brings people together; folks can see that there are others who share the same/similar experience, which is really important, especially when so many of us are isolated.” –Woman, 36
“Helps people stay connected and share experiences. I also get advice and recommendations via social media.” –Man, 32
“It keeps people connected who might feel lonely and alone if there did not have social media …” – Man, 65
Smaller shares tout social media as a place where marginalized people and groups have a voice (8%) and as a venue for activism and social movements (7%).
“Spreading activism and info and inspiring participation in Black Lives Matter.” –Woman, 31
“It gives average people an opportunity to voice and share their opinions.” –Man, 67
“Visibility – it has democratized access and provided platforms for voices who have been and continue to be oppressed.” –Woman, 27
Note: This is part of a series of blog posts leading up to the 2020 presidential election that explores the role of social media in politics today. Here are the questions used for this report, along with responses, and its methodology.
Other posts in this series:
Brooke Auxier is a former research associate focusing on internet and technology at Pew Research Center .
most americans favor restrictions on false information, violent content online, as ai spreads, experts predict the best and worst changes in digital life by 2035, social media seen as mostly good for democracy across many nations, but u.s. is a major outlier, the role of alternative social media in the news and information environment, most popular.
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BMC Psychology volume 11 , Article number: 201 ( 2023 ) Cite this article
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The use of social media significantly impacts mental health. It can enhance connection, increase self-esteem, and improve a sense of belonging. But it can also lead to tremendous stress, pressure to compare oneself to others, and increased sadness and isolation. Mindful use is essential to social media consumption.
Social media has become integral to our daily routines: we interact with family members and friends, accept invitations to public events, and join online communities to meet people who share similar preferences using these platforms. Social media has opened a new avenue for social experiences since the early 2000s, extending the possibilities for communication. According to recent research [ 1 ], people spend 2.3 h daily on social media. YouTube, TikTok, Instagram, and Snapchat have become increasingly popular among youth in 2022, and one-third think they spend too much time on these platforms [ 2 ]. The considerable time people spend on social media worldwide has directed researchers’ attention toward the potential benefits and risks. Research shows excessive use is mainly associated with lower psychological well-being [ 3 ]. However, findings also suggest that the quality rather than the quantity of social media use can determine whether the experience will enhance or deteriorate the user’s mental health [ 4 ]. In this collection, we will explore the impact of social media use on mental health by providing comprehensive research perspectives on positive and negative effects.
Social media can provide opportunities to enhance the mental health of users by facilitating social connections and peer support [ 5 ]. Indeed, online communities can provide a space for discussions regarding health conditions, adverse life events, or everyday challenges, which may decrease the sense of stigmatization and increase belongingness and perceived emotional support. Mutual friendships, rewarding social interactions, and humor on social media also reduced stress during the COVID-19 pandemic [ 4 ].
On the other hand, several studies have pointed out the potentially detrimental effects of social media use on mental health. Concerns have been raised that social media may lead to body image dissatisfaction [ 6 ], increase the risk of addiction and cyberbullying involvement [ 5 ], contribute to phubbing behaviors [ 7 ], and negatively affects mood [ 8 ]. Excessive use has increased loneliness, fear of missing out, and decreased subjective well-being and life satisfaction [ 8 ]. Users at risk of social media addiction often report depressive symptoms and lower self-esteem [ 9 ].
Overall, findings regarding the impact of social media on mental health pointed out some essential resources for psychological well-being through rewarding online social interactions. However, there is a need to raise awareness about the possible risks associated with excessive use, which can negatively affect mental health and everyday functioning [ 9 ]. There is neither a negative nor positive consensus regarding the effects of social media on people. However, by teaching people social media literacy, we can maximize their chances of having balanced, safe, and meaningful experiences on these platforms [ 10 ].
We encourage researchers to submit their research articles and contribute to a more differentiated overview of the impact of social media on mental health. BMC Psychology welcomes submissions to its new collection, which promises to present the latest findings in the emerging field of social media research. We seek research papers using qualitative and quantitative methods, focusing on social media users’ positive and negative aspects. We believe this collection will provide a more comprehensive picture of social media’s positive and negative effects on users’ mental health.
Not applicable.
Statista. (2022). Time spent on social media [Chart]. Accessed June 14, 2023, from https://www.statista.com/chart/18983/time-spent-on-social-media/ .
Pew Research Center. (2023). Teens and social media: Key findings from Pew Research Center surveys. Retrieved June 14, 2023, from https://www.pewresearch.org/short-reads/2023/04/24/teens-and-social-media-key-findings-from-pew-research-center-surveys/ .
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Ágnes Zsila was supported by the ÚNKP-22-4 New National Excellence Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund.
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Ágnes Zsila
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
Department of Psychology, College of Science, University of Santo Tomas, Manila, 1008, Philippines
Marc Eric S. Reyes
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AZ conceived and drafted the Editorial. MESR wrote the abstract and revised the Editorial. All authors read and approved the final manuscript.
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Zsila, Á., Reyes, M.E.S. Pros & cons: impacts of social media on mental health. BMC Psychol 11 , 201 (2023). https://doi.org/10.1186/s40359-023-01243-x
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October 8, 2021 – Eating disorders expert Bryn Austin , professor in the Department of Social and Behavioral Sciences , discusses the recent revelation that Facebook has long known that its Instagram app is harming teens ’ mental health .
Q: Leaked documents from Facebook show that the company has known for at least two years that its Instagram app is making body image issues worse for teens, particularly girls. What’s your reaction to this news?
A: I was aghast at the news—but not surprised. We’ve known for years that social media platforms—especially image-based platforms like Instagram—have very harmful effects on teen mental health, especially for teens struggling with body image, anxiety, depression, and eating disorders. From experimental research, we know that Instagram, with its algorithmically-driven feeds of content tailored to each user’s engagement patterns, can draw vulnerable teens into a dangerous spiral of negative social comparison and hook them onto unrealistic ideals of appearance and body size and shape. Clinicians and parents have been sounding the alarms about this for years. So to hear that Instagram’s own research shows this too is not surprising. What astounds me, though, is what whistleblower Frances Haugen exposed: that, in internal conversations at Instagram, staff and senior leadership acknowledged these very damning findings, and yet the actions they’ve taken in response have been little more than window dressing, sidestepping the fundamental problem of the platform’s predatory algorithms. This revelation is what leaves me aghast.
Q: In a recent blog post , Instagram’s head of public policy wrote that the company knows that social media “can be a place where people have negative experiences” and that they’re working to mitigate the problem, but added, “Issues like negative social comparison and anxiety exist in the world, so they’re going to exist on social media too.” What do you make of this argument?
A: Instagram is peddling a false narrative that the platform is simply a reflection of its users’ interests and experiences, without distortion or manipulation by the platform. But Instagram knows full well that this not true. In fact, their very business model is predicated on how much they can manipulate users’ behavior to boost engagement and extend time spent on the platform, which the platform then monetizes to sell to advertisers. Instagram is literally selling users’ attention. The company knows that strong negative emotions, which can be provoked by negative social comparison, keep users’ attention longer than other emotions—and Instagram’s algorithms are expressly designed to push teens toward toxic content so that they stay on the platform. For teens struggling with body image, anxiety, or other mental health issues, negative social comparison is a dangerous trap, intensifying their engagement with the platform while worsening their symptoms. But with Instagram’s nefarious business model, every additional minute of users’ attention—regardless of the mental health impact—translates into more profits.
Keep in mind that this is not about just about putting teens in a bad mood. Over time, with exposure to harmful content on social media, the negative impacts add up. And we now have more cause for worry than ever, with the pandemic worsening mental health stressors and social isolation for teens, pushing millions of youth to increase their social media use. We are witnessing dramatic increases in clinical level depression, anxiety, and suicidality , and eating disorders cases have doubled or even tripled at children’s hospitals across the country.
Q: What steps are necessary to lessen potential harm to teens from Instagram?
A: If we have learned anything from the recent Congressional hearings with the whistleblower, the Wall Street Journal investigative reporting, and other important research, it’s that Instagram and Facebook will not—and likely cannot—solve this very serious social problem on their own. The business model, which has proven itself to be exquisitely profitable, is self-reinforcing for investors and top management. The platform’s predatory algorithms have been aggressively guarded, keeping them from being scrutinized by the public, researchers, or government. In fact, U.S. federal regulation on social media hasn’t been meaningfully updated in decades, leaving protections for users and society woefully inadequate.
But with the new revelations, society’s opinion of the industry may have soured and there may be a new willingness to demand meaningful oversight and regulation. What’s encouraging is that on the heels of the recent Congressional hearings, there are already several pieces of legislation in the works to establish a new government system of algorithm auditors, who would have the expertise and authority to require social media algorithms to meet basic standards of safety and transparency for children and users of all ages on Instagram and other social media platforms.
Q: What advice do you have for parents, and for teens who use the platform?
A: Until we have meaningful government oversight in place, there is still a lot that teens and parents can do. Although it’s a real struggle for parents to keep their kids off social media, they can set limits on its use, for instance by requiring that everyone’s phones go into a basket at mealtimes and at bedtime. Parents can also block upsetting content and keep dialogue open about how different types of content can make a young person feel about themselves. Equally important, teens and parents can get involved in advocacy, with groups such as the Eating Disorders Coalition and others, to advance federal legislation to strengthen oversight of social media platforms. With all that we know today about the harmful effects of social media and its algorithms, combined with the powerful stories of teens, parents, and community advocates, we may finally have the opportunity to get meaningful federal regulation in place.
– Karen Feldscher
photo: iStock
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Facebook has delayed the development of an Instagram app for children amid questions about its harmful effects on young people’s mental health. Does social media have an impact on your well-being?
By Nicole Daniels
What is your relationship with social media like? Which platforms do you spend the most time on? Which do you stay away from? How often do you log on?
What do you notice about your mental health and well-being when spending time on social networks?
In “ Facebook Delays Instagram App for Users 13 and Younger ,” Adam Satariano and Ryan Mac write about the findings of an internal study conducted by Facebook and what they mean for the Instagram Kids app that the company was developing:
Facebook said on Monday that it had paused development of an Instagram Kids service that would be tailored for children 13 years old or younger, as the social network increasingly faces questions about the app’s effect on young people’s mental health. The pullback preceded a congressional hearing this week about internal research conducted by Facebook , and reported in The Wall Street Journal , that showed the company knew of the harmful mental health effects that Instagram was having on teenage girls. The revelations have set off a public relations crisis for the Silicon Valley company and led to a fresh round of calls for new regulation. Facebook said it still wanted to build an Instagram product intended for children that would have a more “age appropriate experience,” but was postponing the plans in the face of criticism.
The article continues:
With Instagram Kids, Facebook had argued that young people were using the photo-sharing app anyway, despite age-requirement rules, so it would be better to develop a version more suitable for them. Facebook said the “kids” app was intended for ages 10 to 12 and would require parental permission to join, forgo ads and carry more age-appropriate content and features. Parents would be able to control what accounts their child followed. YouTube, which Google owns, has released a children’s version of its app. But since BuzzFeed broke the news this year that Facebook was working on the app, the company has faced scrutiny. Policymakers, regulators, child safety groups and consumer rights groups have argued that it hooks children on the app at a younger age rather than protecting them from problems with the service, including child predatory grooming, bullying and body shaming.
The article goes on to quote Adam Mosseri, the head of Instagram:
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urther investigation of how adolescents' varied digital media experiences relate to well-being.Indeed, ado. escents' social media experiences are influenced by the nature of their networked interactions. Elevated Facebook-related appearance exposure, though not overall Facebook use, is correlated with weight dis.
While social media has undoubtedly revolutionized the way we communicate and connect with others, it has also brought about a myriad of negative consequences that are harmful to society as a whole. In this essay, we will explore the detrimental effects of social media on mental health, privacy, and social relationships, and argue that it is indeed harmful to society.
Impact on Mental Health. One of the most pressing dangers of social media is its impact on mental health. Studies have shown that excessive use of social media can lead to feelings of loneliness, depression, and anxiety. The constant comparison to others' seemingly perfect lives and the pressure to maintain an idealized image can take a toll on ...
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