PSYCHOLOGICAL MECHANISMS LINKING SOCIAL MEDIA USE AND ADOLESCENT MENTAL HEALTH: A NARRATIVE REVIEW
DOI:
https://doi.org/10.31435/ijitss.2(50).2026.5094Keywords:
Social Media, Adolescents, Depression, Anxiety, Sleep Deprivation, Problematic UseAbstract
The rapid expansion of social media use among adolescents has coincided with increasing concerns about their mental health. Rates of depressive symptoms and anxiety have risen in many countries, leading researchers to question whether intense online engagement may contribute to these trends. This article presents a narrative review of recent literature to examine current evidence on the relationship between social media use and mental health outcomes in adolescents and young adults, with particular attention to problematic use, emotional investment, gender differences, Fear of Missing Out (FOMO), and sleep disturbances.
This study is based on a narrative review of recent systematic reviews, meta-analyses, and longitudinal research. Research findings indicate that the association between social media use and mental health is small but relatively consistent across studies. Importantly, overall screen time appears to be a weak predictor of psychological distress. Patterns of engagement—especially passive use, compulsive checking, and high emotional investment—show stronger associations with depressive and anxiety symptoms. Sleep disturbances emerge as an important mediating factor that may partially explain this link.
The evidence indicates that social media is not inherently harmful. However, it may intensify existing vulnerabilities, particularly among adolescent girls. Preventive efforts should therefore focus on digital literacy, emotional regulation, and sleep hygiene rather than simple time restrictions.
References
Ahmed, O., Walsh, E. I., Dawel, A., & Smith, S. (2024). Social media use, mental health and sleep: A systematic review with meta-analyses. Journal of Affective Disorders, 367, 701–712. https://doi.org/10.1016/j.jad.2024.08.193
Azhari, A., Leck, W. Q., Gabrieli, G., Bizzego, A., Rigo, P., & Setoh, P. (2022). Social media use in female adolescents: Associations with anxiety, loneliness, and sleep disturbances. Acta Psychologica, 229, 103706. https://doi.org/10.1016/j.actpsy.2022.103706
Bérard, M., Manneville, F., Minary, L., Ligier, F., & Bitar, S. (2023). Mediating effect of sleep in the association between social media use and mental health among French adolescents during the COVID-19 sanitary crisis. Sleep Medicine, 112, 223–231. https://doi.org/10.1016/j.sleep.2023.10.020
Boer, M., Stevens, G. W. J. M., Finkenauer, C., de Looze, M. E., & van den Eijnden, R. J. J. M. (2021). Social media use intensity, social media use problems, and mental health among adolescents: Investigating directionality and gender differences. Computers in Human Behavior, 116, 106645. https://doi.org/10.1016/j.chb.2020.106645
Burnell, K., Fox, K. A., Maheux, A. J., & Prinstein, M. J. (2024). Social media use and mental health: A review of the experimental literature and implications for clinicians. Current Treatment Options in Psychiatry, 11, 1–16. https://doi.org/10.1007/s40501-024-00311-2
Coyne, S. M., Rogers, A. A., Zurcher, J. D., Stockdale, L., & Booth, M. (2020). Does time spent using social media impact mental health? An eight-year longitudinal study. Computers in Human Behavior, 104, 106160. https://doi.org/10.1016/j.chb.2019.106160
Keles, B., McCrae, N., & Grealish, A. (2020). A systematic review: The influence of social media on depression, anxiety and psychological distress in adolescents. International Journal of Adolescence and Youth, 25(1), 79–93. https://doi.org/10.1080/02673843.2019.1590851
Levenson, J. C., Shensa, A., Sidani, J. E., Colditz, J. B., & Primack, B. A. (2016). The association between social media use and sleep disturbance among young people. Preventive Medicine, 85, 36–41. https://doi.org/10.1016/j.ypmed.2016.01.001
Marciano, L., Ostroumova, M., Schulz, P. J., & Camerini, A. L. (2022). Digital media use and adolescents’ mental health during the COVID-19 pandemic: A systematic review and meta-analysis. Frontiers in Public Health, 10, 793868. https://doi.org/10.3389/fpubh.2021.793868
Marchant, A., Hawton, K., Stewart, A., Montgomery, P., Singaravelu, V., Lloyd, K., Purdy, N., Daine, K., & John, A. (2017). A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown. PLoS ONE, 12(8), e0181722. https://doi.org/10.1371/journal.pone.0181722
Naslund, J. A., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J. (2016). The future of mental health care: Peer-to-peer support and social media. Epidemiology and Psychiatric Sciences, 25(2), 113–122. https://doi.org/10.1017/S2045796015001067
Ndubisi, A., Agyapong-Opoku, F., & Agyapong, B. (2025). Social media use and sleep quality in adolescents and young adults: A scoping review of reviews. Children, 13(1), 51. https://doi.org/10.3390/children13010051
Odgers, C. L., & Jensen, M. R. (2020). Annual research review: Adolescent mental health in the digital age: Facts, fears, and future directions. Journal of Child Psychology and Psychiatry, 61(3), 336–348. https://doi.org/10.1111/jcpp.13190
O’Reilly, M., Dogra, N., Whiteman, N., Hughes, J., Eruyar, S., & Reilly, P. (2018). Is social media bad for mental health and wellbeing? Exploring the perspectives of adolescents. Clinical Child Psychology and Psychiatry, 23(4), 601–613. https://doi.org/10.1177/1359104518775154
Pirdehghan, A., Khezmeh, E., & Panahi, S. (2021). Social media use and sleep disturbance among adolescents: A cross-sectional study. Iranian Journal of Psychiatry, 16(2), 137–145. https://doi.org/10.18502/ijps.v16i2.5814
Riehm, K. E., Feder, K. A., Tormohlen, K. N., Crum, R. M., Young, A. S., Green, K. M., Pacek, L. R., & Mojtabai, R. (2019). Associations between time spent using social media and internalizing and externalizing problems among U.S. youth. JAMA Psychiatry, 78(12), 1266–1273. https://doi.org/10.1001/jamapsychiatry.2019.2325
Shannon, H., Bush, K., Villeneuve, P. J., Hellemans, K. G., & Guimond, S. (2022). Problematic social media use: Systematic review and meta-analysis. JMIR Mental Health, 9(4), e33450. https://doi.org/10.2196/33450
Shensa, A., Escobar-Viera, C. G., Sidani, J. E., Bowman, N. D., Marshal, M. P., & Primack, B. A. (2017). Problematic social media use and depressive symptoms among U.S. young adults: A nationally representative study. Social Science & Medicine, 182, 150–157. https://doi.org/10.1016/j.socscimed.2017.03.061
Valkenburg, P. M., Meier, A., & Beyens, I. (2022). Social media use and its impact on adolescent mental health: An umbrella review of the evidence. Current Opinion in Psychology, 44, 58–68. https://doi.org/10.1016/j.copsyc.2021.08.017
van den Eijnden, R. J. J. M., Lemmens, J. S., & Valkenburg, P. M. (2016). The social media disorder scale. Computers in Human Behavior, 61, 478–487. https://doi.org/10.1016/j.chb.2016.03.038
Viner, R. M., Gireesh, A., Stiglic, N., Hudson, L. D., Goddings, A. L., Ward, J. L., & Nicholls, D. E. (2019). Roles of cyberbullying, sleep, and physical activity in mediating the effects of social media use on mental health and wellbeing among young people in England: A secondary analysis of longitudinal data. The Lancet Child & Adolescent Health, 3(10), 685–696. https://doi.org/10.1016/S2352-4642(19)30186-5
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Copyright (c) 2026 Natalia Cieślak, Agata Chodkowska, Aleksandra Cyrkler, Kamila Czyżak, Urszula Marzec, Karol Dąbek, Eliza Rajca, Agnieszka Giza, Paulina Giza, Karolina Wymoczył

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