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Cited by 15Attention Deficit Hyperactivity DisorderImpact of Technology on AdolescentsBullying, Victimization, and Aggression

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

Özkan, Yekta, Öztürk, Masum, Tvrtkovic, Selma, Aydın, Orkun, Ünal-Aydın, Pınar·2025·Addictive Behaviors
DOI 10.1016/j.addbeh.2024.108169
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Abstract

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

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  • Individuals with problematic social media use were excessively and compulsively engaged on social media platforms and exhibited addiction-like symptoms such as withdrawal, tolerance, negative mental health impacts, and impairment of overall well-being in work and personal relationships.

    “These individuals were excessively and compulsively engaged on social media platforms and exhibited addiction-like symptoms, such as withdrawal, tolerance, negative impacts on mental health, and impairment of overall well-being in the setting of work and personal relationships.”

    From The Impact of Social Media & Technology on Child and Adolescent Mental Health (2025) · cites this paper as [64]

  • Individuals with problematic social media use exhibited the highest level of ADHD symptoms in adolescents.

    “These individuals exhibited the highest level of ADHD symptoms in adolescents.”

    From The Impact of Social Media & Technology on Child and Adolescent Mental Health (2025) · cites this paper as [64]

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Authors
Özkan, Y., Öztürk, M., Tvrtkovic, S., Aydın, O., & Ünal-Aydın, P.
Affiliations
  • Afyonkarahisar Sağlık Bilimleri Üniversitesi (TR)
  • Dicle University (TR)
  • International University of Sarajevo (BA)
Corresponding author
Özkan, Yekta
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2025-01
Volume
160
Pages
108169
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2024.108169
OpenAlex
W4402830092
Cited by
14
References
116
Citations by year
2026: 10 · 2025: 4
FWCI
4.12
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
Keywords
attention deficit hyperactivity disorder, adolescents, metacognition, social media addiction, cyberbullying, cyber victimization, ADHD symptom severity, cognitive monitoring
MeSH terms
Metacognition, Cyberbullying, Internet Addiction Disorder, Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Cross-Sectional Studies, Female, Humans, Male, Severity of Illness Index, Case-Control Studies, Social Media

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