Cited by 90Impact of Technology on AdolescentsChild and Adolescent Psychosocial and Emotional DevelopmentChild Development and Digital Technology

Longitudinal association between social media use and psychological distress among adolescents

Open access
Thorisdottir, Ingibjorg E., Sigurvinsdottir, Rannveig, Kristjansson, Alfgeir L., Allegrante, John P., Lilly, Christa L., Sigfusdottir, Inga Dora·2020·Preventive Medicine

Abstract

This study aimed to examine in a longitudinal cohort design whether social media use among adolescents is related to symptoms of social anxiety, depressed mood, and physical symptoms of anxiety over time.

Integrity signals

Registry

Crossref · 10.1016/j.ypmed.2020.106270

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

6 of 28 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Peer experiences are prospectively associated with mental health symptoms.

    “Peer experiences are prospectively associated with mental health symptoms (Landstedt and Almquist 2019; Modin et al. 2011); thus, understanding whether social media plays a role in adolescent mental health is important.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Landstedt and Almquist 2019 source
    • cites Modin et al. 2011 source
  • Premisecitation

    The simultaneous increase in social media use and worsening self-reported adolescent mental health has motivated research on their relationship.

    “The simultaneous increase in social media use and worsening self-reported mental health among adolescents has motivated researchers to investigate the relationship between social media use and adolescent mental health (Heffer et al. 2019; Jensen et al. 2019; Keles et al. 2019; McCrae et al. 2017; Orben and Przybylski 2019; Riehm et al. 2019; Seabrook et al. 2016; Twenge et al. 2018).”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Heffer et al. 2019 source
    • cites Jensen et al. 2019 source

      The Introduction links widespread digital-technology adoption and rising mental-health problems among young people to the need for rigorous research. It does not specifically establish an increase in social media use or describe the worsening mental-health measures as self-reported; those details are more specific than the passage supports. The copy provides no page number for this passage. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites Keles et al. 2019

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Findingown data

    After adjustment for time and covariates, greater time spent on social media was significantly associated with higher depressed mood (FE = 0.04, SE = 0.01, p = 0.002).

    “After controlling for time and other covariates, time spent on social media was significantly positively associated with depressed mood (FE = 0.04, SE = 0.01, p = 0.002), physical symptoms of anxiety (FE = 0.04, SE = 0.01, p = 0.001) and symptoms of social anxiety (FE = 0.05, SE = 0.01, p < 0.001).”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Time spent on social media has similar effects across the spectrum of social media use.
  • Findingown data

    Symptoms increased across data collection waves 1, 2, and 3 after accounting for other variables.

    “A significant main effect of time indicates that symptoms increase between data collection waves 1, 2 and 3, after taking into account other variables.”
    Quote in the paperNot a substantial claim
  • Findingown data

    There was a significant interaction between time and time spent on social media on symptoms of depressed mood (FE = 0.02, SE = 0.01, p < 0.001).

    “There was a significant interaction between time and time spent on social media on symptoms of depressed mood (FE = 0.02, SE = 0.01, p < 0.001) and physical symptoms of anxiety (FE = 0.01, SE = 0.005, p = 0.002), but not on symptoms of social anxiety.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Time spent on social media has similar effects across the spectrum of social media use.
  • Classified as probably not a substantial claim. 29
  • May combine two claims. 23
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The study did not test possible pathways between social media use and mental health such as cyberbullying, sleep, body image, or self-esteem.

    “Third, we did not test for possible pathways between social media use and mental health such as cyberbullying, sleep, body image or self-esteem (Kelly et al. 2018).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Kelly et al. 2018 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Divorce and family disruptions have deleterious impacts on children and adolescents.

    “because of the compelling evidence showing the deleterious impact of divorce and family disruptions on children and adolescents (Amato 2000; Behere et al. 2017)”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Amato 2000 source
    • cites Behere et al. 2017 source
  • May combine two claims.

    Premisecitation

    There is a lack of empirical evidence on the effects of social media use on adolescents because most studies have focused on young children or adults.

    “there is a lack of empirical evidence on the effects of social media use on adolescents since the majority of studies have focused on young children or adults (Odgers and Jensen 2020).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Odgers and Jensen 2020 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The role of gender in the social media and mental health relationship has been inconclusive.

    “The role of gender in social media and mental health relationship has also been inconclusive (McCrae et al. 2017).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites McCrae et al. 2017 source
  • May combine two claims.

    Findingown data

    Depressed mood, social anxiety, physical anxiety, and time spent on social media all increased across the three waves, while parental support decreased.

    “Symptoms of depressed mood, symptoms of social anxiety, physical symptoms of anxiety, and time spent on social media increased over the three waves of the study, and parental support decreased.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    For all three psychological distress outcomes, symptoms were lowest among adolescents reporting greater parental support, living with both parents, and male gender.

    “For all three psychological distress outcome variables, symptoms were lowest for those who reported greater parental support, living with both parents and of male gender.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    In the end-point OLS sensitivity analysis, R-squared values were 0.299 for depressed mood, 0.326 for physical anxiety, and 0.374 for social anxiety.

    “The sensitivity analysis for the end-point OLS regression R-squared values for symptoms of depressed mood, symptoms of physical anxiety, and social anxiety symptoms were 0.299, 0.326, and 0.374, respectively.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Various covariance models were compared using Akaike's Information Criterion, and the best-fitting structure included an unstructured covariance matrix.

    “Various covariance models were compared using Akaike's Information Criterion to determine the best fit to the data (Gurka 2006), taking into account correlations between observations over time. The best-fitting structure included unstructured covariance matrix.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gurka 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The single social media time question is comparable with similar measures used in other studies of adolescent social media time.

    “This scale is comparable with similar measures in other studies examining how much time adolescents spend on social media (Twenge et al. 2018).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Twenge et al. 2018 source
  • May combine two claims.

    Interpretationown data

    The study data show a positive relationship between social media use and increased psychological distress, although the effects were weak to small.

    “our data show is positively related to increased levels of psychological distress, although the effects were weak to small.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    No participants withdrew from the study, and those lost at follow-up were students not present in school on the survey day.

    “No one withdrew from the study, and those lost at follow up are students that were not present in school on the day of the survey.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    One longitudinal study found that social media use did not predict later depressive symptoms, but greater depressive symptoms predicted more frequent social media use.

    “Recent studies have begun to do so with one longitudinal study finding that social media use did not predict later depressive symptoms, but rather that greater depressive symptoms predicted more frequent social media use (Heffer et al. 2019).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Heffer et al. 2019 source
  • May combine two claims.

    Premisecitation

    Adolescent social media use has been associated with less family time and more conflicts with parents.

    “adolescent social media use has been associated with less family time and more conflicts with parents (Williams and Merten 2011)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Williams and Merten 2011 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    There is no clear consensus in the literature on whether social media is related to well-being.

    “To date there is no clear consensus in the literature on whether or not there is a relationship between social media and well-being (Orben et al. 2019; Orben and Przybylski 2019; Twenge 2019; Twenge and Campbell 2019).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Orben et al. 2019

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Orben and Przybylski 2019

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Twenge 2019

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The study did not test for the directionality of effects.

    “Finally, we did not test for the directionality of effects.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    The questionnaires had high reliability and included validated measures of different anxiety types over three years.

    “Finally, the questionnaires were empirically supported with high reliability and we included validated measures on different types of anxiety over three years, the first study to do so.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    The effect of social media on psychological distress is most likely multifactorial.

    “However, the effect of social media on psychological distress is most likely multifactorial and a better understanding of the mechanisms involved is required before we can warrant major concerns about the longitudinal impact of social media on adolescent mental health.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Self-report measures might not accurately reflect adolescents' time spent on social media.

    “Self-report measures might not accurately reflect the time that adolescents spend on social media and this area of inquiry would benefit from designing multi-report studies that include ecological momentary assessment as well as reporting from parents.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Identical linear mixed models were run on standardized dependent and independent variables to produce standardized parameter estimates.

    “Additionally, identical linear mixed models were conducted on the standardized dependent and independent variables to produce standardized parameter estimates for the model.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    The Perceived Parental Support Scale has been validated in a multi-country sample and shown good internal consistency and convergent validity.

    “The scale has been validated in a multi-country sample and shown good internal consistency and convergent validity (Kristjansson et al. 2011).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kristjansson et al. 2011 source
  • May combine two claims.

    Study design and conductcitation

    The depression dimension scale of the Original Symptom Checklist demonstrates good internal consistency and test-retest reliability.

    “The scale demonstrates good internal consistency and test-retest reliability (Derogatis and Unger 2010).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Derogatis and Unger 2010 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Accurate model parameter estimation was supported by using residual maximum likelihood with the Kenward and Roger 1997 approximation of degrees of freedom.

    “Accurate model parameter estimations were ensured by use of the residual maximum likelihood approach with the Kenward and Roger, 1997 approximation of degrees of freedom.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kenward and Roger, 1997 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The transformation framework proposes that social media's unique context fundamentally transforms adolescents' peer experiences across multiple domains.

    “The transformation framework (Nesi et al. 2018a, 2018b) proposes that the unique context of social media fundamentally transforms adolescents' peer experiences across multiple domains.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Nesi et al. 2018a, 2018b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    In this sample, Cronbach's alpha for social anxiety was 0.896 at T1, 0.915 at T2, and 0.920 at T3.

    “In this sample, Cronbach's alpha was 0.896 (T1), 0.915 (T2), and 0.920 (T3).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    A sensitivity analysis using OLS regression end-point analysis was conducted to determine model effect sizes.

    “Sensitivity analysis was conducted using OLS regression end-point analysis to determine model effect sizes (R-square values).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    The gender interaction effect is very weak and may not be clinically important.

    “Girls in our study reported more psychological distress than boys; the relationship between social media use and all three outcomes was significantly stronger for girls compared to boys, although the interaction effect is very weak and may not be of clinical importance.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    The study used a within-person approach to examine the relationship between social media and psychological distress in a birth cohort over three time points.

    “We used a within-person approach to examine the relationship between social media and symptoms of psychological distress among a birth cohort over three time points.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductcitation

    The physical symptoms MASC scale has demonstrated good reliability and validity in a sample of Icelandic adolescents.

    “The scale has demonstrated good reliability and validity in a sample of Icelandic adolescents (Olason et al. 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Olason et al. 2004 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    In this sample, Cronbach's alpha for depressed mood was 0.900 at T1, 0.906 at T2, and 0.920 at T3.

    “In this sample, Cronbach's alpha was 0.900 (T1), 0.906 (T2), and 0.920 (T3).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Missing values within individual variables ranged from 1.7% to 5.8% and were handled with pairwise deletion unless otherwise specified.

    “Missing values within individual variables ranged from 1.7% to 5.8% and are treated with pairwise deletion unless otherwise specified.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductnone given

    The study had a large sample and high participant retention across all three time points.

    “Our study also benefited from a large sample and high participant retention across each of the three time points.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    A recent cross-sectional study of Icelandic adolescents found passive social media use positively associated with emotional distress, while active use was not related to emotional distress.

    “A recent cross-sectional study of Icelandic adolescents found that using social media passively was positively associated with symptoms of emotional distress, while active social media use did not relate to emotional distress (Thorisdottir et al. 2019).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Thorisdottir et al. 2019 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    In this sample, Cronbach's alpha for parental support was 0.821 at T1, 0.872 at T2, and 0.899 at T3.

    “In this sample, Cronbach's alpha was 0.821 (T1), 0.872 (T2), and 0.899 (T3).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    In this sample, Cronbach's alpha for physical symptoms was 0.886 at T1, 0.912 at T2, and 0.919 at T3.

    “In this sample, Cronbach's alpha was 0.886 (T1), 0.912 (T2), and 0.919 (T3).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Anxiety is highly prevalent among girls in Western economies.

    “given the high prevalence of anxiety among girls in Western economies (Bor et al. 2014)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bor et al. 2014 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Distributional properties were assessed, and skew and kurtosis were around the common threshold of 1.0 or less in all instances except the PPS scale, where skew was 1.6 and kurtosis 3.0.

    “Distributional properties were assessed for the scale variables, and skew and kurtosis determined to be around the common threshold of 1.0 or less in all instances, except the PPS scale where skew was 1.6 and kurtosis 3.0.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Social media use was treated as a continuous variable rather than as categories of high versus low use, reducing comparability with some other studies.

    “Second, social media use was treated as a continuous variable instead of looking at different categories of high versus low social media use, thus diminishing comparability with some other studies.”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: Time spent on social media has similar effects across the spectrum of social media use.
  • May combine two claims.

    Interpretationown data

    The relationship between time spent on social media and symptoms of depressed mood and physical anxiety grew stronger over time, though causality is unknown.

    “The relationship between time spent on social media and symptoms of depressed mood and physical symptoms of anxiety grew stronger over time, although it is not known if this relationship is causal.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductown data

    Average social media use was measured with a single question, and different platforms or types of use were not measured.

    “First, we used a single question to examine average social media use and did not include measures on different platforms or different types of social media use, such as active or passive use, which along with time spent on social media, has been shown to be significantly associated with increased psychological distress (Thorisdottir et al. 2019).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Thorisdottir et al. 2019 source
  • Classified as probably not a substantial claim.

    Premisereasoning

    The nature of the relationship between social media use and psychological distress is not clear.

    “However, the nature of the relationship between social media use and psychological distress is not clear.”
    Quote in the paperSubstantial claim
40 of 40
  • The authors state this as an assumption.

    Time spent on social media has similar effects across the spectrum of social media use.

    “The former approach assumes similar effects of time across the spectrum of social media use, while the latter endorses that only heavy use has an impact on psychological distress.”
1 of 1

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Results from studies with shorter follow-up periods and younger samples suggest that the impact of social media on mental health may be stronger earlier in adolescence, potentially decreasing as individuals grow older.

    “For instance, results from studies with shorter follow-up periods and younger samples [17,18] suggest that the impact of social media on mental health may have a stronger influence earlier in adolescence, potentially decreasing as individuals grow older.”

    From Long-Term Consequences of Time Spent on Social Media in Adolescence on Mental Health in Young Adulthood: A Cohort Study From Sweden. (2026) · cites this paper as [17]

    The Results (Hypothesis 2; page unavailable) state the opposite age trend: the association of social media use with depressed mood and physical anxiety grew stronger as participants got older, not weaker. The paper found no comparable time interaction for social anxiety and does not establish a causal impact. (LLM, conf=0.89)

    Checked by a reasoning model — may be wrong.

    Experimental — accuracy not yet measured
  • Other studies have reported prospective associations between social media use and mental health problems.

    “However, other studies have reported prospective associations between social media use and mental health problems [17–19].”

Cites

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4 of the 50 references couldn’t be matched to a known paper.

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Authors
Thorisdottir, I. E., Sigurvinsdottir, R., Kristjansson, A. L., Allegrante, J. P., Lilly, C. L., & Sigfusdottir, I. D.
Affiliations
  • Reykjavík University (IS)
  • West Virginia University (US)
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2020-12
Volume
141
Pages
106270
ISSN
0091-7435 (ISSN-L)
OpenAlex
W3090679770
Cited by
90
References
50
Citations by year
2026: 28 · 2025: 24 · 2024: 12 · 2023: 12 · 2022: 10 · 2021: 4
FWCI
8.69
Type
journal article
Language
en
Open access
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Opin vísindi (Opin vísindi) (submittedVersion)
Funders
  • European Research Council (ERC-CoG-2014 -647860)
  • Icelandic Centre for Research (174030 \u2013051, 174030)
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Education › Child Development and Digital Technology
Keywords
social media use, psychological distress, adolescents, social anxiety, depressive mood, physical symptoms of anxiety, sex differences, longitudinal cohort, adolescent development
MeSH terms
Psychological Distress, Adolescent, Anxiety, Depression, Female, Humans, Iceland, Longitudinal Studies, Male, Social Media

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-09-28.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

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