Social media and its relationship with mood, self‐esteem and paranoia in psychosis
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Objective: An evidence‐base is emerging indicating detrimental and beneficial effects of social media. Little is known about the impact of social media use on people who experience psychosis. Method: Forty‐four participants with and without psychosis completed 1084 assessments of social media use, perceived social rank, mood, self‐esteem and paranoia over a 6‐day period using an experience sampling method ( ESM ). Results: Social media use predicted low mood, but did not predict self‐esteem and paranoia. Posting about feelings and venting on social media predicted low mood and self‐esteem and high paranoia, whilst posting about daily activities predicted increases in positive affect and self‐esteem and viewing social media newsfeeds predicted reductions in negative affect and paranoia. Perceptions of low social rank when using social media predicted low mood and self‐esteem and high paranoia. The impact of social media use did not differ between participants with and without psychosis; although, experiencing psychosis moderated the relationship between venting and negative affect. Social media use frequency was lower in people with psychosis. Conclusion: Findings show the potential detrimental impact of social media use for people with and without psychosis. Despite few between‐group differences, overall negative psychological consequences highlight the need to consider use in clinical practice.
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In patients with psychosis, social media use appeared to predict low mood.
“social media use appeared to predict low mood (Berry, Emsley, Lobban, & Bucci, 2018)”
From Social Media and Mental Health: Benefits, Risks, and Opportunities for Research and Practice (2020) · cites this paper as Berry, Emsley, Lobban, & Bucci, 2018
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Cites
Social capital, self-esteem, and use of online social network sites: A longitudinal analysis.
Steinfield, C., Ellison, N. B., & Lampe, C. (2008) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2008.07.002 · Cited by 1,919 · see citing works
Personality and motivations associated with Facebook use
Ross, C., Orr, E. S., Sisic, M., Arseneault, J. M., Simmering, M. G., & Orr, R. R. (2009) · Computers in Human Behavior · doi:10.1016/j.chb.2008.12.024 · Cited by 1,728 · see citing works
Social comparison, social media, and self-esteem.
Vogel, E. A., Rose, J. P., Roberts, L. R., & Eckles, K. (2014) · Psychology of Popular Media Culture · doi:10.1037/ppm0000047 · Cited by 1,418 · see citing works
Do social network sites enhance or undermine subjective well-being? A critical review
Verduyn, P., Ybarra, O., Résibois, M., Jonides, J., & Kross, E. (2017) · Social Issues and Policy Review · doi:10.1111/sipr.12033 · Cited by 1,209 · see citing works
Social network activity and social well-being
Burke, M., Marlow, C., & Lento, T. (2010) · Proceedings of the SIGCHI Conference on Human Factors in Computing Systems · doi:10.1145/1753326.1753613 · Cited by 1,109 · cited 1× · see citing works
“(39) separated social media behaviours into (i) directed communication such as posting on another user’s profile; (ii) content production such as posting status updates; and (iii) content consumption such as scrolling through social media newsfeeds.”
BackgroundOnline communication, social media and adolescent wellbeing: A systematic narrative review
Best, P., Manktelow, R., & Taylor, B. (2014) · Children and Youth Services Review · doi:10.1016/j.childyouth.2014.03.001 · Cited by 1,067 · see citing works
Laurenceau, J.-P., Barrett, L. F., & Pietromonaco, P. R. (1998) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.74.5.1238 · Cited by 1,064 · cited 1× · see citing works
“632 18 (41) Female 12 (63) Female 14 (56) 26 (59) Employment status Employment status Working full time 0 (0) Working full time 13 (52) v(2) = 25.”
BackgroundPassive Facebook usage undermines affective well-being: Experimental and longitudinal evidence.
Verduyn, P., Lee, D. S., Park, J., Shablack, H., Orvell, A., Bayer, J., Ybarra, O., Jonides, J., & Kross, E. (2015) · Journal of Experimental Psychology: General · doi:10.1037/xge0000057 · Cited by 988 · cited 9× · see citing works
“116), but was associated with mental health status, with participants in the clinical group reporting lower levels of social media use in comparison with participants in the non-clinical group [t(42) = 2.”
BackgroundMethodResultInfluentialSocial Networking Sites, Depression, and Anxiety: A Systematic Review
Seabrook, E. M., Kern, M. L., & Rickard, N. S. (2016) · JMIR Mental Health · doi:10.2196/mental.5842 · Cited by 763 · cited 2× · see citing works
“Systematic reviews have highlighted that conclusions cannot yet be drawn and further robust research is warranted (19, 20).”
BackgroundSelf-presentation and gender on MySpace
Manago, A. M., Graham, M. B., Greenfield, P. M., & Salimkhan, G. (2008) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2008.07.001 · Cited by 724 · see citing works
Emotional Reactivity to Daily Life Stress in Psychosis
Myin-Germeys, I., van Os, J., Schwartz, J. E., Stone, A. A., & Delespaul, P. A. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.12.1137 · Cited by 653 · see citing works
The interplay between Facebook use, social comparison, envy, and depression
Appel, H., Gerlach, A. L., & Crusius, J. (2016) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.10.006 · Cited by 605 · cited 1× · see citing works
“343 15 (34) Smartphone 18 (95) Smartphone 23 (92) v(2) = 0.”
Primack, B. A., Shensa, A., Escobar-Viera, C. G., Barrett, E. L., Sidani, J. E., Colditz, J. B., & James, A. E. (2017) · Computers in Human Behavior · doi:10.1016/j.chb.2016.11.013 · Cited by 581 · see citing works
Forest, A. L., & Wood, J. V. (2012) · Psychological Science · doi:10.1177/0956797611429709 · Cited by 547 · see citing works
A social comparison scale: psychometric properties and relationship to psychopathology.
Allan, S., & Gilbert, P. (1995) · Personality and Individual Differences · doi:10.1016/0191-8869(95)00086-l · Cited by 525 · cited 4× · see citing works
“Baseline perceptions of SR were measured using the Social Comparison Scale (SCS, which consists of a list of 11 pairs of antonyms) (48).”
BackgroundMethodInfluentialShensa, A., Escobar-Viera, C. G., Sidani, J. E., Bowman, N. D., Marshal, M. P., & Primack, B. A. (2017) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.03.061 · Cited by 469 · see citing works
“Facebook Depression?” Social Networking Site Use and Depression in Older Adolescents
Jelenchick, L. A., Eickhoff, J. C., & Moreno, M. A. (2013) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2012.05.008 · Cited by 445 · see citing works
How do people compare themselves with others on social network sites?: The case of Facebook
Lee, S. Y. (2014) · Computers in Human Behavior · doi:10.1016/j.chb.2013.12.009 · Cited by 437 · see citing works
Social comparison, social attractiveness and evolution: How might they be related?
Gilbert, P., Price, J., & Allan, S. (1995) · New Ideas in Psychology · doi:10.1016/0732-118x(95)00002-x · Cited by 322 · see citing works
Experience sampling research in individuals with mental illness: reflections and guidance
Palmier-Claus, J. E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina, A., Delespaul, P. A. E. G., Lewis, S. W., & Dunn, G. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2010.01596.x · Cited by 287 · see citing works
Development and validation of a social media use integration scale.
Jenkins-Guarnieri, M. A., Wright, S. L., & Johnson, B. (2013) · Psychology of Popular Media Culture · doi:10.1037/a0030277 · Cited by 273 · see citing works
Facebook and self-perception: Individual susceptibility to negative social comparison on Facebook
de Vries, D. A., & Kühne, R. (2015) · Personality and Individual Differences · doi:10.1016/j.paid.2015.05.029 · Cited by 250 · see citing works
Blomfield neira, C. J., & Barber, B. L. (2014) · Australian Journal of Psychology · doi:10.1111/ajpy.12034 · Cited by 247 · see citing works
Emotions, self-esteem, and paranoid episodes: An experience sampling study
Thewissen, V., Bentall, R. P., Oorschot, M., à Campo, J., van Lierop, T., van Os, J., & Myin‐Germeys, I. (2011) · British Journal of Clinical Psychology · doi:10.1348/014466510x508677 · Cited by 236 · see citing works
#WhyWeTweetMH: Understanding why people use twitter to discuss mental health problems
Berry, N., Lobban, F., Belousov, M., Emsley, R., Nenadic, G., & Bucci, S. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6173 · Cited by 228 · see citing works
Self-citationOn the HORYZON: Moderated online social therapy for long-term recovery in first episode psychosis
Alvarez-Jimenez, M., Bendall, S., Lederman, R., Wadley, G., Chinnery, G., Vargas, S., Larkin, M., Killackey, E., McGorry, P. D., & Gleeson, J. F. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2012.10.009 · Cited by 224 · see citing works
Banjanin, N., Banjanin, N., Dimitrijevic, I., & Pantic, I. (2015) · Computers in Human Behavior · doi:10.1016/j.chb.2014.11.013 · Cited by 215 · see citing works
Digital Technology Use Among Individuals with Schizophrenia: Results of an Online Survey
Gay, K., Torous, J., Joseph, A., Pandya, A., & Duckworth, K. (2016) · JMIR Mental Health · doi:10.2196/mental.5379 · Cited by 161 · see citing works
Brent Donnellan, M., Kenny, D. A., Trzesniewski, K. H., Lucas, R. E., & Conger, R. D. (2012) · Journal of Research in Personality · doi:10.1016/j.jrp.2012.07.005 · Cited by 145 · cited 1× · see citing works
“Trait self-esteem was measured using the Rosenberg Self-esteem Scale (RSES), which consists of 10 statements on a 4-point scale (1 = strongly agree; 4 = strongly disagree) and can be used to measure both trait and state self-esteem (45).”
MethodBerry, N., Bucci, S., & Lobban, F. (2017) · JMIR Mental Health · doi:10.2196/mental.8311 · Cited by 112 · see citing works
Self-citationNaslund, J. A., Aschbrenner, K. A., Marsch, L. A., McHugo, G. J., & Bartels, S. J. (2018) · Psychiatric Quarterly · doi:10.1007/s11126-017-9512-0 · Cited by 64 · see citing works
Flagged first, then by citations
Research works printed but not linked: 36
- [1]Boyd DM, Ellison NB. Social network sites: definition, history, and scholarship. J Comput Mediat Commun 2007; 13: 210– 230.
- [2]Brusilovskiy E, Townley G, Snethen G, Salzer MS. Social media use, community participation and psychological well‐being among individuals with serious mental illnesses. Comput Human Behav 2016; 65: 232– 240.
- [3]Miller BJ, Stewart A, Schrimsher J, Peeples D, Buckley PF. How connected are people with schizophrenia? Cell phone, computer, email and social media use. Psychiatry Res 2015; 225: 458– 463. 25563669
- [6]Matthews M, Murnane E, Snyder J et al. The double‐edged sword: a mixed methods study of the interplay between bipolar disorder and technology use. Comput Human Behav 2017; 75: 288– 300.
- [8]Birnbaum ML, Rizvi AF, Correll CU, Kane JM, Confino J. Role of social media and the Internet in pathways to care for adolescents and young adults with psychotic disorders and non‐psychotic mood disorders. Early Interv Psychiatry 2017; 11: 290– 295. 25808317 PMC4580496
- [9]Berry N, Lobban F, Emsley R, Bucci S. Acceptability of interventions delivered online and through mobile phones for people who experience severe mental health problems: a systematic review. J Med Internet Res 2016; 18: e121. 27245693 PMC4908305
- [10]Pantic I, Damjanovic A, Todorovic J et al. Association between online social networking and depression in high school students: behavioural physiology viewpoint. Psychiatr Danub 2012; 24: 90– 93. 22447092
- [16]Gonzales AL, Hancock JT. Mirror, mirror on my Facebook wall: effects of exposure to Facebook on self‐esteem. Cyberpsychol Behav Soc Netw 2011; 14: 79– 83. 21329447
- [21]Torous J, Keshavan M. The role of social media in schizophrenia: evaluating risks, benefits, and potential. Curr Opin Psychiatry 2016; 29: 190– 195. 26967314
- [22]Kalbitzer J, Mell T, Bermpohl F, Rapp M, Heinz A. Twitter psychosis: a rare variation or a distinct syndrome. J Nerv Ment Dis 2014; 202: 623. 25075647
- [23]Krishna N, Fischer BA, Miller M, Register‐Brown K, Patchan K, Hackman A. The role of social media networks in psychotic disorders: a case report. Gen Hosp Psychiatry 2013; 35: 323– 331. 23174460
- [24]Nitzan U, Shoshan E, Lev‐Ran S, Fennig S. Internet‐related psychosis‐a sign of the times. Isr J Psychiatry Relat Sci 2011; 48: 207– 211. 22141146
- [25]Veretilo P, Billick SB. Psychiatric illness and Facebook: a case report. Psychiatr Q 2012; 83: 385– 389. 22274630
- [26]Bird JC, Waite F, Rowsell E, Fergusson EC, Freeman D. Cognitive, affective, and social factors maintaining paranoia in adolescents with mental health problems: a longitudinal study. Psychiatry Res 2017; 257: 34– 39. 28715666
- [28]Festinger L. A theory of social comparison processes. Human Relations 1954; 7: 117.
- [31]Zhao S, Grasmuck S, Martin J. Identity construction on Facebook: digital empowerment in anchored relationships. Comput Human Behav 2008; 24: 1816– 1836.
- [32]Gilbert P. The relationship of shame, social anxiety and depression: the role of the evaluation of social rank. Clin Psychol Psychother 2000; 7: 174– 189.
- [36]Steers M‐LN, Wickham RE, Acitelli LK. Seeing everyone else's highlight reels: how Facebook usage is linked to depressive symptoms. J Soc Clin Psychol 2014; 33: 701– 731.
- [37]Vogel EA, Rose JP, Okdie BM, Eckles K, Franz B. Who compares despairs? The effect of social comparison orientation on social media use and its outcomes. Pers Individ Dif 2015; 86: 249– 256.
- [38]Østergaard SD. Taking Facebook at face value: why the use of social media may cause mental disorder. Acta Psychiatr Scand 2017; 136: 439– 440. 28940179
- [41]Kross E, Verduyn P, Demiralp E et al. Facebook use predicts declines in subjective well‐being in young adults. PLoS ONE 2013; 8: e69841. 23967061 PMC3743827
- [43]Csikszentmihalyi M, Larson R. Validity and reliability of the experience‐sampling method In: Csikszentmihalyi M, ed. Flow and foundations of positive psychology. Dordrecht: Springer, 2014.
- [44]Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 1988; 54: 1063– 1070. 3397865
- [47]Fenigstein A, Vanable PA. Paranoia and self‐consciousness. J Pers Soc Psychol 1992; 62: 129– 138. 1538311
- [52]Fuller‐Tyszkiewicz M, McCabe M, Skouteris H et al. Does body satisfaction influence self‐esteem in adolescents' daily lives? An experience sampling study J Adolesc 2015; 45: 11– 19. 26356806
- [55]Carter LA. Rigorous methods for the analysis, reporting and evaluation of ESM style data. PhD dissertation. Manchester (UK): University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/files/54589387/FULL_TEXT.PDF
- [56]Seidman G. Self‐presentation and belonging on Facebook: how personality influences social media use and motivations. Pers Individ Diff 2013; 54: 402– 407.
- [58]Greene K, Derlega VL, Mathews A. Self‐disclosure in personal relationships In: Vangelisti A, Perlman D, editors. Cambridge handbook of personal relationships. Cambridge, UK: Cambridge University Press, 2006.
- [60]Al‐Kandari A, Melkote SR, Sharif A. Needs and motives of Instagram users that predict self‐disclosure use: a case study of young adults in Kuwait. J Creative Commun 2016; 11: 85– 101.
- [61]Bazarova NN, Choi YH. Self‐disclosure in social media: extending the functional approach to disclosure motivations and characteristics on social network sites. J Commun 2014; 64: 635– 657.
- [62]Hollenbaugh EE, Ferris AL. Facebook self‐disclosure: examining the role of traits, social cohesion, and motives. Comput Human Behav 2014; 30: 50– 58.
- [63]Orben AC, Dunbar RIM. Social media and relationship development: the effect of valence and intimacy of posts. Comput Human Behav 2017; 73: 489– 498.
- [68]Aschbrenner KA, Naslund JA, Shevenell M, Kinney E, Bartels SJ. A pilot study of a peer‐group lifestyle intervention enhanced with mHealth technology and social media for adults with serious mental illness. J Nerv Ment Dis 2016; 204: 483– 486. 27233056 PMC4887192
- [69]Naslund JA, Aschbrenner KA, Marsch LA, Bartels SJ. The future of mental health care: peer‐to‐peer support and social media. Epidemiol Psychiatr Sci 2016; 25: 113– 122. 26744309 PMC4830464
- [70]Naslund JA, Aschbrenner KA, Marsch LA, Bartels SJ. Feasibility and acceptability of Facebook for health promotion among people with serious mental illness. Digital Health 2016; 2: 1– 10. PMC5370548 28367321
- [72]Välimäki M, Athanasopoulou C, Lahti M, Adams CE. Effectiveness of social media interventions for people with schizophrenia: a systematic review and meta‐analysis. J Med Internet Res 2016; 18: e92. 27105939 PMC4859871
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- Authors
- Berry, N., Emsley, R., Lobban, F., & Bucci, S.
- Affiliations
- Manchester Academic Health Science Centre (GB)
- King's College London (GB)
- Lancaster University (GB)
- Greater Manchester Mental Health NHS Foundation Trust (GB)
- Corresponding author
- Berry, N.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2018-09-10
- Volume
- 138
- Issue
- 6
- Pages
- 558-570
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- PMC
- PMC6221086
- OpenAlex
- W2890285745
- Cited by
- 88
- References
- 31
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 9 · 2023: 26 · 2022: 11 · 2021: 13 · 2020: 6 · 2019: 6 · 2018: 1
- FWCI
- 14.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Research Explorer (The University of Manchester) (submittedVersion, cc-by)
- Funders
- MRC Health eResearch Centre (HeRC)
- Farr Institute (MR/K006665/1)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- social media use, psychosis, mood, self-esteem, paranoia, social rank, venting, positive and negative affect
- MeSH terms
- Ecological Momentary Assessment, Adult, Affect, Female, Hierarchy, Social, Humans, Male, Middle Aged, Paranoid Disorders, Psychotic Disorders, Schizophrenia, Self Concept, Social Behavior, Young Adult, Social Media
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