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Smartphones, social media use and youth mental health
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KEY POINTS In the last decade, increasing mental distress and treatment for mental health conditions among youth in North America has paralleled a steep rise in the use of smartphones and social media by children and adolescents. In Ontario, the proportion of teenagers reporting moderate to serious
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“In addition, several reviews used a broad and sometimes even boundless (operational) definition of mental health, which led to the inclusion of a multitude of outcomes, including marihuana use, identity development, social support, (cyber)bullying, and/or academic performance [22,23,27,30].”
From Social media use and its impact on adolescent mental health: An umbrella review of the evidence. (2022) · cites this paper as [30]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“However, some reviews were less nuanced in their conclusions and used qualifications of the effect sizes such as 'substantial,' 'detrimental,' and 'deleterious' [25,30,38].”
From Social media use and its impact on adolescent mental health: An umbrella review of the evidence. (2022) · cites this paper as [30]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Results showed that most reviews interpreted the associations between social media use and mental health as 'weak' or 'inconsistent,' whereas a few qualified the same associations as 'substantial' and 'deleterious.'”
From Social media use and its impact on adolescent mental health: An umbrella review of the evidence. (2022) · cites this paper as [30]
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“Although the majority of the reviews concluded that the reported associations of SMU with mental health were small to moderate, some others interpreted these associations as serious [30], substantial [48] or detrimental [25].”
From Social media use and its impact on adolescent mental health: An umbrella review of the evidence. (2022) · cites this paper as [30]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Los datos confirman un consumo adictivo del teléfono móvil en los jóvenes ( Han ; Kim , 2019; Rather ; Rather , 2019; Abi-Jaoude , Treurnicht-Naylor ; Pignatiello , 2020) que conduce a diversas patologías.”
From Redes sociales y consumo digital en jóvenes universitarios: economía de la atención y oligopolios de la comunicación en el siglo XXI (2020) · cites this paper as Abi-Jaoude, Treurnicht-Naylor; Pignatiello, 2020
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In the citing paper
“For example, time spent on SNS is associated with higher levels of depression [17], whereas emotional connectedness to SNS ('intensity of use') [15] and the number of friends on SNS [16] are unrelated to depression.”
From Social media use and its impact on adolescent mental health: An umbrella review of the evidence. (2022) · cites this paper as [16]
In the citing paper
“However, recent studies have shown that the intensity of online activity is negatively associated with subjective well-being (37).”
From Effects of Short Video Addiction on the Motivation and Well-Being of Chinese Vocational College Students (2022) · cites this paper as [37]
In the citing paper
“and that the subjective well-being of individuals who use online activities intensely may be affected (7, 37).”
From Effects of Short Video Addiction on the Motivation and Well-Being of Chinese Vocational College Students (2022) · cites this paper as [37]
In the citing paper
“Several studies have found that addiction may negatively affect users' wellbeing”
From Effects of Short Video Addiction on the Motivation and Well-Being of Chinese Vocational College Students (2022) · cites this paper as [37]
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Age, period and cohort analysis of suicide trends in Australia, 1907–2020
Spittal, M. J., Mitchell, R. H. B., Clapperton, A., Laughlin, A., Sinyor, M., & Page, A. (2024) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2024.101171 · Cited by 10
“47,50,51 Heavy electronic device use ( ≥ 5 h per day) has been associated with the presence of one or more risk factors for suicide (particularly for young women).”
BackgroundNavigating the relationship between social media use and mental health in the digital age
Opoku, D., Donkor, C., Yeboah, J. N. O., & Quagraine, L. (2025) · Discover Mental Health · doi:10.1007/s44192-025-00285-4 · Cited by 14
“In this regard, Brighieri et al. [4] argued that exposure to cyberbullying relates to depressive symptoms and life dissatisfaction, while Abi-Jaoude et al. [5] found a positive relationship between levels of youth use of smartphones and social media with anxiety levels and depression levels.”
InfluentialThe association of health behaviors and mental health during COVID-19
Humer, E. C., Gächter, A., Dale, R., Probst, T., & Pieh, C. (2022) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2022.06.001 · Cited by 10
“Several prior cross-sectional and longitudinal studies point to a negative association between smartphone usage and psychological wellbeing [9].”
Racial Bias in the Beautyverse: Evaluation of Augmented-Reality Beauty Filters
Riccio, P., & Oliver, N. (2023) · Lecture notes in computer science · doi:10.1007/978-3-031-25066-8_43 · Cited by 13
Tibber, M. S., Wang, M., & Zhang, C. (2022) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2022.2064035 · Cited by 13
“…but statistically significant associations between higher levels of SM use (typically more than three hours per day) and poorer mental health (Abi-Jaoude et al., 2020; Keles et al., 2020; McCrae et al., 2017; Orben, 2020b), although due to methodological limitations of the literature it has…”
BackgroundPatil, P., Pawar, A. M., Wahjuningrum, D. A., Luke, A. M., Reda, R., & Testarelli, L. (2023) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s430973 · Cited by 11
“While social media has unquestionable benefits, others worry that it might also have negative consequences on behavior and mental health.(2) Social comparison, or comparing one’s own life and accomplishments to those of others on social media, has been noted as a factor that can have a detrimental effect on mental hea…”
BackgroundGlobal Perspectives on Social Media Usage Within Governments
Chavadi, C. A., Govindaraj, M., Ganesan, S. K., Manoharan, S., & Thangam, D. (2023) · Advances in social networking and online communities book series · doi:10.4018/978-1-6684-7450-1.ch001 · Cited by 9
Shaping Social Media Minds: Scaffolding Empathy in Digitally Mediated Interactions?
Moßner, C., & Walter, S. (2024) · Topoi · doi:10.1007/s11245-024-10034-x · Cited by 9
“…(e.g., Dregdge and Schreur 2020 ): The resulting decrease in empathy appears, among other things, to negatively impact the health (e.g., Abi-Jaoude et al. 2020) and life satisfaction (e.g., Usán Supervía et al. 2023) of frequent internet users, and to promote the spread of fake news…”
Visier‐Alfonso, M. E., López‐Gil, J. F., Mesas, A. E., Jiménez‐López, E., Cekrezi, S., & Martínez‐Vizcaíno, V. (2024) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2024.0064 · Cited by 9
“21 These factors could lead to differing mental health outcomes, with lower SES adolescents potentially facing greater risks due to limited resources and higher depression and anxiety symptoms, as well as greater stress levels.”
Naing, L., Hassen, S., Sharbini, S. H., Murang, Z. R., Teo, N., & Tahir, Z. M. (2024) · BMC Public Health · doi:10.1186/s12889-024-20453-5 · Cited by 14
Geng, Z., & Liu, R. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1582741 · Cited by 12
Tully, J., McLean, S., & Rowse, J. (2025) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.70148 · Cited by 9
Griffioen, N., Scholten, H., Lichtwarck‐Aschoff, A., Maciejewski, D. F., & Granic, I. (2022) · Current Psychology · doi:10.1007/s12144-022-04035-5 · Cited by 11
“However, there have been a number of studies suggesting that social media use may affect female users more than male users (e.g., Orben et al., 2019; Abi-Jaoude et al., 2020; The Hill, n.d.). perhaps because women are more attuned to social comparisons based on curated timelines (Choukas-Bradley et…”
BackgroundGiancola, D., Travers, R., & Coulombe, S. (2023) · Social Media + Society · doi:10.1177/20563051231177970 · Cited by 12
“Sleep disruption and deprivation are linked with excessive social media use and negative mental health outcomes (Abi-Jaoude et al., 2020; Alonzo et al., 2021; Schimmele et al., 2021) including anxiety, depression, and psychological distress, and was especially prominent in those aged 16 to 25…”
BackgroundSoltani, Z., Parizad, N., Radfar, M., Alinejad, V., Arzanlo, M., & Haghighi, M. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05688-1 · Cited by 9
“Given the widespread access to smartphones and their potential for self-management, it seems that the use of smartphones in patients with depression is becoming more important than ever before [20].”
BackgroundTabatabaei, S., Bulgarova, B. A., Kotecha, K. V., Patil, S., Volkova, I. I., & Barabash, V. (2024) · Journal of Infrastructure Policy and Development · doi:10.24294/jipd.v8i7.5443 · Cited by 19
“…of social media, including its impact on academic progress (Luo et al., 2020), social communication, sleep quality (Woods and Scott, 2016), mental health (Abi-Jaoude et al., 2020; Spies Shapiro and Margolin, 2014; Woods and Scott, 2016), and family bonding (Huang et al., 2023; Sultana, 2017).”
BackgroundAlwuqaysi, B., Abdul‐Rahman, A., & Borgo, R. (2024) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2024.100513 · Cited by 9
The role of social media in primary care
Rashid, A. A., Kamarulzaman, A., Sulong, S., & Abdullah, S. (2021) · Malaysian Family Physician · doi:10.51866/rv1048 · Cited by 9
Kabacińska, K., McLeod, K. E. R., MacKenzie, A., Vu, K., Cianfrone, M., Tugwell, A., & Robillard, J. M. (2022) · Digital Health · doi:10.1177/20552076221102775 · Cited by 11
(2024) · doi:10.2196/57154 · Cited by 10
“…examined the duration of time spent online, finding significant associations between spending ≥ 2 hours on SMPs a day and depressive symptoms in adolescent girls [6-8], with discrete windows of sensitivity emerging early in boys (aged 14 y and 19 y) and in girls (aged 13-15 y and 19 y) [9].”
Wong, S. M. Y., Lau, T. T. Y., Hui, C. L. M., Suen, Y. N., Chan, S. K. W., Lee, E. H. M., Chan, K. T., Wong, M. T. H., & Chen, E. Y. H. (2023) · Mindfulness · doi:10.1007/s12671-023-02185-6 · Cited by 8
“Smartphones have increasingly been integrated into the daily lives of individuals across societies, particularly among young people (Abi-Jaoude et al., 2020; Cheung et al., 2022).”
BackgroundImpact of increasing media use on mental health of children and adolescents
Bhatia, R. (2023) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000897 · Cited by 4
“Since 2010, there has also been a dramatic rise in smart phone, social media and electronic communication use among children and adolescents [1,2].”
BackgroundWu, H. T., Li, J., & Tsurumi, A. (2024) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00688-7 · Cited by 9
“…vision and skeletal problems [2], biochemical imbalances [2], depression and inattention problems, depression, anxiety, and poor self-esteem [7, 9, 10, 35–38]; and on cognitive functioning, including language development [39], executive and academic performance [9, 33], attention span [40],…”
BackgroundExperience machines for well-being? Understanding how social media entertainment matters for teens
Lüders, M. H. (2024) · Media Culture & Society · doi:10.1177/01634437241276122 · Cited by 8
“Increases in mental distress among youth have been linked to how social media negatively affect cognitive and socioemotional functioning (Abi-Jaoude et al., 2020), but there is a lack of evidence for causality (Odgers and Jensen, 2020).”
Gillespie, K. M., Branjerdporn, G., Woerwag‐Mehta, S., Glegg, J., Porter, M., & Bartlett, S. E. (2024) · PLoS ONE · doi:10.1371/journal.pone.0314621 · Cited by 8
Revolutionizing Sport - How Technology is Changing the Sports Industry?
Avcı, P., & Bayrakdar, A. (2023) · Özgür Yayınları eBooks · doi:10.58830/ozgur.pub315.c1476 · Cited by 11
Knebel, M. T. G., Matias, T. S., Lopes, M. V. V., dos Santos, P. C., Bandeira, A. D. S., & da Silva, K. S. (2022) · International Journal of Behavioral Medicine · doi:10.1007/s12529-021-10043-9 · Cited by 8
“As in other studies [37–39], this cluster primarily consisted of girls who are notoriously less likely to comply with PA recommendations [40] and are interested in using smartphones because of social media access [41].”
ResultHalsall, T., Mahmoud, K., Iyer, S. N., Orpana, H., Zeni, M., & Matheson, K. (2022) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2022.2149097 · Cited by 10
“There is accumulating research that has identified that social media and screen time is associated with poor mental health (Abi-Jaoude et al., 2020; Domingues-Montanari, 2017; Khan et al., 2021).”
BackgroundPilarska, I., Grabska, K., & Stachurski, J. (2023) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/162245 · Cited by 8
Zeng, W., Luo, Y., & Chen, H. (2023) · Youth & Society · doi:10.1177/0044118x231176849 · Cited by 9
“Furthermore, 70% of adolescents in Western countries frequently use social media (Abi-Jaoude et al., 2020) for at least 2 hr each day (You et al., 2022), and Chinese middle school and high school students use social media at a rate of 51% and 58.4%, respectively (Youth, 2022).”
BackgroundInfluentialAdolescents and negligent social media use
Arcos, A. L., Varela, F. F., & de Goñi, J. I. M. D. M. (2024) · Technology in Society · doi:10.1016/j.techsoc.2024.102623 · Cited by 7
Stamer, T., Traulsen, P., Rieken, J., Schmahl, T., Menrath, I., & Steinhäuser, J. (2024) · BMC Cancer · doi:10.1186/s12885-024-12910-6 · Cited by 7
“Especially the latter was considered impactful for the young target group of patients, since young people are associated with a broader and greater use of technologies [79].”
Background
Metadata
- Authors
- Abi-Jaoude, E., Naylor, K. T., & Pignatiello, A.
- Affiliations
- University Health Network (CA)
- Venue
- Canadian Medical Association Journal
- Publisher
- CMA Impact Inc.
- Published
- 2020-02-09
- Volume
- 192
- Issue
- 6
- Pages
- E136-E141
- ISSN
- 0820-3946 (ISSN-L)
- 1488-2329
- PMC
- PMC7012622
- OpenAlex
- W3005199011
- Cited by
- 627
- References
- 58
- Citations by year
- 2026: 57 · 2025: 127 · 2024: 149 · 2023: 149 · 2022: 79 · 2021: 51 · 2020: 15
- FWCI
- 12.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Canadian Medical Association Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Toronto
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Education › Child Development and Digital Technology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- smartphones, social media use, youth mental health, adolescents, psychological distress, psychotherapy
- MeSH terms
- Smartphone, Adolescent, Mental Disorders, Child, Humans, Mental Health, Social Media
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