This study aims to explore the impact of social media use on mental health risk among Chinese adolescents. Through a qualitative study of second-year undergraduates at a university, this paper analyzed their reflections on high school and freshman life during adolescence, focusing on the relationship between the frequency and quality of social media use, content type, degree of addiction, and mental health risk. The study found that social media use was positively associated with the risk of depression, anxiety and psychological distress, especially in the behavioral patterns of social comparison and approval seeking. In addition, this study explored the possibility of mitigating the negative effects of social media by enhancing digital literacy and mental health awareness. The findings of this study provide a scientific basis for the development of targeted interventions aimed at promoting the mental health of adolescents in China. This study sheds light on the complex role of social media in adolescent mental health problems, accentuating the importance of families and schools in guiding adolescents to healthy use of social media.
References
[1]
Aichner, T., Grünfelder, M., Maurer, O., & Jegeni, D. (2021). Twenty-Five Years of Social Media: A Review of Social Media Applications and Definitions from 1994 to 2019. Cyberpsychology, Behavior, and Social Networking, 24, 215-222. https://doi.org/10.1089/cyber.2020.0134
[2]
Beyari, H. (2023). The Relationship between Social Media and the Increase in Mental Health Problems. International Journal of Environmental Research and Public Health, 20, Article 2383. https://doi.org/10.3390/ijerph20032383
[3]
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 Mediating Processes. Computers in Human Behavior, 116, Article 106645. https://doi.org/10.1016/j.chb.2020.106645
[4]
Carr, C. T., & Hayes, R. A. (2015). Social Media: Defining, Developing, and Divining. Atlantic Journal of Communication, 23, 46-65. https://doi.org/10.1080/15456870.2015.972282
[5]
Ghanayem, L. K., Shannon, H., Khodr, L., McQuaid, R. J., & Hellemans, K. G. C. (2024). Lonely and Scrolling during the COVID-19 Pandemic: Understanding the Problematic Social Media Use and Mental Health Link among University Students. Frontiers in Psychiatry, 15, Article 1247807. https://doi.org/10.3389/fpsyt.2024.1247807
[6]
Gupta, C., Jogdand, D. S., & Kumar, M. (2022). Reviewing the Impact of Social Media on the Mental Health of Adolescents and Young Adults. Cureus, 14, e30143. https://doi.org/10.7759/cureus.30143
[7]
Hollis, C. (2022). Youth Mental Health: Risks and Opportunities in the Digital World. World Psychiatry, 21, 81-82. https://doi.org/10.1002/wps.20929
[8]
Huang, Q., Li, Y., Huang, S., Qi, J., Shao, T., Chen, X. et al. (2020). Smartphone Use and Sleep Quality in Chinese College Students: A Preliminary Study. Frontiers in Psychiatry, 11, Article 352. https://doi.org/10.3389/fpsyt.2020.00352
[9]
Huang, Q., Lin, S., Li, Y., Huang, S., Liao, Z., Chen, X. et al. (2022). Suicidal Ideation Is Associated with Excessive Smartphone Use among Chinese College Students. Frontiers in Public Health, 9, Article 809463. https://doi.org/10.3389/fpubh.2021.809463
[10]
Hussain, Z., Wegmann, E., Yang, H., & Montag, C. (2020). Social Networks Use Disorder and Associations with Depression and Anxiety Symptoms: A Systematic Review of Recent Research in China. Frontiers in Psychology, 11, Article 211. https://doi.org/10.3389/fpsyg.2020.00211
[11]
Johnson, J. M., & Rowlands, T. (2012). The Interpersonal Dynamics of In-Depth Interviewing. In The SAGE Handbook of Interview Research: The Complexity of the Craft (pp. 99-114). Sage Publications. https://doi.org/10.4135/9781452218403.n7
[12]
Karim, F., Oyewande, A. A., Abdalla, L. F., Chaudhry Ehsanullah, R., & Khan, S. (2020). Social Media Use and Its Connection to Mental Health: A Systematic Review. Cureus, 12, e8627.
[13]
Kaur, S., Kaur, K., & Verma, R. (2022). Impact of Social Media on Mental Health of Adolescents. Journal of Pharmaceutical Negative Results, 779-783.
[14]
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, 79-93. https://doi.org/10.1080/02673843.2019.1590851
[15]
Kim, J., & Lee, S. (2017). Using Focus Group Interviews to Analyze the Behavior of Users of New Types of Tobacco Products. Journal of Preventive Medicine and Public Health, 50, 336-346. https://doi.org/10.3961/jpmph.17.052
[16]
Larson, R. B. (2019). Controlling Social Desirability Bias. International Journal of Market Research, 61, 534-547. https://doi.org/10.1177/1470785318805305
[17]
Li, J., Mo, P. K. H., Lau, J. T. F., Su, X., Zhang, X., Wu, A. M. S. et al. (2018). Online Social Networking Addiction and Depression: The Results from a Large-Scale Prospective Cohort Study in Chinese Adolescents. Journal of Behavioral Addictions, 7, 686-696. https://doi.org/10.1556/2006.7.2018.69
[18]
Liu, M., Kamper-DeMarco, K. E., Zhang, J., Xiao, J., Dong, D., & Xue, P. (2022). Time Spent on Social Media and Risk of Depression in Adolescents: A Dose-Response Meta-Analysis. International Journal of Environmental Research and Public Health, 19, Article 5164. https://doi.org/10.3390/ijerph19095164
[19]
McLellan, E., MacQueen, K. M., & Neidig, J. L. (2003). Beyond the Qualitative Interview: Data Preparation and Transcription. Field Methods, 15, 63-84. https://doi.org/10.1177/1525822x02239573
[20]
Nyimbili, F., & Nyimbili, L. (2024). Types of Purposive Sampling Techniques with Their Examples and Application in Qualitative Research Studies. British Journal of Multidisciplinary and Advanced Studies, 5, 90-99. https://doi.org/10.37745/bjmas.2022.0419
[21]
Popat, A., & Tarrant, C. (2023). Exploring Adolescents’ Perspectives on Social Media and Mental Health and Well-Being—A Qualitative Literature Review. Clinical Child Psychology and Psychiatry, 28, 323-337. https://doi.org/10.1177/13591045221092884
[22]
Rai, N., & Thapa, B. (2015). A Study on Purposive Sampling Method in Research. Kathmandu School of Law,5, 8-15.
[23]
Santos, R. M. S., Mendes, C. G., Sen Bressani, G. Y., de Alcantara Ventura, S., de Almeida Nogueira, Y. J., de Miranda, D. M. et al. (2023). The Associations between Screen Time and Mental Health in Adolescents: A Systematic Review. BMC Psychology, 11, Article No. 127. https://doi.org/10.1186/s40359-023-01166-7
[24]
Schønning, V., Hjetland, G. J., Aarø, L. E., & Skogen, J. C. (2020). Social Media Use and Mental Health and Well-Being among Adolescents—A Scoping Review. Frontiers in Psychology, 11, Article 1949. https://doi.org/10.3389/fpsyg.2020.01949
[25]
Shannon, H., Bush, K., Villeneuve, P. J., Hellemans, K. G., & Guimond, S. (2022). Problematic Social Media Use in Adolescents and Young Adults: Systematic Review and Meta-Analysis. JMIR Mental Health, 9, e33450. https://doi.org/10.2196/33450
[26]
Sharma, A., & Tyszka, A. (2023). Understanding the Mental Health of Occupational Therapy Students during the COVID-19 Pandemic. Journal of Occupational Therapy Education, 7, Article 3. https://doi.org/10.26681/jote.2023.070103
[27]
Stewart, D. W., & Shamdasani, P. N. (2014). Focus Groups: Theory and Practice. Sage Publications.
[28]
Tan, H. C., Ho, J. A., Teoh, G. C., & Ng, S. I. (2021). Is Social Desirability Bias Important for Effective Ethics Research? A Review of Literature. Asian Journal of Business Ethics, 10, 205-243. https://doi.org/10.1007/s13520-021-00128-9
[29]
Trippas, J. R., Spina, D., Cavedon, L., & Sanderson, M. (2017). A Conversational Search Transcription Protocol and Analysis. In Proceedings of Sigir 1st International Workshop on Conversational Approaches to Information Retrieval.
[30]
Vidal, C., Lhaksampa, T., Miller, L., & Platt, R. (2020). Social Media Use and Depression in Adolescents: A Scoping Review. International Review of Psychiatry, 32, 235-253. https://doi.org/10.1080/09540261.2020.1720623
[31]
Wang, A., Wang, Z., Zhu, Y., & Shi, X. (2022). The Prevalence and Psychosocial Factors of Problematic Smartphone Use among Chinese College Students: A Three-Wave Longitudinal Study. Frontiers in Psychology, 13, Article 877277. https://doi.org/10.3389/fpsyg.2022.877277
[32]
Yakobus, I. K., Suat, H., Kurniawati, K., Zulham, Z., Pannyiwi, R., & Anurogo, D. (2023). The Use Social Media’s on Adolescents’ Mental Health. International Journal of Health Sciences, 1, 425-438. https://doi.org/10.59585/ijhs.v1i4.161
[33]
Yu, L., & Du, M. (2022). Social Networking Use, Mental Health, and Quality of Life of Hong Kong SAR Adolescents during the COVID-19 Pandemic. Frontiers in Public Health, 10, Article 1040169. https://doi.org/10.3389/fpubh.2022.1040169
[34]
Zhang, J., Hu, H., Hennessy, D., Zhao, S., & Zhang, Y. (2019). Digital Media and Depressive Symptoms among Chinese Adolescents: A Cross-Sectional Study. Heliyon, 5, e01554. https://doi.org/10.1016/j.heliyon.2019.e01554
[35]
Zhao, C., Ding, N., Yang, X., Xu, H., Lai, X., Tu, X. et al. (2021). Longitudinal Effects of Stressful Life Events on Problematic Smartphone Use and the Mediating Roles of Mental Health Problems in Chinese Undergraduate Students. Frontiers in Public Health, 9, Article 752210. https://doi.org/10.3389/fpubh.2021.752210
[36]
Zhou, W., Yan, Z., Yang, Z., & Hussain, Z. (2023). Problematic Social Media Use and Mental Health Risks among First-Year Chinese Undergraduates: A Three-Wave Longitudinal Study. Frontiers in Psychiatry, 14, Article 1237924. https://doi.org/10.3389/fpsyt.2023.1237924