The Impact of Social Media Usage on Anxiety and Depression Symptoms Among Adolescents: Findings from a Longitudinal Cohort Study (SCAMP) - Report - MDSpire

The Impact of Social Media Usage on Anxiety and Depression Symptoms Among Adolescents: Findings from a Longitudinal Cohort Study (SCAMP)

  • By

  • Chen Shen

  • Braulio M. Girela-Serrano

  • Martina Di Simplicio

  • Alexander Spiers

  • Iroise Dumontheil

  • Michael S. C. Thomas

  • Martin Röösli

  • Paul Elliott

  • Rachel B. Smith

  • Mireille B. Toledano

  • February 3, 2026

  • 0 min

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Clinical Report: The Impact of Social Media Usage on Anxiety and Depression Symptoms

Overview

This longitudinal cohort study examines the relationship between social media usage and symptoms of anxiety and depression among adolescents. Findings indicate that higher social media use correlates with increased mental health issues, particularly among girls, and highlights the role of sleep problems as a potential mediator.

Background

Adolescence is a critical period for the onset of mental health disorders, with anxiety and depression being the most prevalent. The transition to increased peer influence and social media usage can exacerbate these issues, making it essential to understand their relationship. This study addresses gaps in existing research by exploring the longitudinal effects of social media on mental health outcomes.

Data Highlights

MeasureFindings
Participants6590 adolescents at baseline, 3814 at follow-up
Social Media UseIncreased use linked to higher depressive and anxiety symptoms
Gender DifferencesHigher prevalence of symptoms in girls
Sleep ProblemsMediated the relationship between social media use and mental health symptoms

Key Findings

  • Adolescents using social media for more than 3 hours/day showed higher depressive and anxiety symptoms.
  • Girls exhibited a greater increase in mental health issues related to social media use compared to boys.
  • Sleep problems were identified as a significant mediator in the relationship between social media use and mental health symptoms.
  • Longitudinal data strengthens the evidence for a causal relationship between social media use and mental health outcomes.
  • Moderate social media use may not be detrimental, indicating a potential threshold effect.

Clinical Implications

Healthcare professionals should consider the amount of time adolescents spend on social media when assessing mental health. Interventions may benefit from addressing sleep hygiene and setting boundaries around social media use to mitigate risks of anxiety and depression.

Conclusion

The findings underscore the need for targeted interventions to address the mental health impacts of social media usage among adolescents, particularly focusing on sleep and gender-specific factors.

References

  1. BMC Psychiatry, 2025 -- The influence of psychosocial stress on functional connectivity and neuroendocrine markers in adolescents with depressive and comorbid anxiety disorders: a study protocol
  2. BMC Psychiatry, 2025 -- The association between positive school climate and school identification and probable depression among Chinese adolescents: serial mediation mechanisms via resilience, mindfulness, and loneliness
  3. BMC Psychiatry, 2025 -- Influences on and prevention of self-harm behavior among the most at-risk adolescents: study protocol for the SH-MARA prospective longitudinal cohort study
  4. Social Media and Youth Mental Health | HHS.gov
  5. Social Media Use and Depressive Symptoms During Early Adolescence | Pediatrics | JAMA Network Open
  6. BMC Psychiatry (Springer) — The relationship between caregiver burden and anxiety in family caregivers of adolescents with depression: the mediating role of psychological resilience
  7. Reducing social media use decreases loneliness regardless of gender or level of social comparisons in youth with anxiety and depression: A randomized controlled trial
  8. Social Media and Youth Mental Health | HHS.gov
  9. Social Media Use and Depressive Symptoms During Early Adolescence | Pediatrics | JAMA Network Open | JAMA Network

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