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Unlabelled: The impact of social media (SM) use ('screentime') on adolescent mental health has been the focus of increasing concern, despite mixed findings from empirical research. Current methodological approaches rely on self-reported SM use, which has limited accuracy and obscure the dynamic interplay of SM use and mental health. Smartphone-based mobile sensing offers new opportunities to gain insights into adolescents' SM use patterns and behaviors, particularly at an idiographic level. Considerations and challenges of smartphone sensing methods for capturing adolescents' SM use patterns and behaviors in clinical psychological science are discussed in the context of a pilot study using smartphone-based sensing with adolescents. The pilot study included 19 adolescents (Mean age = 15.84; 68% boys; 79% White) who installed a passive monitoring application (AWARE) on their phones for 31 (SD = 5.6) days. Descriptive data of sensing acceptability and feasibility are presented based on participant ratings and data yield ratio of usable data (74.18%). Sensing yielded 10,038 hourly observations collected from the 'application foreground' sensor across all participants from social media apps, and a total of 645 applications used. Categorization of SM apps were coded (kappa >.90) into 'social networking' (N = 20 apps) and 'broader SM' (N = 41) and compared to both Play Store-defined SM apps (N = 26) and popular SM apps based on Common Sense Media Survey (N = 9). Descriptive data on extracted behavioral features (duration, checking) from SM use categories (binned hourly and daily) are presented. Challenges, opportunities, and future directions of sensing methods for SM use are discussed to inform our understanding of its impacts on mental health and to improve the rigor of SM research in clinical psychological science.
Supplementary Information: The online version contains supplementary material available at 10.1007/s41347-024-00443-5.
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http://dx.doi.org/10.1007/s41347-024-00443-5 | DOI Listing |
JAMA Pediatr
September 2025
Department of Pediatrics and Emergency Medicine, Children's National Hospital, George Washington University, Washington, DC.
Importance: Adolescents account for almost half of the 2.5 million diagnosed sexually transmitted infections in the US annually, and the emergency department functions as the primary source of health care for many adolescents. No recommendations exist for emergency department gonorrhea and chlamydia screening.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
Importance: Previous studies have suggested that social participation helps prevent depression among older adults. However, evidence is lacking about whether the preventive benefits vary among individuals and who would benefit most.
Objective: To examine the sociodemographic, behavioral, and health-related heterogeneity in the association between social participation and depressive symptoms among older adults and to identify the individual characteristics among older adults expected to benefit the most from social participation.
J Telemed Telecare
September 2025
School of Medicine, The University of Queensland, St Lucia, QLD, Australia.
In this case, we describe the remote telehealth leadership of emergent tube thoracostomy in a patient with a critical respiratory status. The patient had presented to a small rural health care facility with breathlessness and hypoxia despite supplemental oxygen. A subsequent chest x-ray revealed a large pneumothorax requiring emergent treatment to prevent respiratory demise.
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