Abstract
Abstract
Background
Adolescent mental health problems have risen alongside increasing sleep disruption and widespread social media use (SMU). However, the mechanisms linking these factors remain unclear. This study concurrently examined objectively measured sleep and SMU in relation to psychopathology to test whether SMU moderates the sleep–mental health association and to characterize day-to-day bidirectional relations among sleep, affect, mood, and SMU during the school year.
Methods
Eighty-five adolescents (ages 12–18) completed 14 days of wrist actigraphy, smartphone-based ecological momentary assessments of mood and affect, and objective SMU duration tracking. Cross-sectional models tested whether SMU moderated associations between sleep and psychopathology, and multilevel daily models examined within-person lagged associations among sleep, SMU, and affect, controlling for age and sex. False discovery rate correction was applied.
Results
Shorter average sleep duration and greater variability in sleep duration between weekdays and weekends were associated with higher psychopathology symptoms, primarily externalizing problems. SMU duration neither moderated nor directly predicted psychopathology or sleep. Within-person analyses showed that longer-than-usual sleep predicted more positive and less negative affect and lower next-day SMU, though these associations did not survive correction for multiple comparisons.
Conclusions
Sleep disruption showed consistent associations with adolescent psychopathology, whereas the amount of time spent on social media did not. These findings suggest that duration-based measures of SMU may incompletely capture adolescents’ digital experiences and highlight the need for more granular, context-sensitive indicators of online behavior in understanding youth mental health.
Key points
What’s known
Adolescent mental health problems commonly co-occur with sleep disruption and high social media use, yet evidence for a mechanistic link between social media use and mental health remains inconsistent.
What’s new
This study integrates actigraphy, objective social media use data and daily ecological momentary assessments to examine real-world behavior over two weeks. Greater variability in sleep duration, but not time spent on social media, was associated with psychopathology symptoms.
What’s relevant
Findings highlight sleep as a potentially modifiable target for improving adolescent emotional well-being and suggest that time-based social media restrictions alone may have limited clinical, educational or policy impact.