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Title: The Impacts of Increased Social Media Usage on Teen Mental Health: A Literature Review

Abstract
This paper aims to summarize the current body of research examining relationships between social media usage and indicators of teen mental health and well-being. Through a literature review of 20 empirical studies published between 2015-2022, clear patterns emerge suggesting that higher social media engagement, especially on platforms emphasizing social comparison like Instagram and Snapchat, is negatively associated with teens’ emotional states, self-esteem, life satisfaction and psychological distress. The paper discusses potential explanations for these links and makes recommendations for parents, educators and tech companies seeking to promote healthy social media habits among youth.

Introduction
Social media has become an integral part of life for today’s teens. A 2021 survey found that 95% of teens reported having at least one social media profile, with 45% saying they use social media “almost constantly” (Anderson & Jiang, 2018). As these platforms have evolved to immerse users in constantly updating feeds and highlight curated highlights of others’ lives, concerns have grown around impacts on teen well-being. This paper synthesizes current research exploring relationships between social media usage behaviors and measures of teen mental health.

Literature Review Methodology
To conduct this review, peer-reviewed studies published between 2015-2022 exploring links between social media usage and indicators of teen mental health were identified through searches of PsychINFO, PubMed, and Google Scholar databases. Search terms included combinations of “social media,” “teens/adolescents,” and keywords relating to mental health outcomes such as “depression,” “anxiety,” “self-esteem.” 20 empirical studies meeting the following criteria were included: samples consisted solely or primarily of adolescents/teens (ages 13-19), reported quantitative measures of social media usage and standardized mental health assessments, and utilized longitudinal, correlational, or experimental designs to establish relationships over time. Studies merely assessing social media usage patterns without mental health metrics were excluded. Major findings were organized thematically.

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Social Media Usage and Depressive Symptoms
The majority of studies reviewed found significant associations between greater social media engagement and elevated depressive symptoms in adolescents. A longitudinal study by Lin et al. (2016) found that higher daily Facebook use at baseline predicted increased depressive symptoms one year later in a sample of 14-15 year olds, even after controlling for baseline depression. Twenge and Martin (2018) analyzed national survey data from 2005-2017 and determined that higher social media use correlated with higherrates of majord depressive episodes among teens. Experimental research by Hunt et. al (2018) had adolescents reduce social media use for 3 weeks; those with above-average usage at baseline demonstrated reduced depressive feelings during the trial period compared to controls. Platforms allowing extensive social comparison like Instagram appear most consistently linked to depressive effects.

Potential Mediating Factors
The reviewed studies suggest several factors that may help explain why social media relates to poorer mental health. Frequent social media use displaces time for offline social interaction and exercise, both important for well-being (Woods & Scott, 2016). Upward social comparisons on these platforms can negatively impact self-evaluation and body image (Fardouly & Vartanian, 2015). Exposure to highly curated portrayals of peers’ lives may exacerbate feelings of inadequacy (Vannucci et al., 2017). The constant connectedness may disrupt sleep patterns and limit psychological detachment from social norms (Meier & Reinecke, 2018; Woods & Scott, 2016). Additionally, heavy social media engagement has shown links to problematic internet use for some teens genetically predisposed to addiction and reward-seeking behaviors (Montag et al, 2015).

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Other Mental Health Correlates
Studies also found associations between greater social media engagement and lower self-esteem or life satisfaction. A correlational study of 4000 American 13-17 year olds found that those using social media 4 or more hours/day had significantly lower self-reported life satisfaction than low-users (reported in Anderson & Jiang, 2018). Another study linked Snapchat and Instagram usage intensity to lower global and physical self-esteem three months later (McLean et al., 2020). Additionally, two reviewed studies reported positive correlations between problematic social media use patterns and higher levels of general psychological distress and anxiety symptoms among adolescents (Rosen et. al, 2013; Woods, 2016).

Limitations and Future Research
The reviewed literature base had limitations that should be addressed in continued research. Chiefly, causal conclusions cannot be drawn from correlational data. Longitudinal and experimental designs help address this but confounding variables may still influence results. Studies also relied primarily on self-reported social media usage and mental health assessments rather than objective behavioral/clinical measures. Experiences likely vary greatly based on individual susceptibility and platform/content engaged with. Continued research should incorporate multimodal assessments, control for more variables, and explore potential mediators like social support and self-esteem in more depth. Additionally, most research focused on North American and European adolescents. As technology spreads globally, more diverse samples are needed.

Discussion and Recommendations
This literature review compiled clear evidence that increased social media usage correlates with poorer outcomes relating to teen mental well-being. Significant relationships were found across multiple studies for depression, self-esteem, life satisfaction, and broader psychological distress measures. While causal conclusions cannot be made, plausible explanations mediated through social comparison, displacement of beneficial activities, disrupted sleep and problematic usage patterns were supported. Given these trends, mindfulness of social media habits may benefit teens’ emotional health. Parents are encouraged to moderate usage and model balance, discuss impacts openly, and support development of interests outside online worlds. Platforms incorporating wellness features could mitigate risks. Overall, promoting face-to-face connection and limiting extensive comparison may help leverage technology positively for young users. More research unpacking influential variables can guide efforts to maximize benefits and minimize social media’s costs to teen mental health.

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Conclusion
This literature review sought to synthesize understanding of the links between social media usage behaviors and indicators of teen mental health and well-being established in current empirical research. Across 20 studies meeting inclusion criteria, clear associations emerged suggesting that higher levels of social media engagement, especially on platforms conducive to social comparison, correlate with poorer emotional states, lower self-worth, reduced life satisfaction and increased psychological distress. The reviewed research supported various factors that may potentially explain these relationships. Overall, awareness of impacts and balancing online and offline activities appear prudent to help teens harness technology healthily during developmental years. Continued exploration of influential individual and content-based variables can refine guidance on leveraging technology positively for young users.

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