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Well Being

Screen time and social media may not be as bad for mental health as people think

Screen time and social media may not be as bad for mental health as people think
Photo by Luke Porter on Unsplash

Even a casual follower of the news over the last few years is likely to have encountered stories about research showing that digital technologies like social media and smartphones are harming young people's mental health. Rates of depression and suicide among young people have risen steadily since the mid-2000s, around the time that the first smartphones and social media platforms were being released. These technologies have become ubiquitous, and young people's distress has continued to increase since then.

Many articles in the popular and academic press assert that digital technology is to blame. Some experts, including those recently featured in stories by major news outlets, state that excessive use of digital technology is clearly linked to psychological distress in young people. To deny this connection, according to a prominent proponent of the link, is akin to denying the link between human activity and climate change.

In an effort to protect young people from the harms of digital tech, some politicians have introduced legislation that would, among other things, automatically limit users' time spent on a social media platform to 30 minutes a day. If the evidence is so definitive that digital technology is harming America's youth in such substantial ways, then reducing young people's use of these devices could be one of the most important public health interventions in American history.

There's just one problem: The evidence for a link between time spent using technology and mental health is fatally flawed.


Know thyself – easier said than done

Absent from the discussion about the putative harms of digital tech is the fact that practically all academic studies in this area have used highly flawed self-report measures. These measures typically ask people to give their best guesses about how often they used digital technologies over the past week or month or even year. The problem is that people are terrible at estimating their digital technology use, and there's evidence that people who are psychologically distressed are even worse at it. This is understandable because it's very hard to pay attention to and accurately recall something that you do frequently and habitually.

Researchers have recently begun to expose the discrepancy between self-reported and actual technology use, including for Facebook, smartphones and the internet. My colleagues and I carried out a systematic review and meta-analysis of discrepancies between actual and self-reported digital media use and found that self-reported use is rarely an accurate reflection of actual use.

This has enormous implications. Although measurement isn't a sexy topic, it forms the foundation of scientific research. Simply put, to make conclusions – and subsequent recommendations – about something you're studying, you must ensure you're measuring the thing you're intending to measure. If your measures are defective, then your data is untrustworthy. And if the measures are more inaccurate for certain people – like young people or those with depression – then the data is even more untrustworthy. This is the case for the majority of research into the effects of technology use over the past 15 years.

Imagine that everything known about the COVID-19 pandemic was based on people giving their best guesses about whether they have the virus, instead of highly reliable medical tests. Now imagine that people who actually have the virus are more likely to misdiagnose themselves. The consequences of relying on this unreliable measure would be far-reaching. The health effects of the virus, how it's spreading, how to combat it – practically every bit of information gathered about the virus would be tainted. And the resources expended based on this flawed information would be largely wasted.

The uncomfortable truth is that shoddy measurement, as well as other methodological issues including inconsistent ways of conceiving of different types of digital tech use and research design that falls short of establishing a causal connection, is widespread. This means that the putative link between digital technology and psychological distress remains inconclusive.

Social media has a lot to answer for, but in terms of time spent on them, the mental health of young people might not belong on the list.images.theconversation.com

In my own research as a doctoral student in social work, I found that the link between digital technology use and mental health was stronger when self-report measures were used than when objective measures were used. An example of an objective measure is Apple's "Screen Time" application, which automatically tracks device use. And when I used these objective measures to track digital technology use among young adults over time, I found that increased use was not associated with increased depression, anxiety or suicidal thoughts. In fact, those who used their smartphones more frequently reported lower levels of depression and anxiety.

From believer to skeptic

That the link between digital tech use and psychological distress is inconclusive would have come as a big surprise to me five years ago. I was shocked by the levels of depression and thoughts of suicide among the students I treated when I worked as a mental health therapist at a college counseling center. I, like most people, accepted the conventional narrative that all these smartphones and social media were harming young people.

Wanting to investigate this further, I left clinical practice for a Ph.D. program so I could research why these technologies were harmful and what could be done to prevent these harms. As I dove into the scientific literature and conducted studies of my own, I came to realize that the link between digital technology and well-being was much more convoluted than the typical narrative portrayed by popular media. The scientific literature was a mess of contradiction: Some studies found harmful effects, others found beneficial effects and still others found no effects. The reasons for this inconsistency are many, but flawed measurement is at the top of the list.

This is unfortunate, not just because it represents a huge waste of time and resources, or because the narrative that these technologies are harmful to young people has been widely popularized and it's hard to get the cat back in the bag, but also because it forces me to agree with Mark Zuckerberg.

Getting at the truth

Now, this doesn't mean that any amount or kind of digital technology use is fine. It's fairly clear that certain aspects, such as cyber-victimization and exposure to harmful online content, can be damaging to young people. But simply taking tech away from them may not fix the problem, and some researchers suggest it may actually do more harm than good.

Whether, how and for whom digital tech use is harmful is likely much more complicated than the picture often presented in popular media. However, the reality is likely to remain unclear until more reliable evidence comes in.

Craig J.R. Sewall is a Postdoctoral Scholar of Child and Adolescent Mental Health at the University of Pittsburgh.

This article first appeared on The Conversation. You can read it here.



Identity

Celebrate International Women's Day with these stunning photos of female leaders changing the world

The portraits, taken by acclaimed photographer Nigel Barker, are part of CARE's "She Leads the World" campaign.

Images provided by CARE

Kadiatu (left), Zainab (right)

True

Women are breaking down barriers every day. They are transforming the world into a more equitable place with every scientific discovery, athletic feat, social justice reform, artistic endeavor, leadership role, and community outreach project.

And while these breakthroughs are happening all the time, International Women’s Day (Mar 8) is when we can all take time to acknowledge the collective progress, and celebrate how “She Leads the World.

This year, CARE, a leading global humanitarian organization dedicated to empowering women and girls, is celebrating International Women’s Day through the power of portraiture. CARE partnered with high-profile photographer Nigel Barker, best known for his work on “America’s Next Top Model,” to capture breathtaking images of seven remarkable women who have prevailed over countless obstacles to become leaders within their communities.

“Mabinty, Isatu, Adama, and Kadiatu represent so many women around the world overcoming incredible obstacles to lead their communities,” said Michelle Nunn, President and CEO of CARE USA.

Barker’s bold portraits, as part of CARE’s “She Leads The World” campaign, not only elevate each woman’s story, but also shine a spotlight on how CARE programs helped them get to where they are today.

About the women:

Mabinty

international womens day, care.org

Mabinty is a businesswoman and a member of a CARE savings circle along with a group of other women. She buys and sells groundnuts, rice, and fuel. She and her husband have created such a successful enterprise that Mabinty volunteers her time as a teacher in the local school. She was the first woman to teach there, prompting a second woman to do so. Her fellow teachers and students look up to Mabinty as the leader and educator she is.

Kadiatu

international womens day, care.org

Kadiatu supports herself through a small business selling food. She also volunteers at a health clinic in the neighboring village where she is a nursing student. She tests for malaria, works with infants, and joins her fellow staff in dancing and singing with the women who visit the clinic. She aspires to become a full-time nurse so she can treat and cure people. Today, she leads by example and with ambition.

Isatu

international womens day, care.org

When Isatu was three months pregnant, her husband left her, seeking his fortune in the gold mines. Now Isatu makes her own way, buying and selling food to support her four children. It is a struggle, but Isatu is determined to be a part of her community and a provider for her kids. A single mother of four is nothing if not a leader.

Zainab

international womens day, care.org

Zainab is the Nurse in Charge at the Maternal Child Health Outpost in her community. She is the only nurse in the surrounding area, and so she is responsible for the pre-natal health of the community’s mothers-to-be and for the safe delivery of their babies. In a country with one of the world’s worst maternal death rates, Zainab has not lost a single mother. The community rallies around Zainab and the work she does. She describes the women who visit the clinic as sisters. That feeling is clearly mutual.

Adama

international womens day, care.org

Adama is something few women are - a kehkeh driver. A kehkeh is a three-wheeled motorcycle taxi, known elsewhere as a tuktuk. Working in the Kissy neighborhood of Freetown, Adama is the primary breadwinner for her family, including her son. She keeps her riders safe in other ways, too, by selling condoms. With HIV threatening to increase its spread, this is a vital service to the community.

Ya Yaebo

international womens day, care.org

“Ya” is a term of respect for older, accomplished women. Ya Yaebo has earned that title as head of her local farmers group. But there is much more than that. She started as a Village Savings and Loan Association member and began putting money into her business. There is the groundnut farm, her team buys and sells rice, and own their own oil processing machine. They even supply seeds to the Ministry of Agriculture. She has used her success to the benefit of people in need in her community and is a vocal advocate for educating girls, not having gone beyond grade seven herself.

On Monday, March 4, CARE will host an exhibition of photography in New York City featuring these portraits, kicking off the multi-day “She Leads the World Campaign.

Learn more, view the portraits, and join CARE’s International Women's Day "She Leads the World" celebration at CARE.org/sheleads.


Health

Over or under? Surprisingly, there actually is a 'correct' way to hang a toilet paper roll.

Let's settle this silly-but-surprisingly-heated debate once and for all.

Elya/Wikimedia Commons

Should you hang the toilet paper roll over or under?



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Photo via iStock.

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The son is badly injured. Paramedics rush him to the hospital.

Photo via iStock.

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