患有和不患有心理健康問題的青少年的 社交媒體使用情況 Social media use in adolescents with and without mental health conditions ——《自然-人類行為》2025年第9卷第6期—— < Nature - Human Behaviour> Volume 9, Issue 6, 2025 【摘要】人們越來越關注社交媒體的使用與青少年心理健康之間的關係，但很少有研究關注具有臨床水平心理健康症狀的青少年。這限制了我們對社交媒體使用在不同心理健康狀況下差異的理解。在本註冊報告中，我們分析了具有全國代表性的英國數據（N=3,340，年齡11-19歲），包括臨床評估員的診斷評估以及定量和定性的社交媒體指標。正如假設的那樣，患有心理健康問題的青少年報告稱，他們在社交媒體上花費的時間比沒有心理健康問題的青少年更多，並且對網友數量的滿意度更低。我們還發現，不同心理健康類型的社交媒體使用存在假設差異：患有內化疾病的青少年報告稱，他們在社交媒體上花費的時間更多，參與的社交比較更多，並且反饋對情緒的影響更大，同時對網友數量的滿意度更低，誠實的自我表露也更少。相比之下，患有外化疾病的青少年報告稱，他們在社交媒體上花費的時間更多。這些發現強調了在政策和臨床實踐中需要考慮青少年心理健康狀況的多樣性。 [Abstract] Concerns about the relationship between social media use and adolescent mental health are growing, yet few studies focus on adolescents with clinical-level mental health symptoms. This limits our understanding of how social media use varies across mental health profiles. In this Registered Report, we analyse nationally representative UK data (N = 3,340, aged 11–19 years) including diagnostic assessments by clinical raters alongside quantitative and qualitative social media measures. As hypothesized, adolescents with mental health conditions reported spending more time on social media and were less happy about the number of online friends than adolescents without conditions. We also found hypothesized differences in social media use by condition type: adolescents with internalizing conditions reported spending more time on social media, engaging in more social comparison and experiencing greater impact of feedback on mood, alongside lower happiness about the number of online friends and lower honest self-disclosure. In contrast, those with externalizing conditions only reported higher time spent. These findings emphasize the need to consider diverse adolescent mental health profiles in policy and clinical practice. 論文原文：Luisa Fassi, Amanda M. Ferguson, Andrew K. Przybylski, Tamsin J. Ford & Amy Orben (2025). Social media use in adolescents with and without mental health conditions. Nature - Human Behaviour, Volume 9, Issue 6, Pages1283–1299, June 2025. https://doi.org/10.1038/s41562-025-02134-4 （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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