发表评论-心理与性-万维博客-万维读者网（电脑版）

【摘要】人们越来越关注社交媒体的使用与青少年心理健康之间的关系，但很少有研究关注具有临床水平心理健康症状的青少年。这限制了我们对社交媒体使用在不同心理健康状况下差异的理解。在本注册报告中，我们分析了具有全国代表性的英国数据（N=3,340，年龄11-19岁），包括临床评估员的诊断评估以及定量和定性的社交媒体指标。正如假设的那样，患有心理健康问题的青少年报告称，他们在社交媒体上花费的时间比没有心理健康问题的青少年更多，并且对网友数量的满意度更低。我们还发现，不同心理健康类型的社交媒体使用存在假设差异：患有内化疾病的青少年报告称，他们在社交媒体上花费的时间更多，参与的社交比较更多，并且反馈对情绪的影响更大，同时对网友数量的满意度更低，诚实的自我表露也更少。相比之下，患有外化疾病的青少年报告称，他们在社交媒体上花费的时间更多。这些发现强调了在政策和临床实践中需要考虑青少年心理健康状况的多样性。

[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.

论文原文：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

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