Evidence map›Paper›PMID 41530096›Full record

ArticleJournal of public health (Oxford, England)2026

How do social media use, gaming frequency, and internalizing symptoms predict each other over time in early-to-middle adolescence?

Qiqi Cheng, Margarita Panayiotou, Turi Reiten Finserås, Amanda Iselin Olesen Andersen, Neil Humphrey

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Qiqi ChengManchester Institute of Education, The University of Manchester, Oxford Rd, Manchester M13 9PL, UK.ORCID 0000-0002-2295-330X
Margarita PanayiotouManchester Institute of Education, The University of Manchester, Oxford Rd, Manchester M13 9PL, UK.ORCID 0000-0002-6023-7961
Turi Reiten FinseråsDepartment of Health Promotion, Norwegian Institute of Public Health, Zander Kaaesgate 7, Bergen, 5015, Norway.ORCID 0000-0003-1443-9850
Amanda Iselin Olesen AndersenDepartment of Health Promotion, Norwegian Institute of Public Health, Zander Kaaesgate 7, Bergen, 5015, Norway.ORCID 0009-0004-8131-4622
Neil HumphreyManchester Institute of Education, The University of Manchester, Oxford Rd, Manchester M13 9PL, UK.ORCID 0000-0002-8148-9500

Funding

BBC Children in NeedBig ChangeGreater Manchester Combined AuthorityGregson Family FoundationHolroyd FoundationOglesby Charitable TrustPaul Hamlyn FoundationPeter Cundill FoundationThe National Lottery Community FundUniversity of Manchester
6 · The paper itself

Abstract

backgroundThe effects of adolescent digital technology use (e.g. social media, gaming) on their mental health are a major public health concern, but existing evidence is of mixed quality and findings have been inconclusive.

methodsSeparating within-person effects from between-person effects, a random-intercept cross-lagged panel model was applied to three annual waves of data (T1, T2, T3) on social media use, gaming, and internalizing symptoms among N = 25 629 adolescents (51% girls, average age 12 years, 7 months (SD = 3.58 months) at baseline) in Greater Manchester, England.

resultsLongitudinal relationships varied by gender, such that more frequent gaming at T2 predicted less time spent on social media use at T3 in girls (but not boys), and more frequent internalizing symptoms at T2 predicted reductions in gaming frequency at T3 in boys (but not girls). There was no evidence that time spent on social media or gaming frequency predicted later internalizing symptoms among girls or boys. Sensitivity analyses that distinguished active versus passive social media use replicated these findings.

conclusionsThe findings of this study do not support the widely held view that adolescent technology use is a major causal factor in their mental health difficulties.

Indexed as

Adolescent BehaviorSocial MediaVideo GamesAdolescentChildDigital MediaEnglandFemaleHumansLongitudinal StudiesMaleMedia ExposureMental HealthSex Factorsmental healthsocial mediayoung people

Identifiers

PMID41530096
PMCPMC13017292

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.