Evidence map›Paper›PMID 42781066›Full record

ArticleBMJ public health2026

Short-form video, cognitive and mental health outcomes: a systematic review.

Sara Arouch, Dan Edgcumbe, Sally Pezaro, Ksenija Maravic Da Silva

Abstract read
In one paragraph

Article in BMJ public health, 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

4 authors.

Sara ArouchCentre of Intelligent Healthcare, Coventry University, Coventry, UK.ORCID https://orcid.org/0009-0009-0806-0511
Dan EdgcumbeSchool of Social Sciences and Humanities, College of Arts and Society, Coventry University, Coventry, UK.
Sally PezaroCentre for Healthcare and Communities, Coventry University, Coventry, UK.
Ksenija Maravic Da SilvaCentre for Healthcare and Communities, Coventry University, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Short-form video (SFV) platforms, such as TikTok, Instagram Reels and YouTube Shorts, dominate online engagement among Generation Z. Their rapid, algorithm-driven and emotionally salient design raises concerns about potential associations with cognitive functioning and mental health. To our knowledge, no systematic review has synthesised evidence jointly on both cognitive and mental health outcomes in Generation Z young adults. Methods: We conducted a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 and Cochrane guidance (PROSPERO CRD420251148976). Eight databases (2014-2024) were searched, including PsycINFO, PubMed, Scopus and CINAHL. Eligible studies examined associations between SFV use and cognitive mechanisms (attention, executive function, memory, emotional regulation, critical thinking) as well as mental health outcomes in adults aged 18-29. Findings were synthesised narratively by grouping studies according to the primary outcome domains and identifying recurring patterns, consistencies and differences across the included studies. Results: From 519 101 records, 17 studies met the inclusion criteria. Preliminary evidence indicated associations between heavier SFV use and attentional fragmentation, markers of lower executive control and emotional dysregulation. Problematic or compulsive use was associated with anxiety and depressive symptoms, though findings were heterogeneous and often specific to platforms. Some experimental studies reported short-term improvements in mood or associated factors including poor self-regulation, proneness to boredom and escapist motives. These relationships may be bidirectional, with pre-existing attentional or psychological vulnerabilities contributing to more frequent or problematic SFV use. The use of cross-sectional designs, reliance on self-report and inconsistent outcome definitions limited the overall quality of evidence. Conclusions: SFV use may be associated with markers of lower cognitive control and greater emotional regulation difficulties in young adults, alongside anxiety and compulsive engagement. Potential strategies could combine user-focused approaches (eg, self-regulation and metacognitive training) with design-level interventions (eg, pacing cues and friction against infinite scrolling). Longitudinal and experimental studies are needed to clarify causality and directionality.

Indexed as

Digital HealthDigital TechnologyMental HealthPreventive Psychiatry

Identifiers

PMID42781066
PMCPMC13599929

What OpenQuestion holds

Textmetadata
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.