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NCT Number: NCT06049888

Does Social Media Impact Adolescent Mental Health?

The mental health of adolescents in the United States has seen a steep decline, roughly coinciding with the increasing popularity of social media and smartphones. But does social media have a causal impact on the mental health of adolescents or are concerns about the effect of social media on kids a form of public hysteria? In this study, the investigators will conduct the first field experiment in 10-14-year-olds to examine whether, how, and for whom social media harms mental health.

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Key information

Age range

10 year–14 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Georgetown University

Washington D.C., District of Columbia, 20057, United States

Location status: Recruiting

Location contact

Kostadin Kushlev, PhD

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • is an adolescent who is between the ages of 10 and 14;
  • is an adolescent whose parents have decided to buy them their first smartphone;
  • is an adolescent both of whose parents/guardians consent for them to be in the study;
  • is an adolescent who assents to be in the study; 5) is an adolescent who speaks and reads English sufficiently to complete surveys and provide informed consent.

Exclusion criteria

  • is an adolescent who has severe developmental problems (e.g., autism, severe language delay);
  • is an adolescent who is currently or has ever been diagnosed with severe or moderately severe mental illness;
  • is an adolescent who is currently or has ever experienced suicidal ideation.

Treatment and study plan

Restricted Social Media

Behavioral

Participants (N = 500) will be randomly assigned to either have no study-imposed restrictions on social media use (naturalistic social media condition) or have no access to social media apps on their phones (restricted social media condition). This manipulation will last three months, after which both groups will have no study-imposed restrictions on social media for three more months.

Primary outcomes

  1. Revised Child Anxiety and Depression Scale (RCADS-25): Total Score

    Time frame: Baseline, three months, and six months

    The average score varies between 0 and 4, with higher scores indicating a worse outcome.

Secondary outcomes

  1. Revised Child Anxiety and Depression Scale (RCADS-25): Depression Subscale

    Time frame: Baseline, three months, and six months

    The average score varies between 0 and 4, with higher scores indicating a worse outcome.

  2. Revised Child Anxiety and Depression Scale (RCADS-25): Anxiety Subscale

    Time frame: Baseline, three months, and six months

    The average score varies between 0 and 4, with higher scores indicating a worse outcome.

Other outcomes

  1. DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure Youth Self Report

    Time frame: Baseline, three months, and six months

    The average score varies between 0 and 4, with higher scores indicating a worse outcome.

  2. DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure Parent Report

    Time frame: Baseline, three months, and six months

    The average score varies between 0 and 4, with higher scores indicating a worse outcome.

  3. Upward Social Comparison (EMA)

    Time frame: Every three days throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Mediator measured with a single, face-valid item in EMA surveys: "Over the past 24 hours, how often have you compared yourself to someone who you believe is better off than you?"

  4. Offline Social Capital: Quantity of In-Person Social Interactions (EMA)

    Time frame: Every three days throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Mediator measured with a single, face-valid item in EMA surveys: "Over past 24 hours, how much time did you spend socializing in person?"

  5. Offline Social Capital: Quality of In-Person Social Interactions (EMA)

    Time frame: Every three days throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Mediator measured with a single, face-valid item in EMA surveys: "Over past 24 hours, how much did you enjoy your in-person social interactions with others?"

  6. Quantity of Online Social Interactions (Mobile Sensing)

    Time frame: Daily throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Mediator: Quantity of digital social interactions based on the total number of words participants type on their phone keyboards each day.

  7. Valence of Online Social Interactions (Mobile Sensing)

    Time frame: Daily throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Mediator: Quality/valence of digital social interactions by measuring the balance between positive and negative words participants type on their phone keyboards. The valence of the words typed will first be scored using the Linguistic Inquiry and Word Count (LIWC) software. The sum of the valence scores of all words will produce the final score for analysis.

  8. Active (vs Passive) Social Media Use (Mobile Sensing)

    Time frame: Daily throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Active usage includes creating content and direct messaging, while passive usage includes browsing, scrolling, or watching videos. Using data from the Inertial Measurement Unit (i.e., accelerometer and gyroscope data) and keyboard input (i.e. typing or not), an Extremely Randomized Trees algorithm will classify behaviors into active or passive.

  9. Passive (vs Active) Social Media Use (Mobile Sensing)

    Time frame: Daily throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Active usage includes creating content and direct messaging, while passive usage includes browsing, scrolling, or watching videos. Using data from the Inertial Measurement Unit (i.e., accelerometer and gyroscope data) and keyboard input (i.e. typing or not), an Extremely Randomized Trees algorithm will classify behaviors into active or passive.

  10. Time Spent in Specific Social Media Apps (Mobile Sensing)

    Time frame: Daily throughout the study with two averages computed for 0 to 3 months and 3 to 6 months.

    Time participants spend in specific social media apps as assessed unobtrusively by mobile sensing.

  11. Parent-child conflict

    Time frame: Every three days for a total of 60 days (EMA)

    Mediator measured with a single, face-valid item in EMA surveys and answered by the parent: "Over past 24 hours, my child and I did not get along. (1-not at all to 10-very much)"

  12. Linguistic Indicators of Depression (Mobile Sensing)

    Time frame: Every day for a total of 180 days

    Present temporal focus (i.e., using the present tense) and self-focus (i.e., using first-person pronouns) based on the language participants use while typing on their phones.

  13. ADHD Inattention Symptoms

    Time frame: Baseline

    Moderator variable: Vanderbilt ADHD Diagnostic Parent Rating Scale completed by parents as a measure of symptoms of adolescents' ADHD at baseline. For exploratory purposes, we will administer the Vanderbilt ADHD Diagnostic Parent Rating Scale at the two follow-up assessments, as well.

  14. Sustained Attention

    Time frame: Baseline

    Moderator: Sustained attention/inhibitory control as assessed by Gradual Onset Continuous Performance Task (gradCPT), which is a go/no-go continuous performance task validated in adolescents in the target age range. The primary moderator of interest is accuracy (d') based on signal detection. For exploratory purposes, we will administer the gradCPT at the two follow-up assessments, as well.

  15. Motives for Using Social Media

    Time frame: Baseline, three months, and six months

    Moderator: Scale of Motives for Using Social Networking Sites (SMU-SNS), designed to assess different motivations for using social media specifically in adolescents (e.g., Social Connectedness, Social Recognition, Following Others).

  16. Loneliness

    Time frame: Baseline, three months, and six months

    Exploratory measure: UCLA Loneliness Scale

  17. Parenting Style

    Time frame: Baseline

    Moderator: Authoritative, authoritarian, and permissive parenting styles as assessed by the Parenting Styles and Dimensions Questionnaire.

  18. Sleep

    Time frame: Every day for a total of 180 days

    Mediator as assessed by mobile sensing data (acceleromer, GPS)

  19. Physical activity

    Time frame: Every day for a total of 180 days

    Mediator as assessed by mobile sensing data (accelerometer, GPS)

  20. Parent-Imposed Restrictions on Social Media Use

    Time frame: Baseline, three months, and six months

    A study-specific, face-valid measure assessing restrictions that parents have imposed on the adolescents' social media use overall and on their use of specific social media platforms.

  21. Parent and Child Demographics

    Time frame: Baseline

    Age, sex at birth, self-identified gender, race, ethnicity, socioeconomic status and other demographics as assessed by the ABCD Parent Demographics Survey (NDA code: pdem02) and Child Demographics Survey (NDA code: child_dem01)

  22. Current and Past Mental Health Diagnoses

    Time frame: Eligibility Survey, Baseline, Three months, and six months

    Parent-reported and self-reported current and past psychiatric diagnoses and developmental problems, including their severity as assessed by a modified version of the Psychiatric Diagnoses Form (NDA code: psydif01).

  23. Current and Past Suicidal Ideation

    Time frame: Eligibility Survey, Baseline, Three months, and six months

    Current and past suicidal ideation assessed as follows: Over the last two weeks, how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?" and "Have you ever been bothered by thoughts that you would be better off dead or of hurting yourself in some way?"

Study contacts

Contact information is provided by the study sponsor or research team.

Kostadin Kushlev, PhD

CONTACT

[email protected]

804-585-4385

Sponsors and collaborators

Lead sponsor

Georgetown University

Other

Collaborators

  • National Institutes of Health (NIH)

Registry information

Official study title

Causal Effects of Exposure to Social Media on Adolescent Mental Health

Important dates

Study start
2024
Primary completion
2028
Study completion
2028
First posted
Sep 22, 2023
Registry last updated
Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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