[HN Gopher] Is social media behind an epidemic of teenage mental...
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       Is social media behind an epidemic of teenage mental illness?
        
       Author : herbertl
       Score  : 64 points
       Date   : 2024-03-31 21:27 UTC (1 hours ago)
        
 (HTM) web link (www.nature.com)
 (TXT) w3m dump (www.nature.com)
        
       | rqtwteye wrote:
       | I always wonder when an "epidemic" gets reported if things really
       | have changed or if we just recognize it better. When I grew up,
       | we had a lot of kids (including myself) with problems like
       | depression or not fitting in in other ways. Back then they were
       | just labeled as "slow", "stupid" or "difficult". Nobody thought
       | about mental illness or ways for addressing these issues.
        
         | astrea wrote:
         | Actually glad you said that. One of my recent shower thoughts
         | that I was sure no one would understand. I distinctly remember
         | growing up, people being "slow" or "different" or "<something
         | now consider offensive>". Gender identity and mental health
         | issues have been around forever, they're just now actually
         | getting brought to the forefront.
        
         | SamoyedFurFluff wrote:
         | Also it used to be the case that beating your own kids was
         | normal. Of course now we got studies about how that screws kids
         | up, but it was ubiquitous in my generation. And now that we can
         | identify that children can be harmed from physical violence, we
         | actually have ways to diagnose that sort of thing in teenagers.
         | I wonder what our baseline trauma is supposed to be!
        
         | Spivak wrote:
         | And it's such a good thing that we're finally paying attention
         | to this stuff and treating it (insert graph of left-handedness
         | over time). But then everyone is out here trying to figure out
         | what must be wrong with the world today when Boomers and Gen X
         | are traumatized as hell and full of undiagnosed mental illness.
         | But they grew up in a culture where unless it was life-
         | debilitating or presented in exactly the stereotypical manner
         | it was ignored and pushed down.
        
           | brnaftr361 wrote:
           | Conversely, were over-diagnosing and now everyone is ill.
           | 
           | Which necessarily follows because the closer you look the
           | fewer people are "normal". In fact I'd go so far as to posit
           | that everyone is aberrant, to nobody's surprise.
           | 
           | And of course this is all derivated from a basis of largely
           | qualitative soft-science which had ought be treated as an art
           | than it is a science, however there are pressures which force
           | both practitioners and researchers to justify it as a
           | science.
           | 
           | I'm sure there's some "law of self-awareness" as well. The
           | closest analogy I have is the January Effect which describes
           | an even in the market, a pattern of sell-off in the later
           | year to mark a loss, and subsequent repurchase in January.
           | Upon this pattern being disclosed, the market adapted
           | strategies to exploit it which ultimately resulted in a
           | complete silencing of the effect. In a sense more applicable
           | to this, being diagnosed with some mental illness can also be
           | leveraged to gain favor, I mean I can get a prescription for
           | pharmaceutical grade amphetamines for fidgeting for instance;
           | or excuse my bad behavior with some other diagnosis.
           | 
           | My position is that it's all very unclear. I'm lazy and don't
           | care to dig it up but there was a study from the UK that
           | observed the measurable effects from school based, non-
           | individual interventions and it found their effects to be
           | significantly detrimental for some students - to the extent
           | that they negated the aggregate benefits - which I think
           | supports this position because treatment can _exacerbate_
           | things. And that 's without mentioning pharmacological
           | interventions which are... Interesting.
        
         | anon291 wrote:
         | Not fitting in is not a mental illness. And this attitude is
         | behind the prevalence of many mental illnesses today. We've
         | gone from a society that embraced difference to one that claims
         | to embrace difference while mandating sameness. TikTok,
         | Instagram, Facebook, etc, are all toxic for this reason.
        
           | fennecs wrote:
           | When did society previously embraced difference?
        
         | levocardia wrote:
         | >I always wonder when an "epidemic" gets reported if things
         | really have changed or if we just recognize it better.
         | 
         | Suicide and emergency room visits for suicide attempts among
         | teenagers are also up, and also on exactly the same
         | post-2010ish timeline.
        
         | jowea wrote:
         | Youth suicide rates are going up, I think that's quite
         | objectively measurable.
         | 
         | https://www.cdc.gov/nchs/data/databriefs/db471.pdf
         | 
         | Not proof that social media is behind it of course.
        
           | abirch wrote:
           | There seems to be a lot of pressure on the youth today.
           | Growing up I had a lot of unscheduled time but now kids can't
           | play multiple sports due to games, practices, and
           | expectations.
        
       | xg15 wrote:
       | _insert skinner meme here_
        
       | diddypiddy wrote:
       | The trends in increased mental illness, suicide and the
       | unraveling social fabric pre-date social media. Bowling Alone was
       | written in 2000. These are mostly economic issues manifesting
       | itself in all sorts of negative social ways.
        
         | williamcotton wrote:
         | But they don't predate the mass electronic media that began
         | with the radio, television, and into many-to-many computer
         | information systems.
        
       | throwaway22032 wrote:
       | The definitions, and diagnoses, of mental illnesses have been
       | significantly redefined in the last few decades which is a
       | significant confounding factor that I'm not sure can be corrected
       | for.
        
       | grzeshru wrote:
       | For anyone who reads the comments before TFA: yes, it's just more
       | Haidt.
        
       | syndicatedjelly wrote:
       | It would help if the author provided a definition of what it
       | means to "rewire" the brain, or what it means to "drive" an
       | epidemic of mental illness.
        
       | astrea wrote:
       | Couldn't possibly be the political turmoil, the daily mass
       | shootings, 2 years of lockdown, poor healthcare resources, etc.
        
       | MisterBastahrd wrote:
       | Maybe? Possibly?
       | 
       | You know how many nerds didn't know they had any sort of issue
       | other than being antisocial and lonely, and then someone made
       | Slashdot aware of Asperger's and suddenly 90% of the site was
       | self-diagnosed?
        
       | dadrian wrote:
       | All this article says is that Haidt's analysis is just
       | correlation, and then cites a single metastudy from 2019, and
       | doesn't go on to explain what Haidt did wrong. This is despite
       | extensive writing from Haidt that deconstructs that specific
       | metastudy.
        
         | pama wrote:
         | Only correlation can never explain something. A bomb will tear
         | a building into bricks, but finding bricks every time after a
         | building explodes does not help identify the cause. Suppose it
         | ended up eventually that the causal source was a novel virus
         | epidemic, say N1H1, instead of social media or the post-2008
         | economic mess: it wouldn't help much if people stopped using
         | their social media. I don't support social media usage for
         | other reasons that are easier to quantify and assign causality,
         | including the waste of time, but I understand the severe
         | limitations of correlations and the differences to causality.
         | Medical research has suffered greatly from errors in causality
         | occasionally dismissing partial self-therapies due to observed
         | correlations, whereas the careful delineation of causation is
         | one of the key ingredients of what made physics such a mature
         | science over the centuries. It is of course hard to try causal
         | experiments for understanding the root of epidemics, and in
         | this case any attempts for causality in therapies are also
         | challenging.
        
       | password54321 wrote:
       | Here is a simple experiment. Spend the same amount of time on
       | social media as your average teen for a month, and report your
       | mental health before and after assuming you use it less.
       | 'correlation does not imply causation' has become the most
       | overused lazy argument to dismiss so many problems.
        
       | twelfthnight wrote:
       | Seems more plausible to me that young people are just realizing
       | they will be inheriting the consequences of decades of selfish
       | leadership and they are reasonably worried about the future.
       | 
       | The narrative that social media is the cause and not the obvious
       | looming climate change, war and wealth inequality is frustrating.
        
         | andy99 wrote:
         | The world had much bigger and more imminent problems in the
         | past. People didn't dwell on them collectively in the same way.
        
           | twelfthnight wrote:
           | I don't mean to be glib, but you are in denial. Nuclear war
           | is more likely now than since the early cold war, China is
           | ready to invade Taiwan, climate change is poised to weaken or
           | complete disrupt the Gulf Stream, America is months away from
           | electing an insurrectionist as president, buying a house is a
           | pipe dream for most Americans...
           | 
           | How could you see that as a young person and not feel at
           | least a little hopeless?
        
             | password54321 wrote:
             | We are talking about data that spans over a decade, not a
             | year.
             | 
             | Look at figure 1: https://www.whitehouse.gov/cea/written-
             | materials/2022/05/31/...
        
               | twelfthnight wrote:
               | I'm being admittedly a little polemical, personally I'm
               | freaked out by the future. But that aside, I'm curious to
               | hear more about your argument. Are you saying worry about
               | the future can't be causing this issue because scary
               | stuff only started recently?
        
               | password54321 wrote:
               | Some of the examples you gave are too recent to explain
               | the rise in depression that has been going on for over a
               | decade.
               | 
               | And climate change worry has been going on for much
               | longer.
        
         | coffeefirst wrote:
         | Maybe. But also I've become a massive history nerd and I can't
         | name a single period in the modern world without serious
         | objective problems. There were wars and diseases and nasty
         | politics and crises and injustices and environmental
         | catastrophes aplenty. Our current slate is serious business,
         | but not uniquely so.
         | 
         | Based on the evidence available to us, what the little
         | doomscrolling box has done is drive us crazy and actually make
         | it _harder_ for societies to act on these problems.
        
       | mrkramer wrote:
       | I think capitalism is. Social media companies are driven by
       | profit and not by well-being of their users.
        
       | mavili wrote:
       | The answer is YES, and you dont need any research to prove that.
       | We can see it ourselves. We live it. It's not rocket science.
        
       | ToucanLoucan wrote:
       | The way in which this topic is discussed is endlessly infuriating
       | because:
       | 
       | While indeed, social media and specifically content algorithms
       | (both in the present where they decide which content people see,
       | and in the future where they may indeed create it entirely) are
       | certainly worthy of scrutiny with regard to many mental
       | illnesses, and the ongoing exploitation of the attention of young
       | people especially by figures such as Andrew Tate are doing
       | demonstrable, objective harm to tons and tons of young kids, and
       | the entire notion that simply by virtue of making an account a
       | child can, by default, access the entire breadth of content
       | available on any of these sites, for zero money, with zero
       | notification of their parents, etc., is certainly one that IMO
       | doesn't get nearly enough time in popular discussions as to how
       | we've simply shotgunned all of this into the faces of kids for
       | decades now, with precious little data about what it does to them
       | and it's only accelerating...
       | 
       | THEN, when that conversation happens, it's to explain of all
       | fucking things, anxiety and depression. Not body image issues,
       | not rampant misogyny in young boys, not the growing slice of the
       | crowd that "fails to launch" and remain stuck with mom and dad
       | long after it's traditional to do so, no, none of those things,
       | just anxiety. Anxiety which is a perfectly normal and
       | understandable thing, IMO, to experience in a period of history
       | that's got, in a non-exhaustive list:
       | 
       | - A biosphere on the brink of collapse, and no one in power
       | taking it seriously
       | 
       | - War in Europe involving multiple international powers and one
       | of the larger nations on the planet, which seems like it could
       | incredibly easily boil over into World War III
       | 
       | - Multiple ongoing ethnic cleansings and/or genocides
       | 
       | - The rise of authoritarian fascist movements in several
       | countries
       | 
       | - The rise of unchangeable super-corporations that run more of
       | our lives than ever with zero oversight
       | 
       | Like, as an adult, who has SEEN some shit, I have to meter my
       | intake of world news to avoid entering a depressive state in
       | which I cannot function. I have already had a vasectomy because
       | this world is not one I want to bring children into, and my wife
       | got her tubes tied, because there is a non-trivial chance that
       | she won't have the ability in a few years to do so and feels
       | similarly. And it's all well and good to say "well the 24 hour
       | news cycle is probably behind that," maybe? But maybe if said
       | news cycle ever had anything but the worst shit you've ever heard
       | of to report, maybe that would be less of a contributing factor?
       | 
       | I dunno, this just sucks. This incurious response by the dominant
       | media of "well it can't be that the world we're leaving them is
       | fucking awful, it's gotta be those pesky iPhones" is so
       | dismissive and shitty.
        
       | hn_throwaway_99 wrote:
       | I think it's the worst for teenagers and kids, but what about
       | everyone else! The famous quote "comparison is the thief of joy"
       | is attributed to Theodore Roosevelt, and social media is
       | essentially about constantly comparing yourself to others. I have
       | yet to meet a _single_ person who has taken an extended social
       | media break (or given it up altogether) who hasn 't reported a
       | substantial improvement in their mental state and wellbeing.
        
       | ChrisArchitect wrote:
       | Related:
       | 
       |  _The Smartphone Kids Are Not All Right_
       | 
       | https://news.ycombinator.com/item?id=39812623
        
       | Funes- wrote:
       | The coupling of social media and smartphones has made parental
       | negligence, laziness, emotional distress, and plain stupidity a
       | hundred times more harmful. That's the gist of it.
        
       | freitzkriesler2 wrote:
       | Absolutely coupled with excessive cell phone use, seed oils, and
       | mineral / vitamin deficient vegetables.
       | 
       | The pandemic did nothing to help this.
        
       | stevenally wrote:
       | Don't know about teenagers, but quite a few people close to me,
       | 50 to 60 yrs old have have gone more than a little mad due to
       | social media. Paranoia, conspiracy, and chronic anxiety. They
       | were all quite sane 10 years ago.
        
       | atleastoptimal wrote:
       | The problem with social media is it is a paralysis engine. It
       | drives the most seemingly credible, brain-wormy and engagement-
       | driving discourse to the top, promoting the most violent,
       | exclusionary and aggressively undertoned rallying cries of
       | trending angst-fueled ideologies. As a consequence, whatever your
       | opinion, identity, or circumstances, you will surely encounter
       | the echo chambers of people who want you dead or removed from
       | society: calculated, memetically selected hatred that sows fear,
       | uncertainty, and doubt in anything more that complete surrender
       | and inaction.
        
         | mistermann wrote:
         | The causality here (and the fact of the matter) is far more
         | complex than it seems though - for example, each person's
         | perception of what is going on is to a large degree a function
         | of their culture and education, and those two attributes tend
         | to get a free pass _at least when it comes to oneself or the
         | members of one 's ingroups_ in all such discussions.
         | 
         | Our wonderful, purely well-intentioned politicians _could_ do
         | something about this dire  "need for more critical thinking",
         | and yet what do they do to fulfill that need, despite it being
         | _literally their responsibility_.
         | 
         | https://search.usa.gov/search?utf8=%E2%9C%93&affiliate=ed.go...
         | 
         | See also:
         | 
         | https://en.wikipedia.org/wiki/Sacred_cow_(idiom)
         | 
         | https://en.wikipedia.org/wiki/Russian_disinformation (what my
         | comment "is")
         | 
         | For example: these terrible people you are referring to out
         | there....are you sure they are as they seem (where did you
         | learn these facts about their intentions from, etc), and that
         | they are enemy number 1?
        
       | tbrooks wrote:
       | Yes.
        
       | looknee wrote:
       | I always see discussions on this topic online immediately start
       | discussing how the _content_ of social media is the driver of the
       | mental health issues (comparison to others, everyone projecting
       | their best selves etc).
       | 
       | My own experiences with social media and phone addiction leads me
       | to believe its not JUST the content, but also (equally, perhaps
       | moreso) the fact that teenagers AND adults with social media and
       | phone addiction are just spending so much of their time absorbed
       | into a screen scrolling and getting quick dopamine hits for hours
       | and hours.
       | 
       | When that is your default that you revert to to distract yourself
       | at almost any point of discomfort, slight boredom, lapse in
       | focus, anxiety or feelings of sadness, all it does is just dampen
       | those feelings momentarily. You live in almost a fugue state
       | where those things just fester as you avoid them instead of
       | learning to cope with them or respond to them in an agentic or
       | healthy manner.
       | 
       | Working to cut out social media, reddit, youtube etc on my phone,
       | leave my phone by our front door while at home, never have my
       | phone in bed, and spend time writing/journaling my thoughts and
       | actually engaging with my feelings of anxiety or depression or
       | stress instead of avoiding them has been by far the most
       | significant improvement on my mental health compared to many
       | other things I've worked out.
       | 
       | This is definitely anecdotal, and its definitely my experience,
       | but after the time i've spent working on these things and with
       | what I see in the teenagers, young people, and friends in my life
       | I feel very strongly about it.
        
       | datascienced wrote:
       | Not just social media but more broadly highly connected online
       | environments like certain games, discord etc. You may cpunt these
       | as social media already but I think most think of Insta, X, FB
       | etc.
        
       | longdog wrote:
       | The author is way overselling how controversial Haidt's claim is.
       | 
       | - The effect of social media at a societal level isn't something
       | that can tested experimentally. And like all non-experimental
       | research, results depend heavily on modeling methodology (for
       | example, the meta-analysis linked by the author is literally just
       | a regression of facebook DAU on life satisfaction polls [1]). As
       | a result there will NEVER a universal consensus, same as with
       | most "macro" level studies in social sciences. If you wait for
       | researchers to reach an agreement, you will wait forever.
       | 
       | - The most credible research I've seen on this is this quasi-
       | experimental paper [2]. Since the timing of Facebook's rollout
       | was staggered across schools, it can be used as a natural
       | experiment. Schools should've seen declines in student mental
       | health that correspond with the date of Facebook's rollout on
       | their campus, which is indeed what happened.
       | 
       | - The effect of using social media at an individual level (as
       | opposed to a societal level) IS known and it is very clearly
       | negative. See [3] for an example.
       | 
       | - Most importantly, the fact is that mental health and suicide
       | rates have been rising significantly since exactly when social
       | media gained popularity (mid-to-late 2000s). The effect is global
       | so you can't blame country-specfic policies. And the rise is most
       | significant with demographics most exposed to social media (young
       | people, especially girls). There's not a single other explanation
       | that makes sense. Frankly, I think people are afraid to admit
       | that social media is the problem because so many people are tech
       | addicts and don't want to admit that their own addiction is part
       | of the problem.
       | 
       | [1] https://royalsocietypublishing.org/doi/10.1098/rsos.221451
       | 
       | [2] https://pubs.aeaweb.org/doi/pdfplus/10.1257/aer.20211218
       | 
       | [3] https://www.aeaweb.org/articles?id=10.1257/aer.20190658
        
       | publius_0xf3 wrote:
       | I'm guessing not just teenagers. Every day on Twitter, I see
       | posts like [this](https://twitter.com/BGatesIsaPyscho/status/1774
       | 1956933237925...) by accounts with hundreds of thousands of
       | followers that are indistinguishable from schizophrenic ideation.
       | These consist of extremely idiosyncratic delusions that, thanks
       | purely to social media, find a community of believers who can
       | reassure each other that no, they're not crazy, they're not
       | alone, they're just the fortunate ones who've escaped the Matrix,
       | etc. whereas in the past, their beliefs would have been penalized
       | by the sane peers around them.
        
         | mistermann wrote:
         | [delayed]
        
       | rufus_foreman wrote:
       | >> the fact that teenagers AND adults with social media and phone
       | addiction are just spending so much of their time absorbed into a
       | screen scrolling and getting quick dopamine hits for hours and
       | hours
       | 
       | If everybody does it why are teenage girls most affected?
        
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