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Digital Health Practices, Social Media Use, and Mental Well-Being Among Teens and Young Adults in the U.S.

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Hopelab & Well Being Trust 7 Employing a widely used and well-validated scale to measure respon- dents' self-reported levels of depressive symptoms (the PHQ-8), we present a preliminary look at whether those who report moderate to severe depressive symptoms differ from those without symptoms in how they report using social media. 5 It is important to note that due to the cross-sectional, self-reported nature of these survey responses, we are not able to assess the full possible relationship between social media use and depression, nor can we draw any conclusions with regard to causality. Rather, this survey is intended as a beginning – an attempt to gather a wide range of information on the many ways young people report using and responding to social media, and how their reported social media use does or does not vary based on their depressive symptoms as measured by the PHQ-8. In the section of the report on social media and mental well-being, the questions we seek to answer include: 5 We used the PHQ-8, an eight-item validated scale widely used in academic and medical literature as a measure of depressive symptoms. See for example Kroenke, K., Strine, T.W., Spitzer, R.L., Williams, J. B. W., Berry, J.T., & Mokdad, A.H. (2009). "The PHQ-8 as a measure of current depression in the general popula- tion." Journal of Affective Disorders, 114, 163-173. doi:10.1016/j.jad.2008.06.026. (The Methodology section of this report includes a more complete discussion of the measures of depressive symptoms used in this survey.) • Is there a correlation between reported frequency of social media use and reported depressive symptoms among teens and young adults? • Do TYAs with and without current symptoms of depression report using social media in different ways, such as actively vs. passively? • Do they say they have different experiences in terms of getting positive or negative feedback from others? • Do teens and young adults with depressive symptoms report feeling better, or worse – more connected, or more alone – when using social media? • And how do young people say they use social media when they notice they are feeling anxious, stressed, or depressed? Are there patterns in how they describe using social media at these times? Introduction

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