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Journal : Berita Kedokteran Masyarakat

Social media engagement patterns in relation to adolescent anxiety and depression: a systematic review Amanda, Qorry; Haryani, Deby Aprilia; Sofa, Yulia Ratna; Purwanto, Dannu; Maryam, Adiva Kalila; Basrowi, Ray Wagiu; Devi, Yuli Puspita
BKM Public Health and Community Medicine Vol 41 No 09 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i09.22664

Abstract

Purpose: Adolescents are increasingly immersed in social media environments that encourage curated self-presentation and social comparison. Global prevalence estimates from the World Health Organization indicate that 5.5% of adolescents aged 15–19 meet diagnostic criteria for anxiety disorders. While prior research emphasized screen time duration, emerging evidence suggests that how young people engage— primarily through passive, emotionally reactive, or appearance-focused behaviors—may be more predictive of internalising symptoms such as anxiety and depression. This systematic review aimed to synthesize observational evidence on associations between adolescent social media use and internalising symptoms, with particular attention to engagement patterns, psychosocial mediators, and contextual moderators. Methods: A comprehensive search across PubMed, Scopus, EBSCOhost, and AI-assisted platforms was conducted between April 14 and 25, 2025. Inclusion criteria were: observational design, adolescent population (10–19 years), validated measures of anxiety/depression, and exposure to social media use. Ten studies published between 2018 and 2025 met eligibility criteria (N=10). Data were synthesized narratively, with quality assessed using the JBI checklist. Results: Across studies, problematic use and passive scrolling were more strongly associated with anxiety and depression than total time spent online. Sleep disruption and appearance-based comparison consistently emerged as mediators, while gender, emotional reactivity, and socioeconomic background moderated vulnerability. Girls and gender- diverse adolescents reported higher psychological reactivity. Protective factors included physical activity and family support. Most studies were cross-sectional; only one referenced neurobiological pathways. Conclusion: Digital mental health risks in adolescents are driven less by screen exposure time and more by emotionally charged engagement styles. Interventions should prioritize resilience-building and digital literacy, while future research must incorporate longitudinal and biopsychosocial frameworks to capture the complexity of these associations better.
Mental health intervention to address climate anxiety in adolescents: a systematic review Cahyani, Kadek Dewi; Sari, Indah Permata; Permatasari, Henny; Mulyono, Sigit; Basrowi, Ray Wagiu; Nafilata, Ikrimah
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.23501

Abstract

Purpose: This study aims to identify and analyze interventions implemented to address the impact of climate change on adolescents' mental health. Methods: This systematic review was conducted using PRISMA guidelines. A literature search was conducted across four primary databases — PubMed, ScienceDirect, EBSCO, and Scopus —with keywords related to interventions, climate change, and adolescent mental health. Inclusion criteria include studies involving adolescents aged 10-18 years and featuring an original research design published within the last five years. Of the 1,579 studies identified, 22 articles were assessed for eligibility, and seven underwent quantitative synthesis. Results: Suggest that effective environmental education interventions can increase understanding and reduce anxiety among adolescents. Conclusion: To address the impacts of mental health on adolescents, interventions such as pro-environmental interventions, education, and augmented reality can be employed.