Technology media and mental health

Free time media use impacts on happiness and wellbeing

While technology and social media use can be useful in some ways, research shows that improper use of technology and social media can worsen depression, anxiety, focus, sleep and other mental health symptoms (1).

A previous post discussed how unhealthy ways of using technology can have negative effects on our mental health (2) and another study looked at social media use and irritability (3).

This study looked at happiness and wellbeing related to the amount of media use in free time (4).

What was the study? (4)

  • Twenge and colleagues looked at three large surveys of digital media consumption in adolescents in two countries (n = 221,096) (4).
  • Digital media use during their free time (discretionary media use) (smartphones, computers, social media, gaming, Internet) (4).
  • Users were classified into light users (<1 h a day) heavy users (5+ hours a day) (4).

What was the result? (4)

  • Heavy users (vs. light) of digital media were 48% to 171% more likely to be unhappy, to be in low in well-being, or to have suicide risk factors such as depression, suicidal ideation, or past suicide attempts (4).
  • Light users (rather than non- or moderate users) were highest in well-being (4).
  • Largest drop in wellbeing occurred when users went from moderate to heavy use (4).
  • The probability of low well being increased as discretionary media use exceed 1 hour per day.

What are some caveats?

  • The study conducted in 2 countries and may not be generalizable worldwide (4)
  • Media use and mental health can be a complex topic and individual results may vary depending on the amount and type of usage.
  • The study did not analyze specific social media content (4).
  • While this study showed correlation, it does not show cause and effect. It should be noted that other studies have found similar results (4).
  • The study did not examine why non users had lower well being than light users (4)
  • The study relied on self-report rather than objective measures (4).

Some healthy ways of using technology are outlined here: https://u.osu.edu/emotionalfitness/2020/12/11/593/

By Ryan S Patel DO, FAPA OSU-CCS Psychiatrist Inquires: patel.2350@osu.edu

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Patel R. Mental Health For College StudentsChapter 8. Social Media Technology and mental health, Page 237-289.
  2. https://u.osu.edu/emotionalfitness/2020/12/11/593/
  3.  Perlis RH, Uslu A, Schulman J, Gunning FM, Santillana M, Baum MA, Druckman JN, Ognyanova K, Lazer D. Irritability and Social Media Use in US Adults. JAMA Netw Open. 2025 Jan 2;8(1):e2452807. doi: 10.1001/jamanetworkopen.2024.52807. PMID: 39775809. https://u.osu.edu/emotionalfitness/?p=836
  4. Twenge JM, Campbell WK. Media Use Is Linked to Lower Psychological Well-Being: Evidence from Three Datasets. Psychiatr Q. 2019 Jun;90(2):311-331. doi: 10.1007/s11126-019-09630-7. PMID: 30859387.

Can social media use make you feel irritable?

While technology and social media use can be useful in some ways, research shows that improper use of technology and social media can worsen depression, anxiety, focus, sleep and other mental health symptoms (1).

A previous post discussed how unhealthy ways of using technology can have negative effects on our mental health (2).

A 2025 JAMA study by Perlis and colleagues, looked at social media and irritability (3).

What was the study? (3)

42,597 US adults were surveyed (between November 2023 to Jan 2024) on their use of social media and measures of irritability using a Brief irritability Test (3).

What was the result? (3)

  • 6,037  participants (14.2%) reported using once a day; 16, 678 (39.2%) using multiple times a day; and 10, 610 (24.9%) using most of the day (3).
  • The study found that frequent use of social media was associated with significantly greater irritability. ( Adjusted models (for more than once a day, 0.38 points [95% CI, 0.18-0.58 points]; for most of the day, 1.55 points [95% CI, 1.32-1.78 points]). (3)
  • These associations persisted after incorporating measures of political engagement (3).

What are some caveats?

  • The study accounted for other mental health symptoms, including depression and anxiety (3).
  • This was a correlational study, so does not tell us about cause and effect (3).
  • The association between social media and mood is complex. For example, it has been suggested that some social media platforms may  seek to elicit outrage as a means of increasing engagement (4).
  • The study did not analyze specific social media content (3).
  • The study relied on self-report rather than objective measures.

Some healthy ways of using technology are outlined here: https://u.osu.edu/emotionalfitness/2020/12/11/593/

By Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Patel R. Mental Health For College StudentsChapter 8. Social Media Technology and mental health, Page 237-289.
  2. https://u.osu.edu/emotionalfitness/2020/12/11/593/
  3. Perlis RH, Uslu A, Schulman J, Gunning FM, Santillana M, Baum MA, Druckman JN, Ognyanova K, Lazer D. Irritability and Social Media Use in US Adults. JAMA Netw Open. 2025 Jan 2;8(1):e2452807. doi: 10.1001/jamanetworkopen.2024.52807. PMID: 39775809.
  4. Brady  WJ, McLoughlin  K, Doan  TN, Crockett  MJ.  How social learning amplifies moral outrage expression in online social networks.   Sci Adv. 2021;7(33):eabe5641. doi:10.1126/sciadv.abe5641
  5. Burke  M, Kraut  RE.  The relationship between Facebook use and well-being depends on communication type and tie strength.   J Comput Mediat Commun. 2016;21(4):265-281. doi:10.1111/jcc4.12162

Virtual Hope Box for stress and emotional regulation

While there are many options to help with mental health, one particular app called the Virtual Hope Box (VHB) can be useful for coping with unpleasant emotions and thoughts which can impact a variety of mental health symptoms.

Is there research to show that this app is helpful?

  • This app can help with emotional regulation and reducing stress according to a randomized controlled trial (1). Future studies are ongoing.
  • Numerous research studies support many features of the app like relaxation skills and distraction techniques.

What is the cost?

  • Free. It was developed via a government grant and was awarded the DoD Innovation Award in 2014.

What are the features of the VHB app?

  • It comes with preloaded features like inspirational tools, relaxation skills, coping tools, distraction techniques, emergency contact numbers.
  • It can also be customized to include your own music, images, phone numbers of supportive contacts, and reminders of reasons for living.
  • You can fill out coping cards and activity planners with help of a mental health professional.
  • These features are shown in the image below:

Screenshot ImageScreenshot ImageScreenshot Image

Additional resources:

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Bush NE, Smolenski DJ, Denneson LM, Williams HB, Thomas EK, Dobscha SK. A virtual hope box: randomized controlled trial of a smartphone app for emotional regulation and coping with distress. Psychiatr Serv. 2017 Apr 1;68(4):330–6. doi: 10.1176/appi.ps.201600283.