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Correlations between social media addiction and anxiety, depression, FoMO, loneliness and self-esteem among students: A systematic review and meta-analysis.

PloS oneยทSeptember 2025ยทZhang Jing, Wang Yang, Zhou Lei et al.
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Key Finding

Social media addiction showed moderate positive correlations with anxiety and depression (r=0.31 for both) and a negative correlation with self-esteem (r=-0.24) among students.

What This Means For You

Social media has become a central part of daily life, especially for students, but excessive use may come with mental health consequences. Researchers conducted a comprehensive review analyzing data from 32 studies involving over 26,000 students to understand how social media addiction relates to psychological wellbeing. The findings revealed significant connections between problematic social media use and several mental health concerns. Students who showed signs of social media addiction were more likely to experience anxiety and depression, with moderate positive correlations found for both conditions. They also experienced higher levels of loneliness and fear of missing out (FoMO), which describes the anxiety of not being included in rewarding experiences others are having. Conversely, students with social media addiction tended to have lower self-esteem. These results suggest that excessive social media engagement may either contribute to or coexist with mental health challenges in student populations. For students struggling with anxiety, depression, or low self-esteem related to social media use, acupuncture may offer supportive care as part of a comprehensive treatment approach. Traditional Chinese medicine views mental health through the lens of energy balance and has long been used to address emotional wellbeing. Acupuncture has been studied for anxiety and depression management, potentially helping to reduce symptoms and restore emotional equilibrium. If you're experiencing mental health concerns related to social media use or otherwise, consider discussing acupuncture as a complementary therapy option with a licensed and board-certified acupuncturist who can develop an individualized treatment plan.

Clinical Notes for Practitioners

This systematic review and meta-analysis examined correlations between social media addiction (SMA) and mental health variables in student populations. Researchers analyzed 32 studies comprising 26,166 students, calculating pooled Pearson correlation coefficients using random or fixed effects models. Results demonstrated moderate positive correlations between SMA and anxiety (r=0.31, 95% CI=0.25-0.36, P<0.001), depression (r=0.31, 95% CI=0.27-0.34, P<0.001), and fear of missing out (r=0.41, 95% CI=0.36-0.45, P<0.001). A weaker positive correlation was found for loneliness (r=0.21, 95% CI=0.13-0.29, P<0.001), while self-esteem showed a negative correlation (r=-0.24, 95% CI=-0.26 to -0.22, P<0.001). Clinical takeaway: Students presenting with SMA are significantly more likely to experience comorbid anxiety, depression, and diminished self-esteem. Acupuncture practitioners should screen for social media usage patterns when treating young adults for mood disorders, as addressing behavioral patterns alongside acupuncture treatment may enhance therapeutic outcomes. Consider integrated approaches combining acupuncture protocols for Shen disturbance with lifestyle counseling regarding digital wellness.

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