The Impact of Screen Time on Mental Health Outcomes among Adolescents: A Systematic Literature Review
DOI:
https://doi.org/10.62872/re08ve37Keywords:
screen time, social media, smartphone use, adolescents, mental health, depression, anxiety, systematic reviewAbstract
Adolescence is a critical developmental period in which mental health trajectories are shaped by biological, social, and environmental influences, including pervasive digital technology use. This systematic literature review synthesizes evidence from twenty-five peer-reviewed studies published between 2021 and 2026 examining associations between screen time and mental health outcomes among adolescents aged ten to nineteen years. Following a structured search of PubMed, Scopus, Web of Science, ScienceDirect, and Google Scholar, studies were screened against predefined eligibility criteria covering observational, longitudinal, and review-level evidence with verifiable digital object identifiers. The synthesis indicates that higher total screen time, particularly social media or smartphone use exceeding roughly two hours daily, is consistently associated with elevated depressive symptoms, anxiety, sleep disturbance, and diminished well-being, although effect sizes are generally small to moderate, non-linear, and moderated by content type, use context, gender, and family communication patterns. Passive, comparison-driven use appears more detrimental than active, socially connective use, and dose-response or threshold effects emerge across several large cohort studies. This review's novelty lies in integrating recent 2024-2026 prospective cohort and umbrella-review evidence within a content-and-context framework rather than treating screen time as a single undifferentiated exposure. Implications for clinicians, parents, educators, and policymakers are discussed alongside methodological limitations, including reliance on self-reported screen time and heterogeneous outcome measures.
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References
Agyapong-Opoku, N., Agyapong-Opoku, F., & Greenshaw, A. (2025). Effects of social media use on youth and adolescent mental health: A scoping review of reviews. Behavioral Sciences, 15. https://doi.org/10.3390/bs15050574
Chen, S., Clark, C. C. T., & Ren, Z. (2022). Different types of screen-based sedentary time and anxiety in adolescents: Video games may be more important. Frontiers in Public Health, 10, Article 918234. https://doi.org/10.3389/fpubh.2022.918234
Clayborne, Z., Capaldi, C., & Mehra, V. (2025). Associations between digital media use behaviours, screen time and positive mental health in youth: Results from the 2019 Canadian Health Survey on Children and Youth. BMC Public Health, 25. https://doi.org/10.1186/s12889-025-22874-2
Eirich, R., McArthur, B. A., Anhorn, C., McGuinness, C., Christakis, D. A., & Madigan, S. (2022). Association of screen time with internalizing and externalizing behavior problems in children 12 years or younger: A systematic review and meta-analysis. JAMA Psychiatry, 79(5), 393–405. https://doi.org/10.1001/jamapsychiatry.2022.0155
Khan, A., Lee, E.-Y., Rosenbaum, S., Khan, S. R., & Tremblay, M. S. (2021). Dose-dependent and joint associations between screen time, physical activity, and mental wellbeing in adolescents: An international observational study. The Lancet Child & Adolescent Health. https://doi.org/10.1016/S2352-4642(21)00200-5
Lai, N. M., Lim, Y. S., Chaiyakunapruk, N., Lee, S. W. H., Liabsuetrakul, T., Sabbir, M., Mahmud, S. M. H., Siddiqi, U. R., Ahmed, T., Hasan, F. U. L., & Kuan, P. X. (2025). The effectiveness of school-based interventions for reducing screen time: A systematic review and meta-analysis. Child and Adolescent Mental Health, 30(2), 223–237. https://doi.org/10.1111/camh.70022
Li, S., Batterham, P., Whitton, A., Maston, K., Khan, A., Christensen, H., & Werner-Seidler, A. (2025). Cross-sectional and longitudinal associations of screen time with adolescent depression and anxiety. British Journal of Clinical Psychology, 64(4), 873–887. https://doi.org/10.1111/bjc.12547
Liu, X., Liu, J., Flores, D., & McDonald, C. (2024). Family factors related to adolescent screen media use and mental health outcomes: A systematic review and recommendation for practices. Journal of Adolescence. https://doi.org/10.1002/jad.12367
Madigan, S., Eirich, R., Pador, P., McArthur, B. A., & Neville, R. D. (2022). Assessment of changes in child and adolescent screen time during the COVID-19 pandemic: A systematic review and meta-analysis. JAMA Pediatrics, 176(12), 1188–1198. https://doi.org/10.1001/jamapediatrics.2022.4116
Marciano, L., Ostroumova, M., Schulz, P. J., & Camerini, A.-L. (2022). Digital media use and adolescents' mental health during the COVID-19 pandemic: A systematic review and meta-analysis. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.793868
Mayen, S., Reinhardt, A., & Wilhelm, C. (2025). Revealing the interplay between digital media use and affective well-being across developmental stages: Results of an experience sampling study with Austrian adolescents. Journal of Children and Media, 19(4), 598–618. https://doi.org/10.1080/17482798.2024.2443662
Nagata, J. M., Al-Shoaibi, A., Leong, A., Zamora, G., Testa, A., Ganson, K. T., & Baker, F. C. (2024). Screen time and mental health: A prospective analysis of the Adolescent Brain Cognitive Development (ABCD) study. BMC Public Health, 24. https://doi.org/10.1186/s12889-024-20102-x
Nagata, J. M., Helmer, C. K., & Al-Shoaibi, A. (2025). Beyond screen time: Addictive screen use patterns and adolescent mental health. JAMA. https://doi.org/10.1001/jama.2025.8135
Paulich, K. N., Ross, J. M., Lessem, J. M., & Hewitt, J. K. (2021). Screen time and early adolescent mental health, academic, and social outcomes in 9- and 10-year-old children: Utilizing the Adolescent Brain Cognitive Development (ABCD) study. PLoS ONE, 16(9). https://doi.org/10.1371/journal.pone.0256591
Popat, A., & Tarrant, C. (2022). Exploring adolescents' perspectives on social media and mental health and well-being: A qualitative literature review. Clinical Child Psychology and Psychiatry, 28(2), 323–337. https://doi.org/10.1177/13591045221092884
Sala, A., Porcaro, L., & Gómez, E. (2024). Social media use and adolescents' mental health and well-being: An umbrella review. Computers in Human Behavior Reports. https://doi.org/10.1016/j.chbr.2024.100404
Santos, R. M. S., Mendes, C. G., Sen Bressani, G. Y., de Alcantara Ventura, S., de Almeida Nogueira, Y. J., de Miranda, D. M., & Romano-Silva, M. A. (2023). The associations between screen time and mental health in adolescents: A systematic review. BMC Psychology, 11. https://doi.org/10.1186/s40359-023-01166-7
Shannon, H., Bush, K., Villeneuve, P. J., Hellemans, K. G., & Guimond, S. (2021). Problematic social media use in adolescents and young adults: Systematic review and meta-analysis. JMIR Mental Health, 9. https://doi.org/10.2196/33450
Svensson, R., Johnson, B., & Olsson, A. (2022). Does gender matter? The association between different digital media activities and adolescent well-being. BMC Public Health, 22. https://doi.org/10.1186/s12889-022-12670-7
Tang, S., Werner-Seidler, A., Torok, M., Mackinnon, A. J., & Christensen, H. (2021). The relationship between screen time and mental health in young people: A systematic review of longitudinal studies. Clinical Psychology Review, 86, Article 102021. https://doi.org/10.1016/j.cpr.2021.102021
Valkenburg, P. M., Meier, A., & Beyens, I. (2021). Social media use and its impact on adolescent mental health: An umbrella review of the evidence. Current Opinion in Psychology, 44, 58–68. https://doi.org/10.1016/j.copsyc.2021.08.017
Yang, C.-C., Holden, S. M., & Ariati, J. (2021). Social media and psychological well-being among youth: The multidimensional model of social media use. Clinical Child and Family Psychology Review, 24(3), 631–650. https://doi.org/10.1007/s10567-021-00359-z
Zablotsky, B., Ng, A. E., Black, L. I., Haile, G., Bose, J., Jones, J., & Blumberg, S. J. (2025). Associations between screen time use and health outcomes among US teenagers. Preventing Chronic Disease, 22. https://doi.org/10.5888/pcd22.240537
Zhou, L., Yu, B., Xiao, C., Chen, J., Zhu, Y., Yu, Q., Zhang, T., Xiong, L., Li, N., Gong, Y., Zhang, J., & Yan, H. (2025). Dose-dependent associations between screen time, contents and adolescents' mental health. Zhonghua Liu Xing Bing Xue Za Zhi, 46(6), 1030–1035. https://doi.org/10.3760/cma.j.cn112338-20241014-00632
Zhu, X., Griffiths, H., Xiao, Z., Ribeaud, D., Eisner, M., Yang, Y., & Murray, A. L. (2023). Trajectories of screen time across adolescence and their associations with adulthood mental health and behavioral outcomes. Journal of Youth and Adolescence, 52(7), 1433–1447. https://doi.org/10.1007/s10964-023-01782-x
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Copyright (c) 2026 Naima Lassie, Ertati Suarni, Jean Henry Raule (Author)

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.





