Search Results (18)

This study investigates how self-presentation and social skills relate to physical health among university students in Japan and Hong Kong, with particular attention to the mediating roles of social media use and social support. We conducted two online surveys; as a result, 452 participants in Japan and 289 participants in Hong Kong were analyzed using multi-group structural equation modeling. Across both samples, social skills were directly associated with increased physical symptoms, and this direct association was substantially stronger than the indirect association through social support, which was linked to fewer physical symptoms. Notable cross-cultural differences also emerged. In Japan, self-presentation was directly associated with increased respiratory–sleep symptoms (R-SSs), and this direct association was stronger than the indirect pathway through posting frequency and time spent on social media. In contrast, in Hong Kong, no direct association between self-presentation and physical symptoms was detected, although an indirect association through social media usage time—leading to increased R-SS—emerged at a marginally significant level. These findings highlight the dual and context-dependent effects of personal attributes in digital environments, demonstrating that characteristics typically associated with positive social functioning may produce unintended health consequences online. By integrating personal factors, social media behaviors, and cultural context, this study advances understanding of digital well-being and physical health in contemporary societies. Full article

Background/Objectives: Thinness is widely idealized as a standard of beauty, and late school-age girls are increasingly exposed to sociocultural pressures that may be associated with excessive drive for thinness and maladaptive body esteem. These body-related cognitive distortions often emerge regardless of actual weight status and may precede unhealthy dieting behaviors and emotional difficulties. This study aimed to develop and evaluate a school-based Rational Emotive Behavior Therapy (REBT) intervention designed to modify excessive drive for thinness and maladaptive body esteem among late school-age girls. Methods: A quasi-experimental, non-equivalent control group design with repeated measures was employed. Participants were 62 girls in grades 5–6 recruited from two public elementary schools in South Korea (experimental group: n = 30; control group: n = 32). The experimental group participated in a five-week REBT intervention consisting of 10 structured sessions grounded in the A-B-C-D-E model, while the control group received no intervention. Outcomes were assessed at pretest, posttest, and follow-up, including drive for thinness, body esteem, positive affect, negative affect, disordered eating behaviors, and social media overuse. Data were analyzed using repeated measures ANOVA. Results: Significant group × time interaction effects were observed for drive for thinness, body esteem, positive affect, negative affect, and disordered eating behaviors, with greater changes observed in the experimental group. No significant group × time interaction was found for social media overuse. Conclusions: The school-based REBT intervention was associated with reductions in excessive drive for thinness and improvements in body esteem and was also associated with changes in emotional outcomes and reductions in disordered eating behaviors among late school-age girls. These findings support early cognitive modification as a preventive strategy within school settings. Full article

The overuse of social media is a multidimensional phenomenon with the capacity to influence the academic environment. Thus, this study aimed to establish the relationship between social media addiction and academic engagement in university students. The research employed a quantitative approach, a non-experimental design, a correlational scope, and a cross-sectional analysis. The population comprised 1200 students (65.3% female) with an average age of 21.4 years from the Faculty of Health Sciences at the National University of Chimborazo, in Riobamba, Ecuador, during the first academic term of 2023. Data were collected using the Utrecht Academic Engagement Scale and the Social Media Addiction Questionnaire. A total of 95.8% of participants had sufficient academic engagement, and 93.7% had a medium level of social media addiction. There was a statistically significant (p < 0.01) negative correlation between the variables of academic engagement and social media addiction (including their respective dimensions), with a mild-to-moderate intensity, as indicated by Pearson r values ranging from −0.101 to −0.297. Significant associations were found between the social media used by participants and their connection frequency, and significant associations were also found between their primary use of social media and the main reason perceived by participants for controlling their use. Full article

The Big Five Model has been widely applied across various areas for detecting problematic or even antisocial behaviors. This research explores its potential to identify behavior patterns and usage profiles in digital environments, such as social media use, digital gaming, and related activities. This study first conducted a literature review on mobile phone use, video game addiction, and social media overuse through the lens of the Big Five Model. Then, empirical data from 492 participants were analyzed to assess how each personality trait is associated with exposure to excessive internet use. The results shown that individuals with high openness and extraversion are more likely to engage intensively with social media and online entertainment, whereas those with higher levels of neuroticism, agreeableness, or conscientiousness display lower exposure. These findings align with previous research linking personality traits to neuroanatomical patterns that shape behavioral tendencies. This study suggests that specific personality traits, as defined by the Big Five Model, influence the use of digital media and advertising channels, potentially fostering addictive behaviors in users with higher openness and extraversion. Full article

Background/Objectives: Use of social media among college students is ubiquitous. Excessive use of social media has been linked to distractions, reduced academic focus, and poor mental health outcomes such as anxiety and depression. The determinants of social media use among college students are not well understood. Hence, the purpose of this study was to conduct a scoping review on the behavioral, demographic, and psychosocial determinants, explore theoretical frameworks, and suggest evidence-based recommendations. Methods: This scoping review was conducted between January 2024 and May 2025 following PRISMA-ScR guidelines, using MEDLINE (PubMed), CINAHL, and ERIC databases. Peer-reviewed studies were included if they focused on college students (ages 18–30), investigated determinants of social media use, and met predefined inclusion criteria. Results: A total of 22 studies met the inclusion criteria. Studies were conducted in Bangladesh, Canada, China, Egypt, India, Nigeria, Pakistan, Saudi Arabia, Turkey, and the United States, and the majority used cross-sectional designs (n = 20). A consistent finding across the reviewed studies was the strong association between social media overuse and symptoms of depression, anxiety, stress, and emotional dysregulation. Very few theoretical frameworks for understanding the determinants of social media were used. According to the reviewed studies, factors such as fear of missing out, sleep quality, and prolonged social media use consistently emerged as significant predictors of adverse mental health outcomes (p < 0.05). Conclusions: In this study, problematic social media use (PSMU) was linked to increased mental health issues, suggesting that students frequently engage in social comparison and experience feelings of missing out (FoMO), which exacerbate emotional distress. There is a need for integrated approaches in addressing PSMU within educational environments, particularly in fostering healthier digital habits among students. There is a need to conduct more concerted research using longitudinal designs and contemporary theoretical frameworks in this area. Full article

Cognitive control impairments contribute to the onset and maintenance of both substance and behavioral addictions. Guided by the Dual Mechanisms of Control framework, this study examined cognitive control deficits in methamphetamine-dependent individuals and those who overuse social media, each compared to a matched control group. Across two experiments, participants completed an operational working memory span task (Experiment 1) to assess their cognitive control resources, and a modified AX-Continuous Performance Test (AX-CPT, Experiment 2) to evaluate their inhibition-based proactive and reactive control. The results indicated that while both methamphetamine-dependent individuals and social media overusers demonstrated cognitive control impairments, the severity, affected components, and overall patterns differed. Methamphetamine-dependent individuals were characterized by more pronounced, pervasive deficits and a maladaptive reliance on compromised reactive control. In contrast, social media overuse was associated with milder impairments, maintaining relatively intact proactive versus reactive control patterns. These findings underscore the distinct cognitive control profiles underlying substance versus behavioral addictions and highlight the necessity of developing tailored intervention strategies to address the specific cognitive vulnerabilities of each population. Full article

Background/Objectives: In an increasingly pervasive digital environment, trait boredom has been identified as a key psychological factor in the onset and maintenance of problematic digital technology use. This systematic review aims to investigate the role of trait boredom in digital behavioral addictions, including problematic smartphone use, Internet and social media overuse, and gaming addiction, through theoretical models such as the I-PACE model and the Compensatory Internet Use Theory (CIUT). Methods: A systematic literature search was conducted across multiple scientific databases (PsycINFO, Web of Science, PubMed, and Scopus), yielding a total of 4603 records. Following the PRISMA guidelines after duplicate removal and screening based on title and abstract, 152 articles were assessed for full-text eligibility, and 28 studies met the predefined inclusion and exclusion criteria and were included in the final review. Results: Findings reveal that trait boredom functions as both a direct and indirect factor in problematic technology use. It serves as a mediator and moderator in the relationship between psychological vulnerabilities (e.g., depression, alexithymia, vulnerable narcissism) and dysfunctional digital behaviors. Furthermore, as an independent variable, it has an influence on technological variables through Fear of Missing Out (FoMO), loneliness, low self-regulation, and dysfunctional metacognitions, while protective factors such as mindfulness and attentional control mitigate its impact. Conclusions: Boredom represents a central psychological lever for understanding behavioral addictions in the digital age and should be considered a key target in preventive and therapeutic interventions focused on enhancing self-regulation and meaningful engagement with free time. Full article

Background: Antibiotic resistance (AMR) is a critical global and national health challenge, largely driven by the misuse and overuse of antibiotics. Understanding the public′s knowledge and practices regarding antibiotic use is essential for informing effective interventions. This study aimed to assess the levels of knowledge, attitude, and practice (KAP) related to antibiotic use among adults in Saudi Arabia’s Western Region and to identify the demographic and behavioral determinants of these outcomes. Methods: A regional cross-sectional survey was conducted from March to June 2025 using a 40-item self-administered online questionnaire. Adults aged ≥ 18 years residing in the Western Region of Saudi Arabia were recruited via social media using snowball sampling. Descriptive statistics and Chi-square tests were used to examine associations, while multivariate logistic regression was employed to identify determinants of high knowledge and good practices, presented as adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results: A total of 891 participants were included; most were female (63.6%) and aged 18–30 years (56.2%). Moderate knowledge of antibiotic use was observed in 54.0% of participants, while 30.8% had high knowledge. In terms of attitude and practice, 55.6% demonstrated good performance and 42.8% average performance. High knowledge was significantly associated with the female gender (aOR = 1.90; 95% CI: 1.34–2.70), age of 41–50 years (aOR = 2.22; 95% CI: 1.42–3.48), and a postgraduate education (aOR = 15.37; 95% CI: 1.84–128.13). Good practices were associated with the female gender (aOR = 2.32; 95% CI: 1.66–3.24) and being married (aOR = 1.99; 95% CI: 1.43–2.77). A moderate positive correlation was found between knowledge and practice scores (r = 0.406, p < 0.001). Conclusions: Significant variability in public KAP regarding antibiotic use was identified. Female gender, older age, and higher education were key determinants of better KAP. These findings emphasize the need for targeted educational strategies focusing on high-risk groups to support rational antibiotic use and mitigate antimicrobial resistance. Full article

Background/Objectives: Emotional eating has been considered as a trend to consume energy concentrated and tasty foods in response to adverse emotions. Emotional eating may harmfully influence physical and mental health among university students, worsening their daily quality of life and their academic performance. The aim of the present study is to critically summarize and analyze the currently available clinical data concerning the impact of emotional eating among university students. Methods: Comprehensive exploration of the currently available scientific literature was performed in the most precise scientific databases, utilizing relevant and representative keywords. Results: More than a few interrelationships were found between emotional eating and body mass index, physical activity, depression, anxiety, stress, social media overuse, nutritional behaviors, and COVID-19 lockdown concerning university students. Conclusions: The currently available clinical studies support evidence that there are significant intercorrelations between emotional eating and several aspects of physical and mental health of university students. However, most of them have a cross-sectional design that cannot establish causality effects. In this respect, prospective surveys are strongly required to delineate the impact of emotional eating in the daily life of university students. Full article

Background/Objectives: The widespread phenomenon of “brain rot”, named the Oxford Word of the Year 2024, refers to the cognitive decline and mental exhaustion experienced by individuals, particularly adolescents and young adults, due to excessive exposure to low-quality online materials, especially on social media. The present study is exploratory and interpretative in nature, aiming to investigate the phenomenon of “brain rot”, with a focus on its key pillars, psychological factors, digital behaviors, and the cognitive impact resulting from the overconsumption of low-quality digital content. Methods: This study employs a rapid review approach, examining research published between 2023 and 2024 across PubMed, Google Scholar, PsycINFO, Scopus, and Web of Science. It explores the causes and effects of brain rot, focusing on the overuse of social media, video games, and other digital platforms. Results: The findings reveal that brain rot leads to emotional desensitization, cognitive overload, and a negative self-concept. It is associated with negative behaviors, such as doomscrolling, zombie scrolling, and social media addiction, all linked to psychological distress, anxiety, and depression. These factors impair executive functioning skills, including memory, planning, and decision-making. The pervasive nature of digital media, driven by dopamine-driven feedback loops, exacerbates these effects. Conclusions: The study concludes by offering strategies to prevent brain rot, such as controlling screen time, curating digital content, and engaging in non-digital activities. Given the increasing prevalence of digital engagement, it is essential to explore a variety of strategies, including mindful technology use, to support cognitive health and emotional well-being. The results can guide various stakeholders—policymakers, practitioners, researchers, educators, and parents or caregivers—in addressing the pervasive impact of brain rot and promoting a balanced approach to technology use that fosters cognitive resilience among adolescents and young adults. Full article

Background: Medication overuse headache (MOH) is a prevalent and potentially preventable secondary headache disorder linked to the excessive use of medications intended for primary headache management, particularly migraine. Aim: The aim of our study was to assess the prevalence of MOH among undergraduate students and explore their awareness. Methodology: This observational cross-sectional study included 401 active undergraduate students from the University of Belgrade. Data were collected through an anonymous online questionnaire which was distributed among student groups and via social media. The questionnaire specially designed for this study was developed in accordance with established guidelines for headache epidemiological research. Results: Among the surveyed students, 10 of them (2.5%) met the criteria for the diagnosis of MOH. Awareness of MOH was noted in 149 (37.2%) students, with higher awareness among medical students and those aged 22–25 years. Despite this awareness, there was no significant difference in MOH occurrence between those aware and unaware of the condition (aware 2.7% vs. unaware 2.4%, p = 1.000). Additionally, significant gaps in education and communication about MOH were evident. Limitations: Participants were recruited through convenience sampling from a single university at one time point. The questionnaire was not specifically validated in the student population, and the data relied on self-reporting. Conclusions: Our study highlighted a notable prevalence of MOH among undergraduate students, with a substantial portion exhibiting awareness of its risks. Despite this awareness, our findings suggest ongoing gaps in education and communication regarding MOH, emphasizing the need for targeted interventions. Full article

The birth and following growth of social media platforms has influenced a lot. In addition to beneficial features, it has long-been noticed that heavy consumption of social media can have negative effects beyond a simple lack of time for other things. Of particular interest is the idea that consuming short videos lasting only fractions of a minute and watched one after another can lead to deficits in concentration and attention. Completing the existing literature that already reports evidence for attention deficits related to heavy social media use, the present study aims to contribute to this acute topic by adding neurophysiological data to it. In particular, this study made use of a well-known experimental paradigm, which is able to detect attention-related changes on a neurophysiological level. The so-called oddball paradigm was applied and the hypothesis that heavy social media users mainly consuming short videos show a reduced P300 event-related potential (ERP) component was tested, which has been found to reflect attention-related brain functions. For this, we invited twenty-nine participants and designed a visual oddball experiment including a white circle on black background as the low-frequency target stimulus and a white triangle on black background as the high-frequency non-target stimulus. On the basis of their self-reported short-video-based social media usage habits, all participants were grouped into heavy (more than 4 h daily usage) and regular (below 3 h daily usage) users, and finally data from 14 heavy and 15 regular users were further analyzed. It was found that only regular users show a clear P300 ERP component, while this particular brain potential amplitude reflecting attentional processes was significantly reduced in heavy users. This result provides empirical brain imaging evidence that heavy short-video-based social media use indeed affects attentional brain processes in a negative way. Full article

Illness and medication beliefs have shown to predict COVID-19 vaccination behaviour in the general population, but this relationship has yet to be demonstrated in healthcare staff. This research aimed to explore the potential explanatory value of illness and medication beliefs on the COVID-19 vaccination uptake of a sample of patient-facing healthcare workers (HCWs). A web-based questionnaire—measuring beliefs about vaccinations (the BMQ), perceptions of COVID-19 (the BIPQ), vaccine hesitancy, and vaccine uptake—was targeted to HCWs via social media platforms between May–July 2022. Open text responses allowed participants to provide explanations for any delay in vaccine uptake. A total of 91 participants completed the questionnaire. Most respondents (77.1%, n = 64) had received three doses of the COVID-19 vaccination, and vaccination uptake (number of doses received) was predicted by Vaccine Concerns, Vaccine Hesitancy, and their Necessity–Concerns Differential score. Vaccine Hesitancy was predicted by Necessity, Concerns, and Overuse scores, as well as Necessity–Concerns Differential scores. Delay in Vaccine Uptake could only be predicted for Dose 3 (Booster). Qualitative data revealed that hesitant respondents were “unable to take time off work” for vaccination and that some had concerns over vaccine safety. In conclusion, illness and medication beliefs have potential value in predicting vaccine hesitancy and uptake in healthcare workers. Interventions to improve vaccination uptake in this population should address concerns about vaccine safety and releasing staff for vaccination booster appointments should be prioritised. Future research should further investigate the relationship between illness and medication beliefs and COVID-19 vaccine uptake in a larger sample of healthcare workers. Full article

Gymnastics has a history of high injury incidence rates. However, little is known about the injury pathology in young gymnasts. The purpose of this study was to fill gaps in the literature by providing insight into the injury pathology in gymnasts aged 6 to 17 years. This study was retrospective in design, where injury data were collected using a Qualtrics questionnaire and distributed via social media. The findings revealed that the most common injury site was the lower limb (60.5%), in particular, the ankle/foot (49%) and knee (27%). Overuse injuries and sprains were most prevalent among the lower limb (25% and 18.4%, respectively), and gymnasts seemed to have a tendency to train through injury with modifications to training. In conclusion, lower limb joint sprain and overuse injuries accounted for the majority of injuries in youth gymnasts. These injuries were more frequently reported in girls in the years associated with peak height velocity and beyond. Full article

Social media has become an indispensable aspect of young people’s digital interactions, as they use it mostly for entertainment and communication purposes. Consequently, it has the potential to have both positive and negative effects on them. Deterioration in mental health is one of the side effects stemming from social media overuse. This study investigates the relationship between social media and the increase in mental health problems in Saudi Arabia. The population considered for analysis includes young people from Saudi Arabia, with a sample size of 385. A closed-ended survey questionnaire was used to collect data on different social media features and criteria. Using the Analytical Hierarchical Process (AHP), the researcher analyzed data to compare the effect of different social media features on mental health. The social media features included in this paper are private chats and calls, group chats and calls, browsing posts, games, media sharing, adverts, likes/comments/followers, and pages. The researcher adopted entertainment, information, social interaction, privacy, esteem, and communication as the criteria in the AHP process. Among these criteria, the study found that entertainment was the most significant, while privacy was the least significant. Findings suggested that likes, comments, and followers were the biggest contributors to poor mental health (total utility = 56.24). The least effective feature was ‘games’ (total utility = 2.56). The researcher recommends that social media users be cautious when interacting with social media features, especially likes, comments, followers, media, and posts, because of their significant effect on mental health. Full article