Association between problematic TikTok use and mental health: A systematic review and meta-analysis.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES

AIMS Public Health Pub Date : 2025-04-16 eCollection Date: 2025-01-01 DOI:10.3934/publichealth.2025027

Petros Galanis, Aglaia Katsiroumpa, Zoe Katsiroumpa, Polyxeni Mangoulia, Parisis Gallos, Ioannis Moisoglou, Evmorfia Koukia

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Abstract

Background: TikTok is a significant part of social media usage, since 25.6% of the total global population has a TikTok account, and, thus, scholars should pay attention to its association with users' mental health.

Objective: To synthesize and evaluate the association between problematic TikTok use and mental health.

Methods: We applied the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines in our review. The review protocol was registered with PROSPERO (CRD42024582054). We searched PubMed, Scopus, Web of Science, PsycINFO, ProQuest, and CINAHL until September 02, 2024.

Results: We identified 16 studies with 15,821 individuals. All studies were cross-sectional and were conducted after 2019. Quality was moderate in 10 studies, good in three studies, and poor in three studies. Our random effects models showed a positive association between TikTok use and depression (β = 0.321, 95% confidence interval: 0.261 to 0.381, p < 0.001, I² = 78.0%, n = 6 studies), and anxiety (β = 0.406, 95% confidence interval: 0.279 to 0.533, p < 0.001, I² = 94.8%, n = 4 studies). Data to perform meta-analysis with the other mental health variables were limited. However, our descriptive data showed a positive association between TikTok use and body image issues, poor sleep, anger, distress intolerance, narcissism, and stress.

Conclusion: Our findings suggest that problematic TikTok use has a negative association with several mental health issues. Given the high levels of TikTok use, especially among young adults, our findings are essential to further enhance our understanding of the association between TikTok use and mental health. Finally, there is a need for further studies of better quality to assess the association between problematic TikTok use and mental health in a more valid way.

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问题TikTok使用与心理健康之间的关系：一项系统综述和荟萃分析。

背景：TikTok是社交媒体使用的重要组成部分，全球25.6%的人口拥有TikTok账户，因此学者应该关注它与用户心理健康的关系。目的：综合评价问题TikTok使用与心理健康的关系。方法：在我们的综述中，我们应用了系统评价和meta分析指南的首选报告项目。该审查方案已在PROSPERO注册（CRD42024582054）。我们检索了PubMed， Scopus, Web of Science, PsycINFO， ProQuest和CINAHL，直到2024年9月2日。结果：我们确定了16项研究，15821人。所有研究都是横断面的，并在2019年之后进行。10项研究的质量为中等，3项研究为良好，3项研究为差。我们的随机效应模型显示，使用TikTok与抑郁（β = 0.321, 95%可信区间：0.261至0.381,p < 0.001, I2 = 78.0%, n = 6项研究）和焦虑（β = 0.406, 95%可信区间：0.279至0.533,p < 0.001, I2 = 94.8%, n = 4项研究）呈正相关。与其他心理健康变量进行meta分析的数据有限。然而，我们的描述性数据显示，TikTok的使用与身体形象问题、睡眠不佳、愤怒、痛苦不容忍、自恋和压力之间存在正相关。结论：我们的研究结果表明，有问题的TikTok使用与几种心理健康问题存在负相关。鉴于TikTok的使用率很高，尤其是在年轻人中，我们的研究结果对于进一步加深我们对TikTok使用与心理健康之间关系的理解至关重要。最后，有必要进行更高质量的进一步研究，以更有效的方式评估有问题的TikTok使用与心理健康之间的关系。

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