Exploring adolescents' perspectives on social media and mental health and well-being - A qualitative literature review

Many quantitative studies have supported the association between social media use and poorer mental health, with less known about adolescents' perspectives on social media's impact on their mental health and wellbeing. This narrative literature review aimed to explore their perspectives, focusing on adolescents aged between 13 and 17. It reviewed qualitative studies published between January 2014 and December 2020, retrieved from four databases: APA Psychinfo, Web of Science, PubMed and Google Scholar. The literature search obtained 24 research papers. Five main themes were identified: 1) Self-expression and validation, 2) Appearance comparison and body ideals, 3) Pressure to stay connected, 4) Social engagement and peer support and 5) Exposure to bullying and harmful content. This review has highlighted how social media use can contribute to poor mental health - through validation-seeking practices, fear of judgement, body comparison, addiction and cyberbullying. It also demonstrates social media's positive impact on adolescent wellbeing - through connection, support and discussion forums for those with similar diagnoses. Future research should consider adolescent views on improvements to social media, studying younger participants, and the impact of COVID-19 on social media use and its associated mental health implications.