Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Dana Farber Cancer Institute, Boston, Massachusetts.
Pediatrics. 2024 Oct 1;154(4). doi: 10.1542/peds.2024-066142.
In a May 2023 advisory, the US Surgeon General raised concerns about the effects of social media use on well-being. One implied strategy to reduce its impact is abstaining from digital media use. This state-of-the-art review summarizes the most recent studies on reducing or abstaining from digital media use, including social media (ie, "digital detox") and its effect on well-being to inform parents, educators, schools, policymakers, and the public when taking action. In June 2023, we conducted a literature search in Google Scholar, PubMed, and ScienceDirect. We included reviews and original research articles (1) focusing on interventions to reduce screen time/social media time and (2) its impact on/association with well-being. We summarized the key points of the 2 published reviews and 6 articles (published between 2013 and 2023), including 139 articles in total. Our main findings are: there is no clear definition of digital detox and no consistency in the assessment of interventions' effectiveness;reducing social media/smartphone time rather than promoting total abstinence showed more beneficial effects on well-being;the effect of the interventions and their duration varies depending on the type of outcome; andthe effects are influenced by gender, age, and contextual factors. Available evidence on interventions aiming at reducing social media use on well-being is limited, leaving no clear implications for policymaking at this point. More empirical, high-quality research is needed to understand the circumstances under which digital detox interventions are helpful and for whom.
在 2023 年 5 月的一份咨询报告中,美国外科医生总长大卫·卡利(David Kessler)对社交媒体使用对健康的影响表示担忧。减少其影响的一种隐含策略是避免使用数字媒体。这篇最新综述总结了关于减少或避免使用数字媒体(包括社交媒体,即“数字排毒”)及其对健康影响的最新研究,以在采取行动时为家长、教育工作者、学校、政策制定者和公众提供信息。2023 年 6 月,我们在谷歌学术、PubMed 和 ScienceDirect 上进行了文献检索。我们纳入了专注于减少屏幕时间/社交媒体时间的干预措施及其对/与健康的影响的综述和原始研究文章(1),共包括 2 篇综述和 6 篇文章(发表于 2013 年至 2023 年期间),总计 139 篇文章。我们的主要发现是:没有明确的数字排毒定义,干预措施效果的评估也没有一致性;减少社交媒体/智能手机时间而不是提倡完全戒除,对健康有更有益的影响;干预措施的效果及其持续时间取决于结果的类型;效果受到性别、年龄和背景因素的影响。目前关于旨在提高幸福感而减少社交媒体使用的干预措施的证据有限,因此在这一点上,对政策制定没有明确的影响。需要更多的实证、高质量研究来了解数字排毒干预在何种情况下是有益的,以及对谁有益。