El Hayek Sarah, Obeid Sahar, Kazan Rima, Hallit Souheil, Fekih-Romdhane Feten, Haddad Georges
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
School of Arts and Sciences, Department of Psychology and Education, Lebanese American University, Jbeil, Lebanon.
Discov Ment Health. 2025 Apr 6;5(1):47. doi: 10.1007/s44192-025-00176-8.
Adolescence is a critical period during which there is a concerning rise in the incidence of mental health problems, including depression and body dysmorphic concerns symptoms, as well as addictive behaviors such as problematic social media use. The objective of this research is to examine the role of depression as a mediator between problematic social media use and body dysmorphic concerns.
This study used a cross-sectional design and recruited a total of 336 Lebanese adolescents, aged 15 to 18, with an average age of 15.69 ± 1.10 years and 63.4% of them being female, from all governorates of Lebanon between the months of December 2023 and January 2024. The statistical analysis was performed utilizing version 25 of the SPSS program. Two categorical variables were compared using the Chi-square test, and two means were examined using the Student t test. Model 4 of the PROCESS MACRO, an add-on for SPSS, was utilized to conduct the mediation analysis.
After adjusting for age and sex, depression was found to partially mediate the association between problematic social media use and body dysmorphic concerns (indirect effect: Beta = .48; Boot SE = .08; Boot CI .33; .65). Higher PSMU was significantly associated with more depression and directly associated with more body dysmorphic concerns.
This study has shown, for the first time that depression may act as a mediator in the relationship between problematic social media use and Body dysmorphic disorder. Recognizing this malleable factor as a mediator might provide new understanding for psychiatric therapies conducted on persons who are likely to display signs of dysmorphia when they utilize social media in an addictive pattern.
青春期是一个关键时期,在此期间,心理健康问题的发生率令人担忧地上升,包括抑郁症和身体变形障碍症状,以及诸如社交媒体使用问题等成瘾行为。本研究的目的是检验抑郁症在社交媒体使用问题与身体变形障碍之间的中介作用。
本研究采用横断面设计,于2023年12月至2024年1月期间,从黎巴嫩所有省份招募了336名15至18岁的黎巴嫩青少年,平均年龄为15.69±1.10岁,其中63.4%为女性。使用SPSS程序的第25版进行统计分析。使用卡方检验比较两个分类变量,使用学生t检验检验两个均值。利用SPSS的附加程序PROCESS MACRO的模型4进行中介分析。
在调整年龄和性别后,发现抑郁症部分中介了社交媒体使用问题与身体变形障碍之间的关联(间接效应:β = 0.48;Boot SE = 0.08;Boot CI 0.33;0.65)。较高的社交媒体使用问题与更多的抑郁症显著相关,且与更多的身体变形障碍直接相关。
本研究首次表明,抑郁症可能在社交媒体使用问题与身体变形障碍之间的关系中起中介作用。将这个可塑因素识别为中介因素,可能为对那些以成瘾模式使用社交媒体时可能表现出畸形迹象的人进行的精神治疗提供新的理解。