Lakhan Shaheen E
Bioscience, Global Neuroscience Initiative Foundation, Miami, USA.
Neurology, Andrew Taylor (AT) Still University School of Osteopathic Medicine in Arizona, Mesa, USA.
Cureus. 2025 Apr 30;17(4):e83256. doi: 10.7759/cureus.83256. eCollection 2025 Apr.
Social media platforms have evolved from communication tools into hyperstimulating digital environments that directly engage reward and attention networks in the brain. Emerging neuroimaging studies reveal that heavy use, particularly among adolescents, is linked to functional and structural changes in regions governing emotional regulation, impulse control, and social cognition. These neural patterns resemble those seen in addiction, attention-deficit/hyperactivity disorder, and mood disorders. However, clinical medicine has been slow to respond. This editorial argues that we must reframe social media overuse as a neurologically mediated risk factor rather than just a behavioral concern. In addition to addiction-like engagement, a new affective pattern is emerging: "digital anhedonia," the diminished ability to find pleasure in real-world experiences after prolonged digital saturation. As a neurologist and neuroscientist who develops smartphone-based applications for therapeutic benefit, I have seen both the healing and the harm these technologies can cause. It is time to recognize, monitor, and mitigate the neurobiological consequences of digital overstimulation and reward desensitization.
社交媒体平台已从通信工具演变成高度刺激的数字环境,直接影响大脑中的奖赏和注意力网络。新出现的神经影像学研究表明,过度使用社交媒体,尤其是在青少年中,与调节情绪、控制冲动和社会认知的脑区功能及结构变化有关。这些神经模式类似于在成瘾、注意力缺陷多动障碍和情绪障碍中观察到的模式。然而,临床医学对此的反应一直很迟缓。这篇社论认为,我们必须将社交媒体过度使用重新界定为一种由神经介导的风险因素,而不仅仅是一种行为问题。除了类似成瘾的参与外,一种新的情感模式正在出现:“数字快感缺失”,即长时间处于数字饱和状态后,在现实世界体验中获得快乐的能力下降。作为一名开发基于智能手机的治疗应用程序的神经学家和神经科学家,我见证了这些技术可能带来的治愈效果和危害。现在是时候认识、监测并减轻数字过度刺激和奖赏脱敏的神经生物学后果了。