McCurdy Li Yan, Na Peter J, Potenza Marc N
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
VA Connecticut Healthcare System, West Haven, CT, USA.
J Korean Acad Child Adolesc Psychiatry. 2025 Jul 1;36(3):135-143. doi: 10.5765/jkacap.250016.
Adolescent substance use remains a public health concern, and social media platforms may serve as potential intervention targets. The objective of this review is to characterize studies on anti-substance use and/or pro-recovery content on the TikTok social media platform.
PubMed, Scopus, and Web of Science were searched for articles using search strings related to TikTok and substance use. Studies that characterized substance use content on TikTok and provided information on the associated hashtags were included. Studies that did not include hashtags reflecting anti-substance use or pro-recovery sentiments were excluded.
Seven studies included hashtags that expressed being against, quitting, and/or recovering from substance use. Most previous studies focused on nicotine use. The content was largely created by adults. General content themes included motivations for reducing substance use, barriers to, and advice on how to reduce substance use, and personal recovery journey stories that celebrated success and normalized the recurrence of use. Some studies found that content created by individuals with lived experience and content focused on the benefits of quitting (rather than the costs of using) received higher engagement. Most studies noted that videos identified using anti-substance use hashtags often contain irrelevant or antithetical content.
This review highlights the value of social media sites such as TikTok as potential platforms for encouraging reductions in substance use. Future studies should quantify whether viewing and engaging with such content leads to changes in real-world measures such as reduced consumption.
青少年物质使用仍然是一个公共卫生问题，社交媒体平台可能成为潜在的干预目标。本综述的目的是描述关于TikTok社交媒体平台上反物质使用和/或促进康复内容的研究。
在PubMed、Scopus和Web of Science中搜索与TikTok和物质使用相关的文章。纳入了对TikTok上物质使用内容进行特征描述并提供相关主题标签信息的研究。排除了未包括反映反物质使用或促进康复情绪的主题标签的研究。
七项研究纳入了表达反对、戒除和/或从物质使用中康复的主题标签。此前的大多数研究集中在尼古丁使用上。内容主要由成年人创作。一般内容主题包括减少物质使用的动机、减少物质使用的障碍和建议，以及庆祝成功并使复吸常态化的个人康复历程故事。一些研究发现，有实际经历的个人创作的内容以及关注戒除益处（而非使用成本）的内容获得了更高的参与度。大多数研究指出，使用反物质使用主题标签识别出的视频往往包含不相关或对立的内容。
本综述强调了TikTok等社交媒体网站作为鼓励减少物质使用的潜在平台的价值。未来的研究应该量化观看此类内容并参与互动是否会导致现实世界中的指标变化，如消费量减少。
