Galanis Petros, Katsiroumpa Aglaia, Katsiroumpa Zoe, Mangoulia Polyxeni, Gallos Parisis, Moisoglou Ioannis, Koukia Evmorfia
Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
AIMS Public Health. 2025 Apr 16;12(2):491-519. doi: 10.3934/publichealth.2025027. eCollection 2025.
BACKGROUND: TikTok is a significant part of social media usage, since 25.6% of the total global population has a TikTok account, and, thus, scholars should pay attention to its association with users' mental health. OBJECTIVE: To synthesize and evaluate the association between problematic TikTok use and mental health. METHODS: We applied the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines in our review. The review protocol was registered with PROSPERO (CRD42024582054). We searched PubMed, Scopus, Web of Science, PsycINFO, ProQuest, and CINAHL until September 02, 2024. RESULTS: We identified 16 studies with 15,821 individuals. All studies were cross-sectional and were conducted after 2019. Quality was moderate in 10 studies, good in three studies, and poor in three studies. Our random effects models showed a positive association between TikTok use and depression ( = 0.321, 95% confidence interval: 0.261 to 0.381, < 0.001, = 78.0%, = 6 studies), and anxiety ( = 0.406, 95% confidence interval: 0.279 to 0.533, < 0.001, = 94.8%, = 4 studies). Data to perform meta-analysis with the other mental health variables were limited. However, our descriptive data showed a positive association between TikTok use and body image issues, poor sleep, anger, distress intolerance, narcissism, and stress. CONCLUSION: Our findings suggest that problematic TikTok use has a negative association with several mental health issues. Given the high levels of TikTok use, especially among young adults, our findings are essential to further enhance our understanding of the association between TikTok use and mental health. Finally, there is a need for further studies of better quality to assess the association between problematic TikTok use and mental health in a more valid way.
背景：TikTok是社交媒体使用的重要组成部分，因为全球总人口的25.6%拥有TikTok账户，因此，学者们应关注其与用户心理健康的关联。 目的：综合并评估TikTok使用问题与心理健康之间的关联。 方法：我们在综述中应用了系统评价和Meta分析的首选报告项目指南。该综述方案已在国际系统评价前瞻性注册库（PROSPERO）注册（注册号：CRD42024582054）。我们检索了PubMed、Scopus、科学引文索引（Web of Science）、心理学文摘数据库（PsycINFO）、ProQuest和护理学与健康领域数据库（CINAHL），检索截至2024年9月2日。 结果：我们纳入了16项研究，涉及15821名个体。所有研究均为横断面研究，且在2019年之后开展。10项研究质量中等，3项研究质量良好，3项研究质量较差。我们的随机效应模型显示，TikTok使用与抑郁之间存在正相关（效应量=0.321，95%置信区间：0.261至0.381，P<0.001，异质性I²=78.0%，纳入研究数量k=6项），与焦虑之间也存在正相关（效应量=0.406，95%置信区间：0.279至0.533，P<0.001，异质性I²=94.8%，纳入研究数量k=4项）。用于对其他心理健康变量进行Meta分析的数据有限。然而，我们的描述性数据显示，TikTok使用与身体形象问题、睡眠不佳、愤怒、痛苦不耐受、自恋和压力之间存在正相关。 结论：我们的研究结果表明，TikTok使用问题与若干心理健康问题存在负相关。鉴于TikTok的高使用水平，尤其是在年轻人中，我们的研究结果对于进一步加深我们对TikTok使用与心理健康之间关联的理解至关重要。最后，需要开展质量更高的进一步研究，以更有效的方式评估TikTok使用问题与心理健康之间的关联。
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