Study2025Open access

Association between problematic TikTok use and mental health: A systematic review and meta-analysis

Galanis P, Katsiroumpa A, Katsiroumpa Z, Mangoulia P, Gallos P, Moisoglou I, Koukia E

AIMS public health · 8 citations

How it was studied

Design
Meta-analysis (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2025-01-01 · AIMS Public Health · vol. 12 · issue 2 · pp. 491–519
Publisher
AIMS Press
Cited
14 citations · more than 95% of similar papers · 4.8× the field average
Impact
Top 10% most cited in its field
References
3 works
Access
Open access (journal) · CC-BY
Research areas
Impact of Technology on Adolescents · Digital Mental Health Interventions · Educational Methods and Impacts
Keywords
TikTok, social media use, mental health, depression, anxiety, body image, sleep quality, anger, distress intolerance, narcissism, stress, young adults

7 authors

From GR

  • Petros GalanisNational and Kapodistrian University of Athens
  • Aglaia KatsiroumpaNational and Kapodistrian University of Athens
  • Zoe KatsiroumpaNational and Kapodistrian University of Athens
  • Polyxeni ΜangouliaNational and Kapodistrian University of Athens
  • Parisis GallosUniversity of West Attica
  • Ioannis MoisoglouUniversity of Thessaly

Abstract

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 (β = 0.321, 95% confidence interval: 0.261 to 0.381, p I2 = 78.0%, n = 6 studies), and anxiety (β = 0.406, 95% confidence interval: 0.279 to 0.533, p I2 = 94.8%, n = 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.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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