Researchers analyzed data from 1,439 people aged 11 to 21 who took part in waves of the population-based COPSY study in 2024 and 2025. At the second wave, 21.6% reported using social media intensely, defined as at least four hours a day.

Using a parent-report screening tool based on the World Health Organization’s disease classification, the researchers identified at-risk and pathological social media use. They then examined how these outcomes were associated with social, psychological and behavioral factors across the two waves.