Online communication, social media and adolescent wellbeing: A systematic narrative review

• Systematic narrative review of social media and adolescent mental wellbeing
• Online social networks can be both advantageous and harmful for mental wellbeing.
• Online technologies may be able to provide less stigmatising mental health services.

BackgroundMuch debate and polarisation exist regarding the impact of online social technologies on the mental wellbeing of young people.ObjectiveTo systematically review and synthesise current empirical research on this topic, identifying both the beneficial and harmful effects of online communication and social media technology amongst young people.MethodsA systematic narrative review of research published between January 2003 and April 2013, retrieved using rigorous searching on eight bibliographic databases. Results were then subject to review using a quality appraisal tool and a narrative synthesis methodology. A theoretical framework was developed for the synthesis using concepts from mental health and communication studies literature.ResultsSystematic searching retrieved 43 original research papers investigating or exploring the effects of online technologies on adolescent mental well-being or related concept(s). The benefits of using online technologies were reported as increased self-esteem, perceived social support, increased social capital, safe identity experimentation and increased opportunity for self-disclosure. Harmful effects were reported as increased exposure to harm, social isolation, depression and cyber-bullying. The majority of studies reported either mixed or no effect(s) of online social technologies on adolescent wellbeing.ConclusionsThis systematic narrative review has revealed contradictory evidence while revealing an absence of robust causal research regarding the impact of social media on mental wellbeing of young people. Online technologies are increasingly being used for health and social care purposes, but further research is required to give confidence that these are appropriately designed to promote the mental health care and support of young people.