Health
Teens and social media: American Psychological Association issues guidance for safe use and ‘instruction’
For better or worse, social media has become an intrinsic part of adolescence. A majority of teens use YouTube (95%), TikTok (67%), Instagram (62%) and Snapchat (59%), according to a Pew Research Center survey of American teenagers ages 13 to 17.
In light of some studies linking social media use with an increase in teens’ mental health problems, including depression and anxiety, the American Psychological Association (APA) has released its first-ever Health Advisory on Social Media Use in Adolescence.
Written by a panel of psychological scientists, the advisory presents recommendations based on social media’s impact on young users’ “social, educational, psychological and neurological development.”
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It is aimed at parents, teens, teachers, policymakers, mental health providers and technology companies.
Social media is “not inherently beneficial or harmful to young people,” says the APA — but its impact is different for every child, the advisory went on, based on the child’s personal experiences, influences and characteristics.
Dr. Ryan Sultan, a board-certified psychiatrist and research professor at Columbia University in New York, has seen firsthand the negative impacts social media can have on today’s youth.
“Nearly every parent and teen I work with clinically is struggling with how to manage social media,” he told Fox News Digital. “Unchecked social media use can worsen self-image, promote bullying behaviors, deprive youth of sleep and adversely impact overall mental health.”
That said, Sultan recognizes that social media has become the primary basis for many teens’ interpersonal lives.
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“Youth should be encouraged to use social media as a way to promote healthy socialization, such as intimacy with peers,” he said.
Sultan believes that adults should be thinking about how to create a balanced social media model for teens — and he sees the APA’s new advisory as a positive step in that direction.
“The APA’s recommendations are thorough, welcome and overdue,” Sultan said. “They acknowledge that social media is not inherently good or bad — but, as with all new technology, it can be a double-edged sword.”
Impact is different for each child
“Social media is neither inherently harmful nor beneficial to our youth,” said APA President Thema Bryant in a press release announcing the advisory.
“Social media is neither inherently harmful nor beneficial to our youth.”
“But because young people mature at different rates, some are more vulnerable than others to the content and features on many social media platforms that science has demonstrated can influence healthy development.”
For children between 10 and 14 years of age, the APA’s advisory recommends that adults review their children’s social media channels and provide ongoing discussion and coaching about the content.
This is especially important as young teens have not yet developed mature self-control and are easily influenced by the “attention, feedback and reinforcement” from peers, said the advisory.
“However, monitoring should be balanced with youths’ appropriate needs for privacy,” the experts stated.
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The APA also suggests that adults put into place “social media limits and boundaries” to prevent adverse outcomes.
Over time, as kids get older and more aware of potential risks, they may gain more autonomy.
“Monitoring should be balanced with youths’ appropriate needs for privacy.”
“Asking questions about what is appropriate for the child’s current stage of development and tailoring their social media exposure accordingly is a fantastic recommendation for parents,” Sultan told Fox News Digital.
Teens’ exposure to harmful behaviors should be prevented
The APA calls for minimizing adolescents’ exposure to “illegal or psychologically maladaptive behavior” on social media, particularly content that may encourage them to partake in risky or harmful activities.
Any content that depicts self-harm, harm to others or “eating-disordered behavior” should be reported and removed, the APA stated.
Additionally, teens should not be exposed to content that promotes discrimination, hate, prejudice or cyberbullying, the advisory says.
“Research demonstrates that adolescents’ exposure to online discrimination and hate predicts increases in anxiety and depressive symptoms, even after controlling for how much adolescents are exposed to similar experiences offline,” the advisory said.
Adults to watch for ‘problematic social media use’
Excessive (or obsessive) social media use that interferes with teens’ daily tasks, education, offline activities or relationships could cause long-term psychological harm, the APA wrote.
“Social media use should not restrict opportunities to practice in-person reciprocal social interactions, and should not contribute to psychological avoidance of in-person social interactions,” per the advisory.
About half of teens report at least one sign of problematic social media use, as the APA’s Chief Science Officer Dr. Mitch Prinstein, of Chapel Hill, North Carolina, wrote in a Q&A on the APA’s website. (Prinstein also co-chaired the advisory panel.)
These warning signs include being unable to stop even when they want to, lying in order to continue using social media and failing to keep up with daily routines, schoolwork or relationships.
Another warning sign is when social media use causes disruptions to sleep, particularly when kids are on their devices within one hour of bedtime.
“Insufficient sleep is associated with disruptions to neurological development in adolescent brains, teens’ emotional functioning and risk for suicide,” the APA stated.
Social media should also not interfere with teens’ physical activity levels, as exercise is essential for both physical and psychological health, said the advisory.
Online comparisons should be avoided
Studies have shown that making comparisons on social media can have a detrimental effect on adolescents’ mental health.
To minimize this, the APA recommends that teens avoid using social media for this purpose, especially for content related to beauty or appearance.
“Just as we require young people to be trained in order to get a driver’s license, our youth need instruction in the safe and healthy use of social media.”
“Research suggests that using social media for social comparisons related to physical appearance, as well as excessive attention to and behaviors related to one’s own photos and feedback on those photos, are related to poorer body image, disordered eating and depressive symptoms, particularly among girls,” the advisory stated.
Prinstein of the APA recommends that parents talk with their teens about the fact that not everything they see online reflects reality.
“Help your child understand people are selective about sharing only what they want you to see online, giving a curated view of their lives and appearance,” Prinstein said in a Q&A on the APA’s website.
Teens should be trained in ‘social media literacy’
The panel of psychologists suggests that before using social media, teens should receive training in “social media literacy” to give them the skills and knowledge they need to help ensure “balanced, safe and meaningful social media use.”
“Just as we require young people to be trained in order to get a driver’s license, our youth need instruction in the safe and healthy use of social media,” said the APA’s Bryant.
This type of training could help teens think more critically about social media content and be less likely to buy into inaccuracies, generalizations and misinformation, per the advisory. It could also help them deal with online conflicts in a healthy way.
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Social media literacy isn’t a one-time thing, but an ongoing and evolving series of discussions, Prinstein said in the Q&A.
“Check in periodically to talk about social media and look for signs that it may be harming their physical or psychological well-being,” he suggested. “Let your teen know they can come to you for support if they have concerns about content they’re seeing online or if they’re struggling with excessive social media use.”
“By keeping the lines of communication open, you can help your child develop a healthy and positive relationship with social media,” he added.
The APA also calls for “substantial resources” to further research social media’s effects on teens’ development.
AI could present additional concerns
One aspect that was not mentioned in the APA’s advisory but is raising some concerns among teen mental health experts is the use of artificial intelligence in social media, such as Snapchat’s My AI feature.
Some teens are using the app’s built-in artificial intelligence chatbot for mental health purposes. While this can potentially have benefits, many experts advise caution.
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“If someone is in crisis and feels they have no one else to reach out to, and this mimics or gives the feeling of connection, and whatever is said is felt to be helpful, and it possibly stops them from doing something reckless or impulsive, then it is advisable,” said Dr. Don Grant, executive director of Newport Healthcare, a mental health treatment facility based in Los Angeles, California.
“I believe the biggest concern right now is that someone may get misinformation or have an experience that worsens their situation,” he told Fox News Digital.
When considering whether this type of AI is safe for children, Grant said it’s important to consider the child’s age, where they are developmentally, and if there are pre-existing issues with respect to mental health or device use.
“I believe the biggest concern right now is that someone may get misinformation or have an experience that worsens their situation.”
“If it does seem relevant to a family, a candid conversation with the child is a good option,” he said. “As with anything that is concerning, we want teens to feel safe enough to turn to parents or caretakers for support.”
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Along with Prinstein, the APA advisory panel was co-chaired by Dr. Mary Ann McCabe, PhD, associate clinical professor of pediatrics at the George Washington University School of Medicine in Washington, D.C.
Eleven other doctors participated.
“We hope these recommendations will be helpful as we all try to keep pace with the rapidly shifting social media ecosystem,” said APA CEO Arthur C. Evans Jr., PhD, in the APA’s press release.
“APA will continue to keep tabs on developments within the current and future platforms, with an eye toward safeguarding our youth and enabling them to benefit from the positive aspects of social media.”
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Health
Kennedy’s Plan for the Drug Crisis: A Network of ‘Healing Farms’
Though Mr. Kennedy’s embrace of recovery farms may be novel, the concept stretches back almost a century. In 1935, the government opened the United States Narcotic Farm in Lexington, Ky., to research and treat addiction. Over the years, residents included Chet Baker and William S. Burroughs (who portrayed the institution in his novel, “Junkie: Confessions of an Unredeemed Drug Addict”). The program had high relapse rates and was tainted by drug experiments on human subjects. By 1975, as local treatment centers began to proliferate around the country, the program closed.
In America, therapeutic communities for addiction treatment became popular in the 1960s and ’70s. Some, like Synanon, became notorious for cultlike, abusive environments. There are now perhaps 3,000 worldwide, researchers estimate, including one that Mr. Kennedy has also praised — San Patrignano, an Italian program whose centerpiece is a highly regarded bakery, staffed by residents.
“If we do go down the road of large government-funded therapeutic communities, I’d want to see some oversight to ensure they live up to modern standards,” said Dr. Sabet, who is now president of the Foundation for Drug Policy Solutions. “We should get rid of the false dichotomy, too, between these approaches and medications, since we know they can work together for some people.”
Should Mr. Kennedy be confirmed, his authority to establish healing farms would be uncertain. Building federal treatment farms in “depressed rural areas,” as he said in his documentary, presumably on public land, would hit political and legal roadblocks. Fully legalizing and taxing cannabis to pay for the farms would require congressional action.
In the concluding moments of the documentary, Mr. Kennedy invoked Carl Jung, the Swiss psychiatrist whose views on spirituality influenced Alcoholics Anonymous. Dr. Jung, he said, felt that “people who believed in God got better faster and that their recovery was more durable and enduring than people who didn’t.”
Health
Children exposed to higher fluoride levels found to have lower IQs, study reveals
The debate about the benefits and risks of fluoride is ongoing, as RFK Jr. — incoming President Trump’s pick for HHS secretary — pushes to remove it from the U.S. water supply.
“Fluoride is an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease,” RFK wrote in a post on X in November.
A new study published in JAMA Pediatrics on Jan. 6 found another correlation between fluoride exposure and children’s IQs.
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Study co-author Kyla Taylor, PhD, who is based in North Carolina, noted that fluoridated water has been used “for decades” to reduce dental cavities and improve oral health.
“However, there is concern that pregnant women and children are getting fluoride from many sources, including drinking water, water-added foods and beverages, teas, toothpaste, floss and mouthwash, and that their total fluoride exposure is too high and may affect fetal, infant and child neurodevelopment,” she told Fox News Digital.
The new research, led by scientists at the National Institute of Environmental Health Sciences (NIEHS), analyzed 74 epidemiological studies on children’s IQ and fluoride exposure.
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The studies measured fluoride in drinking water and urine across 10 countries, including Canada, China, Denmark, India, Iran, Mexico, Pakistan, New Zealand, Spain and Taiwan. (None were conducted in the U.S.)
The meta-analysis found a “statistically significant association” between higher fluoride exposure and lower children’s IQ scores, according to Taylor.
“[It showed] that the more fluoride a child is exposed to, the more likely that child’s IQ will be lower than if they were not exposed,” she said.
These results were consistent with six previous meta-analyses, all of which reported the same “statistically significant inverse associations” between fluoride exposure and children’s IQs, Taylor emphasized.
The research found that for every 1mg/L increase in urinary fluoride, there was a 1.63-point decrease in IQ.
‘Safe’ exposure levels
The World Health Organization (WHO) has established 1.5mg/L as the “upper safe limit” of fluoride in drinking water.
“There is concern that pregnant women and children are getting fluoride from many sources.”
Meanwhile, the U.S. Public Health Service recommends a fluoride concentration of 0.7 mg/L in drinking water.
“There was not enough data to determine if 0.7 mg/L of fluoride exposure in drinking water affected children’s IQs,” Taylor noted.
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Higher levels of the chemical can be found in wells and community water serving nearly three million people in the U.S., the researcher noted.
She encouraged pregnant women and parents of small children to be mindful of their total fluoride intake.
“If their water is fluoridated, they may wish to replace tap water with low-fluoride bottled water, like purified water, and limit exposure from other sources, such as dental products or black tea,” she said.
“Parents can use low-fluoride bottled water to mix with powdered infant formula and limit use of fluoridated toothpaste by young children.”
For more Health articles, visit www.foxnews.com/health.
While the research did not intend to address broader public health implications of water fluoridation in the U.S., Taylor suggested that the findings could help inform future research into the impact of fluoride on children’s health.
Dental health expert shares cautions
In response to this study and other previous research, Dr. Ellie Phillips, DDS, an oral health educator based in Austin, Texas, told Fox News Digital that she does not support water fluoridation.
“I join those who vehemently oppose public water fluoridation, and I question why our water supplies are still fluoridated in the 21st century,” she wrote in an email.
“There are non-fluoridated cities and countries where the public enjoy high levels of oral health, which in some cases appear better than those that are fluoridated.”
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Phillips called the fluoride debate “confusing” even among dentists, as the American Dental Association (ADA) advocates for fluoride use for cavity prevention through water fluoridation, toothpaste and mouthwash — “sometimes in high concentrations.”
“[But] biologic (holistic) dentists generally encourage their patients to fear fluoride and avoid its use entirely, even if their teeth are ravaged by tooth decay,” she said.
“Topical fluoride is beneficial, while systemic consumption poses risks.”
Phillips encouraged the public to consider varying fluoride compounds, the effect of different concentrations and the “extreme difference” between applying fluoride topically and ingesting it.
“Topical fluoride is beneficial, while systemic consumption poses risks,” she cautioned.
“Individuals must take charge of their own oral health using natural and informed strategies.”
The study received funding from the National Institute of Environmental Health Sciences (NIEHS), the National Institutes of Health (NIH) and the Intramural Research Program.
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