HEADS4: Social Media Screening in Adolescent Primary Care

Clark, Danielle L.; Raphael, Jean L.; McGuire, Amy L.

doi:10.1542/peds.2017-3655

Cited by 22 publications

(16 citation statements)

References 4 publications

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“…Areas of future study may include evaluation of the relationship between social media use and psychiatric comorbidities, with additional focus on preadolescent behavior, as well as identification of protective factors that might inform clinicians and parents how best to foster healthy use of social media in children and adolescents. Due to previously identified risk, efforts to screen for social media and internet use have been recommended by American College of Obstetrics and Gynecology as well as the AAP for adolescents during clinical visits [45,46].…”

Section: Principal Findingsmentioning

confidence: 99%

Association of Social Media Use and High-Risk Behaviors in Adolescents: Cross-Sectional Study

Vente¹,

Daley²,

Killmeyer³

et al. 2020

JMIR Pediatr Parent

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Background Previous studies have demonstrated the prevalence of social media use and identified the presence of high-risk behaviors among adolescents, including self-harm and sharing of sexually explicit messages. Objective This study aimed to identify patterns in the amount of time spent on social media by adolescents who engage in high-risk behavior and the extent to which they use social media as a platform for sharing such behaviors. Methods This was a descriptive cross-sectional study of 179 adolescents seen in a pediatric clinic at an urban medical center. We used an anonymous self-report survey to obtain demographic characteristics, rates of self-harm thoughts and behaviors, sharing of sexually explicit messages, and social media use as determined by total hours spent on social media per day and the number of applications used. Results Most adolescents reported spending 3 to 5 hours on social media each day and using 3 or more social media applications. Almost 1 in 8 (22/179, 12.3%) adolescents self-reported having ever engaged in self-injury with a mean age of onset of 11.8 years. Over a quarter (49/179, 27.4%) of adolescents reported sharing sexually explicit messages. Relative risk of engaging in self-injury and or sharing sexually explicit messages increased with the use of 4 or more social media applications (1.66; CI 1.11-2.48). Conclusions Results show a relationship between the number of social media applications used and increased rates of high-risk behaviors. We identified relevant risk factors that clinicians can use to screen for high-risk behavior and parents can monitor to encourage education about healthy online practices.

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Section: Principal Findingsmentioning

confidence: 99%

Association of Social Media Use and High-Risk Behaviors in Adolescents: Cross-Sectional Study

Vente¹,

Daley²,

Killmeyer³

et al. 2020

JMIR Pediatr Parent

View full text Add to dashboard Cite

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“…There is question of what is real and not real through the sharing of carefully selected, overly filtered photos and experiences, opening the door to one of the greatest foes of the adolescent mind -comparison. This dependency on access to social media is observed in depth by Clark et al (2018). They go on to describe this as "normalized addiction", as the obsession of adolescents "[resembles] the progressive, withdrawal-producing, and dose-dependent symptoms of substance addiction" (2018).…”

Section: Social Media In Adolescencementioning

confidence: 99%

Overuse: A concept analysis

McGough

2021

J Stud Res

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Spending much of her career in clinical pediatrics, the author was greatly troubled regarding the amount of screen time in which the patients of her office were reportedly engaging. It is for this reason that the concept of "overuse" was chosen for analysis. The author explores multiple facets of overuse including social media in adolescence, caffeine, pumpkin spice, "pitcher's elbow", antibiotic prescription, and interpersonal kindness. The purpose of this concept analysis is to explore the many differing applications of the definition of overuse as well as to construct a practical definition for identification and response in the pediatric clinical setting.

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“…The basic yet vital tool of history taking should routinely encompass asking about social media engagement in adolescents and young adults presenting with anxiety or depression, indeed, the HEADS4 social media screening questionnaire 12 (an adaptation of the HEADSS questionnaire adding 'social media' as the fourth 'S') is well validated, and akin to the cut-annoyed-guiltyeye (CAGE) questionnaire for alcohol misuse. Beyond this, the recently updated National Institute for Health and Care Excellence (NICE) guidelines comprehensively cover all aspects of investigation and management.…”

Section: Clinical Managementmentioning

confidence: 99%