As more actors express concerns about how social media use affecting the mental health of “children and teens,” this article suggests it can be hard to directly measure this link:

It doesn’t help that mental health is influenced by many factors, and no single treatment works for every person. “It’s not as straightforward as: What is the right antibiotic for that ear infection?” said Megan Moreno, a scientist and pediatrician at the University of Wisconsin-Madison, and co-director of the Center of Excellence on Social Media and Youth Mental Health at the American Academy of Pediatrics…
Among the reasons that make it difficult to isolate the role of social media in kids’ mental health is that the relationship between mental health and tech use is a two-way street, the panel from the National Academies of Sciences, Engineering, and Medicine said. A person’s mental state might influence how he or she uses the platform, which in turn affects his or her state of mind.
Randomized, controlled studies on whether social media caused the mental-health crisis are impractical because exposure to social media is now everywhere, researchers say. In addition, platforms are constantly changing their features, hobbling efforts to run long-term studies, they say.
A decade ago, Munmun De Choudhury, a computer scientist at Georgia Tech, was part of a team that showed that groups promoting disordered eating were skirting Instagram’s moderation efforts. De Choudhury says that such studies probably would be impossible today because social-media companies no longer allow access to public data, or charge hefty fees for it…
Research into the roots of distress in young people has found that other factors—bullying, or lack of family support—have stronger associations with mental-health outcomes, compared with social-media use.
These are different issues. This includes having access to data from platforms as well as data over time. Additionally, it takes work to separate out different influences on mental health. Randomized controlled trials that could help with this are difficult to put together in this situation. Other factors are shown to influence mental health.
Some think there is enough data to make the argument about social media use influencing mental health. For example, social psychologist Jonathan Haidt puts together evidence in his latest book The Anxious Generation. His approach is one that social scientists can take: there seem to be consistent patterns over time and other factors do not seem to account as well for the outcomes observed. And if there is a growing consensus across studies and scholars, this is another way for scientific findings to advance.
This is an ongoing situation as policy efforts and research efforts follow sometimes intertwining paths. If a state restricts social media use for teenagers and then mental health issues drop, would this count as evidence for social media causing mental health distress?





