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Docs Warn About Facebook Use And Teen Depression

LINDSEY TANNER   03/28/11 06:45 AM ET  AP

CHICAGO — Add "Facebook depression" to potential harms linked with social media, an influential doctors' group warns, referring to a condition it says may affect troubled teens who obsess over the online site.

Researchers disagree on whether it's simply an extension of depression some kids feel in other circumstances, or a distinct condition linked with using the online site.

But there are unique aspects of Facebook that can make it a particularly tough social landscape to navigate for kids already dealing with poor self-esteem, said Dr. Gwenn O'Keeffe, a Boston-area pediatrician and lead author of new American Academy of Pediatrics social media guidelines.

With in-your-face friends' tallies, status updates and photos of happy-looking people having great times, Facebook pages can make some kids feel even worse if they think they don't measure up.

It can be more painful than sitting alone in a crowded school cafeteria or other real-life encounters that can make kids feel down, O'Keeffe said, because Facebook provides a skewed view of what's really going on. Online, there's no way to see facial expressions or read body language that provide context.

The guidelines urge pediatricians to encourage parents to talk with their kids about online use and to be aware of Facebook depression, cyberbullying, sexting and other online risks. They were published online Monday in Pediatrics.

Abby Abolt, 16, a Chicago high school sophomore and frequent Facebook user, says the site has never made her feel depressed, but that she can understand how it might affect some kids.

"If you really didn't have that many friends and weren't really doing much with your life, and saw other peoples' status updates and pictures and what they were doing with friends, I could see how that would make them upset," she said.

"It's like a big popularity contest – who can get the most friend requests or get the most pictures tagged," she said.

Also, it's common among some teens to post snotty or judgmental messages on the Facebook walls of people they don't like, said Gaby Navarro, 18, a senior from Grayslake, Ill. It's happened to her friends, and she said she could imagine how that could make some teens feel depressed.

"Parents should definitely know" about these practices," Navarro said. "It's good to raise awareness about it."

The academy guidelines note that online harassment "can cause profound psychosocial outcomes," including suicide. The widely publicized suicide of a 15-year-old Massachusetts girl last year occurred after she'd been bullied and harassed, in person and on Facebook.

"Facebook is where all the teens are hanging out now. It's their corner store," O'Keeffe said.

She said the benefits of kids using social media sites like Facebook shouldn't be overlooked, however, such as connecting with friends and family, sharing pictures and exchanging ideas.

"A lot of what's happening is actually very healthy, but it can go too far," she said.

Dr. Megan Moreno, a University of Wisconsin adolescent medicine specialist who has studied online social networking among college students, said using Facebook can enhance feelings of social connectedness among well-adjusted kids, and have the opposite effect on those prone to depression.

Parents shouldn't get the idea that using Facebook "is going to somehow infect their kids with depression," she said.

___

Online:

American Academy of Pediatric: http://www.aap.org

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07:01 AM on 04/14/2011
Just as the term bullying (versus conflict) may be overused, maybe the term depression (in certain circumstances) is better replaced by disappointment. Are kids truly clinically becoming depressed by their use (or misuse) of social networking, or are they not adept at handling the social realm and are disappointed when it isn't working for them the way they perceive it as working for other teens?

It's possible that teens that are already suffering from depression may find the world of Facebook is adding to what is already going on. Are the social media sites truly addictive or do they simply become a learned behavior and hard-to-break habit with the continuous feedback that we receive?

It's hard for teens (developmentally) to strike a balance. It's even harder for the teens that have social, emotionally and behavioral difficulties. Partnering with teens from a helping perspective and teaching them the social skills needed to navigate both face-to-face situations and online social venues is up to us the adults. We believe that social networking can be a truly positive thing for teens in making connections and interacting with friends. Facebook and the Internet are not something we can wish away. Giving kids and teens the tools they need to find the balance, online and in person to feel good about themselves and their friendships is more challenging in our fast-paced electronically-based culture, but grows more and more important as we become increasingly a screen-based society.
06:29 AM on 04/09/2011
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01:28 PM on 04/05/2011
I think that the main question is if lonely people flock to Facebook or if Facebook creates lonely people... I wrote an article about this topic combining many different Facebook studies to try to come to a conclusion: http://bit.ly/fAVhCL
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drp103
SYSTEM ON
11:28 PM on 03/29/2011
WHAT! Only 23 postings.

Someone's in denial..............
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HUFFPOST SUPER USER
Mark Montgomery
The forces of fear do not scare me
05:25 PM on 03/29/2011
In some areas of the world fb is used to foment change and start revolutions. Here in 'merica we get depresssed because someone else has more friends on fb. Seriously, we are a self centered narcissistic bunch aren't we?
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HUFFPOST COMMUNITY MODERATOR
LiberalLee
Yes I am a witch. Deal with it.
12:11 AM on 03/29/2011
Never, ever saw the point to it myself.
Half of it's silly boasting and fake, the other half is plain old snoopiness.
If I want someone to know something about me, I tell them.
Besides, I can't be bothered wasting the time some people do on such silly superficial stuff.
05:21 PM on 03/29/2011
you dont think having 1299 fans on huffpo isnt even slightly the same? because it is.
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HUFFPOST COMMUNITY MODERATOR
LiberalLee
Yes I am a witch. Deal with it.
07:53 PM on 03/29/2011
And how exactly is it the same?
They don't know my name.
They don't know where I live.
They don't know anything about my social life.
They aren't being inundated with embarrassing pictures from embarrassing moments in my life,
They aren't asked to 'friend me" or some other silly empty term.
I don't send anyone silly invitations.
I don't send anyone reams of info about minute trivia in my life.
I like to write. Always have. I've been told by friends, family, teachers, professors and even my husband's publisher that I should consider it as an avocation.
I can't be bothered. But I post on here and people seem to like what I write and how I express it.
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LiberalLee
Yes I am a witch. Deal with it.
07:56 PM on 03/29/2011
It's not an ego thing. I really couldn't care less if what I write doesn't connect with certain individual­s. It's just one of the ways I express myself.
Like it, or ignore it. I'm not begging for attention,­nor do I care if someone changes their mind and stops reading what I write.
I watched a young niece go to pieces over being "unfriende­d" by people she didn't even really know. Now she laughs at people that are as shallow as a coat of paint whining about trivial things taking place at a distance.
So do I care?
Not really. Those 1200-whate­ver people that have read what I write and like it are welcome to never read anything from me again.
I hope many of them do because we've enjoyed some stimulating conversations; some energetic give and take over opinions, and yes some of them have been complete wastes of time.
But that's just my opinion.
Stop thinking the world is as interested in you as you are, and you might learn what an amazing place the world is.
See?
No face-spacey-page invite.
Just me posting my opinion to you with nothing else attached.
08:21 PM on 03/28/2011
Also, this article should have talked to kids who have experienced what the researchers are talking about instead of just kids who "could understand it."
08:17 PM on 03/28/2011
I have a Facebook, but I try my hardest to avoid it as much as possible because it exacerbates my depression. When I'm a particularly bad episode, FB just makes it so much worse.
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Pavane
I pick my battles and walk from the rest.
12:13 AM on 03/29/2011
You hang in there .. and heck, who needs FB? Keep your account if you must, but empty your profile of all content. And then, don't go back.

I can't make you feel better, but I CAN fan you. :]

Have a good day.
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single malt
I can't spell. I blame msn.
07:28 AM on 03/29/2011
It is like a false heroin isn't it? In a way social media mimics human connection enough to keep us there feeding off it instead of going outside. Even though going for a walk or just walking through a mall will make a person feel better we sit watching other people live while we don't. The cruel joke is when you are away a part of you will stress about it. I think playboy bunnies are the only cure for sadness.. err.. if you are a guy that is.. who likes those sorts of things.. which I do not. I am a guy but hot girls are simply too stressful. Actually all women are stressful. I prefer dogs. Of course they tend to scratch me trying to get me away from facebook.
12:58 PM on 03/28/2011
Not just teens...having to not compare my life to others is one of the main reasons I am not on facebook.
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rflctammt
War doesn't prove who is right, only who is left.
12:13 PM on 03/28/2011
Very worthy article. Parents take note.

All I can say is my 6 month FB experience depressed the he!! out of me, and I'm a professional, middle-aged well-adjusted woman. Nothing bad happened, but I kept getting this sense that I was back in junior high, with this nagging adolescent feeling that I might be missing something - not knowing who was or wasn't reading what I was posting or what they were or weren't reading into it. I can well imagine what real adolescents could/would do with all that. In the end it just wasn't worth it - spending real time with real people is much more gratifying.
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NadineColbert
Clean house, cook dinner, do dishes, repeat!
12:39 PM on 03/28/2011
F&F
agreed. I stoppped using facebook and it is creepy getting automatic reminders from facebook telling me that I need to go back!
Technology has increased the social stress on individuals.
Sometimes I have to stop exploring Huff Post too because I get stressed from the messages posted on it.
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uncc49er
09:49 AM on 03/28/2011
the problem is that the some folk out there (high school kids, college students,...) base their social life on facebook. Facebook is a great tool for connecting people, but in no way it can be a substitute for real social interaction. It can help to make the social interaction in the real life to happen or extend it, but it can not replace it. Kids need to learn how to use the tools available to them.
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rflctammt
War doesn't prove who is right, only who is left.
01:34 PM on 03/28/2011
Not just high school, college...I know plenty of full-grown adults who spend HOURS and HOURs everyday on FB. Some of them discuss/post every DETAIL of their lives to hundreds of people, many whom they have never even met.

However, FB can be a real asset to elderly or shut-in folks, and a great way to build up causes and organizations (good or bad) so I don't want to dismiss it out of hand.

Like anything, "use with caution" and "all things in moderation".
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single malt
I can't spell. I blame msn.
09:34 AM on 03/28/2011
Each time we invent a facebook, an iphone or some other form of technology which replaces real human connection with digital we become a little more dehumanized.
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NadineColbert
Clean house, cook dinner, do dishes, repeat!
12:40 PM on 03/28/2011
Yes, I agree. There are no social skills on facebook. That is why a person like Mark Zuckerberg invented it!
04:51 AM on 03/29/2011
Guy Debord was right!
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OlHippie
Career smart arse.
09:04 AM on 03/28/2011
"Online, there's no way to see facial expressions or read body language that provide context."

Context, schmontext, people lie!

Several years ago, I wrote a short story called, "The Fifteen Minute Relationship." It was set in the bar on Concourse C at the Charlotte, NC airport. The premise was that in that setting, people were whatever they dreamed of being; successful, happy, a scratch golfer, or whatever. I used to make up jobs to tell people in those situations.

Facebook is a similar setting, and it's not just limited to teens. If all of the status updates are as accurate as those of the few people I know well enough see as pure baloney, and I have no reason to believe that my acquaintances lie more than others, then is all fantasy. Kids will figure it out soon enough, and the real depression will come to those who have lied, not those who felt unworthy.
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single malt
I can't spell. I blame msn.
09:36 AM on 03/28/2011
In a perfect world maybe.. but in this one the unworthy kid will get the brunt of the pain. The world is not fair.
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HUFFPOST SUPER USER
NadineColbert
Clean house, cook dinner, do dishes, repeat!
12:43 PM on 03/28/2011
Olhippie,
F&F,
This is good insight.
Some aspects of Facebook are dangerous, pictures that young people post may cause problems for them later in life. It is a potential site for revenge when kids post pics and say stuff about each other.
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single malt
I can't spell. I blame msn.
04:43 AM on 03/29/2011
That kind of stuff is easy enough to deal with. Parents and kids just need to clue into the fact that there are companies that specialize in helping get rid of stuff like that online.
08:22 AM on 03/28/2011
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