The Role of Online Social Support in Mental Health: Comparing Rural and Urban Youth

Overview

Journal Children (Basel)

Specialty Health Services

Date 2025 Feb 26

PMID 40003215

Authors

Ellen A Knowles

BreAnne A Danzi

Affiliations

Soon will be listed here.

Abstract

Background/objectives: Social support is essential to development, mental and emotional health, and reducing risk for psychological distress. Youth are exposed to various opportunities for socialization with peers, including through social media. Strong online social networks may be most critical for youth from isolated communities, including those from rural areas or LGBT+ (lesbian, gay, bisexual, transgender, etc.) youth. With this study, we investigated associations between social media use and online social support among adolescents. Additionally, we compared the online experiences of rural and urban youth. We also examined associations between online social support and psychological functioning and investigated whether the strength of these relationships was moderated by community type (rural versus urban). Finally, we evaluated the online experiences of LGBT+ youth.

Methods: Two hundred seventy-five participants (ages 13-19) from seven high schools located in either rural or urban communities completed a paper and pencil survey on their mental health, social media use, and online social support.

Results: Social media use was positively associated with online social support. Rural youth were found to report greater social media use and online social support compared to urban youth. Online social support was not associated with depression or anxiety; community type (rural versus urban) did not moderate the strength of these relationships. LGBT+ youth in rural communities reported greater social media use and support online compared to LGBT+ youth in urban communities.

Conclusions: These findings shed light on the potential positive benefits of social media use as it is related to perceptions of social support among online friends. They demonstrate that interactions online may contribute to stronger support networks within adolescents, particularly among vulnerable youth. Findings suggest social media may increase accessibility to social support for youth who may be at risk for social isolation.

References

Hardin H, McCarthy V, Speck B, Crawford T . Diminished Trust of Healthcare Providers, Risky Lifestyle Behaviors, and Low Use of Health Services: A Descriptive Study of Rural Adolescents. J Sch Nurs. 2017; 34(6):458-467. PMC: 5629118. DOI: 10.1177/1059840517725787. View

Anyan F, Hjemdal O . Adolescent stress and symptoms of anxiety and depression: Resilience explains and differentiates the relationships. J Affect Disord. 2016; 203:213-220. DOI: 10.1016/j.jad.2016.05.031. View

Nabi R, Prestin A, So J . Facebook friends with (health) benefits? Exploring social network site use and perceptions of social support, stress, and well-being. Cyberpsychol Behav Soc Netw. 2013; 16(10):721-7. DOI: 10.1089/cyber.2012.0521. View

Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W . Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008; 46(3):266-74. DOI: 10.1097/MLR.0b013e318160d093. View

Selkie E, Adkins V, Masters E, Bajpai A, Shumer D . Transgender Adolescents' Uses of Social Media for Social Support. J Adolesc Health. 2019; 66(3):275-280. DOI: 10.1016/j.jadohealth.2019.08.011. View

Paceley M, Goffnett J, Sanders L, Gadd-Nelson J . "Sometimes You Get Married on Facebook": The Use of Social Media Among Nonmetropolitan Sexual and Gender Minority Youth. J Homosex. 2020; 69(1):41-60. DOI: 10.1080/00918369.2020.1813508. View

Ivie E, Pettitt A, Moses L, Allen N . A meta-analysis of the association between adolescent social media use and depressive symptoms. J Affect Disord. 2020; 275:165-174. DOI: 10.1016/j.jad.2020.06.014. View

Berger M, Taba M, Marino J, Lim M, Skinner S . Social Media Use and Health and Well-being of Lesbian, Gay, Bisexual, Transgender, and Queer Youth: Systematic Review. J Med Internet Res. 2022; 24(9):e38449. PMC: 9536523. DOI: 10.2196/38449. View

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

10.

Webb L, Musci R, Mendelson T . Co-Occurring Mental Health Symptoms in Urban Adolescents: Comorbidity Profiles and Correlates. J Clin Child Adolesc Psychol. 2021; 52(2):171-183. PMC: 8490478. DOI: 10.1080/15374416.2021.1901228. View

11.

McGorry P, Mei C . Early intervention in youth mental health: progress and future directions. Evid Based Ment Health. 2018; 21(4):182-184. PMC: 10270418. DOI: 10.1136/ebmental-2018-300060. View

12.

Escobar-Viera C, Choukas-Bradley S, Sidani J, Maheux A, Roberts S, Rollman B . Examining Social Media Experiences and Attitudes Toward Technology-Based Interventions for Reducing Social Isolation Among LGBTQ Youth Living in Rural United States: An Online Qualitative Study. Front Digit Health. 2022; 4:900695. PMC: 9271672. DOI: 10.3389/fdgth.2022.900695. View

13.

Durwood L, Eisner L, Fladeboe K, Ji C, Barney S, McLaughlin K . Social Support and Internalizing Psychopathology in Transgender Youth. J Youth Adolesc. 2021; 50(5):841-854. PMC: 8272454. DOI: 10.1007/s10964-020-01391-y. View

14.

Shannon H, Bush K, Villeneuve P, Hellemans K, Guimond S . Problematic Social Media Use in Adolescents and Young Adults: Systematic Review and Meta-analysis. JMIR Ment Health. 2022; 9(4):e33450. PMC: 9052033. DOI: 10.2196/33450. View

15.

Wang J, Mann F, Lloyd-Evans B, Ma R, Johnson S . Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry. 2018; 18(1):156. PMC: 5975705. DOI: 10.1186/s12888-018-1736-5. View

16.

Caouette J, Guyer A . Cognitive distortions mediate depression and affective response to social acceptance and rejection. J Affect Disord. 2015; 190:792-799. PMC: 4745658. DOI: 10.1016/j.jad.2015.11.015. View

17.

Chassiakos Y, Radesky J, Christakis D, Moreno M, Cross C . Children and Adolescents and Digital Media. Pediatrics. 2016; 138(5). DOI: 10.1542/peds.2016-2593. View

18.

Madley-Dowd P, Hughes R, Tilling K, Heron J . The proportion of missing data should not be used to guide decisions on multiple imputation. J Clin Epidemiol. 2019; 110:63-73. PMC: 6547017. DOI: 10.1016/j.jclinepi.2019.02.016. View

19.

Lewinsohn P, Seeley J, Roberts R, Allen N . Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging. 1997; 12(2):277-87. DOI: 10.1037//0882-7974.12.2.277. View

20.

Ditzen B, Heinrichs M . Psychobiology of social support: the social dimension of stress buffering. Restor Neurol Neurosci. 2013; 32(1):149-62. DOI: 10.3233/RNN-139008. View