Social Media Addiction and Anxiety among Female Adolescents
DOI:
https://doi.org/10.37287/ijghr.v9i1.2872Keywords:
anxiety, female adolescents, GAD-7, school health, social media addictionAbstract
Social media addiction is an emerging public health concern among adolescents, with potential consequences for psychological well-being, including anxiety. Evidence from rural Indonesian settings, particularly among female adolescents, remains limited. This study aimed to analyse the relationship between social media addiction and anxiety among female high school students in Langke Rembong Sub-district, Manggarai Regency, East Nusa Tenggara, Indonesia. A cross-sectional descriptive-analytic design was employed, involving 390 female students from six high schools selected through total sampling. Social media addiction was measured using the Bergen Social Media Addiction Scale (BSMAS) and dichotomised as Non-Addiction (score 6–23) and Addiction (score ≥24). Anxiety was assessed using the Generalised Anxiety Disorder-7 (GAD-7) and categorised as minimal, mild, moderate, or severe. Data were analysed using the Pearson chi-square test of independence. Most respondents (92.1%, n = 359) were classified as Non-Addiction, while 7.9% (n = 31) met the criterion for social media addiction. Overall, 30.0% had minimal, 33.1% mild, 20.5% moderate, and 16.4% severe anxiety. Social media addiction was significantly associated with anxiety level (χ²(3) = 23.053, p < 0.001). Among addicted respondents, 74.2% had clinically significant (moderate or severe) anxiety, compared with 33.7% of non-addicted respondents. Social media addiction is associated with higher anxiety severity among female adolescents in a rural Indonesian setting.
References
Ab Rahman, Z., Razali, S., Shahibi, M. S., Amin, M. N. M., Kamal, A. A., Asih, S. R., Rashidi, H. H., & Shahril, M. I. (2025). Healthy lifestyle components and mental health among undergraduate students. Unnes Journal of Public Health, 14(1), 79–92.
Alfaridzi, G. R., Putri, E. M., & Sulistiasih, S. (2024). Sosial media effect terhadap mental health adolescent di tengah transformasi digital: Studi komprehensif tentang psikologis dan risiko terkait. Observasi: Jurnal Publikasi Ilmu Psikologi, 2(3), 202–222.
Amanda, Q., Haryani, D., Sofa, Y., Purwanto, D., Maryam, A., Basrowi, R., & Devi, Y. (2025). Social media engagement patterns in relation to adolescent anxiety and depression: A systematic review. BKM Public Health and Community Medicine, 41(9), e22664. https://doi.org/10.22146/bkm.v41i09.22664
Ardana, A. A., d’Arqom, A., Puteri, F. A., Indiastuti, D. N., Nasution, M. Z., Qorib, M. F., Setiawati, Y., & Yusof, J. (2025). Mental health status and literacy of adolescent in rural area of Mojokerto, East Java, Indonesia. Jurnal Psikiatri Surabaya, 14(2).
Brautsch, L. A. S., Lund, L., Andersen, M. M., Jennum, P. J., Folker, A. P., & Andersen, S. (2023). Digital media use and sleep in late adolescence and young adulthood: A systematic review. Sleep Medicine Reviews, 68, 101742. https://doi.org/10.1016/j.smrv.2022.101742
Budikayanti, A., Larasari, A., Malik, K., Syeban, Z., Indrawati, L. A., & Octaviana, F. (2019). Screening of generalized anxiety disorder in patients with epilepsy: Using a valid and reliable Indonesian version of Generalized Anxiety Disorder-7 (GAD-7). Neurology Research International, 2019, 5902610. https://doi.org/10.1155/2019/5902610
Cao, B. (2025). The psychological costs of self-presentation on social media for adolescent body image. Lecture Notes in Education Psychology and Public Media, 123, 177–181. https://doi.org/10.54254/2753-7048/2025.NS28247
Cheng, C., Lau, Y.-C., Chan, L., & Luk, J. W. (2021). Prevalence of social media addiction across 32 nations: Meta-analysis with subgroup analysis of classification schemes and cultural values. Addictive Behaviors, 117, 106845. https://doi.org/10.1016/j.addbeh.2021.106845
DataReportal. (2026). Digital 2026: Indonesia. https://datareportal.com/reports/digital-2026-indonesia
Fioravanti, G., Casale, S., Bocci Benucci, S., Prostamo, A., Falone, A., Ricca, V., & Rotella, F. (2021). Fear of missing out and social networking sites use and abuse: A meta-analysis. Computers in Human Behavior, 122, 106839. https://doi.org/10.1016/j.chb.2021.106839
Freeman, M. (2022). The World Mental Health Report: Transforming mental health for all. World Psychiatry, 21(3), 391.
Gingras, M.-P., Brendgen, M., Beauchamp, M., Séguin, J., Tremblay, R., Côté, S., & Herba, C. (2023). Adolescents and social media: Longitudinal links between types of use, problematic use and internalizing symptoms. Research on Child and Adolescent Psychopathology. https://doi.org/10.1007/s10802-023-01084-7
Gomez, R., Zarate, D., Brown, T., Hein, K., & Stavropoulos, V. (2024). The Bergen–Social Media Addiction Scale (BSMAS): Longitudinal measurement invariance across a two-year interval. Clinical Psychologist, 28(2), 185–194.
Grande, A. J., Hoffmann, M. S., Evans-Lacko, S., Ziebold, C., de Miranda, C. T., Mcdaid, D., Tomasi, C., & Ribeiro, W. S. (2023). Efficacy of school-based interventions for mental health problems in children and adolescents in low and middle-income countries: A systematic review and meta-analysis. Frontiers in Psychiatry, 13, 1012257. https://doi.org/10.3389/fpsyt.2022.1012257
Kementerian Kesehatan Republik Indonesia. (2024). Hasil utama Survei Kesehatan Indonesia (SKI) 2023. https://www.badankebijakan.kemkes.go.id/daftar-frequently-asked-question-seputar-hasil-utama-ski-2023/hasil-utama-ski-2023/
Kerr, B., Garimella, A., Pillarisetti, L., Charlly, N., Sullivan, K., & Moreno, M. A. (2025). Associations between social media use and anxiety among adolescents: A systematic review study. Journal of Adolescent Health, 76(1), 18–28. https://doi.org/10.1016/j.jadohealth.2024.09.003
Li, S. H., Batterham, P. J., Whitton, A. E., Maston, K., Khan, A., Christensen, H., & Werner-Seidler, A. (2025). Cross-sectional and longitudinal associations of screen time with adolescent depression and anxiety. British Journal of Clinical Psychology, 64(4), 873–887. https://doi.org/10.1111/bjc.12547
Luo, T., Qin, L., Cheng, L., Wang, S., Zhu, Z., Xu, J., Chen, H., Liu, Q., Hu, M., & Tong, J. (2021). Determination the cut-off point for the Bergen social media addiction (BSMAS): Diagnostic contribution of the six criteria of the components model of addiction for social media disorder. Journal of Behavioral Addictions, 10(2), 281–290.
Nicola, E., Mastroyannopoulou, K., Reeves, H., & Pass, L. (2024). Longitudinal associations between peer victimisation subtypes and children and adolescents’ anxiety: A meta-analysis. Aggression and Violent Behavior, 79, 102013. https://doi.org/10.1016/j.avb.2024.102013
Pedalino, F., & Camerini, A.-L. (2022). Instagram use and body dissatisfaction: The mediating role of upward social comparison with peers and influencers among young females. International Journal of Environmental Research and Public Health, 19(3), 1543.
Petriano, H., Lestari, R., & Windarwati, H. D. (2025). Psychometric properties of the GAD-7 for assessing anxiety disorder among students and populations in developing countries: A systematic review. Journal An-Nafs: Kajian Penelitian Psikologi, 10(2), 139–160. https://doi.org/10.33367/psi.v10i2.8191
Pramukti, I., Nurmala, I., Nadhiroh, S. R., Tung, S. E. H., Gan, W. Y., Siaw, Y. L., Yang, Y. N., Griffiths, M. D., Lin, C.-Y., & Pakpour, A. H. (2023). Problematic use of internet among Indonesia university students: Psychometric evaluation of Bergen Social Media Addiction Scale and Internet Gaming Disorder Scale-Short Form. Psychiatry Investigation, 20(12), 1103–1111. https://doi.org/10.30773/pi.2022.0304
Purnawati, E., Saraswati, L. D., Wurjanto, M. A., & Yuliawati, S. (2022). The effect of the COVID-19 pandemic on mental health (children, adolescents, young adults) and mental health service: Systematic review. Unnes Journal of Public Health, 11(2), 179–197.
Rouleau, R. D., Beauregard, C., & Beaudry, V. (2023). A rise in social media use in adolescents during the COVID-19 pandemic: The French validation of the Bergen Social Media Addiction Scale in a Canadian cohort. BMC Psychology. https://doi.org/10.1186/s40359-023-01141-2
Saleem, N., Young, P., & Yousuf, S. (2024). Exploring the relationship between social media use and symptoms of depression and anxiety among children and adolescents: A systematic narrative review. Cyberpsychology, Behavior, and Social Networking. https://doi.org/10.1089/cyber.2023.0456
Sarfika, R., Saifudin, I. M., Malini, H., Putri, D. E., Wicaksana, A. L., Mahathir, M., & Novrianda, D. (2023). Factors associated with anxiety and depressive symptoms among Indonesian adolescents during the COVID-19 pandemic: A cross-sectional study. Healthcare in Low-Resource Settings, 12(1), 1–8.
Sarfika, R., Wijaya, A., Putri, Z. M., & Saifudin, I. M. (2024). Smartphone addiction and adolescent mental health: A cross-sectional study in West Sumatra province. International Journal of Public Health Science, 13(2), 521.
Shannon, H., Bush, K., Villeneuve, P. J., Hellemans, K. G., & Guimond, S. (2022). Problematic social media use in adolescents and young adults: Systematic review and meta-analysis. JMIR Mental Health, 9(4), e33450. https://doi.org/10.2196/33450
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.
Sumaryati, I. U., Sirodj, D. A. N., & Gadama, M. (2024). Adaptasi Indonesia Bergen Social Media Addiction Scale. Jurnal Psikogenesis, 12(1). https://academicjournal.yarsi.ac.id/index.php/Jurnal-Online-Psikogenesis/article/view/3994
Vogels, E. A., Gelles-Watnick, R., & Massarat, N. (2022). Teens, social media and technology 2022. Pew Research Center.
Zarate, D., Hobson, B. A., March, E., Griffiths, M. D., & Stavropoulos, V. (2023). Psychometric properties of the Bergen Social Media Addiction Scale: An analysis using item response theory. Addictive Behaviors Reports, 17, 100473.
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