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Longform MedPage opinion piece confirms what many parents suspect: device usage alters kids' brains.
Picked up from KevinMD, cropped here for length.
I'm a Neurosurgeon. Social Media May Change Your Kid's Brain.
— TikTok and Instagram are among the worst
A 2023 study of middle school-aged children laid out some alarming findings. Scientists recruited more than 150 children, all aged 12, from rural North Carolina public schools. The children were surveyed regarding their social media usage, including Facebook, Instagram, and Snapchat. Some of the kids rarely checked social media (one time or less per day), while others were glued to their screens, checking social media more than twenty times a day. The researchers performed functional MRIs, which are imaging studies that can evaluate brain anatomy and activity, on the children every year for 3 consecutive years. The researchers also asked the children a series of psychological questions.Based on the answers to these questions, the scientists concluded that kids who check social media too often become hypersensitive to feedback from their peers. In other words, these children may enter a pathological psychological state, swinging from joy to dread, craving positive electronic reinforcement and fearing any disapproval mirrored in their screens.
The functional MRI results demonstrated that habitual social media users had significantly different brain activity than those who didn't pay much attention to platforms like Snapchat and others. The observed differences were widespread and included the amygdala (part of the limbic system, which regulates emotions), dorsolateral prefrontal cortex (associated with executive functions such as focusing attention and decision-making), insula (responsible for sensory processing, self-awareness, and emotional guidance of social behavior), and ventral striatum (part of the brain's reward system).
This new study confirms and expands upon previous knowledge:
TikTok may be the most concerning offender for the teenage brain. TikTok may even contribute to a psychogenic pseudo-Tourette's syndrome in certain susceptible teenagers. Tourette's syndrome is a neurological disorder characterized by involuntary abnormal movements (motor tics) and involuntary verbal outbursts. In 2021, doctors at several prestigious children's hospitals identified a veritable epidemic of Tourette's cases among psychologically fragile teenage girls. The doctors were initially perplexed, but investigations revealed a Munchausen-type link: a high association between Tourette's in affected teenagers and binge-watching TikTok (particularly videos with the hashtag #Tourettes, which were viewed billions of times).
Instagram is not much better. Researchers at the University of California San Diego, scanned teenagers' brains while they scrolled through their Instagram feeds. The scientists reported that when teenagers viewed their Instagram feeds, the reward systems in their brains lit up. Electronic devices can stimulate the release of dopamine, a brain chemical involved in cravings and desire. It's akin to a sugar high. Another group of neuroscientists has reported that teens who use electronic media at night are at a higher risk for sleep disturbances and symptoms of depression.
Let's not forget about Meta. Electronic addiction, like other addictions, may harm a young person's brain. However, there's something different, perhaps even worse, going on with social media addiction and the brain. In 2017, scientists from the University of Southern California reported that spending too much time glued to a Facebook feed may cause brain atrophy. The scientists studied 28 young people (with an average age of 20) who were addicted to Facebook. The volunteers were described as impulsive and unable to exert self-control regarding their social media usage. MRI studies were performed on these individuals and revealed reduced gray matter volumes (atrophy) in the amygdala, an area involved with emotion and memory formation.
How does Facebook addiction compare to other addictions? The brains of individuals with other addictions, such as gambling or drugs, were found to have alterations more widely spread throughout parts of the limbic system (a circuit composed of multiple brain areas, including the amygdala, involved in emotion formation and processing, learning, and memory). Facebook addiction appears to cause different brain effects than more general smartphone addiction.
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They discovered that smartphone addiction is linked to brain atrophy in the insular cortex (an area that is active during psychological conflicts) and the inferior temporal cortex (an area involved in the recognition of patterns, faces, and objects). Smartphone addiction was correlated with both atrophy and decreased brain activity in the anterior cingulate cortex, an area associated with empathy, impulse control, emotion, and decision-making.
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The good news is that the damage may not be permanent. Reducing screen time may alleviate some of these symptoms. Researchers at the University of Pennsylvania investigated the psychological changes caused by electronic addiction among college students. The scientists reported that students who limited their screen time to less than 30 minutes a day for as little as 3 weeks became less lonely and depressed.
... and AP reports the counterresponse of parents fighting back.
States sue Meta claiming its social platforms are addictive and harm children’s mental health
Dozens of US states, including California and New York, are suing Meta Platforms Inc. for harming young people and contributing to the youth mental health crisis by knowingly and deliberately designing features on Instagram and Facebook that addict children to its platforms.
A lawsuit filed by 33 states in federal court in California, claims that Meta routinely collects data on children under 13 without their parents’ consent, in violation of federal law. In addition, nine attorneys general are filing lawsuits in their respective states, bringing the total number of states taking action to 41 and Washington, D.C.
“Meta has harnessed powerful and unprecedented technologies to entice, engage, and ultimately ensnare youth and teens. Its motive is profit, and in seeking to maximize its financial gains, Meta has repeatedly misled the public about the substantial dangers of its social media platforms,” the complaint says. “It has concealed the ways in which these platforms exploit and manipulate its most vulnerable consumers: teenagers and children.”
The suits seek financial damages and restitution and an end to Meta’s practices that are in violation of the law.
“Kids and teenagers are suffering from record levels of poor mental health and social media companies like Meta are to blame,” said New York Attorney General Letitia James in a statement. “Meta has profited from children’s pain by intentionally designing its platforms with manipulative features that make children addicted to their platforms while lowering their self-esteem.”In a statement, Meta said it shares “the attorneys general’s commitment to providing teens with safe, positive experiences online, and have already introduced over 30 tools to support teens and their families.”
“We’re disappointed that instead of working productively with companies across the industry to create clear, age-appropriate standards for the many apps teens use, the attorneys general have chosen this path,” the company added.
The broad-ranging federal suit is the result of an investigation led by a bipartisan coalition of attorneys general from California, Florida, Kentucky, Massachusetts, Nebraska, New Jersey, Tennessee, and Vermont. It follows damning newspaper reports, first by The Wall Street Journal in the fall of 2021, based on the Meta’s own research that found that the company knew about the harms Instagram can cause teenagers — especially teen girls — when it comes to mental health and body image issues. One internal study cited 13.5% of teen girls saying Instagram makes thoughts of suicide worse and 17% of teen girls saying it makes eating disorders worse.
Following the first reports, a consortium of news organizations, including The Associated Press, published their own findings based on leaked documents from whistleblower Frances Haugen, who has testified before Congress and a British parliamentary committee about what she found.
“Meta has been harming our children and teens, cultivating addiction to boost corporate profits,” said California Attorney General Rob Bonta. “With today’s lawsuit, we are drawing the line.”
The use of social media among teens is nearly universal in the U.S. and many other parts of the world. Almost all teens ages 13 to 17 in the U.S. report using a social media platform, with about a third saying they use social media “almost constantly,” according to the Pew Research Center.
To comply with federal regulation, social media companies ban kids under 13 from signing up to their platforms — but children have been shown to easily get around the bans, both with and without their parents’ consent, and many younger kids have social media accounts. The states’ complaint says Meta knowingly violated this law, the Children’s Online Privacy Protection Act, by collecting data on children without informing and getting permission from their parents.
Other measures social platforms have taken to address concerns about children’s mental health are also easily circumvented. For instance, TikTok recently introduced a default 60-minute time limit for users under 18. But once the limit is reached, minors can simply enter a passcode to keep watching. TikTok, Snapchat and other social platforms that have also been blamed for contributing to the youth mental health crisis are not part of Tuesday’s lawsuit.
Washington D.C. Attorney General Brian Schwalb wouldn’t comment on whether they’re also looking at TikTok or Snapchat. For now they’re focusing on the Meta empire of Facebook and Instagram, he said.
“They’re the worst of the worst when it comes to using technology to addict teenagers to social media, all in the furtherance of putting profits over people.”
In May, U.S. Surgeon General Dr. Vivek Murthy called on tech companies, parents and caregivers to take “immediate action to protect kids now” from the harms of social media.
Associated Press Writers Michael Casey, Michael Goldberg, Susan Haigh, Maysoon Khan and Ashraf Khalil contributed to this story.
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