From scrolling to spiraling: exploring the mediation role of self-esteem between social media rumination and internalizing symptoms

Abstract

Aim: Given the ubiquitous use of social media among young adults, understanding its impact on their psychological well-being is increasingly important. Research has identified negative associations between social media use and internalizing problems, such as depression and anxiety. Building on the previous research, the current study explored the mediating role of self-esteem in the associations between social media rumination (SMR) and symptoms of depression and anxiety in college students. Additionally, the study investigated the moderating role of gender in these associations.

Methods: The study sample consisted of 551 college students (mean age = 19 years; 36% men, 23.8% White) from a diverse midwestern university. The participants completed measures of depression (PHQ-9), anxiety (GAD-7), self-esteem (RSES), and SMR (Social Media Rumination Scale [SMRS]). An exploratory factor analysis was performed on the SMRS and supported a one-factor structure for the measure. Main analyses were conducted in R using PROCESS Model 4 and examined the associations between SMR and symptoms of depression and anxiety, with self-esteem as a mediator, and gender as a moderator. Additionally, time spent on social media and the number of posts per week were included as covariates in the analyses.

Results: Results indicated that SMR, above and beyond time spent on social media and type of engagement, was indirectly associated with depression and anxiety through self-esteem, and gender did not moderate these associations.

Conclusions: The study’s findings contribute to our understanding of the mechanisms linking social media use to internalizing problems, highlighting the crucial role of self-esteem in this process. Moreover, the study offers valuable insights for developing targeted interventions aimed at mitigating the negative effects of social media use on mental health by addressing SMR and bolstering self-esteem in young adults.

Keywords

social media / rumination / depression / anxiety / self-esteem

References

[1] Americans’ Social media use [Internet]. Washington (DC): Pew Research Center; c2025 [cited 2024 Jan 31]. Available from:https://www.pewresearch.org/internet/2024/01/31/social-media-use-in-2024/https://www.pewresearch.org/internet/2024/01/31/americans-social-media-use/#:~:text=78%25%20of%2018%2D%20to%2029,%25)%20who%20say%20the%20same

[2] The Common Sense census: media use by tweens and teens [Internet]. San Francisco (CA): Common Sense Media; [cited2025 Aug 21]. Available from:https://www.commonsensemedia.org/sites/default/files/research/report/2019-census-8-to-18-full-report-updated.pdf

[3] Ruleman AB. Social media at the university: a demographic comparison. New Libr World. 2012; 113:316-32.

[4] Keles B, McCrae N, Grealish A. A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents. Int J Adolesc Youth. 2020; 25:79-93.

[5] Twenge JM, Campbell WK. Media Use Is Linked to Lower Psychological Well-Being: Evidence from Three Datasets. Psychiatr Q. 2019; 90:311-31.

[6] Vannucci A, Flannery KM, Ohannessian CM. Social media use and anxiety in emerging adults. J Affect Disord. 2017; 207:163-6.

[7] Chou HTG, Edge N. “They Are Happier and Having Better Lives than I Am”: The Impact of Using Facebook on Perceptions of Others’ Lives. Cyberpsychol Behav Soc Netw. 2012; 15:117-21.

[8] Plackett R, Sheringham J, Dykxhoorn J. The Longitudinal Impact of Social Media Use on UK Adolescents’ Mental Health: Longitudinal Observational Study. J Med Internet Res. 2023; 25:e43213.

[9] Tandoc EC, Ferrucci P, Duffy M. Facebook use, envy, and depression among college students: Is Facebooking depressing? Comput Human Behav. 2015; 43:139-46.

[10] Verduyn P, Gugushvili N, Kross E. Do Social Networking Sites Influence Well-Being? The Extended Active-Passive Model. Curr Dir Psychol Sci. 2022; 31:62-8.

[11] Godard R, Holtzman S. Are active and passive social media use related to mental health, wellbeing, and social support outcomes? A meta-analysis of 141 studies. J Comput Mediat Commun. 2024; 29:zmad055.

[12] Bronfenbrenner U. Ecological models of human development. Int Encycl Educ. 1994; 3:37-43.

[13] Smith JM, Alloy LB. A roadmap to rumination: a review of the definition, assessment, and conceptualization of this multifaceted construct. Clin Psychol Rev. 2009; 29:116-28.

[14] Nolen-Hoeksema S, Jackson B. Mediators of the Gender Difference in Rumination. Psychol Women Q. 2001; 25:37-47.

[15] Heath JH. Understanding reflective pondering [dissertation]. Columbus (OH):The Ohio State University; 2016.

[16] Lopez CM, Felton JW, Driscoll KA, Kistner JA. Brooding Rumination and Internalizing Symptoms in Childhood: Investigating Symptom Specificity in a Multi-Wave Prospective Study. Int J Cogn Ther. 2012; 5:240-53.

[17] Gibb BE, Grassia M, Stone LB, Uhrlass DJ, McGeary JE. Brooding rumination and risk for depressive disorders in children of depressed mothers. J Abnorm Child Psychol. 2012; 40:317-26.

[18] Miranda R, Nolen-Hoeksema S. Brooding and reflection: rumination predicts suicidal ideation at 1-year follow-up in a community sample. Behav Res Ther. 2007; 45:3088-95.

[19] Sin ELL, Shao R, Geng X, Cho V, Lee TMC. The Neuroanatomical Basis of Two Subcomponents of Rumination: A VBM Study. Front Hum Neurosci. 2018; 12:324.

[20] Watkins ER, Roberts H. Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination. Behav Res Ther. 2020; 127:103573.

[21] Kircanski K, Thompson RJ, Sorenson J, Sherdell L, Gotlib IH. Rumination and Worry in Daily Life: Examining the Naturalistic Validity of Theoretical Constructs. Clin Psychol Sci. 2015; 3:926-39.

[22] Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol. 2000; 109:504-11.

[23] Parris L, Lannin DG, Hynes K, Yazedjian A. Exploring Social Media Rumination: Associations With Bullying, Cyberbullying, and Distress. J Interpers Violence. 2022; 37:NP3041-61.

[24] Zhang J, Marino C, Canale N, Charrier L, Lazzeri G, Nardone P, et al. The Effect of Problematic Social Media Use on Happiness among Adolescents: The Mediating Role of Lifestyle Habits. Int J Environ Res Public Health. 2022; 19:2576.

[25] Dancho LD. The Relationship Between Children’s Beliefs About the Stability of Traits, Rumination, and Negative Affect. Grad Stud J Psychol. 2004; 6:24-31.

[26] Grant KE, Lyons AL, Finkelstein JA, Conway KM, Reynolds LK, O’Koon JH, et al. Gender Differences in Rates of Depressive Symptoms Among Low-Income, Urban, African American Youth: A Test of Two Mediational Hypotheses. J Youth Adolesc. 2004;33:523-33.

[27] Abela JRZ, Brozina K, Haigh EP. An examination of the response styles theory of depression in third-and seventh-grade children: a short-term longitudinal study. J Abnorm Child Psychol. 2002; 30:515-27.

[28] Broderick PC, Korteland C. A Prospective Study of Rumination and Depression in Early Adolescence. Clin Child Psychol Psychiatry. 2004; 9:383-94.

[29] Schwartz JAJ, Koenig LJ. Response styles and negative affect among adolescents. Cogn Ther Res. 1996; 20:13-36.

[30] Grabe S, Ward LM, Hyde JS. The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychol Bull. 2008; 134:460-76.

[31] Fresco DM, Frankel AN, Mennin DS, Turk CL, Heimberg RG. Distinct and Overlapping Features of Rumination and Worry: The Relationship of Cognitive Production to Negative Affective States. Cogn Ther Res. 2002; 26:179-88.

[32] Muris P, Roelofs J, Rassin E, Franken I, Mayer B. Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Pers Individ Dif. 2005; 39:1105-11.

[33] Roberts JE, Gilboa E, Gotlib IH. Ruminative Response Style and Vulnerability to Episodes of Dysphoria: Gender, Neuroticism, and Episode Duration. Cogn Ther Res. 1998; 22:401-23.

[34] Watkins E. Adaptive and maladaptive ruminative self-focus during emotional processing. Behav Res Ther. 2004; 42:1037-52.

[35] Rickerby N, Krug I, Fuller-Tyszkiewicz M, Forte E, Davenport R, Chayadi E, et al. Rumination across depression, anxiety, and eating disorders in adults: A meta-analytic review. Clin Psychol Sci Pract. 2024; 31:251-68.

[36] Riffle L. Cybervictimization and Depression In adolescence: an analysis of anxiety, Social Media Rumination, and Gender [dissertation]. DeKalb (IL):Northern Illinois University; 2023.

[37] Jose PE, Brown I. When does the Gender Difference in Rumination Begin? Gender and Age Differences in the Use of Rumination by Adolescents. J Youth Adolesc. 2008; 37:180-92.

[38] Grierson AB, Hickie IB, Naismith SL, Scott J. The role of rumination in illness trajectories in youth: linking trans-diagnostic processes with clinical staging models. Psychol Med. 2016; 46:2467-84.

[39] Butler LD, Nolen-Hoeksema S. Gender differences in responses to depressed mood in a college sample. Sex Roles. 1994; 30:331-46.

[40] Driscoll KA. Children’s response styles and risk for depression and anxiety: developmental and sex differences [dissertation]. Tallahassee (FL):Florida State University; 2005.

[41] Nolen-Hoeksema S, Larson J, Grayson C. Explaining the gender difference in depressive symptoms. J Pers Soc Psychol. 1999; 77:1061-72.

[42] Ziegert DI, Kistner JA. Response styles theory: downward extension to children. J Clin Child Adolesc Psychol. 2002; 31:325-34.

[43] Rood L, Roelofs J, Bögels SM, Nolen-Hoeksema S, Schouten E. The influence of emotion-focused rumination and distraction on depressive symptoms in non-clinical youth: a meta-analytic review. Clin Psychol Rev. 2009; 29:607-16.

[44] Abela JRZ, Vanderbilt E, Rochon A. A Test of the Integration of the Response Styles and Social Support Theories of Depression in Third and Seventh Grade Children. J Soc Clin Psychol. 2004; 23:653-74.

[45] Weir KF, Jose PE. A Comparison of the Response Styles Theory and the Hopelessness Theory of Depression in Preadolescents. J Early Adolesc. 2008; 28:356-74.

[46] Chen S, Andrews LN, Jeong R, Gilbertson M, Geisler M, Demaray MK. Beyond Likes and Follows: Investigating the Longitudinal Associations between Social Media Rumination and Internalizing Symptoms in Middle School Students. Child Youth Care Forum. 2025;[Epub ahead of print].

[47] Hampel P, Petermann F. Age and Gender Effects on Coping in Children and Adolescents. J Youth Adolesc. 2005; 34:73-83.

[48] Rosenberg M. Society and the Adolescent Self-Image. Princeton (NJ): Princeton University Press; 1965.

[49] Kolubinski DC, Marino C, Nikčević AV, Spada MM. A metacognitive model of self-esteem. J Affect Disord. 2019; 256:42-53.

[50] Greenberg J, Solomon S, Pyszczynski T, Rosenblatt A, Burling J, Lyon D, et al. Why do people need self-esteem? Converging evidence that self-esteem serves an anxiety-buffering function. J Pers Soc Psychol. 1992; 63:913-22.

[51] Sowislo JF, Orth U. Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychol Bull. 2013; 139:213-40.

[52] Office of the Surgeon General. Social media and youth mental health: the U.S. Surgeon General’s advisory. Washington (DC): US Department of Health and Human Services; 2023.

[53] Health advisory on social media use in adolescence [Internet]. Washington (DC): American Psychological Association; c2023 [cited 2025 Aug 21]. Available from:https://www.apa.org/topics/social-media-internet/health-advisory-adolescent-social-media-use.pdf

[54] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16:606-13.

[55] Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166:1092-7.

[56] Ruddell RJ. Validity and reliability evidence for the Rosenberg Self-Esteem Scale with adults in Canada and the United States [dissertation]. Vancouver (BC):University of British Columbia; 2020.

[57] The R Project for Statistical Computing [Internet]. The R Foundation; [cited2025 Aug 21]. Available from:https://www.R-project.org/

[58] Sayers SL, Curran PJ, Mueser KT. Factor structure and construct validity of the Scale for the Assessment of Negative Symptoms. Psychol Assess. 1996; 8:269-80.

[59] Mardia KV. Measures of multivariate skewness and kurtosis with applications. Biometrika. 1970; 57:519-30.

[60] Briggs NE, MacCallum RC. Recovery of Weak Common Factors by Maximum Likelihood and Ordinary Least Squares Estimation. Multivariate behavioral research. 2003; 38:25-56.

[61] Hoelzle JB, Meyer GJ. Exploratory Factor Analysis: Basics and Beyond. In: Weiner I, Schinka JA, Velicer WF, editors. Handbook of psychology, research methods in psychology. Hoboken: Wiley; 2012. p. 164.

[62] Horn JL. A Rationale and Test for the Number of Factors in Factor Analysis. Psychometrika. 1965; 30:179-85.

[63] Cattell RB. The Scree Test For The Number Of Factors. Multivariate Behav Res. 1966; 1:245-76.

[64] Schmitt TA, Sass DA. Rotation Criteria and Hypothesis Testing for Exploratory Factor Analysis: Implications for Factor Pattern Loadings and Interfactor Correlations. Educ Psychol Meas. 2011; 71:95-113.

[65] Wood JM, Tataryn DJ, Gorsuch RL. Effects of under-and overextraction on principal axis factor analysis with varimax rotation. Psychol Methods. 1996; 1:354-65.

[66] Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Upper Saddle River (NJ): Pearson Prentice Hall; 2010.

[67] Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Publications, Inc.; 2017.

[68] Terlizzi EP, Zablotsky B. Symptoms of Anxiety and Depression Among Adults: United States, 2019 and 2022. In: National Health Statistics Reports. Hyattsville (MD): U.S. National Center for Health Statistics; 2024.

[69] Kling KC, Hyde JS, Showers CJ, Buswell BN. Gender differences in self-esteem: a meta-analysis. Psychol Bull. 1999; 125:470-500.

[70] Ciesla JA, Roberts JE. Self-Directed Thought and Response to Treatment for Depression: A Preliminary Investigation. J Cogn Psychother. 2002; 16:435-68.

[71] Luyckx K, Schwartz SJ, Berzonsky MD, Soenens B, Vansteenkiste M, Smits I, et al. Capturing ruminative exploration: Extending the four-dimensional model of identity formation in late adolescence. J Res Pers. 2008; 42:58-82.