The Effect of Acceptance and Commitment Therapy-Based Psychoeducation on Self-Esteem and Interpersonal Problem-Solving Skills in Youth With Social Media Addiction
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Social Media Addiction - Social Media Addiction Scale - Adult Form (SMAS-AF)
研究概览
简要总结
While social media offers opportunities for connection and self-expression, it also brings significant challenges, particularly social media addiction, characterized by excessive and uncontrolled use. Although not officially recognized as a diagnostic category, its inclusion among behavioral addictions reflects its growing impact on mental health. Social media addiction may lead to psychological symptoms such as family and social conflicts, stress due to unmet responsibilities, anxiety, and irritability. This problem has become especially critical among young people. A 2025 meta-analysis found the prevalence of social media addiction among university students to be 18.4% and reported negative effects on academic achievement. Research also shows that social media addiction is associated with decreased self-esteem, emotion regulation difficulties, and dysfunctional interpersonal relationships. Social comparison tendencies and idealized digital identity presentations further harm young individuals' self-perceptions, contributing to low self-esteem and social anxiety.
Interpersonal difficulties experienced in relationships are defined as "interpersonal problems," while the cognitive-behavioral processes used to resolve these difficulties are called "interpersonal problem solving." These skills are essential for effective conflict resolution, social adaptation, relationship quality, and overall well-being. Social media shapes both the emergence and resolution of interpersonal problems; however, current knowledge in this area is limited. Excessive use contributes to interpersonal conflicts, deterioration of relationships, and reduced face-to-face communication. Thus, social media addiction may impair interpersonal problem-solving skills by disrupting daily functioning.
Although the literature includes correlational studies on social media addiction, self-esteem, and interpersonal functioning, research testing Acceptance and Commitment Therapy (ACT)-based psychoeducation remains scarce. This study offers a theoretical contribution by applying a third-wave therapy approach to the psychosocial challenges of the digital age. It aims to evaluate the effects of an ACT-based psychoeducation program developed for young individuals with social media addiction on self-esteem and interpersonal problem-solving skills. Given the limited number of such programs in Türkiye, this study is original and aims to fill an important gap in the literature.
详细描述
The widespread use of technology and early access to digital devices have significantly increased in recent years. Continuous connectivity, mobility, and affordability allow users to interact freely with social media. Young individuals often integrate mobile devices into daily routines, spend excessive time online, and keep devices nearby even during sleep. While social media allows relationship-building and self-expression, excessive and uncontrolled use may lead to social media addiction. Although not officially recognized in psychiatric diagnostic systems, its classification under behavioral addictions reflects its increasing impact on mental health. Behavioral addictions may cause family and social conflicts, stress due to unmet responsibilities, anxiety, and irritability.
Social media addiction is particularly prevalent among young adults. A 2025 meta-analysis reported a prevalence rate of 18.4% among university students and its negative effects on academic performance. Another study with 1,215 students found higher addiction levels associated with increased depression scores. Excessive use also affects body dissatisfaction and self-esteem. These findings show that social media addiction decreases self-esteem, disrupts emotional regulation, and impairs interpersonal functioning. Social comparison tendencies and idealized digital identities may worsen self-perceptions, contributing to low self-esteem and social anxiety.
Multiple studies have shown significant negative relationships between social media addiction and self-esteem. Facebook addiction has been linked to low self-esteem. Similarly, low self-esteem was associated with higher social media addiction scores. Research from Ecuador reported moderate negative effects of social media addiction on self-esteem and well-being. A 2023 adolescent study found that addiction negatively predicted self-esteem and body image. Self-esteem is a fundamental construct related to life satisfaction, self-efficacy, psychological resilience, and interpersonal relationships.
Interpersonal difficulties are defined as "interpersonal problems," while cognitive and behavioral processes intended to reduce tension in these areas are conceptualized as "interpersonal problem-solving." Interpersonal problem-solving skills enable constructive conflict resolution and support social adaptation, relationship quality, and well-being. Social media influences how individuals generate and solve interpersonal problems, though evidence is limited. Excessive use leads to relationship deterioration, communication restrictions, and increased interpersonal conflicts. Social media addiction may impair interpersonal problem-solving due to its negative impact on overall functioning. Additionally, individuals with higher interpersonal problem-solving skills show lower addiction levels. Internet addiction has also been associated with avoidance-oriented coping.
Acceptance and Commitment Therapy (ACT), a mindfulness-based intervention focusing on psychological flexibility, encourages individuals to accept internal experiences and act in accordance with personal values. ACT promotes awareness of thoughts and emotions and engagement in value-driven behaviors. Research demonstrates its effectiveness for anxiety, depression, addictive behaviors, and self-perception. ACT-based interventions have reduced social media use and decreased psychological distress in university students. ACT has also been found effective in reducing FOMO and increasing psychological flexibility.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 30 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Voluntary participation in the study.
- •Age between 18 and 30 years.
- •Social Media Addiction Scale - Adult Form (SMAS-AF) item average score of 4 or higher.
排除标准
- •Hearing or speech impairments that would prevent completing the surveys.
- •Currently participating in a similar psychoeducational program.
- •Receiving treatment for any psychiatric disorder at the time of the study.
- •Withdrawal Criteria:
- •Missing two consecutive sessions
- •Disruptive behavior
- •Non-compliance with group rules
- •Failure to complete session assignments
研究组 & 干预措施
Intervention Group - ACT-Based Psychoeducation
Participants in this group will receive an 8-session Acceptance and Commitment Therapy (ACT)-based psychoeducational program designed to improve self-esteem and interpersonal problem-solving skills while reducing social media addiction. Assessments will be conducted at baseline (pre-test), interim follow-up, and post-test, using validated scales. The intervention will be delivered in groups of 37 participants by a trained researcher.
干预措施: ACT-Based Psychoeducational Program (Behavioral)
Control Group - No Intervention (Waitlist)
Participants in this group will not receive any intervention during the study period. Assessments will be conducted at the same time points as the intervention group (baseline, interim follow-up, and post-test) using the same validated scales. After the 2-month follow-up, participants will receive a single psychoeducation session.
结局指标
主要结局
Social Media Addiction - Social Media Addiction Scale - Adult Form (SMAS-AF)
时间窗: Baseline (Pre-test), Interim Follow-up (at the end of the 8-week intervention), Post-test (8 weeks after the "interim follow-up")
ACT-based psychoeducational intervention reduces participants' levels of social media addiction. The SMAS-AF comprises 20 items across two sub-dimensions: "Virtual Tolerance" and "Virtual Communication". The total score that can be obtained from the scale varies between 20 and 100, with higher scores indicating higher levels of social media addiction.
Self-Esteem - Rosenberg Self-Esteem Scale (RSES)
时间窗: Baseline (Pre-test), Interim Follow-up (at the end of the 8-week intervention), Post-test (8 weeks after the "interim follow-up")
ACT-based psychoeducational intervention increases participants' levels of self-esteem. Total scores range from 0 to 6, with 0-1 indicating high self-esteem, 2-4 moderate self-esteem, and 5-6 low self-esteem.
Interpersonal Problem-Solving Skills
时间窗: Baseline (Pre-test), Interim Follow-up (at the end of the 8-week intervention), Post-test (8 weeks after the "interim follow-up")
ACT-based psychoeducational intervention increase participants' ability to solve interpersonal problems. The instrument which is a five-point lichert scale comprised five sub-scales and 50 items in total. The items range from 1 (Completely inappropriate) to 5 (Completely appropriate). The high score received for each sub-scale indicates that the quality of solving interpersonal problem is also high. The five sub-scales are; negative approach to the problem (NA), constructive problem solving (CPS), lack of self-confidence (LSC), Irresponsiveness (I), and persistent-steadfast approach (PA). The number of items included in each subscale is respectively; 16, 16, 7, 5, and 6.
次要结局
未报告次要终点
研究者
Zeynep KEKEÇ
Research Assistant, Department of Psychiatric Nursing, Kahramanmaras Sutcu Imam University
Kahramanmaras Sutcu Imam University
