ADDICTION BY DESIGN: Some Dimensions and Challenges of Excessive Social Media Use
Main Article Content
Abstract
Social media addiction is a growing problem throughout the world. It has been characterized as a type of behavioral addiction, which can be measured using standardized criteria based on six general properties of addiction criteria: salience, mood modification, tolerance, withdrawal symptoms, conflict and relapse. Several studies have found a prevalence of approximately 10% for social media addiction in individuals across the globe, indicating that this problem is common and widespread. Deleterious effects of this disorder include depressive symptoms, increased anxiety, and a lowered sense of personal well-being. Social media addiction also has been linked to neuroplastic changes that diminish attention and impede an individual’s ability to focus.
There many dimensions of social media that can foster addiction, including the exploitation of evolutionarily old urges to communicate and socialize, as well as intentional design of the user interface to hook users into constant use. There is little doubt that social media companies are financially incentivized to maximize user attentiveness to ads (i.e., ad views and clicks) on their platforms because user attention is the product for which they are paid. These companies maximize user attentiveness in two primary ways: first, by intentionally designing the interface to have properties intended to hold users’ attention; and second, by personalizing the content shown to users in order to make it more interesting and engaging for them. Social media addiction likely arises from the vicious cycle involving user attention leading to powerful dopamine-related reinforcement, which then stimulates more attention intended to achieve more reinforcement.
This paper provides an overview of this multifaceted problem of social media addiction, including a brief review of addictions in general, social media addiction in particular, and a discussion of the prevalence and consequences of this addiction. Also discussed is the role social media companies play in addiction by design, along with the critical need to present solutions to social media addiction. These solutions, beginning with redesign of the user interface properties to make them more humane and ethical, are possible, but will not be easy. However, we all must work toward a world in which people use technology for their own well-being rather than for the well-being of those who control the technology.
Keywords:
Social media, Addiction, Attention Economy, Intentional Design, Regulation, Therapy
Article Details
How to Cite
MUJICA, Alejandro L. et al.
ADDICTION BY DESIGN: Some Dimensions and Challenges of Excessive Social Media Use.
Medical Research Archives, [S.l.], v. 10, n. 2, feb. 2022.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2677>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.18103/mra.v10i2.2677.
Section
Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Wells G, Horwitz J, Seetharam D. Facebook Knows Instagram Is Toxic for Teen Girls, Company Documents Show. WSJ. https://www.wsj.com/articles/facebook-knows-instagram-is-toxic-for-teen-girls-company-documents-show-11631620739. Published 2021. Accessed January 14, 2022.
2. Orlowski J. The social dilemma [documentary film]. Los Gatos, CA: Netflix. 2020;221.
3. Bhargava VR, Velasquez M. Ethics of the attention economy: The problem of social media addiction. Business Ethics Quarterly. 2021 Jul;31(3):321-59.
4. Goldbeck J. The curly fry conundrum why Social Media likes say more than you might think. TedxMid Atlantic. 2013.
5. Griffiths M. A ‘components’ model of addiction within a biopsychosocial framework. J Subst Use. 2005;10(4):191-197. doi:10.1080/14659890500114359
6. Peele S., & Brodsky A. Love and Addiction. New-York: Taplinger; 1979.
7. Alavi SS, Ferdosi M, Jannatifard F, Eslami M, Alaghemandan H, Setare M. Behavioral addiction versus substance addiction: Correspondence of psychiatric and psychological views. International journal of preventive medicine. 2012;Apr;3(4):290.
8. Heyman G. Addiction and Choice: Theory and New Data. Front Psychiatry. 2013;4. doi:10.3389/fpsyt.2013.00031
9. Lopez-Quintero C, Hasin D, de los Cobos J et al. Probability and predictors of remission from life-time nicotine, alcohol, cannabis or cocaine dependence: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Addiction. 2010;106(3):657-669. doi:10.1111/j.1360-0443.2010.03194.x
10. Volkow ND, Koob G. Brain disease model of addiction: Why is it so controversial? The Lancet Psychiatry. 2015;2(8):677-679. doi:10.1016/s2215-0366(15)00236-9
11. Grant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to Behavioral Addictions. The American Journal of Drug and Alcohol Abuse. 2010;36(5):233-241. doi:10.3109/00952990.2010.491884
12. Müller CP. Drug instrumentalizationn. Behavioural Brain Research. 2020;390:112672. doi:10.1016/j.bbr.2020.112672
13. Perales JC, King DL, Navas JF, Schimmenti A, Sescousse G, Starcevic V, Van Holst RJ, Billieux J. Learning to lose control: A process-based account of behavioral addiction. Neuroscience & Biobehavioral Reviews. 2020;108:771-780. doi:10.1016/j.neubiorev.2019.12.025
14. Cunningham CL. Pavlovian drug conditioning. Methods in Behavioral Pharmacology. 1993:349-381. doi:10.1016/b978-0-444-81444-9.50019-51.
15. Nestler EJ. Is there a common molecular pathway for addiction? Nature Neuroscience. 2005;8(11):1445-1449. doi:10.1038/nn1578
16. Di Chiara G, Bassareo V, Fenu S, De Luca MA, Spina L, Cadoni C, Acquas E, Carboni E, Valentini V, Lecca D. Dopamine and drug addiction: the nucleus accumbens shell connection. Neuropharmacology. 2004;47:227-241. doi:10.1016/j.neuropharm.2004.06.032
17. Wise RA. Dopamine, learning and motivation. Nature Reviews Neuroscience. 2004;5(6):483-494. doi:10.1038/nrn1406
18. Avena N, Hoebel B. A diet promoting sugar dependency causes behavioral cross-sensitization to a low dose of amphetamine. Neuroscience. 2003;122(1):17-20. doi:10.1016/s0306-4522(03)00502-51.
19. Volkow ND, Fowler JS, Wang G-J, Swanson JM. Dopamine in drug abuse and addiction: results from imaging studies and treatment implications. Molecular Psychiatry. 2004;9(6):557-569. doi:10.1038/sj.mp.4001507
20. Griffiths MD, Kuss DJ. Adolescent social networking: should parents and teachers be worried? Education and Health. 2011;29(2):23-5.
21. Young K, Abreu C. Internet Addiction. Hoboken, NJ: John Wiley & Sons; 2011.
22. Parmar R, Lagoy J Is video game addiction a disorder? Psychiatric Times, 2021;38(10). https://www.psychiatrictimes.com/view/is-video-game-addiction-a-disorder
23. Gordon-Messer D, Bauermeister J, Grodzinski A, Zimmerman M. Sexting Among Young Adults. Journal of Adolescent Health. 2013;52(3):301-306. doi:10.1016/j.jadohealth.2012.05.013
24. Nelson K, Rothman E. Should Public Health Professionals Consider Pornography a Public Health Crisis?. Am J Public Health. 2020;110(2):151-153. doi:10.2105/ajph.2019.305498
25. Gainsbury S. Online Gambling Addiction: the Relationship Between Internet Gambling and Disordered Gambling. Curr Addict Rep. 2015;2(2):185-193. doi:10.1007/s40429-015-0057-8
26. Andreassen C, Pallesen S. Social Network Site Addiction - An Overview. Curr Pharm Des. 2014;20(25):4053-4061. doi:10.2174/13816128113199990616
27. Cash H, D. Rae C, H. Steel A, Winkler A. Internet Addiction: A Brief Summary of Research and Practice. Curr Psychiatry Rev. 2012;8(4):292-298. doi:10.2174/157340012803520513
28. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 2013. doi:10.1176/appi.books.9780890425596
29. Andreassen C. Online Social Network Site Addiction: A Comprehensive Review. Curr Addict Rep. 2015;2(2):175-184. doi:10.1007/s40429-015-0056-9
30. Veissière S, Stendel M. Hypernatural Monitoring: A Social Rehearsal Account of Smartphone Addiction. Front Psychol. 2018;9. doi:10.3389/fpsyg.2018.00141
31. Krach S. The rewarding nature of social interactions. Front Behav Neurosci. 2010. doi:10.3389/fnbeh.2010.00022
32. Nahai N. Web psychologist explains the secrets of addictive UI design. Youtube.com. https://www.youtube.com/?gl=DE. Published 2020. Accessed January 14, 2022.
33. Oulasvirta A, Rattenbury T, Ma L, Raita E. Habits make smartphone use more pervasive. Pers Ubiquitous Comput. 2011;16(1):105-114. doi:10.1007/s00779-011-0412-2
34. Andreassen C, Billieux J, Griffiths M et al. The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A large-scale cross-sectional study. Psychology of Addictive Behaviors. 2016;30(2):252-262. doi:10.1037/adb0000160
35. Andreassen C, Griffiths M, Gjertsen S, Krossbakken E, Kvam S, Pallesen S. The relationships between behavioral addictions and the five-factor model of personality. J Behav Addict. 2013;2(2):90-99. doi:10.1556/jba.2.2013.003
36. Kuss D, Griffiths M. Online Social Networking and Addiction—A Review of the Psychological Literature. Int J Environ Res Public Health. 2011;8(9):3528-3552. doi:10.3390/ijerph8093528
37. McCrae R, John O. An Introduction to the Five-Factor Model and Its Applications. J Pers. 1992;60(2):175-215. doi:10.1111/j.1467-6494.1992.tb00970.x
38. Costa PT, McCRAE RR. A five-factor theory of personality. The Five-Factor Model of Personality: Theoretical Perspectives. 1999;2:51-87.
39. Dean B. How Many People Use Social Media in 2022? (65+ Statistics). Backlinko. https://backlinko.com/social-media-users. Published 2021. Accessed January 14, 2022.
40. Blog.dscout.com. https://blog.dscout.com/hubfs/downloads/dscout_mobile_touches_study_2016.pdf. Published 2022. Accessed January 14, 2022.
41. Cheng C, Lau Y, Chan L, Luk J. Prevalence of social media addiction across 32 nations: Meta-analysis with subgroup analysis of classification schemes and cultural values. Addict Behav. 2021;117:106845. doi:10.1016/j.addbeh.2021.106845
42. Sohn S, Rees P, Wildridge B, Kalk N, Carter B. Correction to: Prevalence of problematic smartphone usage and associated mental health outcomes amongst children and young people: a systematic review, meta-analysis and GRADE of the evidence. BMC Psychiatry. 2021;21(1). doi:10.1186/s12888-020-02986-2
43. Steers M, Wickham R, Acitelli L. Seeing Everyone Else's Highlight Reels: How Facebook Usage is Linked to Depressive Symptoms. J Soc Clin Psychol. 2014;33(8):701-731. doi:10.1521/jscp.2014.33.8.701
44. Vannucci A, Flannery K, Ohannessian C. Social media use and anxiety in emerging adults. J Affect Disord. 2017;207:163-166. doi:10.1016/j.jad.2016.08.040
45. Chen W, Lee K. Sharing, Liking, Commenting, and Distressed? The Pathway Between Facebook Interaction and Psychological Distress. Cyberpsychology, Behavior, and Social Networking. 2013;16(10):728-734. doi:10.1089/cyber.2012.02
46. 5. Firth J, Torous J, Stubbs B et al. The “online brain”: how the Internet may be changing our cognition. World Psychiatry. 2019;18(2):119-129. doi:10.1002/wps.20617
47. Alter A. Irresistible: The Rise Of Addictive Technology And The Business Of Keeping Us Hooked. Penguin Book; 2018.
48. Yeykelis L, Cummings J, Reeves B. Multitasking on a Single Device: Arousal and the Frequency, Anticipation, and Prediction of Switching Between Media Content on a Computer. Journal of Communication. 2014;64(1):167-192. doi:10.1111/jcom.12070
49. Freedman M. How Businesses Are Collecting Data (And What They're Doing With It). Businessnewsdaily.com. https://www.businessnewsdaily.com/10625-businesses-collecting-data.html. Published 2020. Accessed January 14, 2022.
50. Vigderman A, Turner G. The Data Big Tech Companies Have On You. Security.org. https://www.security.org/resources/data-tech-companies-have/. Published 2021. Accessed January 14, 2022.
51. Kosinski M, Stillwell D, Graepel T. Private traits and attributes are predictable from digital records of human behavior. Proceedings of the National Academy of Sciences. 2013;110(15):5802-5805. doi:10.1073/pnas.1218772110
52. Youyou W, Kosinski M, Stillwell D. Computer-based personality judgments are more accurate than those made by humans. Proceedings of the National Academy of Sciences. 2015;112(4):1036-1040. doi:10.1073/pnas.1418680112
53. Edwards K. Facebook Ads Target Audiences 101: The Ultimate Guide. Kontentino Blog – Simplifying Social Media Approval Workflow. https://www.kontentino.com/blog/facebook-ads-target-audiences/. Published 2020. Accessed January 14, 2022.
54. Cooper P. How the Facebook Algorithm Works in 2021 and How to Work With It. Social Media Marketing & Management Dashboard. https://blog.hootsuite.com/facebook-algorithm/. Published 2021. Accessed January 14, 2022.
55. McGee M, McGee M. EdgeRank Is Dead: Facebook's News Feed Algorithm Now Has Close To 100K Weight Factors. MarTech. https://martech.org/edgerank-is-dead-facebooks-news-feed-algorithm-now-has-close-to-100k-weight-factors/. Published 2021. Accessed January 14, 2022.
56. Widman J. EdgeRank. Edgerank.net. http://edgerank.net/. Published 2015. Accessed January 14, 2022.
57. Smith A. What people like and dislike about Facebook. Pew Research Center. https://www.pewresearch.org/fact-tank/2014/02/03/what-people-like-dislike-about-facebook/. Published 2020. Accessed January 14, 202
58. Horwitz K. Facebook Tried to Make Its Platform a Healthier Place. It Got Angrier Instead. WSJ. https://www.wsj.com/articles/facebook-algorithm-change-zuckerberg-11631654215. Published 2022. Accessed January 14, 2022.
59. Hazard O. One Year in, Facebook's big algorithm change has spurred an angry, Fox News-dominated - and very engaged! - news feed. Niemanlab.org. https://www.niemanlab.org/2019/03/one-year-in-facebooks-big-algorithm-change-has-spurred-an-angry-fox-news-dominated-and-very-engaged-news-feed/. Published 2019. Accessed January 14, 2022.
60. Eyal N, Hoover R. Hooked: How To Build Habit-Forming Products.. New York: Portfolio/Penguin Books; 2014.
61. Lawrence N. UI/UX: Creating Addictive Products. Medium. https://uxplanet.org/ui-ux-creating-addictive-products-6bfa571c916a. Published 2020. Accessed January 14, 2022.
62. Nestler E. Molecular basis of long-term plasticity underlying addiction. Nature Reviews Neuroscience. 2001;2(2):119-128. doi:10.1038/35053570
63. Wigmore I. What is dopamine-driven feedback loop? - Definition from WhatIs.com. WhatIs.com. https://whatis.techtarget.com/definition/dopamine-driven-feedback-loop. Published 2019. Accessed January 14, 2022.
64. Horwitz J. Facebook Says Its Rules Apply to All. Company Documents Reveal a Secret Elite That’s Exempt. WSJ. https://www.wsj.com/articles/facebook-files-xcheck-zuckerberg-elite-rules-11631541353. Published 2022. Accessed January 14, 2022.
65. Somos A. 7 Ethical Design Ideas That Would Make Facebook A Better Place. UX Studio. https://uxstudioteam.com/ux-blog/ethical-design/. Published 2020. Accessed January 14, 202
66. Edelman.com. https://www.edelman.com/sites/g/files/aatuss191/files/2021-03/2021%20Edelman%20Trust%20Barometer.pdf. Published 2021. Accessed January 14, 2022.
67. DeVynck G, Zakrzewski C, Dwoskin E, man R. Big tech CEOs face lawmakers in House hearing on social media’s role in extremism, misinformation. washingtonpost.com. https://www.washingtonpost.com/technology/2021/03/25/facebook-google-twitter-house-hearing-live-updates/. Published 2021. Accessed January 14, 2022.
68. General Data Protection Regulation - Wikipedia. En.wikipedia.org. https://en.wikipedia.org/wiki/General_Data_Protection_Regulation. Published 2022. Accessed January 14, 2022.
69. General Data Protection Regulation - Wikipedia. En.wikipedia.org. https://en.wikipedia.org/wiki/General_Data_Protection_Regulation. Published 2022. Accessed January 14, 2022.
70. Schatz, Thune Reintroduce Legislation To Update Section 230, Strengthen Rules, Transparency On Online Content Moderation, Hold Internet Companies Accountable For Moderation Practices | U.S. Senator Brian Schatz of Hawaii. Schatz.senate.gov. https://www.schatz.senate.gov/news/press-releases/schatz-thune-reintroduce-legislation-to-update-section-230-strengthen-rules-transparency-on-online-content-moderation-hold-internet-companies-accountable-for-moderation-practices. Published 2022. Accessed January 14, 2022.
71. PACT Act. congress.gov. https://www.congress.gov/bill/116th-congress/senate-bill/4066. Published 2021. Accessed January 14, 2022.
72. Social Media Affecting Workplace Productivity | TeamLease. Teamleasegroup.com. https://www.teamleasegroup.com/blog/social-media-affecting-workplace-productivity. Published 2016. Accessed January 14, 2022.
73. Herlle M, Astray-Caneda V. The Impact of Social Media in the Workplace. Digitalcommons.fiu.edu. https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?article=1205&context=sferc. Published 2013. Accessed January 14, 2022.
74. Blazer C. Social Networking in Schools: Benefits and Risks; Review of the Research; Policy Considerations; and Current Practices. Eric.ed.gov. https://eric.ed.gov/?id=ED536527. Published 2012. Accessed January 14, 2022.
75. Hou Y, Xiong D, Jiang T, Song L, Wang Q. Social media addiction: Its impact, mediation, and intervention. Cyberpsychology: Journal of Psychosocial Research on Cyberspace. 2019;13(1). doi:10.5817/cp2019-1-4
76. Hall K, Staiger P, Simpson A, Best D, Lubman D. After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?. Addiction. 2015;111(7):1144-1150. doi:10.1111/add.13014
77. Goldman J. 6 Apps to Stop Your Smartphone Addiction. Inc.com. https://www.inc.com/jeremy-goldman/6-apps-to-stop-your-smartphone-addiction.html. Published 2021. Accessed January 14, 2022.
78. Han D, Hwang J, Renshaw P. Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Exp Clin Psychopharmacol. 2010;18(4):297-304. doi:10.1037/a0020023
79. Bupropion: Uses, Interactions, Mechanism of Action | DrugBank Online. Go.drugbank.com. https://go.drugbank.com/drugs/DB01156. Published 2022. Accessed January 14, 2022.
80. Han D, Lee Y, Na C et al. The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry. 2009;50(3):251-256. doi:10.1016/j.comppsych.2008.08.011
81. Methylphenidate: Uses, Interactions, Mechanism of Action | DrugBank Online. Go.drugbank.com. https://go.drugbank.com/drugs/DB00422. Published 2022. Accessed January 14, 2022.
82. Dell'Osso B, Hadley S, Allen A, Baker B, Chaplin W, Hollander E. Escitalopram in the Treatment of Impulsive-Compulsive Internet Usage Disorder. J Clin Psychiatry. 2008;69(3):452-456. doi:10.4088/jcp.v69n0316
83. Escitalopram: MedlinePlus Drug Information. Medlineplus.gov. https://medlineplus.gov/druginfo/meds/a603005.html. Published 2022. Accessed January 14, 2022.
84. Sabina C, Wolak J, Finkelhor D. The Nature and Dynamics of Internet Pornography Exposure for Youth. CyberPsychology & Behavior. 2008;11(6):691-693. doi:10.1089/cpb.2007.0179
85. Nelson K, Rothman E. Should Public Health Professionals Consider Pornography a Public Health Crisis?. Am J Public Health. 2020;110(2):151-153. doi:10.2105/ajph.2019.305498
86. Stack S, Wasserman I, Kern R. Adult Social Bonds and Use of Internet Pornography*. Soc Sci Q. 2004;85(1):75-88. doi:10.1111/j.0038-4941.2004.08501006.x
2. Orlowski J. The social dilemma [documentary film]. Los Gatos, CA: Netflix. 2020;221.
3. Bhargava VR, Velasquez M. Ethics of the attention economy: The problem of social media addiction. Business Ethics Quarterly. 2021 Jul;31(3):321-59.
4. Goldbeck J. The curly fry conundrum why Social Media likes say more than you might think. TedxMid Atlantic. 2013.
5. Griffiths M. A ‘components’ model of addiction within a biopsychosocial framework. J Subst Use. 2005;10(4):191-197. doi:10.1080/14659890500114359
6. Peele S., & Brodsky A. Love and Addiction. New-York: Taplinger; 1979.
7. Alavi SS, Ferdosi M, Jannatifard F, Eslami M, Alaghemandan H, Setare M. Behavioral addiction versus substance addiction: Correspondence of psychiatric and psychological views. International journal of preventive medicine. 2012;Apr;3(4):290.
8. Heyman G. Addiction and Choice: Theory and New Data. Front Psychiatry. 2013;4. doi:10.3389/fpsyt.2013.00031
9. Lopez-Quintero C, Hasin D, de los Cobos J et al. Probability and predictors of remission from life-time nicotine, alcohol, cannabis or cocaine dependence: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Addiction. 2010;106(3):657-669. doi:10.1111/j.1360-0443.2010.03194.x
10. Volkow ND, Koob G. Brain disease model of addiction: Why is it so controversial? The Lancet Psychiatry. 2015;2(8):677-679. doi:10.1016/s2215-0366(15)00236-9
11. Grant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to Behavioral Addictions. The American Journal of Drug and Alcohol Abuse. 2010;36(5):233-241. doi:10.3109/00952990.2010.491884
12. Müller CP. Drug instrumentalizationn. Behavioural Brain Research. 2020;390:112672. doi:10.1016/j.bbr.2020.112672
13. Perales JC, King DL, Navas JF, Schimmenti A, Sescousse G, Starcevic V, Van Holst RJ, Billieux J. Learning to lose control: A process-based account of behavioral addiction. Neuroscience & Biobehavioral Reviews. 2020;108:771-780. doi:10.1016/j.neubiorev.2019.12.025
14. Cunningham CL. Pavlovian drug conditioning. Methods in Behavioral Pharmacology. 1993:349-381. doi:10.1016/b978-0-444-81444-9.50019-51.
15. Nestler EJ. Is there a common molecular pathway for addiction? Nature Neuroscience. 2005;8(11):1445-1449. doi:10.1038/nn1578
16. Di Chiara G, Bassareo V, Fenu S, De Luca MA, Spina L, Cadoni C, Acquas E, Carboni E, Valentini V, Lecca D. Dopamine and drug addiction: the nucleus accumbens shell connection. Neuropharmacology. 2004;47:227-241. doi:10.1016/j.neuropharm.2004.06.032
17. Wise RA. Dopamine, learning and motivation. Nature Reviews Neuroscience. 2004;5(6):483-494. doi:10.1038/nrn1406
18. Avena N, Hoebel B. A diet promoting sugar dependency causes behavioral cross-sensitization to a low dose of amphetamine. Neuroscience. 2003;122(1):17-20. doi:10.1016/s0306-4522(03)00502-51.
19. Volkow ND, Fowler JS, Wang G-J, Swanson JM. Dopamine in drug abuse and addiction: results from imaging studies and treatment implications. Molecular Psychiatry. 2004;9(6):557-569. doi:10.1038/sj.mp.4001507
20. Griffiths MD, Kuss DJ. Adolescent social networking: should parents and teachers be worried? Education and Health. 2011;29(2):23-5.
21. Young K, Abreu C. Internet Addiction. Hoboken, NJ: John Wiley & Sons; 2011.
22. Parmar R, Lagoy J Is video game addiction a disorder? Psychiatric Times, 2021;38(10). https://www.psychiatrictimes.com/view/is-video-game-addiction-a-disorder
23. Gordon-Messer D, Bauermeister J, Grodzinski A, Zimmerman M. Sexting Among Young Adults. Journal of Adolescent Health. 2013;52(3):301-306. doi:10.1016/j.jadohealth.2012.05.013
24. Nelson K, Rothman E. Should Public Health Professionals Consider Pornography a Public Health Crisis?. Am J Public Health. 2020;110(2):151-153. doi:10.2105/ajph.2019.305498
25. Gainsbury S. Online Gambling Addiction: the Relationship Between Internet Gambling and Disordered Gambling. Curr Addict Rep. 2015;2(2):185-193. doi:10.1007/s40429-015-0057-8
26. Andreassen C, Pallesen S. Social Network Site Addiction - An Overview. Curr Pharm Des. 2014;20(25):4053-4061. doi:10.2174/13816128113199990616
27. Cash H, D. Rae C, H. Steel A, Winkler A. Internet Addiction: A Brief Summary of Research and Practice. Curr Psychiatry Rev. 2012;8(4):292-298. doi:10.2174/157340012803520513
28. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 2013. doi:10.1176/appi.books.9780890425596
29. Andreassen C. Online Social Network Site Addiction: A Comprehensive Review. Curr Addict Rep. 2015;2(2):175-184. doi:10.1007/s40429-015-0056-9
30. Veissière S, Stendel M. Hypernatural Monitoring: A Social Rehearsal Account of Smartphone Addiction. Front Psychol. 2018;9. doi:10.3389/fpsyg.2018.00141
31. Krach S. The rewarding nature of social interactions. Front Behav Neurosci. 2010. doi:10.3389/fnbeh.2010.00022
32. Nahai N. Web psychologist explains the secrets of addictive UI design. Youtube.com. https://www.youtube.com/?gl=DE. Published 2020. Accessed January 14, 2022.
33. Oulasvirta A, Rattenbury T, Ma L, Raita E. Habits make smartphone use more pervasive. Pers Ubiquitous Comput. 2011;16(1):105-114. doi:10.1007/s00779-011-0412-2
34. Andreassen C, Billieux J, Griffiths M et al. The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A large-scale cross-sectional study. Psychology of Addictive Behaviors. 2016;30(2):252-262. doi:10.1037/adb0000160
35. Andreassen C, Griffiths M, Gjertsen S, Krossbakken E, Kvam S, Pallesen S. The relationships between behavioral addictions and the five-factor model of personality. J Behav Addict. 2013;2(2):90-99. doi:10.1556/jba.2.2013.003
36. Kuss D, Griffiths M. Online Social Networking and Addiction—A Review of the Psychological Literature. Int J Environ Res Public Health. 2011;8(9):3528-3552. doi:10.3390/ijerph8093528
37. McCrae R, John O. An Introduction to the Five-Factor Model and Its Applications. J Pers. 1992;60(2):175-215. doi:10.1111/j.1467-6494.1992.tb00970.x
38. Costa PT, McCRAE RR. A five-factor theory of personality. The Five-Factor Model of Personality: Theoretical Perspectives. 1999;2:51-87.
39. Dean B. How Many People Use Social Media in 2022? (65+ Statistics). Backlinko. https://backlinko.com/social-media-users. Published 2021. Accessed January 14, 2022.
40. Blog.dscout.com. https://blog.dscout.com/hubfs/downloads/dscout_mobile_touches_study_2016.pdf. Published 2022. Accessed January 14, 2022.
41. Cheng C, Lau Y, Chan L, Luk J. Prevalence of social media addiction across 32 nations: Meta-analysis with subgroup analysis of classification schemes and cultural values. Addict Behav. 2021;117:106845. doi:10.1016/j.addbeh.2021.106845
42. Sohn S, Rees P, Wildridge B, Kalk N, Carter B. Correction to: Prevalence of problematic smartphone usage and associated mental health outcomes amongst children and young people: a systematic review, meta-analysis and GRADE of the evidence. BMC Psychiatry. 2021;21(1). doi:10.1186/s12888-020-02986-2
43. Steers M, Wickham R, Acitelli L. Seeing Everyone Else's Highlight Reels: How Facebook Usage is Linked to Depressive Symptoms. J Soc Clin Psychol. 2014;33(8):701-731. doi:10.1521/jscp.2014.33.8.701
44. Vannucci A, Flannery K, Ohannessian C. Social media use and anxiety in emerging adults. J Affect Disord. 2017;207:163-166. doi:10.1016/j.jad.2016.08.040
45. Chen W, Lee K. Sharing, Liking, Commenting, and Distressed? The Pathway Between Facebook Interaction and Psychological Distress. Cyberpsychology, Behavior, and Social Networking. 2013;16(10):728-734. doi:10.1089/cyber.2012.02
46. 5. Firth J, Torous J, Stubbs B et al. The “online brain”: how the Internet may be changing our cognition. World Psychiatry. 2019;18(2):119-129. doi:10.1002/wps.20617
47. Alter A. Irresistible: The Rise Of Addictive Technology And The Business Of Keeping Us Hooked. Penguin Book; 2018.
48. Yeykelis L, Cummings J, Reeves B. Multitasking on a Single Device: Arousal and the Frequency, Anticipation, and Prediction of Switching Between Media Content on a Computer. Journal of Communication. 2014;64(1):167-192. doi:10.1111/jcom.12070
49. Freedman M. How Businesses Are Collecting Data (And What They're Doing With It). Businessnewsdaily.com. https://www.businessnewsdaily.com/10625-businesses-collecting-data.html. Published 2020. Accessed January 14, 2022.
50. Vigderman A, Turner G. The Data Big Tech Companies Have On You. Security.org. https://www.security.org/resources/data-tech-companies-have/. Published 2021. Accessed January 14, 2022.
51. Kosinski M, Stillwell D, Graepel T. Private traits and attributes are predictable from digital records of human behavior. Proceedings of the National Academy of Sciences. 2013;110(15):5802-5805. doi:10.1073/pnas.1218772110
52. Youyou W, Kosinski M, Stillwell D. Computer-based personality judgments are more accurate than those made by humans. Proceedings of the National Academy of Sciences. 2015;112(4):1036-1040. doi:10.1073/pnas.1418680112
53. Edwards K. Facebook Ads Target Audiences 101: The Ultimate Guide. Kontentino Blog – Simplifying Social Media Approval Workflow. https://www.kontentino.com/blog/facebook-ads-target-audiences/. Published 2020. Accessed January 14, 2022.
54. Cooper P. How the Facebook Algorithm Works in 2021 and How to Work With It. Social Media Marketing & Management Dashboard. https://blog.hootsuite.com/facebook-algorithm/. Published 2021. Accessed January 14, 2022.
55. McGee M, McGee M. EdgeRank Is Dead: Facebook's News Feed Algorithm Now Has Close To 100K Weight Factors. MarTech. https://martech.org/edgerank-is-dead-facebooks-news-feed-algorithm-now-has-close-to-100k-weight-factors/. Published 2021. Accessed January 14, 2022.
56. Widman J. EdgeRank. Edgerank.net. http://edgerank.net/. Published 2015. Accessed January 14, 2022.
57. Smith A. What people like and dislike about Facebook. Pew Research Center. https://www.pewresearch.org/fact-tank/2014/02/03/what-people-like-dislike-about-facebook/. Published 2020. Accessed January 14, 202
58. Horwitz K. Facebook Tried to Make Its Platform a Healthier Place. It Got Angrier Instead. WSJ. https://www.wsj.com/articles/facebook-algorithm-change-zuckerberg-11631654215. Published 2022. Accessed January 14, 2022.
59. Hazard O. One Year in, Facebook's big algorithm change has spurred an angry, Fox News-dominated - and very engaged! - news feed. Niemanlab.org. https://www.niemanlab.org/2019/03/one-year-in-facebooks-big-algorithm-change-has-spurred-an-angry-fox-news-dominated-and-very-engaged-news-feed/. Published 2019. Accessed January 14, 2022.
60. Eyal N, Hoover R. Hooked: How To Build Habit-Forming Products.. New York: Portfolio/Penguin Books; 2014.
61. Lawrence N. UI/UX: Creating Addictive Products. Medium. https://uxplanet.org/ui-ux-creating-addictive-products-6bfa571c916a. Published 2020. Accessed January 14, 2022.
62. Nestler E. Molecular basis of long-term plasticity underlying addiction. Nature Reviews Neuroscience. 2001;2(2):119-128. doi:10.1038/35053570
63. Wigmore I. What is dopamine-driven feedback loop? - Definition from WhatIs.com. WhatIs.com. https://whatis.techtarget.com/definition/dopamine-driven-feedback-loop. Published 2019. Accessed January 14, 2022.
64. Horwitz J. Facebook Says Its Rules Apply to All. Company Documents Reveal a Secret Elite That’s Exempt. WSJ. https://www.wsj.com/articles/facebook-files-xcheck-zuckerberg-elite-rules-11631541353. Published 2022. Accessed January 14, 2022.
65. Somos A. 7 Ethical Design Ideas That Would Make Facebook A Better Place. UX Studio. https://uxstudioteam.com/ux-blog/ethical-design/. Published 2020. Accessed January 14, 202
66. Edelman.com. https://www.edelman.com/sites/g/files/aatuss191/files/2021-03/2021%20Edelman%20Trust%20Barometer.pdf. Published 2021. Accessed January 14, 2022.
67. DeVynck G, Zakrzewski C, Dwoskin E, man R. Big tech CEOs face lawmakers in House hearing on social media’s role in extremism, misinformation. washingtonpost.com. https://www.washingtonpost.com/technology/2021/03/25/facebook-google-twitter-house-hearing-live-updates/. Published 2021. Accessed January 14, 2022.
68. General Data Protection Regulation - Wikipedia. En.wikipedia.org. https://en.wikipedia.org/wiki/General_Data_Protection_Regulation. Published 2022. Accessed January 14, 2022.
69. General Data Protection Regulation - Wikipedia. En.wikipedia.org. https://en.wikipedia.org/wiki/General_Data_Protection_Regulation. Published 2022. Accessed January 14, 2022.
70. Schatz, Thune Reintroduce Legislation To Update Section 230, Strengthen Rules, Transparency On Online Content Moderation, Hold Internet Companies Accountable For Moderation Practices | U.S. Senator Brian Schatz of Hawaii. Schatz.senate.gov. https://www.schatz.senate.gov/news/press-releases/schatz-thune-reintroduce-legislation-to-update-section-230-strengthen-rules-transparency-on-online-content-moderation-hold-internet-companies-accountable-for-moderation-practices. Published 2022. Accessed January 14, 2022.
71. PACT Act. congress.gov. https://www.congress.gov/bill/116th-congress/senate-bill/4066. Published 2021. Accessed January 14, 2022.
72. Social Media Affecting Workplace Productivity | TeamLease. Teamleasegroup.com. https://www.teamleasegroup.com/blog/social-media-affecting-workplace-productivity. Published 2016. Accessed January 14, 2022.
73. Herlle M, Astray-Caneda V. The Impact of Social Media in the Workplace. Digitalcommons.fiu.edu. https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?article=1205&context=sferc. Published 2013. Accessed January 14, 2022.
74. Blazer C. Social Networking in Schools: Benefits and Risks; Review of the Research; Policy Considerations; and Current Practices. Eric.ed.gov. https://eric.ed.gov/?id=ED536527. Published 2012. Accessed January 14, 2022.
75. Hou Y, Xiong D, Jiang T, Song L, Wang Q. Social media addiction: Its impact, mediation, and intervention. Cyberpsychology: Journal of Psychosocial Research on Cyberspace. 2019;13(1). doi:10.5817/cp2019-1-4
76. Hall K, Staiger P, Simpson A, Best D, Lubman D. After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?. Addiction. 2015;111(7):1144-1150. doi:10.1111/add.13014
77. Goldman J. 6 Apps to Stop Your Smartphone Addiction. Inc.com. https://www.inc.com/jeremy-goldman/6-apps-to-stop-your-smartphone-addiction.html. Published 2021. Accessed January 14, 2022.
78. Han D, Hwang J, Renshaw P. Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Exp Clin Psychopharmacol. 2010;18(4):297-304. doi:10.1037/a0020023
79. Bupropion: Uses, Interactions, Mechanism of Action | DrugBank Online. Go.drugbank.com. https://go.drugbank.com/drugs/DB01156. Published 2022. Accessed January 14, 2022.
80. Han D, Lee Y, Na C et al. The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry. 2009;50(3):251-256. doi:10.1016/j.comppsych.2008.08.011
81. Methylphenidate: Uses, Interactions, Mechanism of Action | DrugBank Online. Go.drugbank.com. https://go.drugbank.com/drugs/DB00422. Published 2022. Accessed January 14, 2022.
82. Dell'Osso B, Hadley S, Allen A, Baker B, Chaplin W, Hollander E. Escitalopram in the Treatment of Impulsive-Compulsive Internet Usage Disorder. J Clin Psychiatry. 2008;69(3):452-456. doi:10.4088/jcp.v69n0316
83. Escitalopram: MedlinePlus Drug Information. Medlineplus.gov. https://medlineplus.gov/druginfo/meds/a603005.html. Published 2022. Accessed January 14, 2022.
84. Sabina C, Wolak J, Finkelhor D. The Nature and Dynamics of Internet Pornography Exposure for Youth. CyberPsychology & Behavior. 2008;11(6):691-693. doi:10.1089/cpb.2007.0179
85. Nelson K, Rothman E. Should Public Health Professionals Consider Pornography a Public Health Crisis?. Am J Public Health. 2020;110(2):151-153. doi:10.2105/ajph.2019.305498
86. Stack S, Wasserman I, Kern R. Adult Social Bonds and Use of Internet Pornography*. Soc Sci Q. 2004;85(1):75-88. doi:10.1111/j.0038-4941.2004.08501006.x