{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:32:05Z","timestamp":1790094725869,"version":"4.0.1"},"reference-count":78,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"<jats:sec id=\"ab-zoi260668-4\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Given shared processes in attentional control, impulsivity, and reward sensitivity, problematic social media use (PSMU) may be associated with attention-deficit\/hyperactivity disorder (ADHD) symptoms. Yet most evidence has been from cross-sectional studies; multiyear prospective, within-person studies on an association of PSMU with ADHD symptoms are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260668-5\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To estimate bidirectional, within-person associations between PSMU and ADHD symptoms across 5 annual assessments, and to test variation by sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260668-6\">\n                    <jats:title>Design, Setting, and Participants<\/jats:title>\n                    <jats:p>This prospective cohort study used data from 5 annual assessments (year 2 [2017-2019] through year 6 [2021-2023]) of the Adolescent Brain Cognitive Development Study, a population-based cohort that enrolled youths aged 9 to 10 years from 21 US sites in year 1 (2016-2018). Participants had data on ADHD symptoms or PSMU at 1 or more waves between year 2 and year 6. Data analysis was performed between July and September 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260668-7\">\n                    <jats:title>Exposure<\/jats:title>\n                    <jats:p>Youth-reported PSMU measured using the Social Media Addiction Questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260668-8\">\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Parent-reported ADHD symptoms (measured using the ADHD Problems subscale of the Child Behavior Checklist) at each wave. Random-intercept cross-lagged panel models were used to separate stable between-person differences from within-person variation and to estimate concurrent and lagged within-person associations between PSMU and ADHD symptoms across waves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260668-9\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The analytic sample consisted of 11\u202f286 youths with a mean (SD) age at year 2 of 12.1 (0.67) years; 5918 (52.4%) were male. At the within-person level, years in which youths reported higher-than-usual PSMU were followed by elevations in parent-reported ADHD symptoms (year 4 to year 5: \u03b2 \u2009=\u20090.08 [95% CI, 0.03-0.12],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&amp;amp;lt;\u2009.001; year 5 to year 6: \u03b2\u2009=\u20090.08 [95% CI, 0.03-0.13],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001). ADHD symptoms were also associated with higher PSMU from year 4 to year 5 (\u03b2\u2009=\u20090.04 [95% CI, 0.01-0.07];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.02). Tests of moderation indicated that the prospective association between PSMU and ADHD symptoms was higher in magnitude for males than for females (change in \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      <jats:sub>16<\/jats:sub>\n                      \u2009=\u200931.7;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260668-10\">\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>This cohort study of US youths found that year-to-year elevations in self-reported PSMU were directly associated with ADHD symptoms during mid-adolescence, particularly among males; reverse associations of ADHD symptoms with later PSMU were small in magnitude and sporadic. Screening for hard-to-control social media use, time spent on social media, and attention to sex-specific patterns may be warranted, although the population-based associations may be small.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2026.23748","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:30:20Z","timestamp":1784302220000},"page":"e2623748","source":"Crossref","is-referenced-by-count":1,"title":["Problematic Social Media Use and Attention-Deficit\/Hyperactivity Disorder Symptoms in Adolescents"],"prefix":"10.1001","volume":"9","author":[{"given":"Jason M.","family":"Nagata","sequence":"first","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher D.","family":"Otmar","sequence":"additional","affiliation":[{"name":"Division of Adolescent 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