{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T23:03:58Z","timestamp":1783551838996,"version":"3.55.0"},"reference-count":87,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Center for Brain and Behavior Research at the University of South Dakota"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Social support is essential to development, mental and emotional health, and reducing risk for psychological distress. Youth are exposed to various opportunities for socialization with peers, including through social media. Strong online social networks may be most critical for youth from isolated communities, including those from rural areas or LGBT+ (lesbian, gay, bisexual, transgender, etc.) youth. With this study, we investigated associations between social media use and online social support among adolescents. Additionally, we compared the online experiences of rural and urban youth. We also examined associations between online social support and psychological functioning and investigated whether the strength of these relationships was moderated by community type (rural versus urban). Finally, we evaluated the online experiences of LGBT+ youth. Methods: Two hundred seventy-five participants (ages 13\u201319) from seven high schools located in either rural or urban communities completed a paper and pencil survey on their mental health, social media use, and online social support. Results: Social media use was positively associated with online social support. Rural youth were found to report greater social media use and online social support compared to urban youth. Online social support was not associated with depression or anxiety; community type (rural versus urban) did not moderate the strength of these relationships. LGBT+ youth in rural communities reported greater social media use and support online compared to LGBT+ youth in urban communities. Conclusions: These findings shed light on the potential positive benefits of social media use as it is related to perceptions of social support among online friends. They demonstrate that interactions online may contribute to stronger support networks within adolescents, particularly among vulnerable youth. Findings suggest social media may increase accessibility to social support for youth who may be at risk for social isolation.<\/jats:p>","DOI":"10.3390\/children12020113","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T04:19:51Z","timestamp":1737433191000},"page":"113","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The Role of Online Social Support in Mental Health: Comparing Rural and Urban Youth"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2456-9563","authenticated-orcid":false,"given":"Ellen A.","family":"Knowles","sequence":"first","affiliation":[{"name":"Department of Psychology, University of South Dakota, 414 East Clark Street, Vermillion, SD 57069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BreAnne A.","family":"Danzi","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of South Dakota, 414 East Clark Street, Vermillion, SD 57069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1177\/0963721421999630","article-title":"The major health implications of social connection","volume":"30","year":"2021","journal-title":"Curr. Dir. Psychol. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1186\/s13643-017-0632-2","article-title":"The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: A systematic review","volume":"6","author":"Kelly","year":"2017","journal-title":"Syst. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1111\/j.1467-9507.2008.00476.x","article-title":"With a little help from your friends: The importance of high-quality friendships on early adolescent adjustment","volume":"17","author":"Waldrip","year":"2008","journal-title":"Soc. Dev."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., and Johnson, S. (2018). Associations between loneliness and perceived social support and outcomes of mental health problems: A systematic review. BMC Psychiatry, 18.","DOI":"10.1186\/s12888-018-1736-5"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1007\/s10964-021-01441-z","article-title":"Perceived social support from different sources and adolescent life satisfaction across 42 countries\/regions: The moderating role of national-level generalized trust","volume":"50","author":"Bi","year":"2021","journal-title":"J. Youth Adolesc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/FCH.0000000000000224","article-title":"Stress, social support, and mental health among young adult Hispanics","volume":"43","author":"Guntzviller","year":"2020","journal-title":"Fam. Commun. Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1177\/0265407514567837","article-title":"Adolescent loneliness and social anxiety: The role of multiple sources of support","volume":"33","author":"Cavanaugh","year":"2016","journal-title":"J. Soc. Pers. Relat."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s10964-020-01391-y","article-title":"Social support and internalizing psychopathology in transgender youth","volume":"50","author":"Durwood","year":"2021","journal-title":"J. Youth Adolesc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1177\/0044118X16660110","article-title":"Sources of social support and mental health among LGB youth","volume":"51","author":"Watson","year":"2019","journal-title":"Youth Soc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/sltb.12695","article-title":"Intersectionality, social support, and youth suicidality: A socioecological approach to prevention","volume":"51","author":"Standley","year":"2021","journal-title":"Suicide Life Threat. Behav."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/S2352-4642(20)30186-3","article-title":"The effects of social deprivation on adolescent development and mental health","volume":"4","author":"Orben","year":"2020","journal-title":"Lancet Child Adolesc. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1080\/01488376.2014.917450","article-title":"Subjective well-being for children in a rural community","volume":"40","author":"Newland","year":"2014","journal-title":"J. Soc. Serv. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1111\/josh.12205","article-title":"Association of being bullied in school with suicide ideation and planning among rural middle school adolescents","volume":"84","author":"Bhatta","year":"2014","journal-title":"J. Sch. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.mhp.2019.01.010","article-title":"\u201cGet over it and move on\u201d: The impact of mental illness stigma in rural, low-income United States populations","volume":"13","author":"Crumb","year":"2019","journal-title":"Ment. Health Prev."},{"key":"ref_15","unstructured":"(2025, January 09). Key Informant Perspectives on Rural Social Isolation and Loneliness. Available online: https:\/\/rhrc.umn.edu\/wp-content\/uploads\/2019\/01\/1539002382UMNpolicybriefKeyInformantPerspectivesonRuralSocialIsolationandLoneliness.pdf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"103501","DOI":"10.1016\/j.brat.2019.103501","article-title":"Adolescent development and risk for the onset of social-emotional disorders: A review and conceptual model","volume":"123","author":"Rapee","year":"2019","journal-title":"Behav. Res. Ther."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/15289168.2015.1004889","article-title":"The adolescent brain and the emergence and peak of psychopathology","volume":"14","author":"Powers","year":"2015","journal-title":"J. Infant Child Adolesc. Psychother."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1016\/j.jaac.2019.10.011","article-title":"Meta-analysis: Exposure to early life stress and risk for depression in childhood and adolescence","volume":"59","author":"LeMoult","year":"2020","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1080\/15374416.2021.1901228","article-title":"Co-occurring mental health symptoms in urban adolescents: Comorbidity profiles and correlates","volume":"52","author":"Webb","year":"2023","journal-title":"J. Clin. Child Adolesc. Psychol."},{"key":"ref_20","unstructured":"(2021, December 12). Healthcare Access in Rural Communities. Available online: https:\/\/www.ruralhealthinfo.org\/topics\/healthcare-access."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1111\/j.1748-0361.2010.00319.x","article-title":"Rural adolescent health: The importance of prevention services in the rural community","volume":"27","author":"Curtis","year":"2011","journal-title":"J. Rural Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"113897","DOI":"10.1016\/j.socscimed.2021.113897","article-title":"Social consequences and contexts of adverse childhood experiences","volume":"277","author":"Trinidad","year":"2021","journal-title":"Soc. Sci. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1177\/1059840517725787","article-title":"Diminished trust of healthcare providers, risky lifestyle behaviors, and low use of health services: A descriptive study of rural adolescents","volume":"34","author":"Hardin","year":"2018","journal-title":"J. Sch. Nurs."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1136\/ebmental-2018-300060","article-title":"Early intervention in youth mental health: Progress and future directions","volume":"21","author":"McGorry","year":"2018","journal-title":"Evid. Based Ment. Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.jadohealth.2014.10.264","article-title":"Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study","volume":"56","author":"Reisner","year":"2015","journal-title":"J. Adolesc. Health"},{"key":"ref_26","unstructured":"(2021, November 20). Social Media Fact Sheet. Available online: https:\/\/www.pewresearch.org\/internet\/fact-sheet\/social-media\/."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1080\/02673843.2019.1590851","article-title":"A systematic review: The influence of social media on depression, anxiety and psychological distress in adolescents","volume":"25","author":"Keles","year":"2020","journal-title":"Int. J. Adolesc. Youth"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"106949","DOI":"10.1016\/j.addbeh.2021.106949","article-title":"Problematic social media use and social support received in real-life versus on social media: Associations with depression, anxiety and social isolation","volume":"119","author":"Meshi","year":"2021","journal-title":"Addict. Behav."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/0020764020978434","article-title":"A meta-analysis of the problematic social media use and mental health","volume":"68","author":"Huang","year":"2022","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"73","DOI":"10.2174\/221067660402140709115810","article-title":"Social media use among adolescents: Benefits and risks","volume":"4","author":"Reid","year":"2014","journal-title":"Adolesc. Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1080\/0144929X.2016.1262898","article-title":"Use of social network sites among depressed adolescents","volume":"36","author":"Demir","year":"2017","journal-title":"Behav. Inf. Technol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e33450","DOI":"10.2196\/33450","article-title":"Problematic social media use in adolescents and young adults: Systematic review and meta-analysis","volume":"9","author":"Shannon","year":"2022","journal-title":"JMIR Ment. Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.jad.2020.06.014","article-title":"A meta-analysis of the association between adolescent social media use and depressive symptoms","volume":"275","author":"Ivie","year":"2020","journal-title":"J. Affect. Dis."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.copsyc.2021.08.017","article-title":"Social media use and its impact on adolescent mental health: An umbrella review of the evidence","volume":"44","author":"Valkenburg","year":"2022","journal-title":"Curr. Opin. Psychol."},{"key":"ref_35","first-page":"321","article-title":"Benefits and risks of children and adolescents using social media","volume":"11","author":"Tartari","year":"2015","journal-title":"Eur. Sci. J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"106160","DOI":"10.1016\/j.chb.2019.106160","article-title":"Does time spent using social media impact mental health?: An eight year longitudinal study","volume":"104","author":"Coyne","year":"2020","journal-title":"Comput. Hum. Behav."},{"key":"ref_37","first-page":"21","article-title":"Enacted social support on social media and subjective well-being","volume":"8","author":"Kim","year":"2014","journal-title":"Int. J. Commun."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"69S","DOI":"10.1177\/1090198119863768","article-title":"Association of social media use with social well-being, positive mental health, and self-rated health: Disentangling routine use from emotional connection to use","volume":"46","author":"Bekalu","year":"2019","journal-title":"Health Educ. Behav."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"100331","DOI":"10.1016\/j.ssmmh.2024.100331","article-title":"Does social media use make us happy? A meta-analysis on social media and positive well-being outcomes","volume":"6","author":"Marciano","year":"2024","journal-title":"SSM-Ment. Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1089\/cyber.2012.0521","article-title":"Facebook friends with (health) benefits? Exploring social network site use and perceptions of social support, stress, and well-being","volume":"16","author":"Nabi","year":"2013","journal-title":"Cyberpsychol. Behav. Soc. Netw."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jadohealth.2019.08.011","article-title":"Transgender adolescents\u2019 uses of social media for social support","volume":"66","author":"Selkie","year":"2020","journal-title":"J. Adolesc. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1057\/s41285-019-00106-z","article-title":"Seeking, sharing and co-creating: A systematic review of the relation between social support theory, social media use and chronic diseases","volume":"18","author":"Sendra","year":"2020","journal-title":"Soc. Theor. Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e20162593","DOI":"10.1542\/peds.2016-2593","article-title":"Children and adolescents and digital media","volume":"138","author":"Radesky","year":"2016","journal-title":"Pediatrics"},{"key":"ref_44","first-page":"89","article-title":"A study on impact of social media on youth","volume":"6","author":"Rawath","year":"2019","journal-title":"J. Manag."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Karim, S., Choukas-Bradley, S., Radovic, A., Roberts, S.R., Maheux, A.J., and Escobar-Viera, C.G. (2022). Support over social media among socially isolated sexual and gender minority youth in rural US during the COVID-19 pandemic: Opportunities for intervention research. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192315611"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/cdep.12232","article-title":"The link between playing video games and positive youth outcomes","volume":"11","author":"Adachi","year":"2017","journal-title":"Child Dev. Perspect."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s10560-018-0577-x","article-title":"Platforms and patterns for practice: LGBTQ+ youths\u2019 use of information and communication technologies","volume":"36","author":"McInroy","year":"2019","journal-title":"Child Adolesc. Soc. Work J."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Gregory, L., Dutton, T., Osuagwu, U.L., and Vines, R. (2023). Does social media usage ameliorate loneliness in rural youth? A cross sectional pilot study. BMC Psychiatry, 23.","DOI":"10.1186\/s12888-023-04849-y"},{"key":"ref_49","first-page":"10","article-title":"Psychological impact of social media on rural youth: A study","volume":"2","author":"Kumar","year":"2023","journal-title":"Indian J. Mass Commun. J."},{"key":"ref_50","first-page":"247","article-title":"Impact of social media on the health of the rural youth: A sociological study","volume":"11","author":"Rani","year":"2023","journal-title":"IAHRW Int. J. Soc. Sci. Rev."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"671","DOI":"10.18502\/kls.v6i1.8741","article-title":"Social media addiction and the association with self-esteem among adolescents in rural areas of Indonesia","volume":"6","author":"Purnama","year":"2021","journal-title":"KnE Life Sci."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"52","DOI":"10.48165\/IJEE.2024.60210","article-title":"Social media addiction among the rural youth: An AI interpretation","volume":"60","author":"Khanganbi","year":"2024","journal-title":"Indian J. Ext. Educ."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jadohealth.2022.09.025","article-title":"The impact of social media use and gaming on initiation of smokeless tobacco use among rural male youth","volume":"72","author":"Pepper","year":"2023","journal-title":"J. Adolesc. Health"},{"key":"ref_54","first-page":"132","article-title":"The impact of social media on youth: A case study of bahawalpur city","volume":"3","author":"Shabir","year":"2014","journal-title":"Asian J. Soc. Sci. Humanit."},{"key":"ref_55","unstructured":"Patwari, I. (2025, January 10). Use of Social Media by Rural Youth in India: A Boon or a Bane. Available online: https:\/\/ssrn.com\/abstract=3624680."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1080\/1369118X.2010.539243","article-title":"The use of online social networking by rural youth and its effects on community attachment","volume":"14","author":"LaRose","year":"2011","journal-title":"Inf. Common. Soc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1177\/08944393221117466","article-title":"Disconnection more problematic for adolescent self-esteem than heavy social media use: Evidence from access inequalities and restrictive media parenting in rural America","volume":"41","author":"Hampton","year":"2021","journal-title":"Soc. Sci. Comput. Rev."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Escobar-Viera, C.G., Choukas-Bradley, S., Sidani, J., Maheux, A.J., Roberts, S.R., and Rollman, B.L. (2022). Examining social media experiences and attitudes toward technology-based interventions for reducing social isolation among LGBTQ youth living in rural United States: An online qualitative study. Front. Dig. Health, 4.","DOI":"10.3389\/fdgth.2022.900695"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1080\/00918369.2020.1813508","article-title":"\u201cSometimes you get married on Facebook\u201d: The use of social media among nonmetropolitan sexual and gender minority youth","volume":"69","author":"Paceley","year":"2022","journal-title":"J. Homosex."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.chiabu.2014.08.006","article-title":"Online social support as a buffer against online and offline peer and sexual victimization among US LGBT and non-LGBT youth","volume":"39","author":"Ybarra","year":"2015","journal-title":"Child Abus. Negl."},{"key":"ref_61","unstructured":"(2021, October 05). The United States Office of Management and Budget Metropolitan and Micropolitan, Available online: https:\/\/www.census.gov\/programs-surveys\/metro-micro.html."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1037\/pas0000558","article-title":"The online social support scale: Measure development and validation","volume":"30","author":"Nick","year":"2018","journal-title":"Psychol. Assess."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/MLR.0b013e318160d093","article-title":"Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population","volume":"46","author":"Decker","year":"2008","journal-title":"Med. Care"},{"key":"ref_64","first-page":"363","article-title":"The center for epidemiologic studies depression scale","volume":"Volume 3","author":"Maruish","year":"2004","journal-title":"The Use of Psychological Testing for Treatment Planning and Outcomes Assessment: Instruments for Adults"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/014662167700100306","article-title":"The CES-D scale: A self-report depression scale for research in the general population","volume":"1","author":"Radloff","year":"1977","journal-title":"Appl. Psychol. Meas."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1037\/0882-7974.12.2.277","article-title":"Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults","volume":"12","author":"Lewinsohn","year":"1997","journal-title":"Psychol. Aging"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.jclinepi.2019.02.016","article-title":"The proportion of missing data should not be used to guide decisions on multiple imputation","volume":"110","author":"Hughes","year":"2019","journal-title":"J. Clin. Epidem."},{"key":"ref_68","unstructured":"Kline, R.B. (2023). Principles and Practice of Structural Equation Modeling, Guilford Publications."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1037\/ser0000580","article-title":"The protective effects of perceived cohesion on the mental health of first responders","volume":"19","author":"Smirnova","year":"2022","journal-title":"Psychol. Serv."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.chb.2016.11.058","article-title":"Online social support for young people: Does it recapitulate in-person social support; can it help?","volume":"68","author":"Cole","year":"2017","journal-title":"Comput. Hum. Behav."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"E136","DOI":"10.1503\/cmaj.190434","article-title":"Smartphones, social media use and youth mental health","volume":"192","author":"Naylor","year":"2020","journal-title":"CMAJ"},{"key":"ref_73","first-page":"204","article-title":"Social media, social life: Teens reveal their experiences","volume":"2","author":"Rideout","year":"2018","journal-title":"Common Sense Media"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/bjet.12026","article-title":"From high school to university: Impact of social networking sites on social capital in the transitions of emerging adults","volume":"45","author":"Mazzoni","year":"2014","journal-title":"Br. J. Educ. Technol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.chb.2015.12.066","article-title":"Social anxiety, attributes of online communication and self-disclosure across private and public Facebook communication","volume":"58","author":"Green","year":"2016","journal-title":"Comput. Hum. Behav."},{"key":"ref_76","unstructured":"Lin, C.A., and Atkin, D.J. (2002). Attraction to computer-mediated social support. Communication Technology and Society: Audience Adoption and Uses, Hampton Press."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1353\/foc.0.0006","article-title":"Online communication and adolescent relationships","volume":"18","author":"Subrahmanyam","year":"2008","journal-title":"Futur. Child."},{"key":"ref_78","unstructured":"(2024, September 19). Teens, Privacy and Online Social Networks. Available online: https:\/\/www.pewresearch.org\/internet\/2007\/04\/18\/teens-privacy-and-online-social-networks\/."},{"key":"ref_79","unstructured":"(2024, September 19). Teens and Social Media Fact Sheet. Available online: https:\/\/www.pewresearch.org\/internet\/fact-sheet\/teens-and-social-media-fact-sheet\/."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"101331","DOI":"10.1016\/j.ssmph.2022.101331","article-title":"US trends in social isolation, social engagement, and companionship\u2014Nationally and by age, sex, race\/ethnicity, family income, and work hours, 2003\u20132020","volume":"21","author":"Kannan","year":"2023","journal-title":"SSM-Popul. Health"},{"key":"ref_81","first-page":"149","article-title":"Psychobiology of social support: The social dimension of stress buffering","volume":"32","author":"Ditzen","year":"2014","journal-title":"Restor. Neurol. Neurosci."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.jad.2016.05.031","article-title":"Adolescent stress and symptoms of anxiety and depression: Resilience explains and differentiates the relationships","volume":"203","author":"Anyan","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1016\/j.jad.2015.11.015","article-title":"Cognitive distortions mediate depression and affective response to social acceptance and rejection","volume":"190","author":"Caouette","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"e38449","DOI":"10.2196\/38449","article-title":"Social media use and health and well-being of lesbian, gay, bisexual, transgender, and queer youth: Systematic review","volume":"24","author":"Berger","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1007\/s10826-019-01646-8","article-title":"Depression and anxiety symptoms, social support, and demographic factors among Kenyan high school students","volume":"29","author":"Osborn","year":"2020","journal-title":"J. Child Fam. Stud."},{"key":"ref_86","unstructured":"(2022, February 09). United States Census Bureau Quick Facts, Available online: https:\/\/www.census.gov\/quickfacts\/fact\/table\/NE,SD\/PST045222."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"100090","DOI":"10.1016\/j.chbr.2021.100090","article-title":"The accuracy and validity of self-reported social media use measures among adolescents","volume":"3","author":"Verbeij","year":"2021","journal-title":"Comput. Hum. Behav. 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