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  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040064
Patterns of Social Network Site Use Among University Students: A Latent Profile Analysis of Academic and Psychosocial Outcomes
  • Oct 31, 2025
  • Adolescents
  • Nafsika Antoniadou

Social Networking Sites (SNSs) play a central role in university students’ social and academic lives by facilitating relationship maintenance, emotional support, and the exchange of information, especially for those studying away from home. However, it remains unclear how different patterns of SNS use influence academic outcomes and psychosocial well-being. Grounded in social capital and self-determination theory, the present study adopted a person-centered approach using Latent Profile Analysis (LPA) to identify distinct profiles of SNS engagement, academic outcomes and well-being. A sample of 275 Greek undergraduate students completed anonymous self-report questionnaires [SNSs use intensity, bonding and bridging social capital, perceived social support via SNSs, fear of missing out (FoMO), phubbing, nomophobia (NoMo), academic outcomes and well-being]. LPA revealed four user profiles: (1) Low Use-Low Support (poorest well-being, moderate academic outcomes); (2) Active and Supported (high well-being and academic outcomes); (3) At-Risk Heavy Users (intermediate academic outcomes and moderate well-being, comparable to Profile 2) and (4) Low Use-High Support (highest well-being, poorest academic outcomes). These findings indicate that SNS engagement may be associated with both benefits and risks for students, depending on how and why they are used. Adopting a person-centered perspective allowed the identification of meaningful usage patterns, providing critical insights for developing targeted interventions to support student adjustment.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040063
Exploring the Psychological and Social Dynamics of Steroid and Performance-Enhancing Drug (PED) Use Among Late Adolescents and Emerging Adults (16–22): A Thematic Analysis
  • Oct 27, 2025
  • Adolescents
  • Metin Çınaroğlu + 2 more

Background: Performance-enhancing drug (PED) use has become increasingly prevalent among adolescents and emerging adults, not solely for athletic advantage but as a psychological and sociocultural coping mechanism. In Türkiye, where Westernized body ideals intersect with traditional values, the emotional and symbolic meanings of PED use among youth remain underexplored. Methods: This qualitative study employed semi-structured interviews and reflexive thematic analysis to examine the subjective experiences of 26 Turkish adolescents and emerging adults (19 males, 7 females; ages 16–22) in Istanbul who reported non-medical use of steroids or other PEDs. Participants were recruited through snowball sampling in gym-adjacent communities across six urban districts. Interviews were conducted online, recorded, transcribed, and analyzed to identify emergent psychological themes. Results: Six interconnected themes were identified: (1) body-based insecurity and the fantasy of reinvention; (2) emotional regulation through bodily control; (3) secrecy as autonomy; (4) compulsive enhancement and dissatisfaction; (5) psychological dependency and regret; and (6) PED use as agency and protest. While male and female participants differed in aesthetic goals and social narratives, both groups framed PED use as a means of identity construction, emotional survival, and social validation. Participants did not perceive themselves as deviant but as strategic actors navigating a performance-driven culture. Conclusions: PED use among youth in urban Türkiye emerges as a psychologically embedded coping mechanism rooted in emotional regulation, self-concept, and perceived control. Rather than a deviant behavior, it reflects an adaptive but precarious strategy for managing insecurity and achieving recognition during a critical developmental stage.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040062
The Relationship Between Media Food Marketing Influence and Unhealthy Food Intake in Parent–Adolescent Dyads: An Actor–Partner Interdependence Model
  • Oct 27, 2025
  • Adolescents
  • Sasha A Fleary + 4 more

Media food marketing (MFM) may greatly influence adolescents’ and parents’ dietary behaviors through direct and mutual influences, yet the interplay of these dynamics is unexplored. This study investigated the impact of parents’ and adolescents’ trust in MFM on their own and each other’s unhealthy food consumption (actor and partner effects). Parent–adolescent dyadic data (n = 1656 dyads) collected from the 2014 Family Life, Activity, Sun, Health and Eating study were analyzed. Actor–Partner Interdependence Models were estimated to assess for actor and partner effects of MFM trust/influence on unhealthy food intake (i.e., detrimental food, junk food, sugar-sweetened beverages, fast and convenience foods) while accounting for dyadic interdependence. Covariates included parents’ and adolescents’ age and sex, and parents’ health literacy, food insecurity, and food label reading habits. Parents’ and adolescents’ higher MFM trust/influence were related to their higher unhealthy food intake (actor effects). Parents’ higher MFM trust/influence was also associated with unhealthy food intake in adolescents (partner effect). Partner effects from adolescents to parents were found for sugar-sweetened beverages only. Parents’ and adolescents’ MFM trust/influence was related to adolescents’ unhealthy food intake, highlighting the need to address it in both parents and adolescents to reduce adolescents’ unhealthy dietary intake.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040061
The Effect of Sociodemographic and School Affiliation Moderators on the Association Between Screen Time, Physical Activity, and Body Dissatisfaction in Brazilian Adolescent Girls
  • Oct 21, 2025
  • Adolescents
  • Drielly Luisi Vitor Santos + 2 more

Physical activity practice and excessive screen time affect adolescent girls’ body satisfaction and body image. This study aimed to estimate the association between screen time and physical activity in relation to body dissatisfaction and body image among girls from different Brazilian regions, considering both the direct effect and the influence of sociodemographic characteristics and school affiliation. This is a cross-sectional study based on secondary data analysis. The outcomes were body dissatisfaction and body image dissatisfaction due to excessive thinness and excessive fat. Physical activity and screen time were independent variables. The moderating variables included sociodemographic characteristics and school affiliation. Direct effects were observed in active girls with a lower odds ratio (OR) of dissatisfaction due to excessive thinness (Southeast region, OR: 0.56, 95% CI: 0.34–0.90; South region, OR: 0.43, 95% CI: 0.19–0.43), whereas those with high screen times were more likely to report dissatisfaction due to excessive fat (Southeast region, OR: 1.80, 95% CI: 1.35–2.40; Northeast region, OR: 1.97, 95% CI: 1.28–3.03). Effect modification was observed based on sociodemographic characteristics and school affiliation. These behaviors were directly associated with body dissatisfaction, and age, school affiliation, skin color, and maternal education were important moderators of the relationship between physical activity and screen time.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040060
Adolescent Profiles Amid Substantial Adverse Childhood Experiences: A Latent Profile Analysis on Personality, Cognitive, Behavioral, and Social Outcomes
  • Oct 16, 2025
  • Adolescents
  • Xiafei Wang + 2 more

Background: Adolescence is a critical period of rapid physical and psychological change, yet it is also when many health and well-being problems first emerge, often setting limits on lifelong opportunities and achievements as youth transition into adulthood. The ground-breaking adverse childhood experiences (ACEs) study has significantly shaped the development of programs and policies aimed at fostering adolescent health. Nonetheless, there has been limited exploration into the heterogeneity among individuals experiencing a high number of ACEs, such as four or more. This study employs Latent Profile Analysis (LPA) to examine the diverse outcome profiles of adolescents who have been exposed to a substantial number of ACEs. Method: The data were from participants who experienced at least four ACEs by age 9 in the Future of Families and Child Wellbeing Study (N = 1427; 54% male; 59% Black; 15.3% Hispanic; 2.4% other). We applied LPA using the manual three-step method within Mplus 8 to establish profiles based on six developmental indicators at age 15. These indicators included optimism, perseverance, academic performance, internalizing and externalizing behavioral competence, and social skills. The full information maximum likelihood method was used to handle missing data. Results: The study identified three distinct profile groups according to model fit indices and interpretability: Multidimensional Competence Group (61.0%), Low Personality and Social Competence Group (23.8%), and Low Behavioral Competence Group (15.2%). Racial and ethnic backgrounds were significant predictors of membership in these different profile groups. Conclusions: In a research landscape often focused on the cumulative harm of ACEs, our study underscores the heterogeneity of trauma profiles among adolescents with substantial ACE exposure. Given that adolescence is a critical stage when health and well-being challenges emerge, tailored early interventions are important to supporting a successful transition into adulthood. We advocate for the importance of comprehensive screening for social-cognitive and behavioral health difficulties in trauma-affected youth, enabling practitioners to implement timely prevention strategies and tailored interventions that foster resilience and long-term well-being.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040055
Adolescent Screen Time and Sleep Quality: Predictive Factors and Their Effect on Academic Achievement Among Adolescents in Jordan
  • Oct 9, 2025
  • Adolescents
  • Nahla M Al Al Ali + 1 more

Adolescents’ increasing screen time has been linked to poor sleep quality, which may, in turn, affect their academic performance. This study aimed to examine screen time patterns among Jordanian adolescents and assess their associations with sleep quality and academic achievement. A descriptive correlational study was conducted among 477 students aged 12–14 years from four randomly selected schools in northern Jordan. Participants completed the validated Questionnaire for Screen Time of Adolescents (QueST) and the Adolescent Sleep–Wake Scale–Short Version (ASWS-S), while academic performance was assessed using GPA from school records. Results showed that average screen time was 9.13 h per day. Weekend screen time emerged as a significant negative predictor of sleep quality (β = –0.27, p = 0.016). Gender and school type were also significant predictors. Adolescents with screen devices in their bedrooms and those with chronic medical conditions reported higher screen time. Although total screen time did not significantly predict academic achievement, it showed a moderate negative correlation with sleep quality (r = –0.18, p < 0.01). These findings suggest that excessive screen use, particularly on weekends, may impair sleep quality among adolescents. Interventions targeting screen habits could help enhance sleep and potentially benefit academic performance.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040054
Evidence for Cannabidiol as a Medication for the Treatment of Neurological, Psychiatric, Behavioral and Substance Use Disorders in Adolescents
  • Sep 30, 2025
  • Adolescents
  • Jennifer A Ross + 3 more

Cannabidiol (CBD) is a chemical produced by the cannabis plant that acts as an allosteric modulator of cannabinoid receptors resulting in non-competitive receptor antagonism in the central nervous system. This mechanism of action leads to anti-convulsant, anti-anxiety, and analgesic properties with minimal psycho-activity, which has led to significant interest in the use of CBD as a medication. Legislation around cannabis has changed in recent years, with many states permitting the use of CBD-based products as “medication” without approval from the Federal Drug Administration. This has led to a proliferation of products with associated marketing claims that are often unsubstantiated. This review summarizes the evidence for cannabidiol as a medical treatment, focusing on epilepsy, mental health, behavioral and substance use disorders occurring in pediatric and adolescent populations for which information is available. CBD preparations have been approved by the FDA to treat epilepsy in childhood; no other indications currently exist, and the literature remains inconclusive. Few adverse effects related to CBD use have been reported. However, endogenous cannabinoids play an important role in guiding brain development, and the long-term impact of modulating the endocannabinoid system during periods of brain growth during childhood and adolescence is unknown. While there is excitement about the potential for the development of CBD medications, currently, there is very limited information about the long-term safety of CBD, especially in children and adolescents, and caution is recommended regarding the use of unregulated, unapproved CBD preparations that are currently available over the counter.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5040053
Perceptions and Responses of Adolescents and Youth in the Spanish Protection System to Bullying and Gender-Based Bullying Situations, and Their Relationship with the Training Received
  • Sep 29, 2025
  • Adolescents
  • María Victoria Carrera-Fernández + 2 more

Compared to studies in school settings, little attention has been paid to bullying in the child protection system (PS), even though these children, adolescents, and youth are one of the most vulnerable groups, with the highest prevalence of bullying. This study aims to analyze, according to gender and nationality, the perception of adolescents and youth in the Spanish PS of the bullying and gender-based bullying situations that take place in their protection facility, as well as their response to these situations and the relationship with the training they received in gender equality, sexual diversity and bullying. Two hundred forty-nine adolescents and youth from 58 centers/facilities of the PS in Spain, with an average age of 16.38 years, participated. Of these, 37.3% had Spanish nationality. A correlational study was conducted using a cross-sectional random sample survey. It was found that 30.9% of the participants identify bullying situations, which reached 34.9% for LGBTIQ-phobic bullying and 37.7% for sexist bullying. Girls identify situations of both bullying and sexist bullying more, and girls and both male and female Spanish adolescents and youth attribute greater severity to these problems and respond more positively in favor of the victims. Those who have received more training in gender equality, sexual diversity, and bullying support bully victims more significantly. According to our current knowledge, this study addresses for the first time the phenomenon of bullying and gender-based bullying in the context of the PS from a perspective of gender, nationality, and the formative dimension. It also highlights the need for mandatory training in gender-equality and sexual diversity for adolescents/youth and educational professionals of the PS, as well as the creation of specific anti-bullying protocols with an inclusive approach.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5030042
The Experience of Abuse and Depressive Symptoms Among Adolescents in a Post-Conflict Setting: A Cross-Sectional Study
  • Aug 8, 2025
  • Adolescents
  • Natalie Durbeej + 7 more

This study aimed to explore the relationship between the experience of abuse and depressive symptoms among children and adolescents in a post-conflict setting while controlling for perceived support and individual background factors. This cross-sectional study was conducted in the post-conflict setting of Borama, Somaliland. A total of 645 adolescents that attended upper primary and lower secondary schools were included. The exposure variables were (a) experience of physical abuse, (b) experience of psychological abuse, and (c) experience of either or both forms of abuse. The outcome was depressive symptoms as measured by the Patient Health Questionnaire-9. Physical and psychological abuse were associated with higher levels of depressive symptoms (B = 2.74, p < 0.001 and B = 1.62, p < 0.001, respectively). The girls had higher levels of depressive symptoms than the boys (B = 0.71, p = 0.004). Moreover, a greater age was associated with higher levels of symptoms (B = 0.17, p = 0.033). Higher social support levels were associated with lower levels of depressive symptoms (B = −0.08, p = 0.001). Our findings suggest that interventions providing social support to adolescents who experience abuse may be beneficial in reducing depressive symptoms.

  • Open Access Icon
  • Research Article
  • 10.3390/adolescents5030041
Unheard and Unseen: A Systematic Literature Review of Emotional Abuse Among Indian Adolescents
  • Aug 1, 2025
  • Adolescents
  • Afreen Waseem + 1 more

Background: Emotional abuse is both prevalent and underrecognized particularly in culturally complex settings like India. Adolescents, being in a critical developmental phase, are especially vulnerable to the long-lasting psychological effects of emotional abuse. This qualitative literature review aims to synthesize findings from primary studies that explore the lived experiences of emotional abuse among Indian adolescents and identify emerging patterns across sociocultural contexts. Method: Electronic databases, including DOAJ, Google Scholar, ProQuest, JSTOR, Pubmed, PsycNet, and SCOPUS, were searched for peer-reviewed articles published in English up to March 2025. Inclusion criteria comprised qualitative or mixed-methods research focusing on emotional abuse among adolescents aged 12–20 in Indian contexts. The Critical Appraisal Skills Programme (CASP) was used for quality assessment. Results: Five major thematic domains were identified across the included studies: (1) Family as a primary site of emotional abuse; (2) Gendered experiences of abuse; (3) Cultural normalization and silence; (4) Psychological and emotional consequences; and (5) Coping and resilience among adolescents. These themes reflect shared experiences of emotional abuse shaped by cultural, familial, and gender-based expectations. Conclusions: This review highlights the urgent need for increased awareness and culturally sensitive interventions addressing emotional abuse in Indian adolescents. The findings suggest that parents, educators, and policymakers must recognize emotionally harmful behaviors and implement prevention-oriented strategies, particularly through non-violent communication and adolescent mental health support frameworks.