Abstract
Physical activity is highly correlated with social media dependence in adolescence, but the underlying mechanisms between these variables require further investigation. This study suggests two potential psychological pathways linking physical activity and social media dependence in adolescence, with depression potentially serving as a mediating factor and difficulty describing feelings acting as a moderating factor. A self-reported survey was conducted with 3,247 Chinese adolescents, including measures of physical activity, social media dependence, depression, and difficulty describing feelings. Descriptive statistics and correlation analyses were performed on these variables, and a mediation-moderation model was developed. Physical activity showed a significant negative correlation with social media dependence, depression, and difficulty describing feelings. Additionally, depression was positively correlated with both social media dependence and difficulty describing feelings, and difficulty describing feelings was positively correlated with social media dependence. Furthermore, difficulty describing feelings moderated the relationship between depression and social media dependence in adolescence. This study provides further insights into the psychological mechanisms underlying the relationship between physical activity and social media dependence in adolescence. Depression serves as a mediating factor, while difficulty describing feelings acts as a moderating factor in the relationship between depression and social media dependence. These findings enhance our understanding of the role of depression and difficulty describing feelings in the relationship between physical activity and social media dependence, offering valuable implications for more comprehensive and targeted interventions aimed at reducing social media dependence among adolescents.
Similar content being viewed by others
Introduction
With the rapid development of smart electronic devices and social networks, social media has gradually become an integral part of daily life, serving as an important platform for acquiring information and enhancing social interactions1. Despite its widespread use bringing convenience to daily activities, excessive use may lead to dependence and addiction2. Global data indicates that 62.3% of the population uses social media, with an average daily usage of 2 h and 23 min3. Adolescents and young people are the most frequent users, with a usage rate of 93–97%, spending about 3 h daily on social media platforms4. Among all studied groups, adolescents exhibit the highest prevalence of social media dependence (35%), compared to university students (23%) and community adults (19%)5. The adolescent stage emphasizes the construction of social relationships, and forming close interpersonal bonds is one of its developmental tasks6. Adolescents’ active use of social media helps in forming close relationships7and in China, social media has become a crucial tool for identity formation and socialization among adolescents8. However, when social media is not used in moderation, adolescents are more prone to developing social media dependence compared to other age groups9. Inspired by the addiction syndrome model10social media dependence use is considered a multifaceted and complex behavior, typically resulting from the interaction between distal factors (such as psychosocial vulnerabilities and personality traits) and proximal factors (such as negative life events). These interactions may lead to excessive engagement with social media platforms, a pattern that is further reinforced through behavioral and emotional rewards11. Social media dependence, as a primary manifestation of internet addiction, is defined as excessive engagement with social media, driven by a strong motivation to log in or use social media, leading to significant time and energy investments at the cost of other social activities, learning/work, relationships, and/or mental health and well-being12. This dependence results in excessive, compulsive use of social media platforms, interfering with daily life and causing negative consequences for physical, social, and mental health11. Although social media dependence is not officially listed as a disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), related studies indicate that excessive use significantly impairs individual well-being13. Given the high prevalence of social media dependence among adolescents and its negative impacts14it is crucial to explore its contributing factors in greater depth to develop effective prevention and intervention strategies.
Previous studies have shown a strong correlation between physical activity and social media dependence in adolescence15. Physical activity is an indispensable component of daily life, encompassing not only high-intensity exercises such as running and swimming but also low-intensity activities commonly found in learning and work settings, such as sitting, standing, and walking. The American College of Sports Medicine (ACSM) defines physical activity as any voluntary body movement produced by skeletal muscles that requires energy expenditure, ranging from minor daily activities to specific exercises, and can be performed at any time or intensity16,17. Regular physical activity is crucial for promoting a healthy lifestyle, having positive effects on cardiovascular, respiratory, nervous, and musculoskeletal systems, while also improving mood and reducing the risk of lifestyle-related diseases18. In contrast, insufficient physical activity and excessive dependence on internet use can lead to a sedentary lifestyle, which over time negatively impacts physical health, reduces quality of life, and increases the incidence of mental health issues19. An increasing body of research indicates a significant negative correlation between physical activity and social media dependence15,20;with physical activity also being shown to alleviate symptoms of social media dependence21. As a comprehensive intervention, physical activity can address individual behavior from multiple dimensions: physiologically, it alleviates addiction symptoms by improving brain function and regulating neurotransmitters like dopamine; psychologically, it reduces negative emotions such as anxiety22,23,24,25,26 and depression27,28, enhancing psychological resilience29,30; socially, it provides adolescents with offline social opportunities, helping to replace some online social needs31. A meta-analysis concluded that physical activity interventions significantly reduce the incidence of social media dependence, especially in adolescents, where the effect is most pronounced32. Based on this literature review, this study hypothesizes that there is a negative correlation between physical activity and social media dependence in adolescence.
Depression may serve as a potential mediator in the relationship between physical activity and social media dependence in adolescence. Depression is a leading cause of the global burden of mental health-related diseases and is the primary cause of disability worldwide, affecting approximately 280 million people33. The onset of depression typically occurs during adolescence, marking a critical window for identifying modifiable risk factors and implementing interventions to prevent depression in later life34. Depression is a significant public health issue among adolescents. A recent meta-analysis reported that the combined prevalence of mild-to-moderate, moderate-to-severe, and severe depression was 21.3%, 18.9%, and 3.7%, respectively, with the prevalence of depression increasing over time35. As a high-risk mental disorder among youth, depression is characterized by symptoms such as lack of energy or sadness. Research indicates that physical activity is an effective method for addressing mental health issues in adolescents36. Active participation in physical activity is negatively correlated with the risk of depression27,28,37,38,39;and individuals who engage in higher levels of physical activity are 21% less likely to experience depression than those who engage in lower levels40. Meta-analyses have also found that low physical activity and poor cardiovascular fitness (CRF) are associated with a higher risk of depression41. Physical activity exerts antidepressant effects through various biological and psychosocial pathways, such as stimulating neurotrophic factors, activating the neuroendocrine system, and improving brain function in areas related to depression42. Moreover, psychosocial factors (e.g., self-esteem, self-efficacy, social support) may interact with biological changes to mediate the effects of physical activity on depression43. Increasing evidence supports the significant role of depression in social media dependence44. According to the mood-enhancement hypothesis, individuals experiencing negative emotions are more likely to use leisure activities, such as social media, to alleviate stress45. Depressed individuals often turn to social media to regulate their emotions, leading them to spend more time on these platforms46. Although depressed adolescents crave social interaction, they tend to avoid face-to-face socializing due to fear of offline interactions47. Social media, on the other hand, provides an easier platform for self-presentation48. In face-to-face interactions, they anticipate negative evaluations, making them more likely to immerse themselves in social networks to avoid the possibility of rejection49. Studies show that depressed adolescents prefer online socializing to compensate for their social skill deficits, a preference that can lead to compulsive social media use and ultimately develop into social media dependence27,3950,51,52,53. The I-PACE model identifies depression as a key factor in social media dependence54and research indicates that depression is positively correlated with the severity of social media dependence55significantly increasing the risk of social media dependence among Chinese adolescents56. Further meta-analyses confirm the positive correlation between depression and social media dependence, showing that depressed adolescents are at higher risk of developing social media dependence57. Based on this review, we hypothesize that depression mediates the relationship between physical activity and social media dependence in adolescence.
When individuals possess certain personality traits, the relationships among the aforementioned variables may be amplified, thus exacerbating the development of maladaptive behaviors. One such critical variable is difficulty describing feelings58. Difficulty describing feelings is one of the key dimensions of alexithymia59which refers to a deficiency in self-awareness of emotional states. This condition is characterized by difficulties in identifying and describing emotions and the bodily sensations triggered by emotions, along with a reduction in imaginative activities and tendencies toward externally oriented thinking60. Alexithymia is often associated with an externally focused cognitive style, where individuals are more attuned to external events than to their internal emotional experiences61. This disorder is considered a manifestation of impaired emotional cognition, processing, and regulation. Research indicates that the prevalence of alexithymia among Chinese students is as high as 37.7%62, which may be attributed to cultural differences that influence emotional expression and recognition. This higher prevalence suggests that Chinese university students may experience alexithymia at rates greater than students from other countries63. Alexithymia has been identified as a transdiagnostic risk factor for various emotion-related psychopathologies, particularly in the fields of behavioral addiction and substance abuse64. Studies have also shown that various dimensions of alexithymia are significantly associated with social media dependence, with difficulty describing feelings being particularly closely related to social media dependence65. Difficulty describing feelings is considered a potential risk factor for multiple psychological issues and maladaptive behaviors66. Specifically, it weakens an individual’s ability to accurately label emotional experiences, which hampers emotional expression and adversely impacts interpersonal relationships, ultimately increasing psychological distress28,53,67,68,69. When individuals are unable to effectively process negative emotions, many tend to turn to social media as an emotion regulation tool, seeking temporary emotional relief70. Additionally, impaired emotional description abilities may affect an individual’s emotional regulation and social support systems, significantly increasing the risk of social media dependence71. Therefore, based on the existing research, we hypothesize that difficulty describing feelings moderates the relationship between depression and social media dependence in adolescence.
In summary, previous research has explored the relationship between physical activity and social media dependence, as well as their predictive roles, but the underlying mechanisms remain underexplored. To further contribute to this field and investigate the underlying psychological mechanisms, this study introduces depression as a mediator and difficulty describing feelings as a moderator. Therefore, we propose a hypothetical path model (see Fig. 1) to investigate the interplay between these variables and their effect on social media dependence in adolescence.
Methods
Participants
The survey was conducted in October 2024 using a convenience sampling method. A total of 3,375 adolescents from four secondary schools in Hunan and Sichuan provinces, China, participated in the cross-sectional study. The survey was conducted using paper-based questionnaires distributed in group sessions. The participants were informed about the survey’s purpose, the anonymity and confidentiality of their responses, and the data usage. Informed consent was obtained from both the participants and their guardians. On average, it took participants approximately 10 min to complete the questionnaire. The study received approval from the Medical Ethics Committee of the institution to which the authors are affiliated, ensuring that the research design and data collection process adhered to ethical and legal standards. All procedures complied with the standards and guidelines set by the ethics committee, which further enhanced the reliability of the study and participants’ trust. The collected data were screened, and questionnaires were excluded if they contained identical answers for consecutive items, incomplete responses, or exhibited patterns such as waves. After excluding invalid questionnaires, 3,247 valid responses were retained (1,617 boys and 1,633 girls), with a mean age of 14.82 years (SD = 1.404).
Measures
Physical activity
Physical activity was assessed using the Physical Activity Scale developed by Liang Deqing72. This scale consists of three items, which include intensity, duration, and frequency. Each item has five levels, with intensity and frequency scored from 1 to 5, and duration scored from 0 to 4. The physical activity score is derived by multiplying the scores for each item. Higher scores indicate higher levels of physical activity. In the current sample, the scale’s Cronbach’s alpha was 0.638.
Social media dependence
Social media dependence was assessed using the Bergen Social Media Addiction Scale (BSMAS)73. The BSMAS contains six items74each rated on a five-point Likert scale ranging from 1 (rarely) to 5 (often). A higher total score on the BSMAS indicates a greater level of social media dependence75. The Cronbach’s alpha for this scale in the current study was 0.800.
Depression
Depression was assessed using the Patient Health Questionnaire-2 (PHQ-2), which evaluates depressive symptoms over the past two weeks. The PHQ-2 is a widely used tool for screening depression, utilizing a four-point Likert scale ranging from 1 (not at all) to 4 (nearly every day). The scale contains two items that assess symptoms of depressed mood and anhedonia, with a total score ranging from 2 to 8 points76. Research has shown that the PHQ-2 demonstrates good reliability and validity in both adolescent and adult populations. In this study, the Cronbach’s alpha for the PHQ-2 was 0.715.
Difficulty describing feelings
The difficulty describing feelings subscale of the Toronto Alexithymia Scale (TAS), developed by Bagby et al.77 and revised by Zhu et al.78was used to assess the level of difficulty describing feelings among adolescents. The subscale consists of five items, rated on a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree), with a total score ranging from 5 to 25. Higher scores indicate greater difficulty in describing feelings. The Cronbach’s alpha for this scale in the current study was 0.882.
Data processing and analysis
Statistical analysis was performed using SPSS 26.0 software. First, a method bias test was conducted, with a threshold of 40% indicating no significant common method bias79. Descriptive statistics and correlation analysis were performed for the participants’ demographic characteristics and key variables. Prior to further analysis, the data for the key variables were standardized. To test the hypotheses, we used the PROCESS plugin in SPSS (Models 4 and 14) to examine the relationship between physical activity and social media dependence, exploring the mediating role of depression and the moderating role of difficulty describing feelings80. A bootstrap resampling procedure with 5,000 iterations was used to assess model fit and estimate 95% confidence intervals (95% CI), ensuring robustness in data analysis81. Demographic variables (age, gender, grade, residence, only-child status, and boarding status) were controlled for in the analyses. A significance level of 0.05 was applied.
Results
Common method Bias test
The results of the common method bias test revealed four factors with eigenvalues greater than 1. The first factor accounted for 20.24% of the total variance, which is below the 40% threshold. This suggests that there is no significant risk of common method bias in this study.
Descriptive analysis
Descriptive statistics for demographic variables are presented in Table 1.
As shown in Table 2, significant gender differences were observed for physical activity (t = 8.86, p < 0.001), social media dependence (t = −4.62, p < 0.05), depression (t = −4.16, p < 0.001), and difficulty describing feelings (t = −3.50, p < 0.001). Specifically, boys scored higher than girls in physical activity, while girls scored higher than boys in social media dependence and depression. Additionally, girls had higher scores than boys in difficulty describing feelings.
Significant differences were also found between residence location for physical activity (t = 5.36, p < 0.001), social media dependence (t = −2.62, p < 0.01), depression (t = −2.32, p < 0.05), and difficulty describing feelings (t = −2.77, p < 0.01). Specifically, adolescents living in urban areas scored higher in physical activity, whereas those living in rural areas scored higher in social media dependence, depression, and difficulty describing feelings.
Significant differences were also observed based on the only child status for physical activity (t = 7.70, p < 0.001), social media dependence (t = −3.35, p < 0.01), depression (t = −5.00, p < 0.001), and difficulty describing feelings (t = −4.84, p < 0.01). Specifically, only children scored higher in physical activity, while non-only children scored higher in social media dependence, depression, and difficulty describing feelings.
Finally, significant differences were found in terms of boarding status for physical activity (t = −3.19, p < 0.001), depression (t = 2.96, p < 0.01), and difficulty describing feelings (t = 2.99, p < 0.01). Adolescents not living in dormitories scored higher in physical activity, while those living in dormitories scored higher in depression and difficulty describing feelings.
Correlation analysis
The results presented in Table 3 indicate significant negative correlations between physical activity and social media dependence (r = −0.112, p < 0.001), depression (r = −0.116, p < 0.001), and difficulty describing feelings (r = −0.128, p < 0.001). Furthermore, social media dependence showed significant positive correlations with both depression (r = 0.363, p < 0.001) and difficulty describing feelings (r = 0.367, p < 0.001). Additionally, depression and difficulty describing feelings were positively correlated (r = 0.500, p < 0.001).
Mediation model testing
After controlling for demographic variables, the results in Table 4 demonstrate that physical activity significantly negatively predicted social media dependence (β = −0.086, p < 0.001). When the mediator variable was included, physical activity remained a significant negative predictor of social media dependence (β = −0.055, p < 0.01). Moreover, when testing the mediation model, physical activity significantly negatively predicted depression (β = −0.089, p < 0.001), and depression significantly positively predicted social media dependence (β = 0.348, p < 0.001). The specific mediation pathways are presented in Table 5. The detailed effect model and paths are shown in Fig. 2.
Moderated mediation analysis
The results from Table 6; Fig. 3, and Fig. 4 indicate that after introducing the moderating variables, the predictive effect of depression on social media dependence remained significant (β = 0.285, p < 0.001). Additionally, difficulty describing feelings significantly predicted social media dependence (β = 0.141, p < 0.001), and the interaction term between depression and difficulty describing feelings significantly predicted social media dependence (β = 0.037, p < 0.05). Further analysis revealed that different levels (low, medium, high) of difficulty describing feelings significantly positively moderated the effect of depression on social media dependence (see Table 7).
Discussion
This study examined the relationships among physical activity, social media dependence, depression, and difficulty describing feelings in adolescence. Additionally, we discussed in detail the mediating role of depression and the moderating role of difficulty describing feelings. Our findings reveal that physical activity is significantly negatively correlated with social media dependence, depression, and difficulty describing feelings. Moreover, depression is positively correlated with both social media dependence and difficulty describing feelings, while difficulty describing feelings is positively correlated with social media dependence. After controlling for demographic variables, depression was found to mediate the relationship between physical activity and social media dependence, and difficulty describing feelings significantly moderated this relationship, confirming our initial hypotheses.
This study demonstrates that physical activity has a significant direct negative effect on social media dependence in adolescents, which aligns with findings from similar studies15,82,83. The mechanisms underlying the effect of physical activity on social media dependence are complex. Physical activity may influence social media dependence through a series of neurobiological and psychosocial mechanisms. Neurobiological mechanisms may include processes like neuroplasticity and the gut microbiota. Disruption of neuroplasticity pathways could lead to the pathophysiology of social media dependence84while physical activity may improve neuroplasticity by enhancing neurogenesis85 and synaptic plasticity86. Emerging evidence in the field of substance addiction suggests that the gut–brain axis may play a role in modulating addictive behaviors through neuroimmune and microbiota-related pathways87. While this mechanism is not yet established in the context of behavioral addictions, it is possible that physical activity could indirectly influence social media use patterns by improving neurobiological functioning associated with emotional regulation and reward sensitivity88. Furthermore, previous research has suggested that physical activity aligns with the explanatory principles of the social media dependence model and can serve as an effective prevention and intervention method89. While not directly examined in this study, previous research suggests that cognitive-behavioral models may help explain how physical activity contributes to reduced problematic social media use. These models highlight the role of maladaptive cognitions and impaired self-regulation in maintaining excessive digital behaviors90. Given evidence that physical activity can improve executive function and emotional regulation, it may indirectly reduce vulnerability to problematic social media use91. When physical activity involves coordination of cognitive tasks, the structure and function of these tasks are crucial for cognitive operations, and physical activity may enhance cognitive performance92. Studies have shown a moderate positive correlation between physical activity and cognitive functions, particularly executive functions such as attention control, inhibitory control, and decision-making93. These capacities are crucial in managing impulses and resisting the urge for excessive social media use22,26,52,94,95,96,97,98,99,100,101. When physical activity involves cognitive engagement—such as coordination, planning, or teamwork—it may enhance brain regions involved in self-regulation. These enhancements can, in turn, improve adolescents’ ability to manage emotional distress and delay gratification, thereby reducing reliance on social media as a maladaptive coping strategy102. In summary, these mechanisms help explain our finding that physical activity is significantly negatively correlated with social media dependence in adolescents. In summary, the evidence presented in this study supports our hypothesis that physical activity is significantly negatively correlated with social media dependence in adolescents.
This study found that depression mediates the relationship between physical activity and social media dependence in adolescence, which aligns with our initial hypothesis. Previous research has established a strong negative correlation between physical activity and depression in adolescents103while the relationship between depression and social media dependence has also been well-supported104including studies within the Chinese context105. The relationship between physical activity and depression can be explained through several mechanisms. Physical activity may influence depression through a range of biological and psychosocial mechanisms, including aspects such as self-esteem, social support, and self-efficacy. Adolescents with depression often exhibit low self-esteem, and the relationship between self-esteem and depression may be cyclical, with low self-esteem exacerbating depressive symptoms106. The exercise and self-esteem model107 suggests that increases in self-esteem are crucial for enhancing the mood-boosting effects of physical activity. Studies using structural equation modeling have found that self-esteem or physical self-concept mediates the relationship between physical activity and depression108 tasks, leading to feelings of frustration and worsening depressive symptoms109. Exercise can help improve self-efficacy, which may extend to other areas and mitigate depressive symptoms110. Additionally, individuals with depression frequently report a lack of social support111and adequate social support is protective against depression27,112. Physical activity may enhance social support by providing social opportunities, thus acting as a buffer in the development of depression113. The stress-buffering model114 conceptualizes the role of social support in mitigating the harmful effects of stress on negative outcomes, suggesting that social support can buffer the impact of stress on negative consequences114. The biological mechanisms through which physical activity may prevent or treat depression include neuroplasticity, the gut microbiota, neuroinflammation, and oxidative stress. Disruption of neuroplasticity pathways is considered a key factor in the pathophysiology of depression115with the hippocampus being one of the most affected regions in individuals with depression116. This area is linked to processes related to depression, such as emotional regulation117 and stress management118. Recent systematic reviews have shown that physical activity can reduce the risk of depression by increasing the volume of the hippocampus and the prefrontal and anterior cingulate cortices in healthy participants119,120; as well as by enhancing the circulation of several neurotrophic factors121. Dysfunction of the gut-brain axis is considered foundational in depression, and physical activity may alleviate depression by regulating the gut microbiota, increasing short-chain fatty acids (SCFAs) in the gut, and enhancing brain-derived neurotrophic factor (BDNF) and GLP-1 levels122,123. Neuroinflammation may also play a role in the pathophysiology of depression124and several meta-analyses have shown that physical activity interventions can reduce the risk of depression by lowering the levels of various circulating inflammatory markers (e.g., IL-6, IL-18, CRP, leptin, fibrinogen, and angiotensin II)125,126. Oxidative stress pathways are believed to contribute to the pathophysiology of depression and other psychiatric disorders127. Research has indicated that long-term physical activity is associated with lower levels of oxidative stress markers, such as serum thiobarbituric acid-reactive substances (TBARS). Furthermore, depression is an unpleasant emotional state, and many adolescents with depression tend to have introverted personalities and are reluctant to communicate with peers. However, social media provides an avenue for these adolescents to escape or even eliminate negative emotions, which may ultimately lead to excessive internet use128. According to the social compensation theory129individuals experiencing negative emotions are more likely to seek support from the virtual world of social networks, using these platforms to alleviate negative emotions and/or the stress or depression related to dysfunction in their lives130,131,132. Adolescents who experience depression and stress may overuse social media to cope and alter their depressive symptoms, and this overuse can lead to conflicts with real-world obligations and desires. Withdrawal attempts, if unsuccessful, may increase stress. As a result of these conflicts or emotional changes, social media dependence may be further exacerbated. Reduced depression may decrease the likelihood of adolescents engaging in excessive or problematic social media use as a maladaptive coping strategy133. This interpretation is consistent with the Compensatory Internet Use Theory (CIUT), which suggests that individuals with negative emotional states often turn to digital platforms for relief134. Similarly, the I-PACE model posits that predisposing emotional vulnerabilities like depression influence internet-related addictive behaviors through maladaptive cognitive and affective responses54. Together, these models support the pathway whereby physical activity alleviates depression, which then contributes to lower social media dependence. This explanation is supported by previous cross-sectional and longitudinal studies in the field of addiction psychology135.
This study found that difficulty describing feelings moderates the relationship between depression and social media dependence in adolescence, supporting our initial hypothesis. Individuals with difficulty describing feelings experience significant challenges in understanding both their own and others’ emotions. They often struggle to accurately identify others’ emotions and have difficulty recognizing or appropriately expressing their own emotions136. This limitation in emotional expression tends to lead to the accumulation of negative emotions, which may not be promptly released or processed. Consequently, social media is viewed as an ideal platform for alleviating negative emotions and escaping from reality137. According to the general strain theory138individuals with difficulty describing feelings are likely to encounter misunderstandings and interpersonal tension due to their struggles in expressing and communicating emotions. This can lead to increased social stress139which exacerbates feelings of isolation and loneliness. In such a context, individuals may turn to social media to fulfill social and emotional needs. The compensatory internet use theory140 further suggests that negative interpersonal relationships and emotional states may drive individuals toward social media as a coping mechanism to fulfill social needs and alleviate negative emotions. Additionally, the anxiety-avoidance hypothesis141 posits that for individuals with difficulty describing feelings, social media may serve as a way to escape the challenges of real life, potentially leading to social media dependence. In summary, our findings confirm that difficulty describing feelings plays a significant moderating role in the relationship between depression and social media dependence, further validating our hypothesis.
This study extends previous research by examining the relationships among physical activity, social media dependence, depression, and difficulty describing feelings, with particular attention to how difficulty describing feelings moderates the relationship between depression and social media dependence. The results reveal that physical activity is significantly negatively correlated with social media dependence, depression, and difficulty describing feelings. This suggests that active participation in physical activity can effectively reduce adolescents’ engagement in social media dependence, alleviate depressive symptoms, and enhance their ability to describe emotions. Furthermore, a significant positive correlation was found between depression and both social media dependence and difficulty describing feelings, emphasizing that depression may serve as a key psychological mechanism driving social media dependence in adolescence, with difficulty describing feelings intensifying this relationship. Difficulty describing feelings was found to moderate the relationship between depression and social media dependence, indicating that it may exacerbate adolescents’ dependence on social media when they face depressive emotions. This finding offers a new perspective on the psychological mechanisms underlying social media dependence and suggests that difficulty describing feelings could be an important risk factor for adolescents’ social media dependence. Given these findings, schools and families should pay particular attention to adolescents who have experienced adverse life events such as childhood maltreatment94,142,143,144,145school bullying95,96,146,147,148and family conflicts, as well as those who frequently experience negative emotions or possess certain personality traits. These factors not only increase the risk of technology addiction but also contribute to poorer sleep quality149. In view of the cumulative effects of these risk factors, it is essential to actively implement targeted protective interventions, including providing stable family support to enhance adolescents’ sense of security and emotional belonging, encouraging physical activity to promote physical and mental health and improve emotional regulation, and strengthening cognitive training to enhance their ability to cope with negative emotions and stress. Our study not only enriches the theoretical framework on adolescent mental health and social media behavior but also provides practical guidance for future interventions. Promoting physical activity and improving emotion expression abilities, alongside targeted support for vulnerable adolescents, may effectively alleviate depressive symptoms150 and reduce the risk of social media dependence, offering scientific support for mental health interventions and prevention strategies for adolescents.
However, there are several limitations in this study. First, the data primarily relied on self-reports, which may be influenced by subjective biases, memory errors, or lack of information, potentially affecting the objectivity and accuracy of the data. Second, the sample may lack diversity, limiting the external validity and generalizability of the findings. Lastly, since this study employed a cross-sectional design, causal relationships between variables cannot be definitively established. Future research could use longitudinal studies to further explore the causal mechanisms between physical activity, depression, difficulty describing feelings, and social media dependence.
Conclusion
This study aimed to explore the relationships between physical activity, depression, difficulty describing feelings, and social media dependence in adolescence, and to analyze the mediating and moderating roles of depression and difficulty describing feelings. The results indicate that physical activity is significantly negatively correlated with social media dependence, depression, and difficulty describing feelings, suggesting that higher levels of physical activity help reduce adolescents’ social media dependence, alleviate depressive symptoms, and improve emotion description abilities. In addition, depression is significantly positively correlated with both social media dependence and difficulty describing feelings, indicating that depressive emotions play an important role in promoting social media dependence, with difficulty describing feelings further intensifying this relationship. Further analysis revealed that difficulty describing feelings moderates the relationship between depression and social media dependence, confirming that difficulty describing feelings is a crucial factor influencing adolescents’ social media dependence. Adolescents with difficulty describing feelings are more likely to accumulate negative emotions and may turn to social media to escape from real-life challenges and emotional issues, thus exacerbating addictive behaviors. In conclusion, physical activity directly influences social media dependence and emotional states, and indirectly reduces the risk of social media dependence by alleviating depressive symptoms and other psychological distress. Difficulty describing feelings, as an important moderating factor, significantly impacts the relationship between depression and social media dependence in adolescents. The findings provide theoretical foundations and practical insights for adolescent mental health interventions and the prevention of social media dependence, suggesting that interventions should focus on promoting physical activity and enhancing emotion expression abilities.
Data availability
The datasets generated and/or analysed during the current study are not publicly available due [our experimental team’s policy] but are available from the corresponding author on reasonable request.
References
Al-Khani, A. M. et al. Internet addiction in Gulf countries: A systematic review and Meta-Analysis. J. Behav. Addict. 10, 601–610 (2021).
Caner, N., Efe, Y. S. & Başdaş, Ö. The contribution of social media addiction to adolescent life: social appearance anxiety. Curr. Psychol. 41, 8424–8433 (2022).
Research, G. S. M. S. The Most Recent and Relevant Statistics to Help Inform Your Social Media Marketing Strategy. (2024). Available at: https://www.smartinsights.com/social-media-marketing/social-media-strategy/new-global-social-media-research/ (Accessed: 2024/8/7 spetember 2024).
Vannucci, A., Simpson, E. G., Gagnon, S. & Ohannessian, C. M. Social media use and risky behaviors in adolescents: A Meta-Analysis. J. Adolesc. 79, 258–274 (2020).
Cheng, C., Lau, Y., Chan, L. & Luk, J. W. Prevalence of social media addiction across 32 nations: Meta-Analysis with subgroup analysis of classification schemes and cultural values. Addict. Behav. 117, 106845 (2021).
Erikson, E. H. Childhood and Society (W W Norton & Co, 1950).
Boer, M. et al. Adolescents’ intense and problematic social media use and their Well-Being in 29 countries. J. Adolesc. Health. 66, S89–S99 (2020).
Jackson, L. A. & Wang, J. Cultural differences in social networking site use: A comparative study of China and the united States. Comput. Hum. Behav. 29, 910–921 (2013).
Teng, X., Lei, H., Li, J. & Wen, Z. The effect of social anxiety on social network addiction among college students: the moderating role of intentional self-regulation. Chin. J. Clin. Psychol. 29 (3), 514–517 (2021).
Fournier, L. et al. Deconstructing the components model of addiction: an illustration through addictive use of social media. Addict. Behav. 143, 107694 (2023).
Andreassen, C. S. & Pallesen, S. Social network site Addiction - An overview. Curr. Pharm. Des. 20, 4053–4061 (2014).
van den Eijnden, R. J. J. M., Lemmens, J. S. & Valkenburg, P. M. The social media disorder scale. Comput. Hum. Behav. 61, 478–487 (2016).
Akhtar, N. et al. Unveiling mechanism of Snss addiction on wellbeing: the moderating role of loneliness and social anxiety. Behav Inf. Technol 1–20 (2024).
Ciacchini, R. et al. Social Media in Adolescents: A Retrospective Correlational Study On Addiction. Children-Basel. 10, (2023).
Huang, P. C. et al. Temporal associations between physical activity and three types of problematic use of the internet: A Six-Month longitudinal study. J. Behav. Addict. 11, 1055–1067 (2022).
Pedišić, Ž. Measurement issues and poor adjustments for physical activity and sleep undermine sedentary behaviour Research—the focus should shift to the balance between sleep, sedentary behaviour, standing and activity. Kinesiology 46, 135–146 (2014).
Garland, T. J. et al. The biological control of voluntary exercise, spontaneous physical activity and daily energy expenditure in relation to obesity: human and rodent perspectives. J. Exp. Biol. 214, 206–229 (2011).
Marconcin, P. et al. The association between physical activity and mental health during the first year of the Covid-19 pandemic: A systematic review. Bmc Public. Health. 22, 209 (2022).
Zalewska, A., Gałczyk, M., Sobolewski, M. & Fernandes, H. Internet addiction and physical activity among Polish and Portuguese students in the final year of the Covid-19 pandemic. J Clin. Med 12, (2023).
Brailovskaia, J. & Margraf, J. Relationship between depression symptoms, physical activity, and addictive social media use. Cyberpsychology Behav. Soc. Netw. 23, 818–822 (2020).
Koçak, Ç. How does regular exercise affect internet addiction level in university students?? Phys. Educ. Stud. 23, 186–190 (2018).
Liu, Y., Xiao, T., Zhang, W., Xu, L. & And Zhang, T. The Relationship Between Physical Activity and Internet Addiction Among Adolescents in Western China: A Chain Mediating Model of Anxiety and Inhibitory Control. Psychology, Health & Medicine. 29, 1602–1618 (2024).
Xiao, T., Pan, M., Xiao, X. & Liu, Y. The Relationship Between Physical Activity and Sleep Disorders in Adolescents: A Chain-Mediated Model of Anxiety and Mobile Phone Dependence. Bmc Psychol. 12, 751 (2024).
Wang, J., Xiao, T., Liu, Y., Guo, Z. & Yi, Z. The Relationship Between Physical Activity and Social Network Site Addiction Among Adolescents: The Chain Mediating Role of Anxiety and Ego-Depletion. Bmc Psychol. 13, 477 (2025).
Peng, J. et al. Physical and Emotional Abuse with Internet Addiction and Anxiety as a Mediator and Physical Activity as a Moderator. Sci. Rep. 15, 2305 (2025).
Liu, Y. et al. The Chain Mediating Effect of Anxiety and Inhibitory Control and the Moderating Effect of Physical Activity Between Bullying Victimization and Internet Addiction in Chinese Adolescents. J. Genet. Psychol. 1–16 (2025).
Liu, Y. et al. The Relationship Between Family Support and Internet Addiction Among Adolescents in Western China: The Chain Mediating Effect of Physical Exercise and Depression. Bmc Pediatr. 25, 397 (2025).
Yi, Z., Wei, L., Xu, L., Pang, W. & Liu, Y. Chain-Mediation Effect of Cognitive Flexibility and Depression On the Relationship Between Physical Activity and Insomnia in Adolescents. Bmc Psychol. 13, 587 (2025).
Shen, Q. et al. The Chain Mediating Effect of Psychological Inflexibility and Stress Between Physical Exercise and Adolescent Insomnia. Sci. Rep. 14, 24348 (2024).
Gan, Y. et al. A Chain Mediation Model of Physical Exercise and Brainrot Behavior Among Adolescents. Sci. Rep. 15, 17830 (2025).
Zhang, W. & Xu, R. Effect of Exercise Intervention On Internet Addiction and Autonomic Nervous Function in College Students. Biomed Res. Int. 5935353 (2022). (2022).
Liu, J., Nie, J. & Wang, Y. Effects of group counseling programs, cognitive behavioral therapy, and sports intervention on internet addiction in East asia: A systematic review and Meta-Analysis. Int J. Environ. Res. Public. Health 14, (2017).
Global Burden of 369. Diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the global burden of disease study 2019. Lancet 396, 1204–1222 (2020).
Patton, G. C. et al. The prognosis of common mental disorders in adolescents: A 14-Year prospective cohort study. Lancet 383, 1404–1411 (2014).
Lu, B., Lin, L. & Su, X. Global burden of depression or depressive symptoms in children and adolescents: A systematic review and Meta-Analysis. J. Affect. Disord. 354, 553–562 (2024).
Li, J., Zhou, X., Huang, Z. & Shao, T. Effect of exercise intervention on depression in children and adolescents: A systematic review and network Meta-Analysis. Bmc Public. Health. 23, 1918 (2023).
McDowell, C. P., Dishman, R. K., Gordon, B. R. & Herring, M. P. Physical activity and anxiety: A systematic review and Meta-Analysis of prospective cohort studies. Am. J. Prev. Med. 57, 545–556 (2019).
Martínez-Calderon, J., Casuso-Holgado, M. J., Muñoz-Fernandez, M. J., Garcia-Muñoz, C. & Heredia-Rizo, A. M. Yoga-Based interventions May reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: A systematic review with Meta-Analysis and Meta-Regression. Br. J. Sports Med. 57, 1442–1449 (2023).
Jia, W. et al. Physical Exercise Moderates the Mediating Effect of Depression Between Physical and Psychological Abuse in Childhood and Social Network Addiction in College Students. Sci. Rep. 15, 17869 (2025).
Herring, M. P., O’Connor, P. J. & Dishman, R. K. The effect of exercise training on anxiety symptoms among patients: A systematic review. Arch. Intern. Med. 170, 321–331 (2010).
Kandola, A., Ashdown-Franks, G., Stubbs, B., Osborn, D. & Hayes, J. F. The association between cardiorespiratory fitness and the incidence of common mental health disorders: A systematic review and Meta-Analysis. J. Affect. Disord. 257, 748–757 (2019).
Dohnalová, L. et al. A Microbiome-Dependent Gut–Brain pathway regulates motivation for exercise. Nature 612, 739–747 (2022).
Brellenthin, A. G., Crombie, K. M., Hillard, C. J. & Koltyn, K. F. Endocannabinoid and mood responses to exercise in adults with varying activity levels. Med. Sci. Sports Exerc. 49, 1688–1696 (2017).
Foroughi, B., Griffiths, M. D., Iranmanesh, M. & Salamzadeh, Y. Associations Between Instagram Addiction, Academic Performance, Social Anxiety, Depression, and Life Satisfaction Among University Students. Int. J. Mental Health Addict. No Pagination Specified-No Pagination Specified (2021).
Bryant, J. & Zillmann, D. Using television to alleviate boredom and stress: selective exposure as a function of induced excitational States. J. Broadcast. 28, 1–20 (1984).
Nelson, J., Klumparendt, A., Doebler, P. & Ehring, T. Everyday emotional dynamics in major depression. Emotion 20, 179–191 (2020).
Kashdan, T. B., Elhai, J. D. & Breen, W. E. Social anxiety and disinhibition: an analysis of curiosity and social rank appraisals, Approach-Avoidance conflicts, and disruptive Risk-Taking behavior. J. Anxiety Disord. 22, 925–939 (2008).
Chen, B., Sun, X., Huang, X. & Yao, L. Examining the reciprocal link between social anxiety and social relationships spanning from childhood to adulthood: A Meta-Analysis of longitudinal studies. Dev. Psychol. 60, 170–186 (2024).
Shensa, A. et al. Problematic social media use and depressive symptoms among U.S. Young adults: A Nationally-Representative study. Soc. Sci. Med. 182, 150–157 (2017).
Day, O., Heimberg, R. G. & E. B. & Social media use, social anxiety, and loneliness: A systematic review. Computers Hum. Behav. Rep. 3, 100070 (2021).
Caplan, S. E. Preference for online social interaction a theory of problematic internet use and psychosocial Well-Being. Commun. Res. 30, 625–648 (2003).
Wang, J., Wang, N., Qi, T., Liu, Y. & Guo, Z. The Central Mediating Effect of Inhibitory Control and Negative Emotion On the Relationship Between Bullying Victimization and Social Network Site Addiction in Adolescents. Front. Psychol. 15, 1520404 (2024).
Wang, J., Wang, N., Liu, Y. & Zhou, Z. Experiential Avoidance, Depression, and Difficulty Identifying Emotions in Social Network Site Addiction Among Chinese University Students: A Moderated Mediation Model. Behav. Inf. Technol. 1–14 (2025).
Brand, M. et al. The interaction of Person-Affect-Cognition-Execution (I-Pace) model for addictive behaviors: update, generalization to addictive behaviors beyond Internet-Use disorders, and specification of the process character of addictive behaviors. Neurosci. Biobehav Rev. 104, 1–10 (2019).
Lopes, L. S. et al. Problematic social media use and its relationship with depression or anxiety: A systematic review. Cyberpsychology Behav. Soc. Netw. 25, 691–702 (2022).
Tullett-Prado, D., Doley, J. R., Zarate, D., Gomez, R. & Stavropoulos, V. Conceptualising social media addiction: A longitudinal network analysis of social media addiction symptoms and their relationships with psychological distress in a community sample of adults. Bmc Psychiatry. 23, 509 (2023).
Ye, X., Zhang, W. & Zhao, F. Depression and internet addiction among adolescents:a Meta-Analysis. Psychiatry Res. 326, 115311 (2023).
Mahapatra, A. & Sharma, P. Association of internet addiction and Alexithymia - A scoping review. Addict. Behav. 81, 175–182 (2018).
Gross, J. J. Handbook of emotion regulation. In Handbook of Emotion Regulation (ed. Gross, J. J.) 654 (The Guilford Press, 2007).
Taylor, G. J., Bagby, M., Parker, J. D. A. & R. & The alexithymia construct: A potential paradigm for psychosomatic medicine. Psychosomatics 32, 153–164 (1991).
Bagby, R. M., Parker, J. D. A. & Taylor, G. J. Twenty-Five years with the 20-Item Toronto alexithymia scale. J. Psychosom. Res. 131, 109940 (2020).
Zhu, Y., Luo, T., Liu, J. & Qu, B. Influencing factors of alexithymia in Chinese medical students: A Cross-Sectional study. Bmc Med. Educ. 17, 66 (2017).
Dion, K. L. Ethnolinguistic correlates of alexithymia: toward a cultural perspective. J. Psychosom. Res. 41, 531–539 (1996).
Bankier, B., Aigner, M. & Bach, M. Alexithymia in Dsm-IV disorder: comparative evaluation of somatoform disorder, panic disorder, Obsessive-Compulsive disorder, and depression. Psychosomatics 42, 235–240 (2001).
Mei, S., Xu, G., Gao, T., Ren, H. & Li, J. The relationship between college students’ alexithymia and mobile phone addiction: testing mediation and moderation effects. Bmc Psychiatry. 18, 329 (2018).
Luminet, O., Nielson, K. A. & Ridout, N. Cognitive-Emotional processing in alexithymia: an integrative review. Cogn. Emot. 35, 449–487 (2021).
Liu, Y., Duan, L., Shen, Q., Xu, L. & Zhang, T. The Relationship Between Childhood Psychological Abuse and Depression in College Students: Internet Addiction as Mediator, Different Dimensions of Alexithymia as Moderator. Bmc Public Health. 24, 2744 (2024).
Wang, J., Wang, N., Liu, P. & Liu, Y. Social Network Site Addiction, Sleep Quality, Depression and Adolescent Difficulty Describing Feelings: A Moderated Mediation Model. Bmc Psychol. 13, 57 (2025).
Yi, Z., Wang, W., Wang, N. & Liu, Y. The Relationship Between Empirical Avoidance, Anxiety, Difficulty Describing Feelings and Internet Addiction Among College Students: A Moderated Mediation Model. J. Genet. Psychol. 1-17 (2025).
De Berardis, D. et al. Alexithymia, fear of bodily sensations, and somatosensory amplification in young outpatients with panic disorder. Psychosomatics 48, 239–246 (2007).
Ursoniu, S. et al. The interconnection between social media addiction, alexithymia and empathy in medical students. Front. Psychiatry. 15, 1467246 (2024).
DQ. L. The stress level of college students and its relationship with physical exercise. Chin Ment Health (1994).
Schou, A. C. et al. The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A Large-Scale Cross-Sectional study. Psychol. Addict. Behav. 30, 252–262 (2016).
Griffiths, M. A. Components’ model of addiction within a biopsychosocial framework. J. Subst. Use. 10, 191–197 (2005).
Bányai, F. et al. Problematic social media use: results from a Large-Scale nationally representative adolescent sample. Plos One. 12, e169839 (2017).
Levis, B. et al. Accuracy of the Phq-2 alone and in combination with the Phq-9 for screening to detect major depression: systematic review and Meta-Analysis. Jama 323, 2290–2300 (2020).
Bagby, R. M., Parker, J. D. & Taylor, G. J. The Twenty-Item Toronto alexithymia Scale–I. Item selection and Cross-Validation of the factor structure. J. Psychosom. Res. 38, 23–32 (1994).
Zhu, X. et al. Cross-Cultural validation of a Chinese translation of the 20-Item Toronto alexithymia scale. Compr. Psychiatry. 48, 489–496 (2007).
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y. & Podsakoff, N. P. Common method biases in behavioral research: A critical review of the literature and recommended remedies. J. Appl. Psychol. 88, 879–903 (2003).
Hayes, A. F. & Partial Conditional, and Moderated Moderated Mediation: Quantification, Inference, and Interpretation. Routledge. (2018).
Berkovits, I., Hancock, G. R. & Nevitt, J. Bootstrap Resampling Approaches for Repeated Measure Designs: Relative Robustness To Sphericity and Normality Violations877–892 (Sage, 2000).
Poskotinova, L. V., Krivonogova, O. V. & Zaborsky, O. S. Cardiovascular response to physical exercise and the risk of internet addiction in 15-16-Year-Old adolescents. J. Behav. Addict. 10, 347–351 (2021).
Liu, Y. et al. The mediating effect of internet addiction and the moderating effect of physical activity on the relationship between alexithymia and depression. Sci. Rep. 14, 9781 (2024).
Olsen, C. M. Natural rewards, neuroplasticity, and Non-Drug addictions. Neuropharmacology 61, 1109–1122 (2011).
Moon, H. Y. & Praag, H. V. Physical activity and brain plasticity. J. Exerc. Nutr. Biochem. 23, 23–25 (2019).
Ma, C. L. et al. Physical exercise induces hippocampal neurogenesis and prevents cognitive decline. Behav. Brain Res. 317, 332–339 (2017).
Qin, C. et al. Narrative review on potential role of gut microbiota in certain substance addiction. Prog Neuro-Psychopharmacol Biol. Psychiatry. 106, 110093 (2021).
Zhang, X. et al. Effects of exercise or Tai Chi on internet addiction in college students and the potential role of gut microbiota: A randomized controlled trial. J. Affect. Disord. 327, 404–415 (2023).
Li, S., Wu, Q., Tang, C., Chen, Z. & Liu, L. Exercise-Based interventions for internet addiction: Neurobiological and neuropsychological evidence. Front. Psychol. 11, 1296 (2020).
Young, K. S. Cognitive behavior therapy with internet addicts: treatment outcomes and implications. Cyberpsychol Behav. 10, 671–679 (2007).
Pichierri, G., Wolf, P., Murer, K. & de Bruin, E. D. Cognitive and Cognitive-Motor interventions affecting physical functioning: A systematic review. Bmc Geriatr. 11, 29 (2011).
Zeng, N. et al. Effects of physical activity on motor skills and cognitive development in early childhood: A systematic review. Biomed. Res. Int. 2760716 2017 (2017).
Zhao, G. et al. Impact of physical activity on executive functions: A moderated mediation model. Front Psychol 14–2023, (2024).
Liu, Y. et al. Physical activity moderated the mediating effect of Self-Control between bullying victimization and mobile phone addiction among college students. Sci. Rep. 14, 20855 (2024).
Liu, Y. et al. The chain mediating effect of anxiety and inhibitory control between bullying victimization and internet addiction in adolescents. Sci. Rep. 14, 23350 (2024).
Liu, Y. et al. Anxiety mediated the relationship between bullying victimization and internet addiction in adolescents, and family support moderated the relationship. Bmc Pediatr. 25, 8 (2025).
Liu, Y. et al. The Mediating Role of Inhibitory Control and the Moderating Role of Family Support Between Anxiety and Internet Addiction in Chinese Adolescents. Arch. Psychiatr. Nurs. 53, 165-170 (2024).
Wang, A., Guo, S., Chen, Z. & Liu, Y. The Chain Mediating Effect of Self-Respect and Self-Control On the Relationship Between Parent-Child Relationship and Mobile Phone Dependence Among Middle School Students. Sci. Rep. 14, 30224 (2024).
Liu, Y. et al. Anxiety Mediated the Relationship Between Bullying Victimization and Internet Addiction in Adolescents, and Family Support Moderated the Relationship. Bmc Pediatr. 25, 8 (2025).
Tan, X. et al. Anxiety and Inhibitory Control Play a Chain Mediating Role Between Compassion Fatigue and Internet Addiction Disorder Among Nursing Staff. Sci. Rep. 15, 12211 (2025).
Guo, S. et al. The Chain Mediating Effect of Self-Respect and Self-Control On Peer Relationship and Early Adolescent Phone Dependence. Sci. Rep. 15, 11825 (2025).
Buckley, J., Cohen, J. D., Kramer, A. F., McAuley, E. & Mullen, S. P. Cognitive control in the Self-Regulation of physical activity and sedentary behavior. Front Hum. Neurosci Volume 8–2014, (2014).
Kandola, A. et al. Moving to beat anxiety: epidemiology and therapeutic issues with physical activity for anxiety. Curr. Psychiatry Rep. 20, 63 (2018).
Yang, W., Yang, J. & Yu, X. A network modeling analysis of depression, internet addiction, and school bullying among adolescents. Chin. J. School Health. 44 (5), 668–671 (2023).
Yang, X. et al. A bidirectional association between internet addiction and depression: A Large-Sample longitudinal study among Chinese university students. J. Affect. Disord. 299, 416–424 (2022).
Orth, U., Robins, R. W. & Roberts, B. W. Low Self-Esteem prospectively predicts depression in adolescence and young adulthood. J. Pers. Soc. Psychol. 95, 695–708 (2008).
Sonstroem, R. J. & Morgan, W. P. Exercise and Self-Esteem: rationale and model. Med. Sci. Sports Exerc. 21, 329–337 (1989).
Ryan, M. P. The antidepressant effects of physical activity: mediating Self-Esteem and Self-Efficacy mechanisms. Psychol. Health. 23, 279–307 (2008).
Bandura, A., Pastorelli, C., Barbaranelli, C. & Caprara, G. V. Self-Efficacy pathways to childhood depression. J. Pers. Soc. Psychol. 76, 258–269 (1999).
Haller, N. et al. Individualized Web-Based exercise for the treatment of depression: randomized controlled trial. Jmir Ment Health. 5, e10698 (2018).
Väänänen, J. M., Marttunen, M., Helminen, M. & Kaltiala-Heino, R. Low perceived social support predicts later depression but not social phobia in middle adolescence. Health Psychol. Behav. Med. 2, 1023–1037 (2014).
Piko, B. F., Kovacs, E. & Fitzpatrick, K. M. What makes a difference?? Understanding the role of protective factors in Hungarian adolescents’ depressive symptomatology. Eur. Child. Adolesc. Psych. 18, 617–624 (2009).
Hallgren, M., Lundin, A., Tee, F. Y., Burström, B. & Forsell, Y. Somebody to lean on: social relationships predict Post-Treatment depression severity in adults. Psychiatry Res. 249, 261–267 (2017).
Wilcox, B. L. & Social Support Life stress, and psychological adjustment: A test of the buffering hypothesis. Am. J. Community Psychol. 9, 371–386 (1981).
Kays, J. L., Hurley, R. A. & Taber, K. H. The dynamic brain: neuroplasticity and mental health. J. Neuropsychiatry Clin. Neurosci. 24, 118–124 (2012).
Schmaal, L. et al. Subcortical brain alterations in major depressive disorder: findings from the enigma major depressive disorder working group. Mol. Psychiatry. 21, 806–812 (2016).
Zheng, J. et al. Multiplexing of Theta and alpha rhythms in the Amygdala-Hippocampal circuit supports pattern separation of emotional information. Neuron 102, 887–898 (2019).
Warner-Schmidt, J. L. & Duman, R. S. Hippocampal neurogenesis: opposing effects of stress and antidepressant treatment. Hippocampus 16, 239–249 (2006).
Firth, J. et al. Effect of aerobic exercise on hippocampal volume in humans: A systematic review and Meta-Analysis. Neuroimage 166, 230–238 (2018).
Ruscheweyh, R. et al. Physical activity and memory functions: an interventional study. Neurobiol. Aging. 32, 1304–1319 (2011).
Huang, T., Larsen, K. T., Ried-Larsen, M., Møller, N. C. & Andersen, L. B. The effects of physical activity and exercise on Brain-Derived neurotrophic factor in healthy humans: A review. Scand. J. Med. Sci. Sports. 24, 1–10 (2014).
Souza, P. B. et al. Major depressive disorder and gut microbiota: role of physical exercise. Int J. Mol. Sci 24, (2023).
Kim, Y. K., Kim, O. Y. & Song, J. Alleviation of depression by Glucagon-Like peptide 1 through the regulation of neuroinflammation, neurotransmitters, neurogenesis, and synaptic function. Front. Pharmacol. 11, 1270 (2020).
Miller, A. H., Maletic, V. & Raison, C. L. Inflammation and its discontents: the role of cytokines in the pathophysiology of major depression. Biol. Psychiatry. 65, 732–741 (2009).
Fedewa, M. V., Hathaway, E. D. & Ward-Ritacco, C. L. Effect of exercise training on C reactive protein: A systematic review and Meta-Analysis of randomised and Non-Randomised controlled trials. Br. J. Sports Med. 51, 670–676 (2017).
Guo, B. et al. Neuroinflammation mechanisms of neuromodulation therapies for anxiety and depression. Transl Psychiatry. 13, 5 (2023).
Maes, M. Depression is an inflammatory disease, but Cell-Mediated immune activation is the key component of depression. Prog Neuro-Psychopharmacol Biol. Psychiatry. 35, 664–675 (2011).
Liu, X. Q., Guo, Y. X., Zhang, W. J. & Gao, W. J. Influencing factors, prediction and prevention of depression in college students: A literature review. World J. Psychiatry. 12, 860–873 (2022).
Valkenburg, P. M. & Peter, J. Social consequences of the internet for adolescents. Current Dir. Psychol. Science: J. Am. Psychol. Society 18 (2009).
Liu, Y. et al. The Relationship Between Childhood Psychological Abuse and Depression in College Students: A Moderated Mediation Model. Bmc Psychiatry. 24, 410 (2024).
Liu, Y. et al. The Mediating Effect of Social Network Sites Addiction On the Relationship Between Childhood Psychological Abuse and Depression in College Students and the Moderating Effect of Psychological Flexibility. Psychol. Psychother.-Theory Res. Pract. 98, 534-548 (2025).
Shen, Q. et al. The Impact of Childhood Emotional Maltreatment On Adolescent Insomnia: A Chained Mediation Model. Bmc Psychol. 13, 506 (2025).
Vidal, C., Lhaksampa, T. & Miller, L. And platt, R. Social media use and depression in adolescents: A scoping review. Int. Rev. Psych. 32, 235–253 (2020).
Kardefelt-Winther, D. A. & Conceptual Methodological critique of internet addiction research: towards a model of compensatory internet use. Comput. Hum. Behav. 31, 351–354 (2014).
Chen, I. H. et al. Comparing generalized and specific problematic smartphone/internet use: longitudinal relationships between smartphone Application-Based addiction and social media addiction and psychological distress. J. Behav. Addict. 9, 410–419 (2020).
Morie, K. P., Crowley, M. J., Mayes, L. C. & Potenza, M. N. The process of emotion identification: considerations for psychiatric disorders. J. Psychiatr Res. 148, 264–274 (2022).
Yildirim Demirdöğen, E. et al. Social media addiction, escapism and coping strategies are associated with the problematic internet use of adolescents in türkiye: A Multi-Center study. Front Psychiatry 15, (2024).
AGNEW, R. Foundation for a general strain theory of crime and delinquency. Criminololgy 30, 47–88 (1992).
Xiao, W., Zhou, H., Li, X. & Lin, X. Why are individuals with alexithymia symptoms more likely to have mobile phone addiction?? The multiple mediating roles of social interaction anxiousness and boredom proneness. Psychol. Res. Behav. Manag. 14, 1631–1641 (2021).
Gross, J. J. & Emotion Regulation Affective, cognitive, and social consequences. Psychophysiology 39, 281–291 (2002).
MOWRER, O. H. Two-Factor learning theory: summary and comment. Psychol. Rev. 58, 350–354 (1951).
Yang, L., Tao, Y., Wang, N., Zhang, Y. & Liu, Y. Child psychological maltreatment, depression, psychological inflexibility and difficulty in identifying feelings, a moderated mediation model. Sci. Rep. 15, 8478 (2025).
Peng, J. et al. Physical and emotional abuse with internet addiction and anxiety as a mediator and physical activity as a moderator. Sci. Rep. 15, 2305 (2025).
Liu, Y. et al. The mediating effect of social network sites addiction on the relationship between childhood psychological abuse and depression in college students and the moderating effect of psychological flexibility. Psychol. Psychother. -Theory Res. Pract. (2025).
Yang, L., Tao, Y., Wang, N., Zhang, Y. & Liu, Y. Child Psychological Maltreatment, Depression, Psychological Inflexibility and Difficulty in Identifying Feelings, a Moderated Mediation Model. Sci. Rep. 15, 8478 (2025).
Chen, Z. et al. The relationship between early adolescent bullying victimization and suicidal ideation: the longitudinal mediating role of Self-Efficacy. Bmc Public. Health. 25, 1000 (2025).
Peng, J. et al. Mobile phone addiction was the mediator and physical activity was the moderator between bullying victimization and sleep quality. Bmc Public. Health. 25, 1577 (2025).
Chen, Z. et al. The Relationship Between Early Adolescent Bullying Victimization and Suicidal Ideation: The Longitudinal Mediating Role of Self-Efficacy. Bmc Public Health. 25, 1000 (2025).
Wang, J., Liu, Y., Xiao, T. & Pan, M. The Relationship Between Bullying Victimization and Adolescent Sleep Quality: The Mediating Role of Anxiety and the Moderating Role of Difficulty Identifying Feelings. Psychiatry. 1–22 (2025).
Luo, X. et al. Gender mediates the mediating effect of psychological capital between physical activity and depressive symptoms among adolescents. Sci. Rep. 15, 10868 (2025).
Author information
Authors and Affiliations
Contributions
Wenhui Wang123456, Jiale Wang12345, Yang Liu12345, Liping Deng12356.1 Conceptualization; 2 Methodology; 3 Data curation; 4 Writing - Original Draft; 5 Writing - Review & Editing; 6 Funding acquisition.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Ethics approval and consent to participate
The study was approved by the Biomedicine Ethics Committee of Jishou University before the initiation of the project (Grant number: JSDX−2024−0086). And informed consent was obtained from the participants before starting the program.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
About this article
Cite this article
Wang, W., Wang, J., Liu, Y. et al. Exploring the relationship between physical activity and social media addiction among adolescents through a moderated mediation model. Sci Rep 15, 22209 (2025). https://doi.org/10.1038/s41598-025-05173-z
Received:
Accepted:
Published:
Version of record:
DOI: https://doi.org/10.1038/s41598-025-05173-z
Keywords
This article is cited by
-
To explore the relationship between physical activity and sleep quality of college students based on the mediating effect of stress and subjective well-being
BMC Psychology (2025)
-
Anxiety and sleep hygiene among college students, a moderated mediating model
BMC Public Health (2025)
-
A chain mediation model for physical exercise and sleep quality
Scientific Reports (2025)
-
Social support and anxiety, a moderated mediating model
Scientific Reports (2025)
-
Physical exercise moderated the mediating role of anxiety between experiential avoidance and the teenagers BrainRot
Scientific Reports (2025)






