Depression is the leading cause of disability worldwide (World Health
Organization, 2016). In the United States, the economic burden of
depression is over $210 billion (Greenberg, Fournier, Sisitsky, Pike,
& Kessler, 2015). Moreover, many individuals with depression also
experience physical or psychiatric comorbidities that contribute to the
overall disease burden (Greenberg et al., 2015). Only about half of individuals
experiencingmajor depression receive treatment in theUnited
States and fewer than 10% receive treatment in many other countries
(National Institute of Mental Health, 2016; SAMHSA, 2015; World
Health Organization, 2016). Depression is associated with a combination
of biological, psychological, and social factors(World Health Organization,
2016). Prior research has identified media exposures, such
as video games, television, movies, and the Internet, to be associated
with depression among adolescents (Bickham, Hswen, & Rich, 2015;
Primack et al., 2009).
However, social media (SM) use has presented a puzzle in terms of
its relationship with depression. SM use is rapidly increasing worldwide.
In the United States the percentage of young adults using SM
784 c 2018Wiley Periodicals, Inc. wileyonlinelibrary
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