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Docs warn about Facebook use and teen depression

By LINDSEY TANNER, AP Medical Writer Lindsey Tanner, Ap Medical Writer Mon

Mar 28, 12:15 am ET

CHICAGO Add "Facebook depression" to potential harms linked with social

media, an influential doctors' group warns, referring to a condition it says

may affect troubled teens who obsess over the online site.

Researchers disagree on whether it's simply an extension of depression some

kids feel in other circumstances, or a distinct condition linked with using the

online site.

But there are unique aspects of Facebook that can make it a particularly tough

social landscape to navigate for kids already dealing with poor self-esteem,

said Dr. Gwenn O'Keeffe, a Boston-area pediatrician and lead author of new

American Academy of Pediatrics social media guidelines.

With in-your-face friends' tallies, status updates and photos of happy-looking

people having great times, Facebook pages can make some kids feel even worse if

they think they don't measure up.

It can be more painful than sitting alone in a crowded school cafeteria or

other real-life encounters that can make kids feel down, O'Keeffe said, because

Facebook provides a skewed view of what's really going on. Online, there's no

way to see facial expressions or read body language that provide context.

The guidelines urge pediatricians to encourage parents to talk with their kids

about online use and to be aware of Facebook depression, cyberbullying, sexting

and other online risks. They were published online Monday in Pediatrics.

Abby Abolt, 16, a Chicago high school sophomore and frequent Facebook user,

says the site has never made her feel depressed, but that she can understand

how it might affect some kids.

"If you really didn't have that many friends and weren't really doing much with

your life, and saw other peoples' status updates and pictures and what they

were doing with friends, I could see how that would make them upset," she said.

"It's like a big popularity contest who can get the most friend requests or

get the most pictures tagged," she said.

Also, it's common among some teens to post snotty or judgmental messages on the

Facebook walls of people they don't like, said Gaby Navarro, 18, a senior from

Grayslake, Ill. It's happened to her friends, and she said she could imagine

how that could make some teens feel depressed.

"Parents should definitely know" about these practices," Navarro said. "It's

good to raise awareness about it."

The academy guidelines note that online harassment "can cause profound

psychosocial outcomes," including suicide. The widely publicized suicide of a

15-year-old Massachusetts girl last year occurred after she'd been bullied and

harassed, in person and on Facebook.

"Facebook is where all the teens are hanging out now. It's their corner store,"

O'Keeffe said.

She said the benefits of kids using social media sites like Facebook shouldn't

be overlooked, however, such as connecting with friends and family, sharing

pictures and exchanging ideas.

"A lot of what's happening is actually very healthy, but it can go too far,"

she said.

Dr. Megan Moreno, a University of Wisconsin adolescent medicine specialist who

has studied online social networking among college students, said using

Facebook can enhance feelings of social connectedness among well-adjusted kids,

and have the opposite effect on those prone to depression.

Parents shouldn't get the idea that using Facebook "is going to somehow infect

their kids with depression," she said.