Jacqueline Nesi

Jacqueline Nesi
Alpert Medical School - Brown University · Department of Psychiatry and Human Behavior

PhD

About

74
Publications
102,514
Reads
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1,966
Citations
Citations since 2016
71 Research Items
1958 Citations
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Publications

Publications (74)
Article
Appearance-related social media consciousness (ASMC) is the persistent awareness of one’s attractiveness on social media. The ASMC Scale, recently developed for use with adolescents (Choukas-Bradley et al., 2020), provides a promising tool for systematically examining ASMC and associations with mental health. The current study examined the psychome...
Article
Recent estimates suggest that 95% of U.S. adolescents have access to a smartphone, and nearly half (46%) report using the Internet “almost constantly” (Pew Research Center, 2022). The near ubiquity of digital devices among adolescents has numerous benefits, including increased availability of social support, opportunities for creative expression, a...
Article
Background: Social media is a central context in which teens interact with their peers, creating opportunities for them to view, post, and engage with alcohol content. Because adolescent peer interactions largely occur on social media, perceptions of peer alcohol content posting may act as potent risk factors for adolescent alcohol use. Accordingl...
Article
The standard of care among youth who are psychiatrically hospitalized typically involves smartphone confiscation for the duration of treatment. However, very little is known regarding how youth respond to this period of smartphone “deprivation,” factors that may influence this response, and ensuing clinical effects. The present exploratory mixed-me...
Article
Full-text available
In this theoretical review paper, we provide a developmental-sociocultural framework for the role of social media (SM) in adolescent girls' body image concerns, and in turn, depressive symptoms and disordered eating. We propose that the features of SM (e.g., idealized images of peers, quantifiable feedback) intersect with adolescent developmental f...
Article
Full-text available
Background Given reports of the adverse effects of COVID-19 on adolescent mental health, it is critical to understand how it impacts psychiatrically hospitalized youth who may be particularly vulnerable to its effects. Objective This study aimed to advance our understanding of high-risk adolescents’ experiences of COVID-19, including COVID-19-rela...
Article
Digital media are significant developmental contexts of families, peer groups, and schools, and it is important to investigate their impact on adolescent well-being and mental health. This introductory chapter overviews the terms and history of research on adolescent digital media use and psychological well-being and mental health and describes met...
Article
We suggest studying how using social media affects adolescent identity development to understand the mechanism of the impact of social media on adolescent mental health. We present a model of the dual aspect of adolescent identity development – the progression towards the formation of self-evaluated commitments and values and construction of a cohe...
Article
There remains a persistent need for mental health services among youth, with the majority of youth untreated. Digital mental health interventions (DMHIs) have the potential to revolutionize mental health care for adolescents. DMHIs are digital tools aiding in detection, prevention, and treatment of mental health problems for adolescents. DMHIs prov...
Article
Despite the pervasive use of social technology among minoritized youth, digital media research has been primarily based on White samples of older adolescents and emerging adults. It is critical to understand how overlooked populations including racial-ethnic, sexual and gender, and other minorities use digital media for purposes associated with the...
Article
The aim of this chapter is to discuss the communication and media effects theories that may serve as the foundations for research into the effects of social media use on adolescents. The first section of this chapter focuses on three important paradigms of general media effects theories that may help us understand the effects of social media, namel...
Article
Adolescents spend considerable amounts of time using digital media and social media. Although risks and benefits exist, clinicians, teachers, and parents have grown concerned about problematic use, or excessive use that interferes with adolescents’ health, well-being, and development. In this chapter, we explain the difference between problematic a...
Article
Schools are an opportune context for digital citizenship education and promoting healthy digital media use. We examine 20 programs providing such resources. They differ in topics and depth, target grade levels of students, pedagogical approaches (lecture, discussion), formats (scenario-based lessons, videos, interactive games), and takeaways. Our r...
Article
The relationship between social media use, suicide, and self-injurious behaviors has received public and academic attention. Social media are platforms that facilitate social connection and support around life challenges, including self-injurious thoughts and behaviors, and spaces where they may encounter content or interactions increasing risk. Th...
Article
Past years have seen studies examining effects of digital media on attention problems and sleep in adolescents. The majority of these studies support that using digital media is related to attention problems and lower sleep quantity, and sleep quality in adolescents. The chapter overviews studies in the field, and avenues for future research. It is...
Article
Sexually oriented digital media use is important in adolescents’ sexuality development. The literature points to affordances of media uses (e.g., accessibility), inviting adolescents to use media for sexuality construction and engagement in sexual behaviors. Different theories on sexually oriented digital media use (e.g., Uses and Gratifications an...
Article
This chapter reviews evidence of the relationships between digital media use habits and brain development. Much of this evidence comes from studies using magnetic resonance imaging (MRI), which allows the characterization of brain structure, function, and connectivity patterns differentiating groups of individuals more enmeshed with forms of digita...
Article
Digital media, including smartphones and social media, are central in youths' lives. This study aimed to examine the role of digital media in psychiatric hospital admissions among adolescents. 343 psychiatrically-hospitalized youth (Mage = 15.2; 70.3% White, 13.7% Black, 33.9% Hispanic; 48.7% female) completed self-report measures of potential digi...
Preprint
The highly-visual nature of many social media platforms encourages appearance-related social media consciousness (ASMC), or the persistent awareness of how attractive one might look to a social media audience. The recently developed ASMC Scale, previously validated with high school-aged adolescents, provides a promising tool for systematically exam...
Article
Introduction: Frequent social media use among adolescents is associated with depressive symptoms, though prior work has overwhelmingly used cross-sectional designs and focused on "screen time." Subjective social media experiences, such as the concern with one's physical appearance on social media, may be more relevant to adolescents' depressive sy...
Article
Full-text available
Online sexual behaviors like sexting, viewing pornography online, and using the internet to start relationships are increasingly common among adolescents, yet research has struggled to keep pace. This study fills a gap in the sexual communication literature by examining the extent to which a sample of high school adolescents are discussing digital...
Article
Social media has rapidly transformed the ways in which adolescents socialize and interact with the world, which has contributed to ongoing public debate about whether social media is helping or harming adolescents. The COVID-19 pandemic has magnified both the challenges and opportunities of adolescents’ social-media use, which necessitates revisiti...
Article
Purpose Adolescents are among the most frequent users of social media and are highly attuned to social feedback. However, digital stress, or subjective distress related to social media demands, expectations, and others’ approval and judgment, is understudied in adolescents. Methods We conducted a preliminary investigation of self-reported digital...
Article
Sleep disruption among adolescents represents a major public health concern, and social media use may play an important role in affecting sleep and subsequent mental health. While prior studies of youth sleep and mental health have often focused on social media use frequency and duration, adolescents’ emotional experiences related to social media h...
Article
Full-text available
During the COVID-19 pandemic, some ways of using social media-such as directly communicating with friends-may have helped adolescents thrive. We examined longitudinal associations between high school adolescents' social media use and gratitude across a 15-month period before and during the pandemic (n = 704, Mage = 15.10; 52% girls). The trajectori...
Article
Objective The degree to which adolescent social media use is associated with depressive symptoms has been the source of considerable debate. Prior studies have been limited by a reliance on cross-sectional data and measures of overall “screen time.” This study examines prospective associations between adolescents’ emotional responses to social medi...
Article
Full-text available
This study examined the presence and correlates of COVID-specific suicidal thoughts and behaviors (i.e., thoughts of or engaging in intentional COVID-19 exposure with associated suicidal intent) among psychiatrically hospitalized adolescents. Adolescents (N = 143) completed study measures as part of the standard intake process between March 13th an...
Preprint
Full-text available
The transformation framework (Nesi et al., 2018a, 2018b) describes the ways in which the features of social media shape adolescents’ peer experiences. In the current chapter, we build on this work in three ways. First, we expand on our previous conceptualization to consider the role of algorithms as a key feature of social media. Second, we offer a...
Preprint
Full-text available
Objective: The degree to which adolescent social media use is associated with depressive symptoms has been the source of considerable debate. Prior studies have been limited by a reliance on cross-sectional data and measures of overall “screen time.” This study examines prospective associations between adolescents’ emotional responses to social med...
Article
Full-text available
The ability to regulate emotions in response to stress is central to healthy development. Whereas early research in emotion regulation predominantly employed static, self-report measurement, the past decade has seen a shift in focus toward understanding the dynamic nature of regulation processes. This is reflected in recent refinements in the defin...
Article
A correction to this paper has been published: https://doi.org/10.1007/s10802-021-00827-8
Article
Full-text available
Despite considerable public and scholarly debate about the role of social media in self-injurious thoughts and behaviors (SITBs), no comprehensive, quantitative synthesis of this literature has previously been undertaken. The current systematic review and meta-analysis examines associations between social media use and SITBs, including suicidal ide...
Article
Sharing "selfies" on social media is common among adolescents. The frequency with which adolescents post selfies may be less important than behaviors and cognitions underlying selfie-posting, and these practices may differ by gender. This multi-method study explored selfie practices in a school-based sample of 639 adolescents (M age=17.6; 53.5% fem...
Article
Rates of suicidal ideation and behavior are high and increasing in emerging adulthood. Research focused on suicidal ideation as a predictor of suicidal behavior has nearly exclusively conceptualized suicidal ideation as verbal thoughts about suicide. Emerging research suggests, however, that mentally imagining suicide may be even more impairing tha...
Preprint
Full-text available
In this theoretical review paper, we provide a developmental–sociocultural framework for the role of social media (SM) in contributing to adolescent girls’ body image concerns, and in turn, depressive symptoms and disordered eating. We propose that the features of SM (e.g., idealized images of peers, quantifiable feedback) intersect with adolescent...
Article
Full-text available
Background: Psychiatrically vulnerable adolescents may be at heightened risk for suicide during the COVID-19 pandemic. This study characterizes suicidal ideation (SI) and suicide attempts (SA) in a sample of adolescents psychiatrically hospitalized during COVID-19. Rates of SI and SA are compared to a historical hospital sample from a matched peri...
Article
Full-text available
The majority of adolescents with psychiatric disorders use social media, engaging in a range of online activities that may confer both risks and benefits. Very little work, however, has examined engagement in online activities related to self-injury among these youth, such as posting about self-injury, viewing self-injury related content, or messag...
Chapter
Full-text available
The transformation framework (Nesi et al., 2018a, Nesi et al., 2018b) describes the ways in which the features of social media shape adolescents’ peer experiences. In the current chapter, we build on this work in three ways. First, we expand on our previous conceptualization to consider the role of algorithms as a key feature of social media. Secon...
Preprint
Full-text available
Despite considerable public and scholarly debate about the role of social media in self-injurious thoughts and behaviors (SITBs), no comprehensive, quantitative synthesis of this literature has previously been undertaken. The current systematic review and meta-analysis examines associations between social media use and SITBs, including suicidal ide...
Poster
Communication about sexual health issues with parents is an important component of sexual well-being for youth. Indeed, communication about safe sex practices is predictive of condom use and safe sexual behavior (Widman, et al., 2016). These discussions are extremely important for this age group since adolescents make up one-fourth of sexually acti...
Article
Objective Rates of self-injurious thoughts and behaviors have increased in adolescents over the past two decades. Sexual and gender minority (SGM) youth report elevated rates of self-injurious thoughts and behaviors compared to heterosexual and cisgender youth. Studies of factors influencing suicide risk in SGM youth remain limited, however, and ha...
Article
Background Social media users are extensively exposed to photographs displaying idealized self-presentations. This poses a potential threat to youth's appearance self-esteem, but the negative impact may depend upon types of social media engagement. Youth who actively post updates (i.e., self-oriented social media use) may position themselves to rec...
Article
Full-text available
Objective: The Netflix series 13 Reasons Why (13RW) has sparked controversy due to graphic depictions of youth suicide, bullying, and sexual assault. However, further research is needed examining experiences of the show among youth with psychiatric illness. This exploratory, mixed-methods study examines adolescents' perceptions of 13RW and associa...
Article
Full-text available
Appearance-related social media consciousness (ASMC) is defined as the extent to which individuals’ thoughts and behaviors reflect ongoing awareness of whether they might look attractive to a social media audience. In this 3-study paper, we report the development and validation of the ASMC Scale for adolescents. In Study 1, we developed 18 items an...
Article
Approximately 89% of adolescents have access to a smartphone, with 70% checking social media (eg, Snapchat, Instagram) multiple times per day.¹ Psychiatric hospitalizations for adolescents commonly involve suicidal crises with underlying interpersonal stressors, often inextricably embedded in the digital milieu. Upon psychiatric hospitalization, ad...
Preprint
Full-text available
The COVID-19 pandemic has affected the health, safety, and daily lives of all individuals. Adolescents may be uniquely sensitive to this abrupt disruption in their lives due to the biological and psychological changes that occur during this developmental period. Social media has rapidly transformed the ways in which adolescents socialize and intera...
Article
Objective: This study examined characteristics of online-only friendships among suicidal and non-suicidal adolescents. In addition, the extent to which adolescents’ online-only friendships may offer a protective function, buffering the effects of peer stressors (i.e., friendship stress, relational victimization) on prospective suicidal ideation, wa...
Chapter
As youth transition from childhood to adolescence, they spend significantly more time with peers and are highly attuned to peer feedback, which becomes central to identity formation and sense of self-worth. Many decades of research have documented peer influence processes, in which adolescents’ behaviors and attitudes become more similar to their p...
Article
Full-text available
Accumulating research suggests that cybervictimization is associated with suicidal thoughts and behaviors in adolescents. However, the means by which cybervictimization may influence suicide risk remain unclear. This lack of knowledge is concerning, given widespread use of online communication among youth and the devastating public impact of suicid...
Article
Odgers and Jensen's (Annual research review: Adolescent mental health in the digital age: Facts, fears, and future directions, Wiley-Blackwell, 2020) review compellingly suggests that a rapid increase in the number of hours adolescents now dedicate to digital media use over the past decade may not be associated with concomitant changes in the preva...
Article
Full-text available
The technology landscape has rapidly evolved in recent years, with social media now playing a central role in the lives of youth. Social media has created both significant new challenges and exciting opportunities. Research is beginning to uncover how specific social media experiences may influence youth mental health.
Research
Full-text available
The Appearance-Related Social Media Consciousness Scale is available to use for research purposes. The scale is attached. This scale was first published in the following open access paper: Citation: Choukas-Bradley, S., Nesi, J., Widman, L., & Galla, B. M. (2020). The Appearance-Related Social Media Consciousness Scale: Development and validation...
Article
Full-text available
Introduction: Adolescents misperceive and are heavily influenced by the behavior of their popular peers, yet research has not yet investigated this phenomenon for a relatively new and potentially risky behavior: adolescent sexting. The present study investigates rates of sexting among popular and non-popular adolescents and the association between...
Article
Background: Over the past several years there has been considerable interest in the relation between emotion dysregulation and non-suicidal self-injury (NSSI), particularly given that rates of NSSI have been increasing and NSSI is a critical risk factor for suicidal behavior. To date, however, no synthesis of empirical findings exists. Methods:...
Article
Full-text available
Adolescents’ use of social media (SM) has increased drastically in recent years, with more than 80% of teens now belonging to sites such as Instagram, Snapchat, and Facebook. ¹ This has critical implications for youths’ psychosocial development. Research increasingly supports a differential susceptibility model of media effects, ² whereby certain a...
Article
Full-text available
Indoor tanning among U.S. young women is a major public health concern that increases risk for skin cancer. Many young women engage in indoor tanning despite the risks, and prior evidence suggests that appearance-related motivations for tanning may outweigh health concerns. The present study examined appearance expectations as a mediator of the ass...
Article
Full-text available
Social media use is now ubiquitous among young women in the United States. The current study examines a new construct related to young women’s experiences with social media: appearance-related social media consciousness (ASMC), the tendency for a woman’s thoughts and behaviors to reflect an ongoing awareness of whether she might look attractive to...
Article
Full-text available
Investigators have long recognized that adolescents’ peer experiences provide a crucial context for the acquisition of developmental competencies, as well as potential risks for a range of adjustment difficulties. However, recent years have seen an exponential increase in adolescents’ adoption of social media tools, fundamentally reshaping the land...
Article
Full-text available
As social media use becomes increasingly widespread among adolescents, research in this area has accumulated rapidly. Researchers have shown a growing interest in the impact of social media on adolescents’ peer experiences, including the ways that the social media context shapes a variety of peer relations constructs. This paper represents Part 2 o...
Article
Background: Emergency contraception (EC) is a highly effective form of birth control that may lower rates of unintended pregnancy among young women. But efforts to disseminate EC to women are hampered by misinformation and inadequate information. Purpose: The purpose of this study was to determine the sources from which young women learn about E...
Article
Purpose: Technology-based interventions to promote sexual health have proliferated in recent years, yet their efficacy among youth has not been meta-analyzed. This study synthesizes the literature on technology-based sexual health interventions among youth. Methods: Studies were included if they (1) sampled youth ages 13-24; (2) utilized technol...
Article
Full-text available
This study introduces a new construct—digital status seeking—which reflects a set of behaviors made possible by the social media environment. Digital status seeking is defined as the investment of significant effort into the accumulation of online indicators of peer status and approval. The concurrent validity of this construct was examined, as wel...
Article
This study examined the longitudinal effects of adolescents' depressive symptoms on engagement in technology-based social comparison and feedback seeking (SCFS) behaviors. A total of 816 adolescents (54.7% girls; Mage = 14.1 at Time 1) participated at three times points, each one year apart. Adolescents reported technology-based SCFS, depressive sy...
Article
Purpose: Adolescents' increased use of social networking sites (SNS) coincides with a developmental period of heightened risk for alcohol use initiation. However, little is known regarding associations between adolescents' SNS use and drinking initiation nor the mechanisms of this association. This study examined longitudinal associations among ad...
Article
Full-text available
This study investigated longitudinal associations between adolescents' technology-based communication and the development of interpersonal competencies within romantic relationships. A school-based sample of 487 adolescents (58% girls; M age = 14.1) participated at two time points, one year apart. Participants reported (1) proportions of daily comm...
Article
Full-text available
Importance Parent-adolescent sexual communication has received considerable attention as a factor that can positively affect safer sex behavior among youth; however, the evidence linking such communication to youth contraceptive and condom use has not been empirically synthesized.Objectives To examine the effect of parent-adolescent sexual commun...
Article
Full-text available
This study examined specific technology-based behaviors (social comparison and interpersonal feedback-seeking) that may interact with offline individual characteristics to predict concurrent depressive symptoms among adolescents. A total of 619 students (57 % female; mean age 14.6) completed self-report questionnaires at 2 time points. Adolescents...
Article
Purpose This study examined adolescents' technology-based sexual communication with dating partners, and evaluated associations between technology-based communication and condom use. Methods Participants were 176 high school students who indicated their use of technology to communicate with partners about condoms, birth control, sexually transmitt...

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