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DIORA: Dynamic Interplay of Online Risk and Resilience in Adolescence

A multi-method study of the mental health risks and benefits of digital technology use

It is time to understand the role played by "digital engagement" in the emotional lives and mental health of adolescents, so that policymakers and practitioners can tailor their support effectively.

Professor Sonia Livingstone

We can’t say whether it is the internet use that drives mental health or mental health states that drive internet use. This makes sensible intervention to improve mental health impossible.

Professor Edmund Sonuga-Barke

 

A collaboration between King’s College London and the London School of Economics and Political Science (LSE), this project explores adolescents’ online experiences and their relationship to changes in mental health.

Research highlights adolescent digital engagement either as a mental health risk or as a source of support or resilience. However, the ways in which digital engagement has its effects during adolescence, either positive or negative, remain poorly understood.

Many questions remain. Do different mental health conditions lead to different patterns of digital engagement or exposure to risks or benefits? What aspects of digital engagement contribute to different mental health outcomes?

To address these issues, in DIORA we research young people with two different mental health conditions, self-harm and eating disorders,  to identify the potential negative and positive effects of digital engagement. 

 “The popular media is full of claims about the way adolescents use the internet and how this impacts their mental health, seemingly backed up by research evidence. However, a lot of that evidence is cross-sectional in nature which means that we can’t say whether it is the internet use that drives mental health or mental health states that drive internet use. This makes sensible intervention to improve mental health impossible. DIORA will answer this vital question!” – Prof Edmund Sonuga-Barke

 “It is time to understand the role played by “digital engagement” in the emotional lives and mental health of adolescents, so that policymakers and practitioners can tailor their support effectively. Our project will pay close attention to the interplay between mood and digital activities among young people struggling with eating disorders and self-harm. Does going online help or hinder – and when and why? We aim to find out.” – Prof Sonia Livingstone

 Aims

  • To identify the temporal patterns of adolescents’ digital engagement and mood patterns using daily intensive monitoring approaches.
  • To include these data in statistical models to explore how changes in digital engagement relate to mood changes and mental health fluctuations.
  • To test whether the patterns of digital engagement and their relations to mood and mental health differ depending on different mental health conditions.

Methods

We will conduct an intensive longitudinal study across a 6-month period involving adolescents with different mental health problems (e.g. experiences of self-harm or eating disorders), as well as adolescents who do not have mental health difficulties. DIORA combines a mix of qualitative and quantitative approaches.

Detailed data on fluctuations in mood and on digital engagement will be collected using digital devices over three two-week periods spaced out over six months. Mental health will be assessed at the beginning and end of those three periods via self- and parent-report questionnaires completed online. We will also conduct qualitative interviews to get a detailed account of adolescents’ own understanding of their digital engagement, how they are affected by it and how they use digital technologies for the self-management of their mental health.

The data analyses will chart patterns of digital engagement and examine how the pathways to protective or risky environments relate to patterns of mood and stress, triangulating between qualitative and quantitative data.

DIORA was preceded by a pilot project on Adolescent mental health and development in the digital world involving a multi-stakeholder qualitative study on the risks and benefits of digital technology use.

Relevant resources

Publications

Webinars and presentations

Blogs

Related projects

Project team

Project leads

 Edmund Sonuga-Barke is Professor of Developmental Psychology, Psychiatry and Neuroscience at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. Inspired by his own childhood experiences his research focuses on understanding neuro-developmental disorders and their mental health consequences across the life span. To this end, he employs basic developmental science approaches to study the pathogenesis of such conditions, their underlying genetic and environmental risk and resilience sources and their mediating brain mechanisms. Professor Sonuga-Barke was elected a Fellow of the Academy of Medical Sciences (2016), a Fellow of the British Academy (2018), amongst the ‘most influential scientific minds’ in psychology and psychiatry by Clarivate (2018) and an Honorary Professor at Aarhus University, Denmark (2019).

 edmund v2

Sonia Livingstone DPhil (Oxon), FBA, FBPS, FAcSS, FRSA, OBE is a professor in the Department of Media and Communications at the London School of Economics and Political Science. She has published 20 books including “The Class: Living and Learning in the Digital Age” and Parenting for a Digital Future (July 2020). She directs the projects “Children’s Data and Privacy Online,” “Global Kids Online” (with UNICEF) and “Parenting for a Digital Future”, and she is Deputy Director of the UKRI-funded “Nurture Network.” Since founding the 33 country EU Kids Online network, Sonia has advised the UK government, European Commission, European Parliament, Council of Europe, OECD and ITU.

Sonia tweets @Livingstone_S

Sonia pic for YSKills

Researchers

Dr Jake Bourgaize researched visual field loss in stroke survivors and maths anxiety.

Jake

Dr Kasia Kostyrka-Allchorne is a Research Fellow in the ExPAND research group, at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. Kasia’s research broadly concerns risks and opportunities created by access to digital technology within the context of family and child and adolescent mental health. This includes developing evidence-based parenting interventions that use mobile phone technology to provide low-cost and scalable support for parents of young children both in the community and within children’s health services. She is also interested in examining the mechanisms that underpin the associations between childhood and adolescent mental health difficulties and digital engagement.

Kasia tweets @kasiakostyrka

KasiaMariya Stoilova holds a post-doctoral research position at the London School of Economics and Political Science (LSE). With a strong focus on multi-method evidence generation and cross-national comparative analyses, her work focuses on the intersection of child rights and digital technology use, well-being and family support, and intimate life, citizenship and social inequalities.

Mariya tweets @Mariya_StoilovaMariya pic for Yskills

Eliz Azeri is a BSc Psychology undergraduate student at King’s College London, on a work placement year before her last year at university. Eliz is particularly interested in the myriad of factors affecting young peoples’ mental health, especially within the fast-paced climate of newly emerging digital technologies. She is also interested in how the combined effects of different environmental factors and genetic vulnerabilities influences young peoples’ mental health to varying degrees.Eliz

 

 

 

Funding and partners

The project is funded within UK Research and Innovation (UKRI) Digital Youth Programme. It is led by the University of Nottingham (Prof Chris Hollis and Prof Ellen Townsend) with partners at King’s College London, LSE and Bath University, Glasgow University, Open University, Oxford University, University College London, University of Auckland (New Zealand)  and UKRI Emerging Minds Network.

We acknowledge the support of the UK Research and Innovation (UKRI) Digital Youth Programme award (MRC project reference MR/W002450/1) which is part of the AHRC/ESRC/MRC Adolescence, Mental Health and the Developing Mind programme. 


 

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