BACKGROUND: Social media is a major part of daily life for youth worldwide, including in Arab countries. Although it offers avenues for connection and information, growing concerns exist around its psychological impacts. This review aims to synthesize existing evidence on the association between social media use and mental health outcomes among children, adolescents, and young adults in Arab countries. METHODS: We systematically searched PubMed, Scopus, EMBASE, and Web of Science for peer-reviewed studies published until October 2025. Inclusion criteria targeted observational studies involving participants aged ≤ 25 years from Arab League countries, focusing on the relationship between social media use and mental health indicators. Data were extracted and quality assessed using the Newcastle-Ottawa Scale adaptation for cross-sectional designs. RESULTS: Twenty-one cross-sectional studies, encompassing over 15,000 participants with a mean age ranging from 13 to 25 years and representing multiple Arab countries, met the inclusion criteria. Findings revealed consistent associations between high or problematic social media use and adverse mental health outcomes, including anxiety, depression, sleep disturbances, and academic decline. Several studies highlighted emotional investment and nighttime use as key mediators. Sleep disruption and academic interference were common outcomes across settings. CONCLUSION: High levels of emotionally charged social media use among Arab children, adolescents, and young adults are associated with significant psychological and functional challenges, emphasizing the need for culturally tailored digital literacy and early screening. However, the predominance of cross-sectional designs across the included studies limits causal inference and underscores the necessity for future longitudinal and experimental research.
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