ObjectiveTo validate the psychometric properties of the Swanson, Nolan, and Pelham Rating Scale (SNAP-IV) in amblyopic children at high AD/HD risk and establish its clinical utility for comorbid AD/HD screening.MethodsThis cross-sectional study utilized baseline data from the China Amblyopia Behavioral Cohort (CABC), which comprises 465 amblyopic children (aged 4–17 years). The reliability of the SNAP-IV was comprehensively assessed using Cronbach’s alpha and the split-half coefficient. The validity of the SNAP-IV was evaluated using criterion validity with the Conners’ parent rating scale (CPRS) and construct validity via confirmatory factor analysis (CFA). The measurement invariance of the SNAP-IV across gender and age groups was also investigated.ResultsThe SNAP-IV demonstrated exceptional internal consistency (Cronbach’s α = 0.965 [95% CI: 0.958–0.972], split-half coefficient = 0.891) and strong criterion validity with the CPRS domains, particularly with respect to the oppositional factor of the SNAP-IV scale, which showed the highest correlation with the conduct problem factor of the Conners’ Parent Rating Scale (CPRS) (rs = 0.837, 95% CI: 0.807–0.863, p

As of April 2024, almost 32 percent of global Instagram audiences were aged between 18 and 24 years, and 30.6 percent of users were aged between 25 and 34 years. Overall, 16 percent of users belonged to the 35 to 44 year age group.

              Instagram users

              With roughly one billion monthly active users, Instagram belongs to the most popular social networks worldwide. The social photo sharing app is especially popular in India and in the United States, which have respectively 362.9 million and 169.7 million Instagram users each.

              Instagram features

              One of the most popular features of Instagram is Stories. Users can post photos and videos to their Stories stream and the content is live for others to view for 24 hours before it disappears. In January 2019, the company reported that there were 500 million daily active Instagram Stories users. Instagram Stories directly competes with Snapchat, another photo sharing app that initially became famous due to it’s “vanishing photos” feature.
              As of the second quarter of 2021, Snapchat had 293 million daily active users.

As of April 2024, around 16.5 percent of global active Instagram users were men between the ages of 18 and 24 years. More than half of the global Instagram population worldwide was aged 34 years or younger.

              Teens and social media

              As one of the biggest social networks worldwide, Instagram is especially popular with teenagers. As of fall 2020, the photo-sharing app ranked third in terms of preferred social network among teenagers in the United States, second to Snapchat and TikTok. Instagram was one of the most influential advertising channels among female Gen Z users when making purchasing decisions. Teens report feeling more confident, popular, and better about themselves when using social media, and less lonely, depressed and anxious.
              Social media can have negative effects on teens, which is also much more pronounced on those with low emotional well-being. It was found that 35 percent of teenagers with low social-emotional well-being reported to have experienced cyber bullying when using social media, while in comparison only five percent of teenagers with high social-emotional well-being stated the same. As such, social media can have a big impact on already fragile states of mind.

A global survey conducted in the third quarter of 2024 found that the main reason for using social media was to keep in touch with friends and family, with over 50.8 percent of social media users saying this was their main reason for using online networks. Overall, 39 percent of social media users said that filling spare time was their main reason for using social media platforms, whilst 34.5 percent of respondents said they used it to read news stories. Less than one in five users were on social platforms for the reason of following celebrities and influencers.

              The most popular social network

              Facebook dominates the social media landscape. The world's most popular social media platform turned 20 in February 2024, and it continues to lead the way in terms of user numbers. As of February 2025, the social network had over three billion global users. YouTube, Instagram, and WhatsApp follow, but none of these well-known brands can surpass Facebook’s audience size.
              Moreover, as of the final quarter of 2023, there were almost four billion Meta product users.

              Ever-evolving social media usage

              The utilization of social media remains largely gratuitous; however, companies have been encouraging users to become paid subscribers to reduce dependence on advertising profits. Meta Verified entices users by offering a blue verification badge and proactive account protection, among other things. X (formerly Twitter), Snapchat, and Reddit also offer users the chance to upgrade their social media accounts for a monthly free.

In 2023, Meta Platforms had a total annual revenue of over 134 billion U.S. dollars, up from 116 billion in 2022. LinkedIn reported its highest annual revenue to date, generating over 15 billion USD, whilst Snapchat reported an annual revenue of 4.6 billion USD.