A review of short video addiction among young adults: implications for counselling practice and mental health interventions

Short-form video platforms, such as TikTok, Instagram Reels, and YouTube Shorts, have changed the way young adults interact online. In Malaysia, where most people have internet access, addiction to these platforms is becoming a serious mental health concern. While more cases of problematic use are being seen in clinics, there is a lack of systematic evidence, especially for those that consider Malaysia’s unique cultural and economic context. This review discusses current research on short video addiction among Malaysian young adults aged 18 to 29. It examines the prevalence of the problem, its causes, mental health effects, risk factors, and implications for counselling and psychological support. The review adhered to the PRISMA 2020 guidelines and searched eight databases for studies published from January 2015 to September 2025. Studies involving young adults (18-29 years), examining short video platform use (TikTok, Instagram Reels, YouTube Shorts), measuring addiction/problematic use outcomes, with relevance to the Malaysian context and Asian populations. Narrative synthesis with thematic analysis was conducted due to study heterogeneity. Findings are organized around six key themes: prevalence patterns, addiction mechanisms, cognitive-emotional impacts, risk factors, assessment approaches, and intervention strategies. Six studies met the criteria, showing that social media addiction is common, with 72 per cent of Malaysian adolescents affected, and this continues into young adulthood. Frequent use of short videos was linked to problems with attention, self-control, emotions, depression, and anxiety. Risk factors included existing mental health issues, low self-control, and cultural influences. The review emphasizes the importance of developing screening tools and interventions tailored to the local context, as well as preventive programs for individuals most at risk. It also highlights gaps in research, such as the need for long-term studies, intervention trials, and the development of effective policies.

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