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Addictive Behaviors 129 (2022) 107259

Contents lists available at ScienceDirect

Addictive Behaviors
journal homepage: www.elsevier.com/locate/addictbeh

Needs affordance as a key factor in likelihood of problematic social media


use: Validation, latent Profile analysis and comparison of TikTok and
Facebook problematic use measures
Troy Smith *, 1, Andy Short
Institute of Criminology and Public Safety, University of Trinidad and Tobago, Trinidad and Tobago

A R T I C L E I N F O A B S T R A C T

Keywords: Despite increasing concerns of maladaptive cognitive responses associated with social media, estimates of its
problematic social media use prevalence are lacking in the literature. Further, existing studies have disproportionately focused on Facebook,
Bergen facebook addiction scale while ignoring the penetration of TikTok and concerns of associated maladaptive behaviors. This study aims to 1)
Problematic TikTok use scale
validate scale measures for problematic Facebook and TikTok use (PFU and PTTU) 2) comparatively assess the
Caribbean psychometric studies
Latent profile analysis
underlying cognitive pathways of the PFU and PTTU among a sample of university students, 3) determine the
Cut-off score cut-off score of the PTTU assessment scale using Latent Profile Analysis (LPA) and 4) evaluate the contribution of
specific criteria in the diagnosis of PTTU. The scales used to assess PFU and PTTU were found to have appropriate
psychometric properties. The scores between the PFU and PTTU scales were found to be strongly associated,
however, the relationship was stronger in the group of Facebook users than in the group of TikTok users. Further,
the manifestation of problematic use was not consistent between TikTok and Facebook. Loneliness was positively
associated with both PFU and PTTU, while self-esteem was negatively associated with PFU only. The optimal cut-
off score of the PTTU scale was determined to be 21, giving 8.7% as the estimated prevalence of PTTU. The
criteria with the highest predictive power in the diagnosis of addiction among university students were “with­
drawal” and “relapse”. The study concludes that while the underlying addiction pathways are similar between
platforms the manifestation of maladaptive behavior and the drivers for usage intensity and problematic use are
unique.

1. Introduction approximately 61% of the population over the age of 13 (Kemp, 2020,
2021). However, in comparison to other geographic locations, the
Social media usage and engagement have grown exponentially with myriad of cultural and political landscapes across the Caribbean leads to
over 1.52 billion active Facebook users and 1.29 billion active TikTok a very diversified usage profile between countries. The penetration of
users since they launched in 2014 and 2017 respectively. The growth social media ranges from 50 to 75% of the population within the
and increase in popularity of social media have been accompanied by Caribbean countries. For larger populations such as Jamaica and Trini­
negative psychosocial and psychological effects associated with its dad and Tobago, the number of users extends to 1.25 million on average
excessive use (Andreassen, 2015). This problematic or maladaptive use (Kemp, 2021). In 2021, active TikTok’s users in the Caribbean amounted
is regarded by many scholars as a behavioral addiction given current to an estimated 0.87 million, which is projected to increase to 1.06
levels of understanding provided by theoretical work and research on million users by 2025 (Degenhard, 2021). The Caribbean represents
problematic Internet addiction and social media use (Andreassen et al., 0.5% of the world’s Internet users (26.3 million) and 0.6% of its Face­
2016; Balcerowska et al., 2020; Ercengiz, 2019). book users (16.1 million) (Miniwatts Marketing Group, 2021). Further,
The Caribbean has approximately 54 million internet users, out of recent studies suggest that TikTok has an even higher penetration in the
which 22.2 million are active social media users, which accounts for 18 to 29 age range (Auxier & Anderson, 2021).

* Corresponding author.
E-mail address: troy.smith078@we.utt.edu.tt (T. Smith).
URL: https://www.linkedin.com/in/troy-smith-ccii-ifci-cci-9a769344 (T. Smith).
1
ORCiD: 0000-0002-4196-5007.

https://doi.org/10.1016/j.addbeh.2022.107259
Received 17 August 2021; Received in revised form 10 January 2022; Accepted 19 January 2022
Available online 24 January 2022
0306-4603/© 2022 Elsevier Ltd. All rights reserved.

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T. Smith and A. Short Addictive Behaviors 129 (2022) 107259

In the United States at least 68% of the adult population actively use determined for a problematic TikTok use (PTTU) scale. Second, in the
Facebook and similarly 69% in Trinidad and Tobago (Auxier & Ander­ process of validating the PTTU scale the researcher will also validate
son, 2021; Napoleon Sp. z o.o. Ltd., 2020). These figures have tradi­ Bergen’s Facebook Addiction Scale (BFAS) in the Caribbean cultural
tionally set Facebook as the quintessential example of a social media context. Third, the study provides data on Facebook and TikTok
platform. However, in a relatively short period data suggests that TikTok addiction prevalence, manifestation and pathways of addiction for the
closely rivals its predecessors in number of users, downloads and usage understudied Caribbean region, which adds to the validity of an estab­
intensity (Marino, Gini, Vieno, & Spada, 2018; McGonagle, 2021). This lished scale and provides a new validated scale for an area of interest to
has led to increased interest by researchers and psychologists as it relates researchers. Lastly, there will be some comparison of PFU and PTTU
to TikTok (Mohsin, 2021; Montag, Yang, & Elhai, 2021; Omar & Sub­ datasets to determine the level of similarity between the underlying
ramanian, 2013). Initial qualitative research has indicated that TikTok pathways of maladaptive responses and it’s correlates for the two plat­
may engender cyberbullying, depression, decreased academic perfor­ forms. The comparison of addiction between social media platforms
mance and contains content that may be addicting to adolescents (Jaf­ provides insight into the consistency of the underlying addiction pro­
far, Riaz, & Mushtaq, 2019; Stokel-Walker, 2020; Swathi & Devakumar, cesses related to social media and the importance of platform design in
2020; Zhang, 2018). Montag et al. (2021) opine that TikTok has risen to needs affordance.
the forefront of social media usage both in the number of users and usage
intensity, yet there is limited research into the psychological mecha­ 2. Literature review
nisms associated with the platform. Further, Lu, Lu and Liu (2020),
determined that users who abstain from TikTok in China did so because 2.1. Social media addiction
of fear of addiction. In the Caribbean, the focus shifted to TikTok and its
psychosocial effects when a nine-year-old boy died by asphyxiation The literature suggests that problematic social media use (PSMU) is
attempting a TikTok challenge (Rampersad, 2021). There were similar increasing among adolescents globally and there is consensus that this is
cases in the United States with at least three children aged 11 to 13 years an important issue due to the many adverse outcomes on a vulnerable
old dying while attempting TikTok challenges (Dastagir, 2021; Morris, age group at a formative stage of development (Hou, Xiong, Jiang, Song,
2021). & Wang, 2019; Kirik, Arslan, Çetinkaya, & Gül, 2015). The literature
Several studies have identified utility and gratification as de­ suggests that PSMU affects approximately 12% of users across social
terminants of usage intensity and the likelihood of problematic use of networking sites (Hou et al., 2019). The available research indicates that
communication media (Chen, 2019; Wang et al, 2015; Tarafdar, Maier, age, daily time spent and daily frequency visiting social media profiles
Laumer, & Weitzel, 2020; Montag, Yang, & Elhai, 2021). These studies are significantly associated with PSMU (Kirik et al., 2015). Further,
that reference the Technological Acceptance Model (TAM), Needs- social media addiction is negatively associated with the mental health,
Affordance-Features (NAF) Model of Technology Use and the theory of self-esteem and academic performance of adolescents (Hou et al., 2019;
Uses and Gratification suggest that usage of communication media is a Kirik et al., 2015). Research has also shown that the symptoms of social
rational choice based on psychological needs/motives, which may media addiction affect mood, cognition, physical and emotional re­
evolve into a maladaptive cognitive response where the increased use is actions, causing interpersonal and psychological problems among young
no longer dependent on actual utility. Therefore, media that affords the people (Atroszko et al., 2018; Hou et al., 2019; Pontes, 2017).
user more of their needs should theoretically be associated with higher PSMU has been associated with the deterioration of social relation­
usage intensity and the likelihood of maladaptive cognitive responses. ships (Müller et al., 2016), low work performance (Xanidis & Brignell,
While Facebook and TikTok are both social media platforms they are 2016), low well-being, psychological distress (Atroszko et al., 2018; Hou
unique in their implementation, specifically as it relates to the type of et al., 2019; Pontes, 2017) and sleep problems (Koc & Gulyagci, 2013).
engagement, content and interaction (in relation to the platform itself According to the components model of addiction (Griffiths, 2005), the
and within the TikTok community). TikTok focuses on users enter­ maladaptive behaviors /symptoms associated with PSMU can be
taining each other through storyboarded skits, challenges, lip-sync and grouped into six dimensions; salience, tolerance, withdrawal, mood
other short-form videos. Further, it facilitates shared media or building modification, conflict and relapse. This model has formed the founda­
on the media of others through ‘duets’ and reuse of posted music or tion for numerous studies on online addiction, including problematic
effects, which does not require the users to be linked to each other on Internet use (PIU), Online Gaming addiction and PSMU (Griffiths,
TikTok. While Facebook has pictures, video posts and quizzes they are 2005). The current research will also be guided by Griffiths (2005)
static and do not encourage self-presentation or promotion through so­ assumptions.
cial entertainment. Further, similar to Instagram and YouTube the Tik­
Tok platform provides an opportunity for users to become influencers 2.2. Problematic social media use and measurement issues
and earn money proportional to followers. Agreements can also be made
for advertising with entities such as Amazon and Walmart by becoming An inconsistency of measures used to determine PSMU has made it
brand ambassadors, which adds a financial incentive for some users. In extremely difficult to attain clinical recognition and acknowledgment as
the context of needs affordance, a comparison of these two platforms can a mental health disorder. Although there is sustained clinical and aca­
highlight the consistency or inconsistency of needs motives across demic interest in PSMU and the broader area of PIU (Cheng et al., 2019;
platforms and how they may lead to different maladaptive responses. Montag et al., 2021) they are yet to be added to the Diagnostic and
This can contribute new clarity not only to the determinants of mal­ Statistical Manual of Mental Disorders (DSM-5). Bányai et al. (2017)
adaptive responses but also the specific linkages between the different attribute the exclusion specifically to a lack of consistency in empirical
Griffith addiction criteria and needs affordance. studies related to PSMU. A review of the literature verifies that there is a
Given the high social media usage in the Caribbean, the rise of Tik­ lack of standard or standardized measures for PSMU, with a myriad of
Tok and growing concerns of problematic social media use’s negative approaches that use modified versions of PIU scales (Hou, et al., 2019;
psychological and psychosocial effects, this study adds to the extant Kirik, et al., 2015; Tutgun-Ünal & Deniz, 2015). In the past decade,
literature in several ways. First, the study seeks to present and validate a several Berner’s addiction scales have been developed to evaluate the
modified version of the Bergen Facebook Addiction Scale, which can be problematic use of specific social media platforms and social media in
applied to TikTok to provide a useful measure to encourage and stan­ general (Arora, Chakraborty, & Bhatia, 2021). These scales themselves
dardize future study of this platform. Further, through the use of Latent draw from the instruments designed to assess PIU, such as the Internet
Profile Analysis (LPA) and Receiver Operating Characteristics Area Addiction Scale, Pathological Internet use Scale and the PIU scale
Under the Curve (ROC-AUC) an empirical cut-off score will be (Shahnawaz et al., 2020). Even those that are not necessarily based on

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these previous scales, the factor analysis often leads to the same six 3. Methodology
Griffiths (2005) criteria although identified differently (D’Souza et al.,
2018). Although these scales reliably measure PSMU, since they use 3.1. Participants
different measures, different scoring systems (scale item range and/or
total score) and often did not specify cut-off scores the results including The participants for this study were students from the Caribbean
prevalence are not easily comparable (Bányai et al., 2017; Cheng et al., based University of Trinidad and Tobago (UTT), which has students
2019). Some effort has been made to specifically improve the compa­ from over 20 different countries. Permission was granted by the
rability of the Bergen Social Media Addiction Scale (BSMAS) with Research Ethics Committee (REC) to distribute a self-administered
Bányai et al. (2017) empirically determining 19 as an optimal cut-off questionnaire to all students via the campus’ official email system dur­
score for the scale. Further, Luo et al. (2021) determined an empirical ing the academic year 2020–2021. The study captured data from 354
cut-off of 23 and a clinical cut-off of 24. It should be noted that the respondents, of this group, there were 173 Tik Tok users and 313
studies by Bányai et al. (2017) and Luo et al. (2021) were performed in Facebook users. The sample of TikTok users comprised 173 participants
the different cultural contexts of Hungarian and Chinese populations with 67.3% being female. Age (M = 23.61, SD = 5.82) ranged from 18 to
respectively and that the clinical assessment of Social Media addiction 64 years. While the sample of Facebook users comprised 313 partici­
was based on the nine DSM-5 criteria for Internet Gambling Disorder pants with 62.11% being female. Age (M = 26.15, SD = 7.61) ranged
(IGD) given that PSMU has not been accepted by the Psychiatric Asso­ from 18 to 64 years.
ciation as an addiction. Therefore, there remains a need for additional
data and analysis of cut-off scores for the classification of PSMU in 3.2. Measures
general and specific social platforms.
3.2.1. Demographics
2.3. Problematic social media use scales Information regarding age and gender were collected with the last
two questions in the questionnaire. Gender was represented as a
Instruments to assess PSMU have been derived from its predecessor dichotomous variable, while age was given as ordinal (18–24, 25–34,
PIU. The PIU instruments focused on three dimensions related to 35–44, 45–54, 55–64, 65–74 and 75 or older).
obsession, negative life impact and lack of control, which were
expanded into six criteria of addiction: salience, mood modification, 3.2.2. Bergen Facebook Addiction Scale (BFAS)
tolerance, withdrawal, conflict and relapse (Cheung, Chan, Lui, Tsui, & The study utilized the BFAS, which was developed by Andreassen,
Chan, 2018; Kelley & Gruber, 2010). These six criteria are known as the Torsheim, Brunborg, & Pallesen (2012). The BFAS consists of six items
Griffiths (2005) criteria and were used in the development of one of the where each representing one of Griffith’s six dimensions of addiction
most widely used social media addiction scales, the Bergen Facebook (Balcerowska et al., 2020). The scale consists of six five-point Likert-type
Addiction Scale (BFAS) (Andreassen, Pallesen, & Griffiths, 2017). The items ranging from ‘very rarely’ to ‘very often’ with a possible overall
BFAS was later expanded to consider the additive usage of all social score of 0 to 24. The original authors and several other researchers
media and named the BSMAS. suggested that for the BFAS that a score of 3 or more to at least four of
Other researchers have sought to collectively assess PSMU citing that the six items is an indicator of addiction (Andreassen et al., 2012;
most users are multi-site users and that given limitations in resources Andreassen et al., 2016; Cuadrado, Rojas, & Tabernero, 2020; Chen,
this approach will be more parsimonious than individual analyses of Ahorsu, Pakpour, Griffiths, Lin, & Chen, 2020).
social media platforms. Idubor (2015) developed the Social Media Uti­
lization and Addiction Questionnaire (SMUAQ), which consisted of 3.2.3. Problematic TikTok Use Scale (PTTUS)
socio-demographic information and two sections dealing with the level Similar to the development of the Bergen Social Media Addiction
of addiction and social media utilization. Van den Eijnden, Lemmens Scale (BSMAS; Andreassen et al., 2016) from the BFAS (Andreassen
and Valkenburg (2016) also developed a Social Media Disorder (SMD) et al., 2012), the PTTUS is a modified version of the BFAS focusing on
scale, however, the authors failed to define the term social media and TikTok. The word ‘Facebook’ is replaced by ‘TikTok’ in the six items of
what it entails relative to their scale (Kuss & Griffiths, 2011). More the self-reporting scale. The scale retained the scoring criteria from the
recently, Liu and Ma (2018) developed the Chinese Social Media BFAS and as such had the possible overall score of 0 to 24.
Addiction Scale (CSMAS) which, when compared to the BSMAS had two
additional dimensions namely, preference for online social interaction 3.2.4. Validation variables
and continued use regardless of being aware of its negative consequence. Given that the external criteria of personality characteristics/traits
While many researchers have chosen to take an additive approach have been widely identified as being associated with problematic use of
others have focused on individual platforms to develop insight on the online services the study selected three related factors to assess the
unique aspects of functioning, which may differ between individuals validity of the LPA classification (Bányai et al., 2017; Luo et al., 2021).
addicted to specific social media platforms (Balcerowska et al., 2020; da The three factors selected were loneliness, self-esteem and extraversion,
Veiga et al., 2019; Montag et al., 2021). Kircaburun (2016) presented which were assessed using the University of California Los Angeles
the Twitter Addiction Scale (TAS), which was a customized version of (UCLA) three-item loneliness scale, the Rosenberg Self-Esteem Scale
the Internet Addiction Test (IAT) that was assessed satisfactorily for (RSES) and the Brief Big Five Personality Inventory (BFI-10) respec­
reliability and validity in assessing Twitter addiction. D’Souza, tively. In this study, Cronbach α was 0.84 for the UCLA three-item
Samyukta and Bivera (2018) citing Kircaburun and Griffiths (2016) loneliness scale, 0.88 for the RSES and 0.42 for the BFI-10. Further,
modification of an Internet addiction scale to assess Instagram addiction two items were included to assess the social media usage (SMU) in­
due to a lack of a validated scale developed the Test for Instagram tensity: time spent on the service per day (minutes) and frequency of use
addiction (TIA). The TIA assessed subjects on the criteria of lack of (number of times accessing the service per day). Researchers have
control, disengagement, escapism, health and interpersonal troubles, highlighted that SMU intensity is a separate dimension from the
excessive use and obsession, which were obtained via a process of factor addiction-like cognitive responses exhibited in problematic social media
analysis. Monteiro et al. (2020) adapted the BFAS to create the Bergen use (PSMU). Though multiple studies have shown that SMU intensity
Instagram Addiction Scale (BIAS), which they validated in the Brazilian and PSMU are generally correlated it is widely accepted that SMU in­
context. While scales have been developed and validated for these tensity does not necessarily imply PSMU and that high SMU intensity is
popular platforms, a review of the literature suggests there is currently relative to the specific platform as it is relatable to average user intensity
no validated scale for TikTok addiction. (Boer, Stevens, Finkenauer, de Looze, & van den Eijnden, 2021).

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3.3. Statistical analysis of problematic TikTok users. The separated data was used as the binary
outcome for the ROC-AUC assessment. The cutpointr package allows the
The internal consistency of the BFAS and PTTUS were assessed based user to set criteria for the selection of the optimal cut-off score derived
on four metrics, namely Cronbach’s α, McDonald’s ω, composite reli­ from the ROC-AUC. In this study, the optimal cut-off score was based on
ability (CR) and average variance extracted (AVE). The criterion of the balance between specificity and sensitivity.
Fornell and Larcker (1981) has been commonly used to assess the degree To explore the contribution of specific Griffith’s criteria to the
of shared variance between the latent variables of the model. According diagnosis of PTTU, the boosting classification algorithm in JASP version
to this criterion, the convergent validity of the measurement model can 0.14.1 was used (Breiman, 1996). Boosting classification is a supervised
be best assessed by the AVE and CR. CR is a measure of internal con­ machine learning ensemble meta-algorithm that can determine the
sistency and is a less biased estimate of reliability than Cronbach’s α, the relative strength of associations between predictors and an outcome
acceptable value of CR is 0.7 and above. The AVE indicates the average variable. This method has the advantage of reducing bias and variance,
percentage of variation explained by the measuring items for a latent being easy to interpret, resilient to overfitting and known to have strong
construct, values above 0.7 are considered very good, whereas, the level predictive power (Friedman, 2001; James, Witten, Hastie, & Tibshirani,
of 0.5 is acceptable (Alarcón & Sánchez, 2015; Awang, 2015). 2021; Zou, Rosset, Zhu, & Hastie, 2009).
To test the one-factor model of the BFAS and PTTUS and by extension As other researchers have highlighted this methodology cannot
construct validity, confirmatory factor analysis (CFA) was performed replace clinical validation, however, it removes the need to use ad hoc
using maximum likelihood (ML) estimation with bootstrap confidence cut-off values. The removal of the use of ad-hoc values will aid in
intervals (1000 bootstrap samples) with Mplus emulation in JASP standardizing prevalence rates between studies making them more
version 0.14.1. ML estimation was chosen because Mardia’s Multivar­ comparable and thereby improving the field’s overall understanding of
iate Normality Test in R using MVN version 5.9 found that the data was the problem.
not multivariate normal, i.e. p-values for Mardia’s kurtosis and skewness
test were <0.05 (Korkmaz, Golsuluk, & Zararsiz, 2014). A robust ML 4. Results
estimation is less impacted by the deleterious effects of non-normality as
it functionally introduces data-based corrections to the test statistic and 4.1. Descriptive statistics
standard errors to offset the bias introduced by the non-normal distri­
bution (Finney & DiStefano, 2006; Gao, Mokhtarian, & Johnston, 2008). 4.1.1. Distribution analysis
Model fit was evaluated from three perspectives: absolute fit, incre­ The normality of the two outcomes of problematic use (TikTok and
mental fit and parsimonious fit. A p-value of the goodness of fit index Facebook) were assessed. The Shapiro-Wilks test indicated the TikTok
(GFI) higher than 0.9, root mean square error of approximation problematic use scores were normally distributed, W (1 7 2) = 0.92, p <
(RMSEA) <0.05 with a probability higher than 0.05 and a standardized .001. The Shapiro-Wilks test for Facebook problematic was also found to
root mean square residual (SRMR) <0.08 were used for the absolute fit be normally distributed, W (3 1 2) = 0.93, p < .001.
(Barrett, 2007; Byrne, 2013). Comparative fit index (CFI) and Tucker-
Lewis index (TLI) values over 0.90 were used for incremental fit (Ben­ 4.1.2. TikTok
tler, 1990). While χ2/df values<3.0 were used as the measure for The mean problematic use score was found to be 7.82 (SD = 5.29; SE
parsimonious fit (Marsh & Hocevar, 1985). The strength of association = 0.40). The mean number of hours spent on TikTok per day was 106.69
of each item with the latent construct is given by their factor loadings (SD = 91.64) minutes, while the number of times a user accessed TikTok
and R-squared values, which should be>0.6 and 0.4 respectively per day was 3.79 (SD = 4.01) times. Therefore, the average duration of a
(Awang, 2015). session is 28.15 min.
To assess concurrent validity to gain insight as to what degree PFU
and PTTU reflect the same underlying process of maladaptive behavior, 4.1.3. Facebook
a model with two latent variables (PFU and PTTU) was investigated The mean problematic use score was found to be 6.27 (SD = 4.19; SE
where items measuring the same dimension of problematic use were = 0.29). The mean number of hours spent on Facebook per day was
correlated. The same measures of fit as above were used. 63.82 (SD = 81.09) minutes, while the number of times a user accessed
Latent profile analysis (LPA) was conducted on the PTTU data to Facebook per day was 2.67 (SD = 3.41) times. Hence, the average
identify the latent subpopulations based on the varying levels of mal­ duration of a session is 23.90 min.
adaptive behavior of participants captured by the PTTUS in R using
tidyLPA version 1.0.8 (Rosenberg et al. 2018). Models with 2–6 classes 4.1.4. Comparative analysis
were estimated based on six metrics produced by the LPA. The metrics The difference in the effect size between the two forms of problem­
examined were Akaike information criterion (AIC; Akaike, 1987), atic use with the factors of usage intensity (duration and frequency),
Bayesian information criterion (BIC; Schwarz, 1978), Approximate gender and age were calculated and represented in terms of a t-test. All
weight of evidence (AWE; Celeux et al., 1997), (CAIC), Sample size factors except ‘gender’ were found to be statistically different: Duration
adjusted BIC (SABIC; Sclove, 1987) and Entropy (Celeux & Soromenho, of use (p < .001); Frequency of use (p < .001); Age (p < .001); Gender (p
1996). Further, the bootstrapped likelihood ratio test (BLRT) and its = .273).
associated p-value were used to make a definitive decision on the best
class solution (Luo et al., 2021; McLachlan & Peel, 2000; Spurk et al.,
2020). The validity of the results of the LPA identification of the classes 4.2. Reliability and validity
was assessed by comparing to external criteria (self-esteem, loneliness &
extraversion), demographics (gender and age) and relevant variables of 4.2.1. TikTok
social media problematic use (engagement: time spent on service per The reliability/internal consistency of the PTTUS was found to be
day and frequency of use per day) between the LPA classes. adequate (Cronbach’s α = 0.836, 95% CI [0.798 – 0.868]; McDonald’s ω
To determine the optimal cut-off, score a sensitivity analysis was = 0.842, 95% CI [0.795 – 0.876]; CR = 0.849; AVE = 0.681).
performed using Receiver Operating Characteristic Area Under the
Curve (ROC-AUC) in R using cutpointr version 1.1.1 (Thiele & Hirsch­ 4.2.2. Facebook
feld, 2021). Similar to the work of Bányai et al. (2017) the ‘at-risk’ class The results show that the BFAS presents adequate internal consis­
was used as a ‘pseudo’ gold standard to separate cases from non-cases in tency (Cronbach’s α = 0.853, 95% CI [0.700–0.803]; McDonald’s ω =
place of a true gold standard derived from a clinically diagnosed group 0.865, 95%; CI [0.716 – 0.816]; CR = 0.859; AVE = 0.525).

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T. Smith and A. Short Addictive Behaviors 129 (2022) 107259

4.3. Confirmatory factor analysis Scalar invariances were also found to be acceptable with model fit scores
of GFI = 0.949 and GFI = 0.945 respectively i.e. there was no notable
4.3.1. TikTok decrease in fit when factor loadings or intercept equivalence were
A one-factor model of the PTTUS with six dimensions (salience, constrained. Therefore, a valid comparison of variance, covariance and
tolerance, mood modification, relapse, withdrawal and conflict) was factor means across genders is possible.
tested with CFA. The analysis provided the following results for mea­
sures of absolute fit to the data: χ2(9) = 51.21, RMSEA = 0.165, GFI = 4.3.2. Facebook
0.912. Metrics for incremental fit were CFI = 0.901 and TLI = 0.836. A one-factor model of the BFAS with six dimensions serving as the
Standardized factor loadings ranged from 0.575 to 0.999. The χ2/df = indicators of problematic use was also tested with CFA. Based on the
5.69, which was above the threshold value. Due to the lack of acceptable results of previous studies the first and second items and the fourth and
model fit, modification indices were examined as was done in previous sixth items of the BFAS were allowed to correlate based on modification
studies, which resulted in residuals of the first and second items and the indices during the CFA (Atroszko et al., 2018). The analysis provided the
fourth and sixth items being allowed to correlate (Atroszko et al., 2018; following results for measures of model fit: χ2(7) = 12.38, CFI = 0.993,
Balcerowska et al., 2020; Monacis et al., 2020). The modified model TLI = 0.986, RMSEA = 0.050, χ2/df = 1.77, GFI = 0.990, CFI = 0.993,
achieved an acceptable fit: χ2(7) = 17.14, CFI = 0.976, TLI = 0.949, TLI = 0.986. The standardized factor loadings on the items ranged from
RMSEA = 0.091, χ2/df = 2.45, GFI = 0.956. The standardized factor 0.445 to 0.893. The residual between the first and second items was
loadings on the items ranged from 0.589 to 0.923. The residual between 0.348, while the residual between the fourth and sixth was 0.102.
the first and second items was 0.306, while the residual between the
fourth and sixth was 0.220. Notably, this suggests a local dependency
between salience and tolerance and similarly between withdrawal and 4.4. Concurrent validity
relapse or rather that the pairs address a similar facet of an underlying
latent dimension (Brown, 2016; Saris & Aalberts, 2003). These re­ To determine concurrent validity, the PTTUS was compared to the
lationships are indicative of the derivation of these criteria of prob­ established BFAS using a CFA model with two latent variables (Facebook
lematic social media use from the three criteria of problematic internet and TikTok problematic use). The analysis provided the following re­
use identified as obsession, neglect and control disorder (Kelly & Gruber, sults for measures of model fit after corrections for correlations based on
2010). Therefore, the correlation of the errors of salience and tolerance modification indices produced by the CFA: χ2(40) = 83.87, RMSEA =
is likely due to them both addressing the latent construct of obsession. 0.059, SRMR = 0.052; GFI = 0.935, CFI = 0.968, TLI = 0.947. Factor
Similarly, the correlation of the errors of withdrawal and relapse is due loadings ranged from 0.453 to 0.951. The correlation between the BFAS
to them both addressing the latent construct of control disorder. and PTTU scales was found to be 0.80 (p < .01) with a covariance of 0.18
Given that gender-based differences have been observed in prob­ as shown in Fig. 1.
lematic social media use, measurement invariance of this factor was The model with two latent variables in Fig. 3 shows that there is a
assessed using Multigroup Confirmatory Factor Analysis (M− CFA). This relationship between the addictive processes of PFU and PTTU. How­
assessment assures that comparisons across gender will be both mean­ ever, it does not indicate if this relationship is equivalent between the
ingful and valid (Chan, 2011). When the configural invariance was two forms of the possible unique aspects of function (difference in the
examined the model achieved acceptable fit with GFI = 0.949 indicating manifestation of symptoms, relationship with predictors). The differ­
the overall factor structure holds similarly for both sexes. Metric and ence in mean usage intensity presented earlier suggests that baseline
activity is different between the two problematic use cases. Therefore,

Fig. 1. The factor structure of the Bergen Facebook Addiction Scale and the Problematic TikTok Use Scale for a group of Facebook users (n = 313) and TikTok users
(n = 173). Standardized loadings are indicated on the arrows. Residual variances are shown as dotted lines.

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T. Smith and A. Short Addictive Behaviors 129 (2022) 107259

the level of activity indicative of the characteristic stages or levels of loneliness and self-esteem was identified i.e. increased self-esteem
problematic use may also differ. To assess the difference between the correlated to lower levels of feelings of loneliness.
two forms of problematic use a model with two latent variables (PFU
and PTTU) was investigated in the two samples and the identified sig­ 4.5. Latent Profile analysis of TikTok users
nificant correlations were compared (Balcerowska et al., 2020; Lenhard
& Lenhard, 2014). LPA was performed on the six items of the PTTUS, and according to
The investigation of the model with two latent variables within the the assessment of the resulting metrics and criteria set out in the liter­
two samples returned acceptable model fit in both instances. In the ature, the three-class solution was selected as the best-fitting model (see
group of the Facebook users the model had the following performance Table 2. The AIC, BIC, CAIC and SABIC decreased continuously as more
indicators: χ2 = 19.34(12), p = .08; CFI = 0.992, TLI = 0.982; RMSEA = classes were added to the analysis. However, the scale of decrease
0.044, p = .562; SRMR = 0.033 and GFI = 0.985. The group of TikTok decreased considerably after the third latent class was added. Based on
users also showed good model fit: χ2 = 15.0 (12), p = .242; CFI = 0.994, the BLR test, the three-class solution was accepted. The entropy for the
TLI = 0.986, RMSEA = 0.038, p = .585, SRMR = 0.033, GFI = 0.979. In three-class solution was also the highest for the 3 class model.
the group of Facebook users, the correlation between the BFAS and the The resulting three classes were grouped as follows: Class 1 (at-risk),
PTTUS was 0.94. While in the group of TikTok users the correlation Class 2 (low risk) and Class 3 (no risk). The ‘no risk’ class represented the
between the BFAS and the PTTUS was 0.77. The difference was statis­ majority of TikTok users (68.2% of users), followed by ‘low risk’ (25.4%
tically significant (z = 8.07, p < .001). Further, Cohen’s q, which indexes of users) and the smallest class was the ‘at-risk’ group (6.4% of users).
the difference between two correlation coefficients was 0.77 suggesting The profiles of participants grouped into the three classes are presented
a large effect. in Fig. 2. Similar to the work of Bányai et al. (2017) in the ‘at-risk’ group,
Table 1 presents correlations between Griffith’s six criteria of ‘tolerance’ and ‘withdrawal’ criteria showed elevated levels compared
addiction, two external criteria of personality characteristics (Loneliness to other dimensions.
and Self-Esteem), and two forms of problematic use (PFU and PTTU).
For both forms of addiction, all six of Griffith’s criteria were significant 4.6. Identification of an empirical cut-off score for the PTTU using ROC-
in the prediction of problematic use. However, the effects of ‘Mood AUC
Modification’, ‘Relapse’ and ‘Withdrawal’ were statistically different
between the two problematic use cases. Loneliness was found to have a From the analysis, a cut-off score of 21 was suggested as the ideal
positive significant correlation with both PFU and PTTU, while Self- threshold above which persons would be classified as ‘at-risk’. With
esteem was only found to have a negative significant correlation with scores > 0.7 all the combined metrics suggest a very good model for the
Facebook problematic use. Further, relationships between specific classification of cases of problematic use. In the case of the identified
criteria of problematic use and personality characteristics were identi­ cut-off score, the specificity is 96% and the sensitivity is 91% giving an
fied. ‘Tolerance’ and ‘Mood Modification’ are positively correlated to overall accuracy of 96% with a Youden J of 0.88. These results are
self-esteem and loneliness respectively. While ‘Mood Modification’ is comparable to values for these metrics in other attempts to identify cut-
negatively correlated to self-esteem. The relationship of self-esteem with off scores for scales associated with various forms of online problematic
‘Tolerance’ and ‘Mood Modification’ is only significant for Facebook use (Bányai et al., 2017; Li et al., 2020; Luo et al., 2021; Pontes et al.,
problematic use, while the relationship of loneliness with ‘Mood Modi­ 2016). Using the identified cut-off score the prevalence of TikTok
fication’ is significant for both forms of problematic use (correlations are addiction was found to be 8.7%.
not significantly different). Lastly, a negative correlation between
4.7. Comparison of levels of external factors between problematic/non-
problematic TikTok use groups (cut-off score 21) and among latent classes
Table 1
from LPA
Correlations between study variables.
Relationships BFAS PTTU Comparison of Participants classified as exhibiting TikTok problematic use (PTTU
correlation
score ≥ 21) were significantly more likely than those in the non-
r p- r p- z p- problematic group (PTTU score < 21) to exhibit: 1) higher usage in­
value value statistic value
tensity (higher time spent on TikTok per day and greater frequency of
Addiction ~ 0.585 < 0.616 < 0.508 0.306 use per day) 2) more likely to be female 3) greater perception of lone­
Salience 0.001 0.001 liness 4) more likely exhibit the personality trait of extraversion.
Addiction ~ 0.756 0.773 0.429 0.334
Further, the results (see Table 3 showed significant correlations between
< <
Tolerance 0.001 0.001
Addiction ~ 0.838 < 0.751 < − 2.506 0.006 the diagnosis of TikTok problematic use and gender, duration of use per
Mood 0.001 0.001 day, frequency of use per day, loneliness and extraversion. The signifi­
Modification cance of differences of external characteristics between the latent classes
Addiction ~ 0.701 0.496 − 3.408
< < <0.001
as well as associations between external characteristics and the three
Relapse 0.001 0.001
Addiction ~ 0.67 < 0.789 < 2.704 0.003 latent classes were also found (see Table 3).
Withdrawal 0.001 0.001
Addiction ~ 0.607 < 0.665 < 1.022 0.153 4.8. Endorsement of Griffith’s six criteria and their relative influence on
Conflict 0.001 0.001 the prediction of TikTok problematic use
Addiction ~ 0.199 0.003 0.245 0.006 1.005 0.158
Loneliness
Addiction ~ SE − 0.162 0.015 − 0.15 0.088 The study also explored the association between endorsement and
Loneliness ~ SE − 0.559 < − 0.582 < − 0.357 0.36 the likelihood of problematic use. The central zero point for the 5-point
0.001 0.001 Likert items was taken as 3 based on the general literature (Andreassen
Tolerance ~ SE 0.118 0.027 0.07 0.364
et al., 2012, 2016; Chyung et al., 2017). As shown in Table 4 ‘mood
Mood − 0.165 0.047 − 0.002 0.979
Modification modification’ and ‘tolerance’ were the most endorsed criteria among the
~ SE university students. The least endorsed criterion was ‘withdrawal’. To
Mood 0.177 0.034 0.18 0.054 0.032 0.487 determine the relationship between endorsement of a specific criterion
Modification and the diagnosis of TikTok problematic use Cohen’s kappa coefficients
~ Loneliness
were used (Landis & Koch, 1977). Relative to the other criterion only

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Table 2
Results of the Latent Profile Analysis of TikTok users.
Model AIC AWE BIC CAIC SABIC Entropy BLRT p-value

2 Classes 2858 3241 2966 3000 2858 0.79 28 0.010


3 Classes 2743 3204 2872 2913 2742 0.91 130 0.010
4 Classes 2741 3283 2893 2941 2741 0.82 15 0.069
5 Classes 2701 3322 2875 2930 2701 0.88 54 0.010
6 Classes 2649 3349 2845 2907 2649 0.91 66 0.010

Note: AIC = Akaike Information Criterion, AWE== Approximate Weight of Evidence Criterion, CAIC=Consistent AIC, BIC=Bayesian Information Criterion, Sample
Size Adjusted BIC, BLRT = bootstrap likelihood ratio test.

To further explore the contribution of specific dimensions of prob­


lematic use identified in Griffith’s six criteria to the classification of
TikTok the Boosting Classification algorithm was applied in JASP
version 0.14.1. The Boosting Classification generated a model with
nineteen trees, which showed a test accuracy of 97.1%, validation ac­
curacy of 82.1% and F1-score of 0.956. The results of an assessment of
the six criteria’s ability to contribute to the accurate classification of
data points are given in Table 4. The criterion ‘withdrawal’ showed the
highest predictive value for the classification of problematic use fol­
lowed by ‘relapse’. The higher importance of ‘withdrawal’ and ‘relapse’
is in line with a previous study that investigated the predictive power of
these criteria in relation to social media problematic use (Luo et al.,
2021). Similar to the results of Luo et al. (2021) these results indicated
that withdrawal has a high predictive value with ‘relapse’ giving sub­
stantial subsequent information in the diagnostic process.
Fig. 2. The relative influence of Griffith’s criteria on the classification of Tik­
Tok problematic use. 5. Discussion

‘withdrawal’ (Cohen’s k > 0.50) was found to correspond well to the The present study sought to achieve four objectives 1) psychometric
diagnosis of TikTok problematic use. The association of each criterion validation of the BFAS and PTTUS in a sample of university students, 2)
with the placement of users in the problematic or non-problematic use define profiles of PTTU characterized by Griffith criteria of maladaptive
groups was also examined using Fisher’s exact test. The Ho tested was behaviors of addiction, 3) Determine an optimal cut-off score for the
that users endorsing each criterion were more likely to be included in the PTTUS and 4) compare the maladaptive behavioral process between
problematic use group than the non-problematic use group. For all six Facebook and TikTok. The results confirm that the BFAS and PTTUS
criteria, the null hypothesis was accepted suggesting that endorsement instruments present adequate validity and reliability in the respective
of these criteria indeed align with problematic use. measurement of Facebook and TikTok use in the Caribbean cultural

Fig. 3. The three classes obtained from the latent profile analysis.

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Table 3
Comparison of the three latent classes: Testing Equality for latent class predictors (n = 173).
Predictors Latent Class Mean (standard deviation) Value Correlation to Positive TikTok Problematic use class

At-risk (n Low risk (n No risk (n ¼ p†


Spearman Problematic (n Non-Problematic (n p† Spearman
¼ 11) ¼ 44) 118) r ¼ 15) ¼ 158) r

Gender (female %) 100a 73.2b 62.1b 0.081 0.170* 100 64.3 <0.001 − 0.213**
Age (years) 21.8 (2.6)a 22.7 (5.1)a 24.2 (6.3)a 0.236 0.147 21.6 (2.2) 23.8 (6.1) 0.923 − 0.121
Daily TikTok use 211.4 158.9 (84.0)b 62.9 (84.8)c <0.001 − 0.559*** 219.0 (53.7) 85.1 (92.6) <0.001 − 0.367***
(minutes) (61.7)a
Frequency of TikTok 8.6 (4.0)a 6.2 (4.2)a 2.5 (3.1)b <0.001 − 0.501*** 9.27 (3.5) 3.3 (3.7) <0.001 0.401***
(times per day)
Loneliness 6.6 (2.2)a 6.4 (2.1)a 4.8 (2.4)b <0.001 − 0.321*** 6.87 (2.0) 5.2 (2.4) 0.005 0.198**
Self-esteem 16.7 (8.5)a 17.4 (6.1)a 17.3 (7.9)a 0.962 0.038 17.7 (7.6) 17.3 (7.5) 0.425 0.010
Extraversion 4.1 (1.2)a 3.8 (1.5)a 3.2 (1.7)a 0.077 − 0.170* 4.1 (1.1) 3.3 (1.7) 0.047 0.145*

Note: Different subscript letters (a, b, c) in the same row reflect significant (<0.05) difference between the means while the same subscript letters in one row reflect
non-significant differences between the means according to pairwise Mann-Whitney pairwise test.
p†: p values were obtained by chi-squared test for categorical variables, t-test for two-group continuous variables (Ho: Addicted group > Non-Addicted group) and one-
way analysis of variance for three-group continuous variables.
For Spearman r (Spearman correlation coefficients) - *: p <0.5, **: p <0.01, ***: p<0.001.

Table 4
Endorsement of diagnostic criteria overall and for problematic vs non-problematic users (n = 173).
Criterion Cohen k Overall users (n ¼ 173) Problematic users (n ¼ 15) Non-problematic users (n ¼ 158) p-value

Withdrawal 0.65 13.3 86.7 6.3 <0.001


Salience 0.15 50.9 93.3 46.8 <0.05
Tolerance 0.13 57.2 100 53.2 <0.05
Conflict 0.38 16.8 66.7 12.0 <0.001
Mood Modification 0.15 54.3 100 50.0 <0.001
Relapse 0.23 38.7 93.3 33.5 <0.001

Note: p-value derived from Fisher’s exact test, where the null-hypothesis is that the addicted users group is greater than the non-addicted users group.

context. The LPA identified three levels of TikTok use based on the on the BFAS. The PTTU showed similar results, except that self-esteem
manifestation of maladaptive behavior, however, in some cases, the was not found to be significantly related to an increase in PTTU
external characteristics could only identify two levels. However, the scores. The concurrent validity of the PTTU was assessed by its corre­
results identified several useful relationships between PTTU and lation with the BFAS (0.80) and was found to be adequate (Murphy &
external characteristics, which were significant in the classification of Davidshofer, 2014).
users exhibiting maladaptive responses. The optimal empirical cut-off The findings indicate a significant difference in average usage in­
score for diagnosing TikTok problematic use was determined to be 21 tensity, age of users, the manifestation of problematic use and rela­
when optimizing the balance between sensitivity and specificity. Using tionship with personality characteristics between Facebook and TikTok.
the identified cut-off score the prevalence of TikTok problematic use was TikTok users were found to be younger with higher average daily usage
identified as 8.7%. Comparison of PFU and PTTU suggested that the two intensity than Facebook users. The difference in the average usage in­
had similar underlying mechanisms. However, they differed in 1) tensity is suggestive of a difference in the level of attraction between
manifestation of problematic use, the relationship between psycholog­ platforms. Gender was not found to be significantly different between
ical traits and criteria of problematic use (significance and effect size). the two platforms. However, the number of female users was found to be
One of the main goals of the study was the psychometric assessment significantly more than males on both platforms suggesting that gener­
of the well-established BFAS and the PTTUS in the Caribbean cultural ally, females are more inclined to use social media. The study’s findings
context. The study found that the scales had adequate internal consis­ also indicate different expressions (or levels of expression) of problem­
tency with BFAS, α = 0.85 and PTTU, α = 0.84. The BFAS score was atic use and variation in predictors between Facebook and TikTok,
higher than the original study (α = 0.83) but lower than that of a Por­ which was reflective of the observations of Balcerowska et al. (2020) in
tuguese sample of emerging adults (α = 0.87). Further, the adequacy of the paired examination of problematic use of Social media multi-site
internal consistency of the BFAS and PTTU was verified by the CR scores users and Facebook only users. ‘Mood Modification’ and ‘Relapse’
of 0.85 and 0.86 respectively. The convergent validity was also found to showed greater manifestation in Facebook problematic use. This can be
be adequate with AVE scores of 0.52 and 0.68 for the BFAS and PTTU explained by the relationship between self-esteem (negative correlation)
respectively. The CFA confirmed the one-factor structure proposed for and loneliness (positive correlation) with PFU, particularly with the
the BFAS by the original authors and replicated in two subsequent criterion of ‘Mood Modification’. These relationships cumulatively
Portuguese studies (Andreassen et al., 2012; da Veiga et al., 2019; suggest a greater tendency in the use of Facebook as part of a coping
Pontes et al., 2016). As expected the one-factor structure was also strategy for persons seeking to achieve social acceptance not acquired in
confirmed for the PTTU. For criterion validity, the participants’ levels of the non-digital space. However, the manifestation of withdrawal
loneliness, self-esteem and usage intensity were measured. According to symptoms is significantly more prominent among TikTok users. Given
the literature higher levels of loneliness and engagement are associated that self-esteem is predictive of Facebook’s problematic use in previous
with social media problematic use (Baltaci, 2019; Luo et al., 2021). studies it is possible that the relationship between loneliness and self-
While lower self-esteem is associated with higher social media prob­ esteem (see Table 1 decreased the predictive power of self-esteem. A
lematic use scale scores (Bányai et al., 2017; Luo et al., 2021). The study similar explanation was posited by Baltaci (2019) loneliness was found
found empirical support for the relationship between these factors and to have an inconsistent relationship with problematic use because of its
Facebook problematic use, as participants with higher usage intensity, relationship with other psychosocial factors such as social anxiety and
high perception of loneliness and low self-esteem obtained higher scores happiness.

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T. Smith and A. Short Addictive Behaviors 129 (2022) 107259

While there are specific differences between the two forms of prob­ studies should examine the complementary role of narcissism. The sys­
lematic use there is also a significant degree of correlation, which was tematic literature review published by Casale and Banchi (2020) found
stronger in the Facebook users than the TikTok users. Similar correlation an overall positive significant correlation between narcissism and
patterns were found between multisite users and Facebook users with problematic Facebook use. However, they highlighted inconsistency in
significantly different relationships between the BSMAS and the BFAS studies that generalized problematic social media use, which potentially
within each sample group (Balcerowska et al., 2020). These two out­ aligns with this study’s hypothesis that the underlying pathways to
comes suggest that dependency may be determined by factors related to maladaptive cognitive responses differ between platforms. The valida­
the platforms themselves. Some studies have suggested the Uses and tion of such a claim would, however, require more studies looking at
Gratification model as an explanation for the difference in problematic different platforms independently and comparatively. Further, it should
use between people using the same platforms and in the user’s choice of be considered that the majority of past studies have not sought to
platform i.e. a focus on motives for use (Andreassen & Pallesen, 2014). differentiate grandiose narcissism from vulnerable narcissism (Fegan &
Given the difference in the relationship of the BFAS and PTTUS within Bland, 2021). It may be useful to attempt to assess both forms of trait
each sample and the difference in the baseline average usage intensity, narcissism in relation to PTTU.
the difference may lie in the presentation of the platform itself, with Lastly, the study found that similar to previous findings ‘salience and
specific elements acting as attractors i.e. features that contribute to ‘tolerance’ were highly endorsed by participants but were weak in
needs affordance (Chen, 2019; Kuss & Griffiths, 2017; Wang et al., classifying addicted users (Andreassen et al., 2012; Luo et al., 2021).
2015). Therefore, future research should focus on these possible These results suggest that thinking about or even increasingly using
attractors, giving greater consideration to technology-focused theories social media may represent high engagement but not necessarily pa­
such as the Technology Acceptance Model (Davis, 1989) and the Needs- thology (Kardefelt-Winther, 2015; Luo et al., 2021; Pontes et al, 2016).
Affordance-Features (NAF) Model of Technology Use (Karahanna et al., The criteria ‘withdrawal’ and ‘relapse’ have been widely recognized as
2018) in addition to the Uses and Gratification Model. These models core criteria in the identification of maladaptive behaviors (Charlton &
propose that the level of use of a service is related to the way it presents Danforth, 2007; Kuss & Griffiths, 2017). The findings of this study
itself, ease of use, usefulness (ability to provide the expected gratifica­ indicate that these criteria provide fairly high distinguishing power
tion), level of enjoyment, irreplaceability, relatedness and self- between ‘problematic’ and ‘non-problematic’ users. Therefore, the
presentation (ability to control one’s online persona). findings suggest that PTTU use has the same overarching structure and is
Results from the LPA provided a nuanced understanding of the defined by the same criteria as other problematic use (van den Eijnden
relative contribution of each criterion on the accurate detection of ‘at et al., 2016).
risk’ subjects. The results of the LPA lead to the TikTok sample being
divided into three groups: ‘at risk’, ‘low risk’ and ‘no risk’. Findings from 6. Conclusion
the LPA demonstrate that there are no relevant differences among the
groups with regard to age, self-esteem and extraversion, but there are Although most users appear to use TikTok in a non-problematic
groups with low, medium and high patterns of daily use and frequency manner, the study demonstrates that the risk of overuse and possible
of use. More specifically, only two profiles could be validated for gender problematic use exists and is associated with maladaptive behaviors that
and loneliness. Using the ‘at risk’ group as the ‘gold standard’ an can potentially negatively impact the daily lives of sufferers. Therefore,
empirical cut-off score of 21 for diagnosing TikTok problematic use in the need exists for sound psychometric instruments that allow reliable
the Caribbean context was identified. This score represents the best and valid assessment of TikTok. Further, the study emphasizes while
balance between specificity (96%) and the sensitivity (91%), and the similarities exist between the addictive process occurring in Facebook
highest diagnostics accuracy (96%). The empirical cut-off scores for the and TikTok there are significant differences in manifestation, predictors
BSMAS and BFAS found in previous studies have ranged from 19 to 24 and usage intensity associated with average vs problematic use. This
(Bányai et al., 2017; Luo et al., 2021). The prevalence of problematic use translates to potential differences not only in the usage intensity or
based on the cut-off score of 21 was 8.75% which is comparable to more symptoms associated with various stages/categories of problematic use
conservative findings in previous studies (Kuss & Griffiths, 2017; Ryan, but also in the number of stages that precede problematic use. Further, it
Chester, Reece, & Xenos, 2014). However, similar to the cases of internet indicates that a user can exhibit problematic use on a specific platform
problematic use due to the inconsistency in population, sampling and and not have the same maladaptive response with the broader category
criteria for the identification the prevalence rates have ranged from 1% of social media. Therefore, the study empirically supports the need for
to 47% (Bányai et al., 2017; Jafarkarimi, Sim, Saadatdoost, & Hee, 2016; the study of specific platforms where feasible to enhance the under­
Li et al., 2020). standing of usage intensity, likelihood of problematic use and mal­
Overall gender, usage intensity (daily duration of use and frequency adaptive cognitive responses developed on social media platforms.
of use), loneliness and extraversion were found to have significant dis­
tinguishing powers in the determination of problematic use. The
observed higher likelihood of addicted persons being female is similar to Declaration of Competing Interest
studies examining Facebook problematic use (Bányai et al., 2017; Kuss
& Griffiths, 2017). Higher levels of loneliness were also found to be The authors declare that they have no known competing financial
associated with TikTok problematic use, which is consistent with find­ interests or personal relationships that could have appeared to influence
ings of studies examining Facebook or Social Media (multi-users) the work reported in this paper.
problematic use (Baltaci, 2019). Higher usage intensity has consistently
been identified as being associated with problematic use, which was
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