In 2025, a groundbreaking study was published in the journal of Health Communication, which conducted a theory-driven content analysis of YouTube videos focusing on promoting mental health among college students. The study analyzed videos from 88 social media influencers (SMIs) with over 5,000 subscribers, utilizing the social learning theory developed in the 1970s to understand the impact of these influencers on user behavior. The results revealed distinct communication strategies that were associated with increased user commenting behavior, shedding light on the influence of SMIs on college students and providing valuable insights for mental health advocacy on social media platforms.
YouTube plays a significant role in mental health promotion, with over 2.70 billion people worldwide visiting the platform every month. Studies have shown that a substantial percentage of teens seeking information about depression turn to YouTube videos for guidance. Additionally, YouTube has been effective in increasing mental health literacy among adolescents, highlighting its potential as a tool for promoting mental well-being.
The study in Health Communication classified SMIs into various categories based on their follower count, ranging from mega-influencers with over a million followers to nano-influencers with between 1,000 and 5,000 followers. Surprisingly, the study found that micro-influencers, with follower counts between 5,000 and 100,000, often have more persuasive messaging than mega-influencers, emphasizing the importance of relatability and authenticity in influencer marketing.
Social learning theory, developed by Albert Bandura in 1977, suggests that people learn by observing others and imitating their behaviors. The study in Health Communication applied this theory to analyze YouTube videos and identified key communication strategies that lead to increased user engagement. These strategies include cultivating social presence, showing group identification with mental health organizations, and promoting engaging narratives. While providing esteem and network support was deemed important, it was not found to be correlated with increased commenting behaviors.
Despite the positive impact of YouTube on mental health promotion, concerns have been raised about its potential negative effects on the mental well-being of young adults. Reports have indicated that individuals under the age of 29 who regularly consume YouTube content may develop unhealthy parasocial relationships with content creators, leading to feelings of loneliness, anxiety, and depression. However, YouTube also offers valuable resources for streaming content, underscoring the platform’s dual role in mental health promotion.
In conclusion, the influence of social media influencers on the mental health of young adults is significant and continues to grow. When promoting mental health on platforms like YouTube, SMIs can effectively engage users by projecting a relatable social presence, aligning with credible mental health organizations, and utilizing compelling narratives and storytelling techniques. As the digital landscape evolves, it is essential to harness the power of influencers responsibly to support mental well-being in online communities.

