Sleep duration does not mediate the association between screen time and adolescent depression and anxiety: findings from the 2018 National Survey of Children's Health.
Sleep duration does not mediate the association between screen time and adolescent depression and anxiety: findings from the 2018 National Survey of Children's Health.
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DOI：
10.1016/j.sleep.2021.02.031
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发表时间：
2021-05
期刊：
影响因子：
4.8
通讯作者：
Torres R
中科院分区：
文献类型：
--
作者：
Leung CY;Torres R
青春期是一个关键时期，在这一时期，个人处于抑郁和焦虑的高风险之中。屏幕时间与青少年抑郁和焦虑之间的联系还没有定论。我们研究了1）屏幕时间与青少年抑郁和焦虑的关系，以及2）睡眠时间是否介导了这些关系。这项研究利用了2018年美国全国儿童健康调查的数据，这是一个大型的横断面人口代表性数据集，其中包括父母/护理人员的反应。多变量逻辑回归被用来估计屏幕时间与抑郁和焦虑之间的关联。路径模型被用来测试睡眠持续时间的中介作用。混杂因素，如性别，年龄和社会人口统计学变量被纳入我们的调整模型。这项研究包括10，907名13至17岁的青少年的数据。平均每天看电视的时间为3.76小时。与没有屏幕时间相比，每天使用屏幕时间超过4小时的青少年患抑郁症（OR=2.23，95%CI：1.27 - 3.91）和焦虑症（OR=1.85，95%CI：1.26 - 2.72）的几率更高。睡眠时间并没有调节屏幕时间与抑郁和焦虑之间的联系。进一步的研究是必要的，以检查屏幕时间内容与抑郁和焦虑的关联，以及睡眠质量与睡眠时间对屏幕时间与抑郁和焦虑的关系的影响。
Adolescence is a crucial time period in which individuals are at high risk for depression and anxiety. Associations between screen time and adolescent depression and anxiety have been inconclusive. We examined 1) the associations of screen time with adolescent depression and anxiety and 2) whether sleep duration mediates these relationships. This study utilized data from the 2018 U.S. National Survey of Children’s Health, a large cross-sectional population representative dataset with parent/caregiver responses. Multivariable logistic regression was used to estimate the associations between screen time and depression and anxiety in separate models. Path models were used to test the mediating role of sleep duration. Confounders, as sex, age, and sociodemographic variables were included in our adjusted models. Data of 10,907 adolescents aged 13 to 17 were included in this study. The average screen time was 3.76 hours daily. Compared to no screen time, adolescents who used over 4 hours of screen time per day had higher odds of depression (OR=2.23, 95% CI:1.27 – 3.91) and anxiety (OR=1.85, 95% CI: 1.26 – 2.72). Sleep duration did not mediate the associations between screen time and depression and anxiety. Further research is necessary to examine the associations of screen time content with depression and anxiety, as well as the effects of sleep quality in conjunction with sleep duration on the relationships of screen time and depression and anxiety.
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