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2022, Number 3

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Salud Mental 2022; 45 (3)

Association between screen time exposure, anxiety, and sleep quality in adolescents

Santiago FL, Oliveira SA, de Souza SRI, de Castro MWV, Rodrigues FEA, Torres PAL, Quintella FB, Machado-Oliveira L

Language: English
References: 48
Page: 125-133
PDF size: 190.79 Kb.


ABSTRACT

Introduction. The increase in sedentary screen time can negatively affect the quality of sleep, impacting the performance of daily activities. Objective. To analyze the association between sedentary screen time and sleep quality, regardless of the symptoms of anxiety in adolescents of both genders. Method. Cross-sectional study integrating school-based epidemiological research with a representative sample (n = 666) of high school students (14 to 19 years old) in public schools in the municipality of Caruaru-PE. The translated versions into Portuguese of the Pittsburgh Sleep Quality Index (PSQI) and the Hospital Anxiety and Depression Scale (HAD) were applied to analyze sleep quality and anxiety, respectively. Binary logistic regression was used to analyze the association, considering sleep quality as an outcome. Results. There was a positive, statistically significant (p ‹ .001) correlation between sleep quality and symptoms of anxiety (r = .393). A significant association regarding the association between screen time and sleep quality was noted only in those adolescents classified as being possible or probable anxiety cases and only in exposure to the computer (OR = 2.337; 95% CI [1.01, 5.43]) and video games (OR = 8.083; 95% CI [2.0, 32.8]) after adjusting for gender, age, and school shift. Discussion and conclusion. Increased interaction with the screen and higher levels of anxiety can be more harmful to sleep in adolescents. Exposure to screen time, specifically those which have a greater interaction such as video games and computers, can have a negative impact on sleep quality, but only in adolescents with a higher risk of anxiety.


REFERENCES

  1. Altintas, E., Karaca, Y., Hullaert, T., & Tassi, P. (2019). Sleep quality and video gameplaying: Effect of intensity of video game playing and mental health. PsychiatryResearch, 273, 487-492. doi: 10.1016/j.psychres.2019.01.030

  2. Aros, L. J. L., Germano-Soares, A. H., Silva, C. R. de M., Silva, A. O. da, &Tassitano, R. M. (2017). Trends in television and computer/videogame use andtotal screen time in high school students from Caruaru city, Pernambuco, Brazil:A repeated panel study between 2007 and 2012. Motriz: Revista de EducaçãoFísica, 23(spe2), 1-8. doi: 10.1590/s1980-6574201700si0093

  3. Batista, G. de A., Silva, T. N. da, Oliveira, M. R. de, Diniz, P. R. B., Lopes, S. S., &Oliveira, L. M. F. T. de. (2018). Associação entre a percepção da qualidade dosono e a assimilação do conteúdo abordado em sala de aula. Rev Paul Pediatr,36(3), 315 321. doi: 10.1590/1984 0462/;2018;36;3;00008

  4. Bauman, A. E., Sallis, J. F., Dzewaltowski, D. A., & Owen, N. (2002). Toward abetter understanding of the influences on physical activity. American Journal ofPreventive Medicine, 23(2), 5-14. doi: 10.1016/S0749-3797(02)00469-5

  5. Bertolazi, A. N., Fagondes, S. C., Hoff, L. S., Dartora, E. G., da Silva Miozzo, I. C.,de Barba, M. E. F., & Menna Barreto, S. S. (2011). Validation of the BrazilianPortuguese version of the Pittsburgh Sleep Quality Index. Sleep Medicine,12(1), 70-75. doi: 10.1016/j.sleep.2010.04.020

  6. Bjelland, I., Dahl, A. A., Haug, T., & Neckelmann, D. (2002). The validity of thehospital anxiety and depression scale: an updated literature review. J PsychosomRes, 52(2), 69-77. doi: 10.1016/S0022-3999(01)00296-3

  7. Brand, S., Kirov, R., Kalak, N., Gerber, M., Schmidt, N. B., Lemola, S., … Holsboer-Trachsler, E. (2016). Poor Sleep Is Related to Lower Emotional CompetenceAmong Adolescents. Behavioral Sleep Medicine, 14(6), 602-614. doi:10.1080/15402002.2015.1048450

  8. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989).The Pittsburgh sleep quality index: A new instrument for psychiatric practiceand research. Psychiatry Research, 28(2), 193-213. doi: 10.1016/0165-1781(89)90047-4

  9. Cajochen, C., Frey, S., Anders, D., Späti, J., Bues, M., Pross, A., … Stefani, O.(2011). Evening exposure to a light-emitting diodes (LED)-backlit computerscreen affects circadian physiology and cognitive performance. Journal ofApplied Physiology, 110(5), 1432-1438. doi: 10.1152/japplphysiol.00165.2011

  10. Cao, H., Qian, Q., Weng, T., Yuan, C., Sun, Y., Wang, H., & Tao, F. (2011). Screentime, physical activity and mental health among urban adolescents in China.Preventive Medicine, 53(4-5), 316-320. doi: 10.1016/j.ypmed.2011.09.002

  11. Chellappa, S. L., & Araujo, J. F. (2007). Qualidade subjetiva do sono em pacientescom transtorno depressivo. Estudos de Psicologia (Natal), 12(3), 269-274. doi:10.1590/S1413-294X2007000300009

  12. Council on Communications and Media. (2013). Children, Adolescents, and theMedia. Pediatrics, 132(5), 958-961. doi: 10.1542/peds.2013-2656

  13. Dworak, M., Schierl, T., Bruns, T., & Struder, H. K. (2007). Impact of SingularExcessive Computer Game and Television Exposure on Sleep Patterns andMemory Performance of School-aged Children. Pediatrics, 120(5), 978-985.doi: 10.1542/peds.2007-0476

  14. Eggermont, S., & Bulck, J. (2006). Nodding off or switching off? The use of popularmedia as a sleep aid in secondary‐school children. Journal of Paediatrics andChild Health, 42(7‐8), 428-433. doi: 10.1111/j.1440-1754.2006.00892.x

  15. Espinoza, G., & Juvonen., J. (2011). The pervasiveness, connectedness, and intrusivenessof social network site use among young adolescents. Cyberpsychology, Behavior,and Social Networking, 14(12), 705-709. doi: 10.1089/cyber.2010.0492

  16. Fabbri, M., Beracci, A., Martoni, M., Meneo, D., Tonetti, L., & Natale, V. (2021). MeasuringSubjective Sleep Quality: A Review. International Journal of EnvironmentalResearch and Public Health, 18(3), 1082. doi: 10.3390/ijerph18031082

  17. Faro, A., Araújo, L. F. de, Maciel, S. C., Lima, T. J. S. de, & Souza, L. E. C. de. (2021).Structure and invariance of the Hospital Anxiety Depression Scale (HADS) inadolescents. Ciencias Psicológicas, 15(2), 1-14. doi: 10.22235/cp.v15i2.2069

  18. Ghrouz, A. K., Noohu, M. M., Dilshad Manzar, M., Warren Spence, D., BaHammam,A. S., & Pandi-Perumal, S. R. (2019). Physical activity and sleep quality inrelation to mental health among college students. Sleep and Breathing, 23(2),627-634. doi: 10.1007/s11325-019-01780-z

  19. Gomes, G. C., Passos, M. H. P. dos, Silva, H. A., Oliveira, V. M. A. de, Novaes, W.A., Pitangui, A. C. R., & Araújo, R. C. de. (2017). Qualidade de sono e suaassociação com sintomas psicológicos em atletas adolescentes. Revista Paulistade Pediatria, 35(3), 316-321. doi: 10.1590/1984-0462/;2017;35;3;00009

  20. Gordon-Larsen, P., Nelson, M. C., & Popkin, B. M. (2004). Longitudinalphysical activity and sedentary behavior trends: Adolescence to adulthood.American Journal of Preventive Medicine, 27(4), 277-283. doi: 10.1016/j.amepre.2004.07.006

  21. Guerra, P. H., Farias Júnior, J. C. de, & Florindo, A. A. (2016). Comportamentosedentárioemcrianças e adolescentes brasileiros: revisão sistemática. Revista deSaúde Pública, 50(9), 1-15. doi: 10.1590/S1518-8787.2016050006307

  22. Guerrero, M. D., Barnes, J. D., Chaput, J.-P., & Tremblay, M. S. (2019). Screentime and problem behaviors in children : exploring the mediating role of sleepduration. International Journal of Behavioral Nutrition and Physical Activity,16(105), 1-10. doi: 10.1186/s12966-019-0862-x

  23. Instituto Brasileiro de Geografia e Estatística. (2013). Pesquisa Nacional por Amostrade Domicílios: Síntese de Indicadores. Retrieved from IBGE website: https://ww2.ibge.gov.br/home/estatistica/populacao/trabalhoerendimento/pnad2013/on March 6, 2020.

  24. Koepp, M. J., Gunn, R. N., Lawrence, A. D., Cunningham, V. J., Dagher, A., Jones, T.,… Grasby, P. M. (1998). Evidence for striatal dopamine release during a videogame. Nature, 393(6682), 266-268. doi: 10.1038/30498

  25. Komada, Y., Aoki, K., Gohshi, S., Ichioka, H., & Shibata, S. (2015). Effects oftelevision luminance and wavelength at habitual bedtime on melatonin andcortisol secretion in humans. Sleep and Biological Rhythms, 13(4), 316-322.doi: 10.1111/sbr.12121

  26. Lopes, A. P., & Rezende, M. M. (2013). Anxiety and the use of psychoactivesubstances among adolescents. Estudos de Psicologia (Campinas), 30(1), 49-56. doi: 10.1590/S0103-166X2013000100006

  27. Maras, D., Flament, M. F., Murray, M., Buchholz, A., Henderson, K. A., Obeid,N., & Goldfield, G. S. (2015). Screen time is associated with depression andanxiety in Canadian youth. Preventive Medicine, 73, 133-138. doi: 10.1016/j.ypmed.2015.01.029

  28. Moge, C. E., & Romano, D. M. (2020). Contextualising video game engagement andaddiction in mental health: the mediating roles of coping and social support.Heliyon, 6(11), e05340. doi: 10.1016/j.heliyon.2020.e05340

  29. Neto, J. M. de S., Costa, F. F. da, Barbosa, A. O., Filho, A. P., Santos, E. V. O. dos,& Júnior, J. C. de F. (2021). Physical activity, screen time, nutritional statusand sleep in adolescents in Northeast Brazil. Revista Paulista de Pediatria, 39,e2019138. doi: 10.1590/1984-0462/2021/39/2019138

  30. Passos, M. H. P., Silva, H. A., Pitangui, A. C. R., Oliveira, V. M. A., Lima, A. S., &Araújo, R. C. (2017). Reliability and validity of the Brazilian version of thePittsburgh Sleep Quality Index in adolescents. Jornal de Pediatria, 93(2), 200-206. doi: 10.1016/j.jped.2016.06.006

  31. Peracchia, S., & Curcio, G. (2018). Exposure to video games: effects on sleep and onpost-sleep cognitive abilities. A sistematic review of experimental evidences.Sleep Sci, 11(4), 302-314. doi: 10.5935/1984-0063.20180046

  32. Schaan, C. W., Cureau, F. V, Sbaraini, M., Sparrenberger, K., Kohl, H. W., &Schaan, B. D. (2019). Prevalence of excessive screen time and TV viewingamong Brazilian adolescents: a systematic review and meta-analysis. Jornal dePediatria, 95(2), 155-165. doi: 10.1016/j.jpedp.2018.06.016

  33. Schlarb, A., Friedrich, A., & Claßen, M. (2017). Sleep problems in university students– an intervention. Neuropsychiatric Disease and Treatment, 13, 1989-2001. doi:10.2147/NDT.S142067

  34. Silva, A. O. da, Oliveira, L. M. F. T. de, Santos, M. A. M. dos, & Tassitano, R.M. (2017). Tempodetela, percepdaqualidadedesonoeepisdeparassoniaemadolescentes. Revista Brasileira de Medicina Do Esporte, 23(5), 375-379. doi:10.1590/1517-869220172305163582

  35. Silva, A. O. da, Soares, A. H. G., Silva, B. R. V. S., & Tassitano, R. M. (2016).Prevalência do tempo de tela como indicador do comportamento sedentário emadolescentes brasileiros: uma revisão sistemática. Motricidade, 12(2), 155-164.

  36. Silva, K. S., da Silva Lopes, A., Dumith, S. C., Garcia, L. M. T., Bezerra, J., &Nahas, M. V. (2014). Changes in television viewing and computers/videogamesuse among high school students in Southern Brazil between 2001 and 2011.International Journal of Public Health, 59(1), 77-86. doi: 10.1007/s00038-013-0464-3

  37. Teychenne, M., & Hinkley, T. (2016). Associations between Screen-Based SedentaryBehaviour and Anxiety Symptoms in Mothers with Young Children. PLoS One,11(5), e0155696. doi: 10.1371/journal.pone.0155696

  38. Thomas, G., Bennie, J. A., De Cocker, K., Castro, O., & Biddle, S. J. H. (2020).A Descriptive Epidemiology of Screen-Based Devices by Children andAdolescents: a Scoping Review of 130 Surveillance Studies Since 2000. ChildIndicators Research, 13(3), 935-950. doi: 10.1007/s12187-019-09663-1

  39. Thomée, S., Dellve, L., Härenstam, A., & Hagberg, M. (2010). Perceived connectionsbetween information and communication technology use and mental symptomsamong young adults-a qualitative study. BMC Public Health, 10(1), 66. doi:10.1186/1471-2458-10-66

  40. Tremblay, M. S., LeBlanc, A. G., Kho, M. E., Saunders, T. J., Larouche, R., Colley, R.C., … Gorber, S. C. (2011). Systematic review of sedentary behaviour and healthindicators in school-aged children and youth. International Journal of BehavioralNutrition and Physical Activity, 8(1), 98. doi: 10.1186/1479-5868-8-98

  41. Uhde, T. W., Cortese, B. M., & Vedeniapin, A. (2009). Anxiety and sleep problems:Emerging concepts and theoretical treatment implications. Current PsychiatryReports, 11(4), 269-276. doi: 10.1007/s11920-009-0039-4

  42. von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., &Vandenbroucke, J. P. (2008). The Strengthening the Reporting of ObservationalStudies in Epidemiology (STROBE) statement: guidelines for reportingobservational studies. Journal of Clinical Epidemiology, 61(4), 344-349. doi:10.1016/j.jclinepi.2007.11.008

  43. Wahl, S., Engelhardt, M., Schaupp, P., Lappe, C., & Ivanov, I. V. (2019). The innerclock—Blue light sets the human rhythm. Journal of Biophotonics, 12(12),1-14. doi: 10.1002/jbio.201900102

  44. White, D., Leach, C., Sims, R., Atkinson, M., & Cottrell, D. (1999). Validation of theHospital Anxiety and Depression Scale for use with adolescents. British Journalof Psychiatry, 175(5), 452-454. doi: 10.1192/bjp.175.5.452

  45. Woods, H. C., & Scott, H. (2016). #Sleepyteens : Social media use in adolescenceis associated with poor sleep quality, anxiety, depression and low. Journal ofAdolescence, 51, 41-49. doi: 10.1016/j.adolescence.2016.05.008

  46. Wu, X. Y., Han, L. H., Zhang, J. H., Luo, S., Hu, J. W., & Sun, K. (2017). Theinfluence of physical activity, sedentary behavior on health-related quality oflife among the general population of children and adolescents: A systematicreview. PloS One, 12(11), e0187668. doi: 10.1371/journal.pone.0187668

  47. Yoshimura, M., Kitazawa, M., Maeda, Y., Mimura, M., Tsubota, K., & Kishimoto, T.(2017). Smartphone viewing distance and sleep: an experimental study utilizingmotion capture technology. Nature and Science of Sleep, 9, 59-65. doi: 10.2147/NSS.S123319

  48. Zink, J., Belcher, B. R., Kechter, A., Stone, M. D., & Leventhal, A. M. (2019).Reciprocal associations between screen time and emotional disorder symptomsduring adolescence. Preventive Medicine Reports, 13, 281-288. doi: 10.1016/j.pmedr.2019.01.014




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