Screen time trajectories and psychosocial well-being among Chinese adolescents: a longitudinal study.

IF 3.4 2区 医学 Q2 PSYCHIATRY
Wanxin Wang, Weiqing Jiang, Liwan Zhu, Ciyong Lu, Yanzhi Li, Wenjian Lai, Lan Guo
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Abstract

Background: While the association between screen time (ST) and psychosocial well-being has been extensively examined, limited studies have investigated the dynamic patterns of ST, and their impact on subsequent psychosocial well-being among adolescents. Therefore, this longitudinal study aimed to examine the association between ST trajectories and the subsequent psychosocial well-being among Chinese adolescents.

Methods: Data were drawn from the Longitudinal Study of Adolescents' Mental and Behavioral Well-being Research (Registration No. ChiCTR1900022032). The final analysis included 1480 participants who completed baseline and two follow-up surveys. Standardized measures were employed to assess ST and multiple psychosocial well-being, including depressive symptoms, anxiety, externalizing problems, and coping style. Group-based trajectory modeling and generalized linear mixed models were performed.

Results: Over the two-year follow-up period, two distinct ST trajectories emerged: continued high (298 [20.1%]) and continued low (1182 [79.9%]). Compared with those in the continued low ST group, adolescents in the continued high group exhibited a higher likelihood of presenting depressive symptoms (β = 0.97, 95% CI = 0.43 ~ 1.50), anxiety symptoms (β = 0.29, 95% CI = 0.05 ~ 0.53), and emotional problems (β = 0.35, 95% CI = 0.22 ~ 0.48), and were less likely to demonstrate prosocial behavior or employ positive coping style. The stratified analysis demonstrated that the aforementioned associations only existed among female adolescents.

Conclusions: Persistent high exposure to ST was associated with an increased odds of emotional problems and a decreased probability of engaging in prosocial behavior and positive coping style, with particularly noteworthy effects observed among female adolescents. These findings underscore the importance of reducing ST exposure to improve the psychological well-being of adolescents.

中国青少年屏幕时间轨迹与心理社会健康:一项纵向研究。
背景:虽然屏幕时间(ST)与心理社会健康之间的关系已被广泛研究,但有限的研究调查了青少年屏幕时间的动态模式及其对后续心理社会健康的影响。因此,本纵向研究旨在探讨中国青少年的性行为轨迹与随后的社会心理健康之间的关系。方法:数据来源于《青少年心理与行为健康研究纵向研究》(登记号:ChiCTR1900022032)。最终的分析包括1480名参与者,他们完成了基线调查和两次随访调查。采用标准化措施评估ST和多种社会心理健康,包括抑郁症状、焦虑、外化问题和应对方式。进行了基于组的轨迹建模和广义线性混合模型。结果:在两年的随访期间,出现了两种不同的ST轨迹:持续高(298[20.1%])和持续低(1182[79.9%])。与持续低ST组相比,持续高ST组青少年出现抑郁症状(β = 0.97, 95% CI = 0.43 ~ 1.50)、焦虑症状(β = 0.29, 95% CI = 0.05 ~ 0.53)和情绪问题(β = 0.35, 95% CI = 0.22 ~ 0.48)的可能性更高,表现出亲社会行为或积极应对方式的可能性更低。分层分析表明,上述关联仅存在于女性青少年中。结论:持续高暴露于性传播疾病与情绪问题的几率增加、参与亲社会行为和积极应对方式的可能性降低有关,尤其是在女性青少年中观察到值得注意的影响。这些发现强调了减少性传播感染对改善青少年心理健康的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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