Digital engagement profiles and binge eating symptoms in adolescents: A person-centred, longitudinal analysis

IF 4.2 2区医学 Q1 PSYCHIATRY

Comprehensive psychiatry Pub Date : 2026-04-01 Epub Date: 2026-04-07 DOI:10.1016/j.comppsych.2026.152694

Taylor Brown , Vanessa Tanti , Natasha Wilson , Mark D. Griffiths , Dan Lubman , Kaiden Hein , Vasileios Stavropoulos

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引用次数: 0

Abstract

Background

Binge eating symptoms emerge in early adolescence and are clinically meaningful below diagnostic thresholds. Digital media engagement may be relevant, yet most studies rely on aggregate screen time and rarely separate patterns of use from addiction-like features. This study tested whether screen use profiles and social media addiction risk were associated with binge eating symptom indicators in a large longitudinal cohort.

Methods

Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study at Time 3 (T3; n = 10,465; ages 10–13 years) and Time 5 (T5; n = 9257; ages 12–16 years). Latent profile analysis of six screen modalities derived screen use profiles. Social media addiction risk was classified using the Social Media Addiction Questionnaire. Four binge eating symptom indicators were assessed at each wave using item-level data from the Kiddie Schedule for Affective Disorders and Schizophrenia. Binomial logistic regression models tested associations, adjusting for sex, family conflict, and school environment.

Results

Two profiles were supported: High Screen Usage (44.5%) and Low Screen Usage (55.5%). At T3, High Screen Usage and higher social media addiction risk were each associated with higher odds of all symptom indicators after adjustment. At T5, High Screen Usage remained associated with binge-related distress, binge eating behaviour, and recurrent binge eating, while social media addiction risk differentiated all four symptoms. Family conflict showed the strongest associations, whereas a more positive school environment was associated with lower odds of symptoms.

Conclusions

Higher overall screen engagement and addiction-like social media use were independently associated with binge eating symptoms across early to mid-adolescence. Social media addiction risk showed more consistent symptom differentiation than screen use profiles, suggesting engagement quality may be more clinically informative than duration.

查看原文本刊更多论文

青少年的数字参与概况和暴食症状：一项以人为中心的纵向分析。

背景：暴食症状出现在青春期早期，低于诊断阈值具有临床意义。数字媒体参与度可能与此相关，但大多数研究都依赖于总屏幕时间，很少将使用模式与成瘾特征分开。这项研究在一个大型纵向队列中测试了屏幕使用情况和社交媒体成瘾风险是否与暴饮暴食症状指标相关。方法：数据来自青少年大脑认知发展（ABCD）研究，时间3 （T3; n = 10,465；年龄10-13岁）和时间5 （T5; n = 9257；年龄12-16岁）。对六种筛查方式的潜在分析得出了筛查使用概况。使用社交媒体成瘾问卷对社交媒体成瘾风险进行分类。使用儿童情感障碍和精神分裂症时间表的项目水平数据，对每一波的四个暴食症状指标进行评估。二项逻辑回归模型检验相关性，调整性别、家庭冲突和学校环境。结果：支持两种配置文件：高屏幕使用率（44.5%）和低屏幕使用率（55.5%）。在T3时，高屏幕使用和较高的社交媒体成瘾风险均与调整后所有症状指标的较高几率相关。在T5阶段，高屏幕使用率仍然与暴饮暴食相关的痛苦、暴饮暴食行为和复发性暴饮暴食有关，而社交媒体成瘾风险区分了所有四种症状。家庭冲突表现出最强的相关性，而更积极的学校环境与较低的症状几率相关。结论：较高的整体屏幕参与度和成瘾性社交媒体使用与青春期早期至中期的暴饮暴食症状独立相关。社交媒体成瘾风险表现出比屏幕使用情况更一致的症状分化，这表明参与质量可能比持续时间更能提供临床信息。

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

Comprehensive psychiatry 医学-精神病学

CiteScore

12.50

自引率

1.40%

发文量

审稿时长

29 days

期刊介绍： "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.