青少年的屏幕时间、问题屏幕使用和饮食失调症状:青少年大脑认知发展(ABCD)研究的发现。

IF 2.9 3区 医学 Q2 PSYCHIATRY
Jonathan Chu, Kyle T Ganson, Alexander Testa, Abubakr A A Al-Shoaibi, Dylan B Jackson, Rachel F Rodgers, Jinbo He, Fiona C Baker, Jason M Nagata
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引用次数: 0

摘要

目的:新的研究证据表明,较长的屏幕使用时间与饮食失调之间存在正相关关系。然而,很少有研究探讨青少年早期使用屏幕与饮食失调症状之间的前瞻性关联,以及有问题的屏幕使用如何导致症状的发展:我们分析了青少年大脑认知发展(ABCD)研究(N = 10,246, 2016-2020, 9-14 岁)的前瞻性队列数据。我们使用逻辑回归分析来估计基线自我报告的屏幕使用时间与第二年饮食失调症状之间的纵向关联。逻辑回归分析还用于估计第二年有问题的屏幕使用(有问题的社交媒体或手机使用)与第二年饮食失调症状之间的横截面关联。根据情感障碍和精神分裂症 Kiddie 附表(KSADS-5)得出的饮食失调症状包括:害怕体重增加、自我价值与体重挂钩、参与补偿行为、暴饮暴食以及对暴饮暴食感到苦恼:总屏幕时间和社交媒体使用时间每增加一小时,两年后出现担心体重增加、自我价值与体重挂钩、防止体重增加的补偿行为、暴饮暴食和暴饮暴食困扰的几率就会增加(几率比 [OR] 1.05-1.55)。有问题的社交媒体和手机的使用都与所有饮食失调症状的较高几率相关(OR 1.26-1.82):研究结果表明,在青春期早期,更多的总屏幕时间、社交媒体使用和问题屏幕使用与更多的进食障碍症状有关。临床医生应考虑对问题屏幕使用进行评估,当评估结果较高时,应筛查饮食失调:III级:从设计良好的队列或病例对照分析研究中获得的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Screen time, problematic screen use, and eating disorder symptoms among early adolescents: findings from the Adolescent Brain Cognitive Development (ABCD) Study.

Purpose: Emerging research evidence suggests positive relationships between higher screen time and eating disorders. However, few studies have examined the prospective associations between screen use and eating disorder symptoms in early adolescents and how problematic screen use may contribute to symptom development.

Methods: We analyzed prospective cohort data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 10,246, 2016-2020, ages 9-14). Logistic regression analyses were used to estimate the longitudinal associations between baseline self-reported screen time and eating disorder symptoms in year two. Logistic regression analyses were also used to estimate cross-sectional associations between problematic screen use in year two (either problematic social media or mobile phone use) and eating disorder symptoms in year two. Eating disorder symptoms based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5) included fear of weight gain, self-worth tied to weight, engaging in compensatory behaviors, binge eating, and distress with binge eating.

Results: Each additional hour of total screen time and social media use was associated with higher odds of fear of weight gain, self-worth tied to weight, compensatory behaviors to prevent weight gain, binge eating, and distress with binge eating two years later (odds ratio [OR] 1.05-1.55). Both problematic social media and mobile phone use were associated with higher odds of all eating disorder symptoms (OR 1.26-1.82).

Conclusions: Findings suggest greater total screen time, social media use, and problematic screen use are associated with more eating disorder symptoms in early adolescence. Clinicians should consider assessing for problem screen use and, when high, screen for disordered eating.

Level of evidence: Level III: Evidence obtained from well-designed cohort or case-control analytic studies.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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