Reciprocal associations between screen time and emotional disorder symptoms during adolescence
- PMID: 30733913
- PMCID: PMC6354617
- DOI: 10.1016/j.pmedr.2019.01.014
Reciprocal associations between screen time and emotional disorder symptoms during adolescence
Abstract
Screen-based sedentary behaviors and emotional disorders are associated with one another in youth. Yet, the direction of the association is unclear, as is whether specific types of screen-based sedentary behaviors and emotional disorder symptoms are more closely linked. This study estimated the bi-directional associations between two types of screen-based sedentary behaviors and four types of self-reported emotional disorder symptoms, and tested whether physical activity buffered these associations in a Los Angeles high school student cohort (N = 2525, baseline Mage = 14.6 years). Participants completed baseline (9th Grade, 2013) and 12-month follow-up (10th grade, 2014) surveys reporting on: television viewing and computer/videogame use (≥4 h/day; yes/no), physical activity (≥60 min/day for ≥5 days/week), and Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), Panic Disorder (PD), and Social Phobia (SP) symptoms (meet/exceed [sub]clinical symptom threshold; yes/no). After adjusting for baseline screen-based sedentary behavior and covariates, students with (sub)clinical baseline MDD and GAD were at increased odds of high computer/videogame use one year later (OR = 1.36[95%CI, 1.07-1.73]; OR = 1.36[95%CI,1.09-1.71], respectively). Baseline SP was marginally related to increased computer/videogame use at follow-up (OR = 1.33[95%CI,1.04-1.69]). Greater baseline computer/videogame use was associated with increased odds of (sub)clinical GAD (OR = 1.54[95%CI,1.23-1.94]) and (sub)clinical SP (OR = 1.64[95%CI 1.27-2.12]) at follow-up; these associations were suppressed among baseline physically active students. Television viewing was unrelated to emotional disorder symptoms and PD was not associated with screen-based sedentary behaviors. Thus, only reciprocal associations between computer/videogame use, SP, and GAD during a one-year period of adolescence were observed. Interventions reducing computer/videogame use and increasing physical activity may improve adolescent emotional health.
Keywords: Anxiety; BMI, body mass index; CDC, Centers for Disease Control and Prevention; Depression; GAD, Generalized Anxiety Disorder; H&H, Happiness and Health; MDD, Major Depressive Disorder; PD, Panic Disorder; SES, socioeconomic status; SP, social phobia; Sedentary behavior; YRBSS, Youth Risk Behavior Surveillance System; Youth.
Similar articles
-
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.Cochrane Database Syst Rev. 2022 Feb 1;2(2022):CD014217. doi: 10.1002/14651858.CD014217. Cochrane Database Syst Rev. 2022. PMID: 36321557 Free PMC article.
-
Adolescents' Concerns About School Violence or Shootings and Association With Depressive, Anxiety, and Panic Symptoms.JAMA Netw Open. 2021 Nov 1;4(11):e2132131. doi: 10.1001/jamanetworkopen.2021.32131. JAMA Netw Open. 2021. PMID: 34724552 Free PMC article.
-
Reciprocal associations between depression and screen-based sedentary behaviors in adolescents differ by depressive symptom dimension and screen-type.J Affect Disord. 2020 Feb 15;263:39-46. doi: 10.1016/j.jad.2019.11.130. Epub 2019 Nov 30. J Affect Disord. 2020. PMID: 31818794 Free PMC article.
-
[Efficacy and tolerability of escitalopram in anxiety disorders: a review].Encephale. 2008 Sep;34(4):400-8. doi: 10.1016/j.encep.2008.04.004. Epub 2008 Aug 15. Encephale. 2008. PMID: 18922243 Review. French.
-
Overview and clinical presentation of generalized anxiety disorder.Psychiatr Clin North Am. 2001 Mar;24(1):1-17. doi: 10.1016/s0193-953x(05)70203-3. Psychiatr Clin North Am. 2001. PMID: 11225502 Review.
Cited by
-
Association of physical activity and screen time with cardiovascular disease risk in the Adolescent Brain Cognitive Development Study.BMC Public Health. 2024 May 18;24(1):1346. doi: 10.1186/s12889-024-18790-6. BMC Public Health. 2024. PMID: 38762449 Free PMC article.
-
Unhealthy behaviors associated with mental health disorders: a systematic comparative review of diet quality, sedentary behavior, and cannabis and tobacco use.Front Public Health. 2024 Jan 5;11:1268339. doi: 10.3389/fpubh.2023.1268339. eCollection 2023. Front Public Health. 2024. PMID: 38249418 Free PMC article.
-
Screen Time and Its Health Consequences in Children and Adolescents.Children (Basel). 2023 Oct 8;10(10):1665. doi: 10.3390/children10101665. Children (Basel). 2023. PMID: 37892328 Free PMC article. Review.
-
Adolescent internet use predicts higher levels of generalized and social anxiety symptoms for girls but not boys.Prev Med Rep. 2023 Oct 13;36:102471. doi: 10.1016/j.pmedr.2023.102471. eCollection 2023 Dec. Prev Med Rep. 2023. PMID: 37881178 Free PMC article.
-
Association of Physical Activity and Screen Time With Body Mass Index Among US Adolescents.JAMA Netw Open. 2023 Feb 1;6(2):e2255466. doi: 10.1001/jamanetworkopen.2022.55466. JAMA Netw Open. 2023. PMID: 36757695 Free PMC article.
References
-
- Biswas A., Oh P.I., Faulkner G.E. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann. Intern. Med. 2015;162(2):123–132. - PubMed
-
- Brener N.D., Kann L., McManus T., Kinchen S.A., Sundberg E.C., Ross J.G. Reliability of the 1999 youth risk behavior survey questionnaire. J. Adolesc. Health. 2002;31(4):336–342. - PubMed
-
- Brener N.D., Kann L., Shanklin S. MMWR Recommendations and Reports: Morbidity and Mortality Weekly Report Recommendations and Reports. 62(Rr-1) 2013. Methodology of the youth risk behavior surveillance system—2013; pp. 1–20. - PubMed
-
- Brodersen N.H., Steptoe A., Williamson S., Wardle J. Sociodemographic, developmental, environmental, and psychological correlates of physical activity and sedentary behavior at age 11 to 12. Ann. Behav. Med. 2005;29(1):2–11. - PubMed
-
- Busschaert C., Ridgers N.D., De Bourdeaudhuij I., Cardon G., Van Cauwenberg J., De Cocker K. Socio-demographic, social-cognitive, health-related and physical environmental variables associated with context-specific sitting time in Belgian adolescents: a one-year follow-up study. PLoS One. 2016;11(12) - PMC - PubMed
Grants and funding
LinkOut - more resources
Full Text Sources