Associations of Passive and Active Screen Time With Psychosomatic Complaints of Adolescents

Khan, Asaduzzaman; Lee, Eun-Young; Janssen, Ian; Tremblay, Mark S.

doi:10.1016/j.amepre.2022.01.008

Cited by 20 publications

(10 citation statements)

References 36 publications

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“…Our study also showed that an additional 60 min/d of PA was associated with a lower risk of psychosomatic complaints, which is in line with earlier research [ 11 , 19 , 20 , 21 ]. Specifically, our study showed that meeting the daily PA recommendations (≥60 min/d) can offer protective effects against psychosomatic complaints for as much as 54% in boys and 41% in girls.…”

Section: Discussionsupporting

confidence: 93%

“…Furthermore, examining the underlying mechanisms through which various PA and ST dimensions (e.g., intensity, duration and type) are linked with the mental health of adolescents is of priority. In a recent large-scale study among 414,489 adolescents from 44 European and North American countries [ 20 ], it was found that the inverse and linear association between ST and psychosomatic complaints was stronger for mentally active ST (e.g., playing video games) than the passive ones (e.g., watching TV). A particular emphasis should be on clarifying the differential health impact by gender.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association between Lifestyle Behaviours and Mental Health of Adolescents: Evidence from the Canadian HBSC Surveys, 2002–2014

Khan

Lee

2022

IJERPH

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Physical activity (PA) and screen time (ST) are associated with mental health in adolescents, though little is known about their inter-relationships. This study examined the associations of PA and ST with psychosomatic complaints in adolescents. Data from four cycles of the Canadian Health Behaviour in School-aged Children (HBSC) surveys, collected between 2002 and 2014, were analysed. Eight psychosomatic health complaints were assessed and dichotomised as frequent (≥2 complaints/week) vs. infrequent. PA was assessed by number of days/week participants were physically active for ≥60 min. Discretionary ST was assessed by adding three screen uses: television, electronic games, and computer. Of the 37,829 adolescents (age 13.74 (SD 1.51) years; 52% girls), 25% boys and 39% girls reported frequent psychosomatic complaints. Multilevel logistic analyses showed that ST levels were positively associated while PA levels were negatively associated with reporting frequent psychosomatic complaints in a dose-dependent manner. Compared with ST ≤ 2 hrs/d, ST ≥ 4 hrs/d in girls and ST ≥ 6 hrs/d in boys showed higher odds of reporting psychosomatic complaints. Participating in PA ≥ 60 min every day compared to no PA showed lower odds of reporting psychosomatic complaints by 44% in girls and 57% in boys. Prospective research is needed to understand the causal pathway of these dose-dependent relationships.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Association between Lifestyle Behaviours and Mental Health of Adolescents: Evidence from the Canadian HBSC Surveys, 2002–2014

Khan

Lee

2022

IJERPH

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“…Informed by previous studies 34,37,56 , the analysis controlled for theoretically relevant confounders, including sex (male/female) and age, family affluence, psychosomatic disorders, and parental support. Family affluence/socioeconomic class was assessed using the Family Affluence Scale, a validated six‐item measure of material assets in the home, such as the number of vehicles, bedroom sharing, computer ownership, bathrooms at home, dishwashers at home, and family vacations) 36,57 .…”

Section: Methodsmentioning

confidence: 99%

Section: Covariatesmentioning

confidence: 99%

Problematic social media use and overweight/obesity: explanatory pathway analysis of 124 667 in‐school adolescents in 39 high‐income countries

Oduro,

Katey,

Morgan

et al. 2023

Pediatric Obesity

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SummaryBackgroundThe relationship between adolescent problematic social media use (PSMU) and overweight/obesity and the potential explanatory pathways for this association are unclear. This study (1) examined the relationship between PSMU and overweight/obesity and (2) evaluated potential explanatory pathways for this association.MethodsThe data used in this study came from the 2018 Health Behaviour in School‐aged Children (HBSC) survey. A sample of 124 667 in‐school adolescents from 39 high‐income countries was analysed. Sequential logistic regressions were used to estimate the association between PSMU and overweight/obesity. Pathway analysis using a non‐parametric bootstrapping technique tested the hypothesized mediating roles.ResultsThe multivariable logistic regressions indicated that higher problematic social media users were 1.11 times more likely to be overweight/obese compared with those who reported low PSMU (AOR = 1.11; 95% CI = 1.05–1.18). Our bootstrapping mediation analyses showed that PSMU indirectly influenced overweight/obesity through breakfast skipping, life satisfaction, family communication, self‐rated health, and physical activity, accounting for 19.8% (β = 0.0068, Boots 95% CI = 0.0056–0.0074), 15.1% (β = 0.0050, Boots 95% CI = 0.0046–0.0056), 9.2% (β = 0.0031, Boots 95% CI = 0.0024–0.0038), 7.8% (β = 0.0024, Boots 95% CI = 0.001–0.004), and 5.2% (β = 0.0017, Boots 95% CI = 0.0014–0.0023), respectively, of the total effect.ConclusionTo the best of our knowledge, this is the first study that used nationally representative data from multiple countries in high‐income countries to examine the association between PSMU and overweight/obesity and potential explanatory pathways among school‐going adolescents. This finding has important implications for public health interventions to reduce overweight/obesity rates among young people.

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“…Hence, it is crucial to delineate the role of different screen time types in mental health in the context of the pandemic. A recent study reported a stronger impact of active screen time (e.g., online games, social media) on psychosomatic complaints than passive screen time (e.g., watching TV) during the pandemic ( 20 ). However, further differentiation of screen time types commonly used during the pandemic, such as social media, online games, passively watching (e.g., Netflix®, T.V.…”

Section: Introductionmentioning

confidence: 99%

COVID-19-related anxiety and the role of social media among Canadian youth

et al. 2023

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BackgroundCurrent literature indicates that safety measures, including lockdowns during the COVID-19 pandemic, severely disrupted our lifestyle, marked by increased screen time. The increased screen time is mostly associated with exacerbated physical and mental wellbeing. However, the studies that examine the relationship between specific types of screen time and COVID-19-related anxiety among youth are limited.MethodsWe examined the usage of passive watching, social media, video games, and educational screen time and COVID-19-related anxiety at the 5-time points (Early-Spring 2021, Late-Spring 2021, Fall 2021, Winter 2022, and Spring 2022) among youth in Southern Ontario, Canada (N = 117, mean age = 16.82, male = 22%, non-White = 21%) and investigated the role of 4 types of screen time in COVID-19 related anxiety. COVID-related anxiety was measured using the Coronavirus Anxiety Scale (CAS). Descriptive statistics examined the binary relationships between demographic factors, screen time, and COVID-related anxiety. Also, partially adjusted and fully adjusted binary logistic regression analyses were conducted to examine the association between the types of screen time and COVID-19-related anxiety.ResultsDuring the late Spring of 2021, when the provincial safety restrictions were most stringent, screen time was the highest among the 5 data collection time points. Further, adolescents experienced the highest COVID-19-related anxiety during this period. On the other hand, young adults experienced the highest COVID-19-related anxiety during Spring 2022. In a partially adjusted model (accounting for other types of screen time), engaging in 1–5 h per day on social media increased the likelihood of experiencing COVID-19-related anxiety compared to those who spend less than 1 h per day (OR = 3.50, 95%CI = 1.14–10.72, p < 0.05). Other types of screen time was not significantly associated with COVID-19-related anxiety. In a fully adjusted model (accounting for age, sex and ethnicity besides four types on screen time), 1–5 h per day of social media remained significantly associated with COVID-19-related anxiety (OR = 4.08, 95%CI = 1.22–13.62, p < 0.05).ConclusionOur findings suggest that COVID-19-related anxiety is associated with youth engagement in social media during the COVID-19 pandemic. Clinicians, parents, and educators should work collaboratively to provide developmentally appropriate approaches to reduce the negative social media impact on COVID-19-related anxiety and promote/foster resiliency in our community during the recovery period.

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Associations of Passive and Active Screen Time With Psychosomatic Complaints of Adolescents

Cited by 20 publications

References 36 publications

Association between Lifestyle Behaviours and Mental Health of Adolescents: Evidence from the Canadian HBSC Surveys, 2002–2014

Association between Lifestyle Behaviours and Mental Health of Adolescents: Evidence from the Canadian HBSC Surveys, 2002–2014

Problematic social media use and overweight/obesity: explanatory pathway analysis of 124 667 in‐school adolescents in 39 high‐income countries

COVID-19-related anxiety and the role of social media among Canadian youth

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