The Role of Technology and Social Media Use in Sleep-Onset Difficulties Among Italian Adolescents: Cross-sectional Study

Varghese, Nirosha Elsem; Santoro, Eugenio; Lugo, Alessandra; Madrid‐Valero, Juan J.; Ghislandi, Simone; Torbica, Aleksandra; Gallus, Silvano

doi:10.2196/20319

Cited by 33 publications

(27 citation statements)

References 68 publications

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“…Similarly, as for the relation between PIU and EDS, we found additional evidence concerning the negative impact of maladaptive patterns of Internet use on sleep which was already described in literature 70 , 71 In particular it has been previously reported that PIU is related to many sleep problems, including reduction in sleep duration, 44–46 sleep onset difficulties, 42 , 47 insomnia and EDS. 72 …”

Section: Discussionsupporting

confidence: 83%

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The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model

Usubini¹,

Terrone²,

Varallo³

et al. 2022

NSS

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Purpose The present study aimed to explore the mediating role of emotion dysregulation and problematic Internet use in the relationship between negative affect and excessive daytime sleepiness. Methods This cross-sectional study included 664 Italian adults aged between 18 and 70 years (M = 32.13; SD = 11.71). Participants were asked to complete the Depression Anxiety Stress Scale, the Difficulties in Emotion Regulation Scale, the Compulsive Internet Use Scale-7, and the Epworth Sleepiness Scale to assess negative affect, emotion dysregulation, problematic internet use, and excessive daytime sleepiness, respectively. Results According to our results there are significant associations between negative affect, emotion dysregulation, problematic Internet use, and daytime sleepiness. Moreover, the structural equation model showed good fit indices. Emotion dysregulation and problematic Internet use partially mediated the relationship between negative mood and excessive daytime sleepiness. Conclusion By exploring the role of emotion dysregulation on the association between excessive daytime sleepiness and its possible predictors, our study might represent an important step toward the implementation of psychological intervention for reducing excessive daytime sleepiness. Emotion dysregulation appears to play a significant role in explaining the relationship between negative affect, problematic Internet use, and excessive daytime sleepiness. Thus, it should be considered a treatment target for reducing excessive daytime sleepiness.

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Section: Discussionsupporting

confidence: 83%

“…Generally, PIU is thought to lead to sleep deprivation. Indeed, it has been suggested that Internet use may cause a reduction in sleep duration 44–46 and sleep onset difficulties, 42 , 47 resulting in increased fatigue and sleepiness during the day.…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model

Usubini¹,

Terrone²,

Varallo³

et al. 2022

NSS

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show abstract

“…Extended use of digital media screen time correlates with sleep impairment [ 18 , 21 , 22 , 26 , 31 , 43 , 47 , 49 , 57 , 61 , 63 , 64 , 65 ]. Table 6 summarizes the evidence in literature ( Table 6 ).…”

Section: Discussionmentioning

confidence: 99%

The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks

Bozzola

Spina

Agostiniani

et al. 2022

IJERPH

199

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In recent years, social media has become part of our lives, even among children. From the beginning of COVID-19 pandemic period, media device and Internet access rapidly increased. Adolescents connected Internet alone, consulting social media, mostly Instagram, TikTok, and YouTube. During “lockdown”, the Internet usage allowed communication with peers and the continuity activities such as school teaching. However, we have to keep in mind that media usage may be related to some adverse consequences especially in the most vulnerable people, such as the young. Aim of the review is to focus on risks correlated to social media use by children and adolescents, identifying spies of rising problems and engaging in preventive recommendations. The scoping review was performed according to PRISMA guidelines, searching on PubMed the terms “social media” or “social network”, “health”, and “pediatrics”. Excluding articles not pertinent, we found 68 reports. Out of them, 19 were dealing with depression, 15 with diet, and 15 with psychological problems, which appeared to be the most reported risk of social media use. Other identified associated problems were sleep, addiction, anxiety, sex related issues, behavioral problems, body image, physical activity, online grooming, sight, headache, and dental caries. Public and medical awareness must rise over this topic and new prevention measures must be found, starting with health practitioners, caregivers, and websites/application developers. Pediatricians should be aware of the risks associated to a problematic social media use for the young’s health and identify sentinel signs in children as well as prevent negative outcomes in accordance with the family.

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“…Portable electronic devices have further complicated this issue by providing adolescents with continuous, round-the-clock access to engaging and stimulating activities. Indeed, electronic device use among adolescents is associated in both cross-sectional and longitudinal studies with a range of sleep outcomes, including later, shorter, and poorer sleep [ 14 - 17 ], as well as daytime sleepiness [ 18 - 22 ]. Portable devices now offer teens access to communicate directly and indirectly with peers at any time of the day or night via social media.…”

Section: Introductionmentioning

confidence: 99%

Associations Between Social Media, Bedtime Technology Use Rules, and Daytime Sleepiness Among Adolescents: Cross-sectional Findings From a Nationally Representative Sample

Hamilton¹,

Lee²

2021

JMIR Ment Health

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Background Social media use is associated with poor sleep among adolescents, including daytime sleepiness, which affects adolescents’ mental health. Few studies have examined the associations among specific aspects of social media, such as frequency of checking and posting, perceived importance of social media for social belonging, and daytime sleepiness. Identifying whether certain adolescents are more at risk or protected from the effects of social media on sleepiness may inform future interventions for social media, sleep, and mental health. Objective This study aims to examine the association between social media use frequency and importance, daytime sleepiness, and whether the perceived importance of social media for social interactions and parental rules around bedtime technology moderated these relationships. Methods This cross-sectional survey study was conducted with a sample of 4153 adolescents from across the United States. Qualtrics was used to collect data via panel recruitment from a national sample representing the US demographics of teens aged 12 to 17 years. Participants completed measures of daytime sleepiness, frequency of social media checking and posting, and the importance of social media for social interactions. Parents reported whether they had a household rule around bedtime media and screen use. Hierarchical regressions and moderation analyses were conducted, covarying for age, gender, and age at first smartphone use. Results Participants had a mean age of 14.64 (SD 1.66) years in grades 6 to 12, 46.45% (1929/4153) identified as female, and 67.93% (2821/4153) identified as White. The results indicated that adolescents who posted (B=0.70, SE 0.04; P<.001) or checked (B=0.76, SE 0.04; P<.001) social media more frequently or who perceived social media to be more important for social belonging (B=0.36, SE 0.02; P<.001) had higher levels of daytime sleepiness. Moderation analyses indicated that the relationship between social media use frequency and daytime sleepiness was exacerbated by higher levels of perceived social media importance (B=0.04, SE 0.01; P<.001). Adolescents without household rules around bedtime technology use were more likely to be affected by social media checking (B=−0.34, SE 0.09; P<.001) and importance (B=−0.16, SE 0.04; P<.001) on daytime sleepiness. Conclusions The findings suggest that social media use frequency and perceived importance of social interactions are associated with daytime sleepiness among adolescents. It is important to consider youth’s perceptions of social media when assessing the potential effects of social media use frequency on youth well-being. Furthermore, youth who did not have parental rules around bedtime technology use were most likely to be affected by social media use and perceived importance. The findings may extend to other mental health outcomes and may guide future prevention and intervention programs designed to improve social media use, sleep, and mental health.

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The Role of Technology and Social Media Use in Sleep-Onset Difficulties Among Italian Adolescents: Cross-sectional Study

Cited by 33 publications

References 68 publications

The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model

The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model

The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks

Associations Between Social Media, Bedtime Technology Use Rules, and Daytime Sleepiness Among Adolescents: Cross-sectional Findings From a Nationally Representative Sample

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