ArticleSleep medicine2018
Nighttime media use in adolescents with ADHD: links to sleep problems and internalizing symptoms.
Article in Sleep medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Serious Video Games: Angels or Demons in Patients With Attention-Deficit Hyperactivity Disorder? A Quasi-Systematic Review.Frontiers in psychiatry · 2022Pooled it
- Social Media and Depression Symptoms: a Meta-Analysis.Research on child and adolescent psychopathology · 2021Pooled it
- Sleep disturbances in children and adolescents with attention-deficit/hyperactivity disorder: A narrative review.World journal of clinical pediatrics · 2025Review
- The mediating role of cognitive arousal in the relationship between impulsivity and sleep quality among college students: a random intercept cross-lagged panel analysis.Scientific reports · 2025Article
- Adolescent Social Media Use and Depression: A Person-Centered Approach.Child psychiatry and human development · 2025Article
- The impact of electronic product use on children with tic disorders and ADHD, and management strategies: a review.Frontiers in psychiatry · 2025Review
- Sleep insufficiency and bedtime irregularity in children with ADHD: A population-based analysis.Sleep medicine · 2024Article
- Commentary: Relationships between screen time and childhood attention deficit hyperactivity disorder: a Mendelian randomization study.Frontiers in psychiatry · 2024Article
- Relationships between screen time and childhood attention deficit hyperactivity disorder: a Mendelian randomization study.Frontiers in psychiatry · 2024Article
- The Associations between the Homeostatic and Circadian Sleep Processes and the Neurobehavioral Functioning (NBF) of Individuals with ADHD-A Systematic Review.Brain sciences · 2023Review
- Understanding Problematic Social Media Use in Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD): A Narrative Review and Clinical Recommendations.Brain sciences · 2022Review
- Sleep in Individuals with ADHD: Prevalence, Impacts, Causes, and Treatments.Current topics in behavioral neurosciences · 2022Article
- In-person victimization, cyber victimization, and polyvictimization in relation to internalizing symptoms and self-esteem in adolescents with attention-deficit/hyperactivity disorder.Child: care, health and development · 2021Article
- Perceived Challenges and Online Harms from Social Media Use on a Severity Continuum: A Qualitative Psychological Stakeholder Perspective.International journal of environmental research and public health · 2021Article
- Frequency of Text Messaging and Adolescents' Mental Health Symptoms Across 4 Years of High School.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Prospective associations between pre-sleep electronics use and same-night sleep in healthy school-aged children.Children's health care : journal of the Association for the Care of Children's Health · 2021Article
- Unpacking Associations between Mood Symptoms and Screen Time in Preadolescents: a Network Analysis.Journal of abnormal child psychology · 2020Article
- ADHD and sleep: recent advances and future directions.Current opinion in psychology · 2020Review
- Evening circadian preference is associated with sleep problems and daytime sleepiness in adolescents with ADHD.Journal of sleep research · 2020Article
- Sleep and daytime sleepiness in adolescents with and without ADHD: differences across ratings, daily diary, and actigraphy.Journal of child psychology and psychiatry, and allied disciplines · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveThis study examined nighttime media use in relation to sleep problems and anxiety/depression symptoms in adolescents with attention-deficit/hyperactivity disorder (ADHD).
methodsParticipants were 81 adolescents (69% male) ages 13-17 with ADHD. Adolescents completed measures assessing pubertal development, nighttime media use, circadian preference, and daytime sleepiness. Both adolescents and parents completed measures of sleep duration, sleep problems, and internalizing symptoms.
resultsWhen summing across media uses (eg, social networking, playing video games, watching television), the average nighttime media use (after 9:00PM) was 5.31 h. Overall, 63% of adolescents reported obtaining less than 8 h of sleep on school nights, and this percentage rose to 77% for parent-reported sleep duration. Moreover, adolescents obtaining less sleep than recommended had more nighttime media use than those obtaining ≥8 h of nightly sleep. Controlling for age, sex, pubertal development, stimulant medication use, and ADHD symptom severity; nighttime media use was associated with shorter sleep duration and increased sleep problems across both adolescent and parent report. Media use was also associated with greater adolescent-reported anxiety and depression, and marginally associated with eveningness circadian preference and greater daytime sleepiness. In considering specific anxiety dimensions, media use was associated with greater adolescent-reported panic symptoms and parent-reported generalized anxiety disorder symptoms.
conclusionsOur findings suggest that nighttime media use may contribute to sleep problems and comorbid internalizing symptoms in adolescents with ADHD, although additional studies are needed to determine causality, potential bidirectional associations, and underlying mechanisms such as using media to (mis)manage negative emotions. Media use is important to assess and monitor and may be a significant intervention target when addressing sleep and internalizing problems, and possible underlying cognitive-emotional processes in adolescents with ADHD.
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Registered trials
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