ArticleSleep medicine2021
Sleep duration does not mediate the association between screen time and adolescent depression and anxiety: findings from the 2018 National Survey of Children's Health.
Article in Sleep medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Sex Differences in the Associations of mental Health, Suicidality, Screentime, and Sleep: A Mediation Effect Analysis of Sleep Using Youth Risk Behavioral Surveillance Survey 2021.Psychological reports · 2026Article
- Independent and Joint Prospective Associations of Screen Time and Sleep Disturbance with Body Mass Index and Waist Circumference Among U.S. Adolescents.Childhood obesity (Print) · 2025Article
- Association between modifiable lifestyle behaviors and depressive symptoms among Chinese adolescents: a longitudinal analysis from 2019 to 2021.BMC public health · 2025Article
- Status and risk factors for depression, anxiety, and insomnia symptoms among adolescents in the post-pandemic era.BMC public health · 2025Article
- Unveiling the link: Screen dependency and sleep pattern disturbances in preadolescent children.Bioinformation · 2025Article
- Screen time exposure and academic performance, anxiety, and behavioral problems among school children.PeerJ · 2025Article
- Examining the Bidirectional Associations Between Sleep Duration, Screen Time, and Internalizing Symptoms in the ABCD Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- The role of sleep in prospective associations between parent reported youth screen media activity and behavioral health.Child and adolescent mental health · 2024Article
- Social Capital and Sleep Outcomes Across Childhood in United States Families.Academic pediatrics · 2023Article
- Family resilience and neighborhood factors affect the association between digital media use and mental health among children: does sleep mediate the association?European journal of pediatrics · 2023Article
- Physical Activity, Screen Time, and Academic Burden: A Cross-Sectional Analysis of Health among Chinese Adolescents.International journal of environmental research and public health · 2023Article
- Association between duration of electronic screen use for non-educational purposes and depression symptoms among middle and high school students: a cross-sectional study in Zhejiang Province, China.Frontiers in public health · 2023Article
- A Cross-Sectional Association Between Screen-Based Sedentary Behavior and Anxiety in Academic College Students: Mediating Role of Negative Emotions and Moderating Role of Emotion Regulation.Psychology research and behavior management · 2023Article
- Supportive Neighborhoods, Family Resilience and Flourishing in Childhood and Adolescence.Children (Basel, Switzerland) · 2022Article
- Sleep duration and depression among adolescents: Mediation effect of collective integration.Frontiers in psychology · 2022Article
- An analysis of the factors affecting children and adolescent lifestyle in South Korea: A cross-sectional study with KCYPS 2018.PloS one · 2022Article
- Prevalence of and Factors Associated With Depressive Symptoms Among College Students in Wuhan, China During the Normalization Stage of COVID-19 Prevention and Control.Frontiers in psychiatry · 2021Article
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2 authors.
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Abstract
OBJECTIVE/
backgroundAdolescence is a crucial time period in which individuals are at high risk for depression and anxiety. Associations between screen time and adolescent depression and anxiety have been inconclusive. We examined 1) the associations of screen time with adolescent depression and anxiety and 2) whether sleep duration mediates these relationships.
methodsThis study utilized data from the 2018 US. National Survey of Children's Health, a large cross-sectional population representative dataset with parent/caregiver responses. Multivariable logistic regression was used to estimate the associations between screen time and depression and anxiety in separate models. Path models were used to test the mediating role of sleep duration. Confounders, as sex, age, and sociodemographic variables were included in our adjusted models.
resultsData of 10,907 adolescents aged 13 to 17 were included in this study. The average screen time was 3.76 h daily. Compared to no screen time, adolescents who used over 4 h of screen time per day had higher odds of depression (OR = 2.23, 95% CI:1.27-3.91) and anxiety (OR = 1.85, 95% CI: 1.26-2.72). Sleep duration did not mediate the associations between screen time and depression and anxiety.
conclusionsFurther research is necessary to examine the associations of screen time content with depression and anxiety, as well as the effects of sleep quality in conjunction with sleep duration on the relationships of screen time and depression and anxiety.
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