ArticleFrontiers in psychiatry2022
The Associations of Electronic Media Use With Sleep and Circadian Problems, Social, Emotional and Behavioral Difficulties in Adolescents.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial.Journal of child psychology and psychiatry, and allied disciplines · 2025Trial
- Effect of dietary with Zhibai dihuang pills and gonadotropin-releasing-hormone-analogue on girls with precocious and rapidly progressive puberty.World journal of clinical cases · 2024Trial
- Impact of the Interaction Between Screen Time and Activity Interests on Adolescent Depression Risk: Construction of a Predictive Model Based on Machine Learning.Actas espanolas de psiquiatria · 2026Article
- Predicting adherence to fully-automated, chatbot-delivered digital cognitive behavioral therapy for insomnia (dCBT-I) using machine learning: A pilot real-world study.PLOS digital health · 2026Article
- Negative life events and depression: a moderated mediation model of mobile phone addiction and chronotype among medical undergraduate students in North China.Frontiers in psychiatry · 2026Article
- Time Spent on Social Media Applications in Relation to Depressive Symptoms During Emerging Adulthood and the Mediating Role of Sleep Quality: Cross-Sectional Observational Study.Journal of medical Internet research · 2025Observational
- Relationship between screen use and internalizing/externalizing problems among preschoolers: the mediation of circadian rhythm.Pediatric research · 2025Article
- The Impact of Social Media Use on Sleep and Mental Health in Youth: a Scoping Review.Current psychiatry reports · 2024Article
- Circadian rhythm dysfunction and psychopathology in the offspring of parents with bipolar disorder: a high-risk study in the Chinese population.General psychiatry · 2024Article
- A bibliometric analysis of insomnia in adolescent.Frontiers in psychiatry · 2023Article
- Impact of COVID-19 on the sleep-wake patterns of preschool children.Sleep medicine · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
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Abstract
Background: Electronic media use (EMU) becomes one of the most common activities in adolescents. The present study investigated the deleterious influence of excessive EMU and EMU before bedtime on social, emotional, and behavioral difficulties (SEBD) in adolescents. The role of sleep and circadian problems in mediating the association of EMU with SEBD was examined. Methods: A cross-sectional survey study was conducted with 3,455 adolescents (55.7% female, mean age = 14.8 ± 1.57 years, 36.6% monthly family income < HK$15,000) between December 2011 and March 2012 in Hong Kong. The associations of EMU with sleep and circadian problems and SEBD were analyzed using multiple binary logistic regression and path analysis. Sleep problems were measured by the Insomnia Severity Index and the reduced Horne and Östberg Morningness and Eveningness Questionnaire. Circadian problems were calculated based on established formulas. SEBD was measured using the Strengths and Difficulties Questionnaire. Participants' mental health status was assessed by the General Health Questionnaire. Results: A longer duration of EMU, excessive EMU (daily duration ≥ 2 h), and bedtime EMU (an hour before bedtime) were associated with the risk of sleep and circadian problems, poor mental health, and SEBD ( Conclusions: The findings suggest the need for setting up guidelines and advocacy for education for appropriate EMU and intervention for the associated sleep and circadian problems to ameliorate EMU-related mental and behavioral health problems in adolescents.
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