Evidence map›Paper›PMID 39985031›Full record

Trial reportBMC medicine2025

Smartphone screen time reduction improves mental health: a randomized controlled trial.

Christoph Pieh, Elke Humer, Andreas Hoenigl, Julia Schwab, Doris Mayerhofer, Rachel Dale, Katja Haider

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  7. Insomnia among vocational college students in China: Status and influencing factors.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
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  14. Sociodemographic and Lifestyle Factors Associated with Adolescent Mental Ill-Health: a Decision Tree Analysis.Prevention science : the official journal of the Society for Prevention Research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christoph PiehDepartment for Psychosomatic Medicine and Psychotherapy, Krems an der Donau, University for Continuing Education Krems, Krems an der Donau, Austria. christoph.pieh@donau-uni.ac.at.
Elke HumerDepartment for Psychosomatic Medicine and Psychotherapy, Krems an der Donau, University for Continuing Education Krems, Krems an der Donau, Austria.
Andreas HoeniglFaculty of Medicine and Dentistry, Krems an der Donau, Danube Private University, Krems an der Donau, Austria.
Julia SchwabFaculty of Medicine and Dentistry, Krems an der Donau, Danube Private University, Krems an der Donau, Austria.
Doris MayerhoferDepartment for Psychosomatic Medicine and Psychotherapy, Krems an der Donau, University for Continuing Education Krems, Krems an der Donau, Austria.
Rachel DaleDepartment for Psychosomatic Medicine and Psychotherapy, Krems an der Donau, University for Continuing Education Krems, Krems an der Donau, Austria.
Katja HaiderDepartment for Psychosomatic Medicine and Psychotherapy, Krems an der Donau, University for Continuing Education Krems, Krems an der Donau, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmartphone screen time has risen sharply in recent years. Even though an association between smartphone use and mental health is well documented, it is still unclear whether this is simply a correlation or causality. The aim of this study is to investigate the effects of smartphone screen time reduction on mental health indicators.

methodsThis non-blinded, parallel randomized controlled trial (RCT) was performed to investigate the impact of a 3-week screen time reduction to ≤ 2 h/d in healthy students on stress (PSQ), well-being (WHO-5), depressive symptoms (PHQ-9), and sleep quality (ISI) at baseline (t0), post-intervention (t1), and at follow-up (t2 = 6 weeks after t1). For the intention to treat analysis, repeated measures ANOVAs and post-hoc tests (for time as well as group differences) were performed and effect sizes were presented as partial eta squared (η

resultsIn total, 111 out of 125 healthy students (70 females; mean age = 22.68 ± 2.6 years; mean screen time = 276 ± 115.1 min/day) were randomly assigned to intervention-(n = 58; 3 weeks of screen time reduction to ≤ 2 h/day) or control group (n = 53). Although no differences were observed at baseline (t0), significant post-intervention (t1) effects of small to medium size were observed on well-being (η

conclusionsThe study highlights mental health improvements through smartphone screen time reduction. Three weeks of screen time reduction showed small to medium effect sizes on depressive symptoms, stress, sleep quality, and well-being. The results suggest a causal relationship, rather than a merely correlative one, between daily smartphone screen time and mental health.

trial registrationThe study was preregistered on Open Science Framework (trial registration number: A9K76) on November 8, 2023.

Indexed as

Mental HealthScreen TimeSmartphoneAdultDepressionFemaleHumansMaleSleep QualityStress, PsychologicalStudentsYoung AdultDepressionMental healthScreen time reductionSleepSmartphone screen timeStress

Identifiers

PMID39985031
PMCPMC11846175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.