Association of types of on-screen content with mental health problems among Chinese adolescents.

Excessive screen time was associated with mental health problems, yet whether the associations differ by screen content types remain unknown. Here, we conducted a cross-sectional study of adolescents from 156 junior and high school to investigate the association of types of on-screen content with me...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 7; pp. 2169 - 2180
Autores principales: Zhang, Chengcheng, Peng, Weijing, Chen, Zhiyan, Lai, Cong, Xiao, Shuiyuan, Hu, Mi
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      place: New York, New York
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        atl: Association of types of on-screen content with mental health problems among Chinese adolescents.
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        au:
          Zhang, Chengcheng
          Peng, Weijing
          Chen, Zhiyan
          Lai, Cong
          Xiao, Shuiyuan
          Hu, Mi
        affil: https://ror.org/00f1zfq44 Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
      sug:
        subj:
          Screen Time
          Adolescent Behavior
          Depression Risk Factors
          Anxiety Risk Factors
          Risk Assessment
          Suicidal Ideation Risk Factors
          Human
          Cross Sectional Studies
          Adolescence
          Schools, Middle
          Schools, Secondary
          China
          Self Report
          Questionnaires
          Chinese Persons In Adolescence
          Scales
          Male
          Female
          Video Games
          Online Education
          Odds Ratio
          Confidence Intervals
          Anhedonia
          Descriptive Statistics
          Cluster Sample
          Funding Source
          Adolescent: 13-18 years
          Male
          Female
      ab: Excessive screen time was associated with mental health problems, yet whether the associations differ by screen content types remain unknown. Here, we conducted a cross-sectional study of adolescents from 156 junior and high school to investigate the association of types of on-screen content with mental health problems in China. The exposure variable was screen exposure, measured by the self-reported questionnaire. Symptoms of depression and anxiety were assessed by Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder Scale-7 (GAD-7), respectively. Suicide-related behavior was adapted from the Centers for Disease Control's Youth Risk Behavior Surveillance. Generalized linear models and network analysis were performed. Of the 15,194 adolescents included in the final analysis, 8,019 were males and mean (SD) age was 14.50 (1.68) years. 34.6% of adolescents had an average screen time of ≥ 4 h/day on weekends. The most frequently used screen contents (≥ 4 h/d) were electronic games (9.1%), followed by short video (6.6%). Learning online had strong associations with depression (OR = 2.03, 95%CI: 1.29–3.11, P = 0.002) and anxiety (OR = 2.05, 95%CI: 1.24–3.27, P = 0.004) symptoms. The associations between on-screen content and mental health varied. The strongest edges linked to screen content types were edge between "Electronic games" and "Anhedonia" in the network model. "Control worry" was the most central nodes, followed by "Irritable" and "Worry A Lot". Findings suggested that both screen time and different types of screen content were associated with mental health problems among adolescents. Limiting screen exposure and developing effective interventions to improve mental health should be a priority.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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