Relationship between screen time, sleep duration and depressive symptoms among middle school students

YE Sheng; YANG Yue; LIU Hui; LIU Li

doi:10.16835/j.cnki.1000-9817.2022.07.014

Volume 43 Issue 7

Jul. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(7): 1015-1018

YE Sheng, YANG Yue, LIU Hui, LIU Li. Relationship between screen time, sleep duration and depressive symptoms among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(7): 1015-1018. doi: 10.16835/j.cnki.1000-9817.2022.07.014

Citation:

YE Sheng, YANG Yue, LIU Hui, LIU Li. Relationship between screen time, sleep duration and depressive symptoms among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(7): 1015-1018. doi: 10.16835/j.cnki.1000-9817.2022.07.014

Citation:

PDF( 370 KB)

Relationship between screen time, sleep duration and depressive symptoms among middle school students

doi: 10.16835/j.cnki.1000-9817.2022.07.014

Section of School Health, Nanjing Municipal Center for Disease Control and Prevention, Nanjing(210003), China

Received Date: 2022-03-03
Rev Recd Date: 2022-05-05

Available Online: 2022-07-27

Publish Date: 2022-07-25

Abstract

Abstract

Objective To explore the prevalence of depressive symptoms among middle school students in Nanjing and the relationship between screen time, sleep duration and depressive symptoms, and to provide a scientific reference for depression prevention in adolescents. Methods Using stratified cluster random sampling method, a total of 2 010 students from 5 middle schools in urban areas and 3 middle schools in suburban counties were selected. Screen time and sleep duration were evaluated through questionnaires, and depressive symptom was assessed by the Center for Epidemiological Studies Depression Scale (CES-D). Results The prevalence of depressive symptoms (CES-D≥16) was 27.71%(557). Logistic regression analysis showed that students with screen time >2 h/d(OR=1.90, 95%CI=1.53-2.37), sleep duration < 7 h/d (OR=2.54, 95%CI=1.88-3.42) were statistically associated with depressive symptoms. stratified analysis showed that, sleep duration of < 7 h/d was associated with increased odds of depressive symptoms, the magnitude among students with screen time >2 h/d(OR=2.46, 95%CI=1.64-3.71) was higher than those with screen time ≤2 h/d(OR=2.35, 95%CI=1.51-3.65). Conclusion High prevalence of depressive symptoms was observed among middle school students in Nanjing. Prolonged screen time and insufficient sleep duration are associated with increased odds of depressive symptoms. Attention should be paid to the mental health of adolescents with the combined exposure of screen-based activities and lack of sleep.
- Fixation, ocular,
- Sleep,
- Time,
- Depression,
- Mental health,
- Regression analysis,
- Students

FullText(HTML)

References(23)

References

[1]	PATTON G C, COFFEY C, ROMANIUK H, et al. The prognosis of common mental disorders in adolescents: a 14-year prospective cohort study[J]. Lancet, 2014, 383(9926): 1404-1411. doi: 10.1016/S0140-6736(13)62116-9
[2]	THAPAR A P, COLLISHAW S D, PINE D S M, et al. Depression in adolescence[J]. Lancet(British Edition), 2012, 379(9820): 1056-1067.
[3]	刘福荣, 宋晓琴, 尚小平, 等. 中学生抑郁症状检出率的Meta分析[J]. 中国心理卫生杂志, 2020, 34(2): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm LIU F R, SONG X Q, SHANG X P, et al. A Meta-analysis of detection rate of depressive symptoms among middle school students[J]. Chin Ment Health J, 2020, 34(2): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm
[4]	RAO W W, XU D D, CAO X L, et al. Prevalence of depressive symptoms in children and adolescents in China: a meta-analysis of observational studies[J]. Psychiatry Res, 2019, 272: 790-796. doi: 10.1016/j.psychres.2018.12.133
[5]	MORENO M A. Media use and sleep[J]. JAMA Pediatr, 2016, 170(12): 1236. doi: 10.1001/jamapediatrics.2015.2575
[6]	MARAS D, FLAMENT M F, MURRAY M, et al. Screen time is associated with depression and anxiety in Canadian youth[J]. Prev Med, 2015, 73: 133-138. doi: 10.1016/j.ypmed.2015.01.029
[7]	WANG X, DI J, ZHAO G, et al. Association of nighttime sleep duration with wepressive symptoms and its interaction with regular physical activity among Chinese adolescent girls[J]. Int J Environ Res Public Health, 2021, 18(21): 11199. doi: 10.3390/ijerph182111199
[8]	MATSUSHITA M, KOYAMA A, USHIJIMA H, et al. Sleep duration and its association with sleepiness and depression in "ronin-sei" preparatory school students[J]. Asian J Psychiatr, 2014, 9: 61-66. doi: 10.1016/j.ajp.2014.01.006
[9]	YANG B, CHOE K, PARK Y, et al. Associations among daytime sleepiness, depression and suicidal ideation in Korean adolescents[J]. Int J Adolesc Med Health, 2017, 31(2). DOI: 10.1515/ijamh-2016-0161.
[10]	张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001 ZHANG Y T, MA S X, CHEN C, et al. Physical activity guide for Chinese children and adolescents[J]. Chin J Evid Based Pediatr, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001
[11]	HIRSHKOWITZ M, WHITON K, ALBERT S M, et al. National Sleep Foundation's updated sleep duration recommendations: final report[J]. Sleep Health, 2015, 1(4): 233-243. doi: 10.1016/j.sleh.2015.10.004
[12]	PARUTHI S, BROOKS L J, D'AMBROSIO C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American academy of sleep medicine[J]. J Clin Sleep Med, 2016, 12(6): 785-786. doi: 10.5664/jcsm.5866
[13]	孙艺, 刘伟佳, 熊莉华, 等. 广州市中学生中高强度身体活动视屏时间与抑郁症状相关性[J]. 中国学校卫生, 2021, 42(10): 1499-1503. doi: 10.16835/j.cnki.1000-9817.2021.10.013 SUN Y, LIU W J, XIONG L H, et al. Relationship between moderate to vigorous physical activity, screen time and depressive symptoms among middle school students in Guangzhou[J]. Chin J Sch Health, 2021, 42(10): 1499-1503. doi: 10.16835/j.cnki.1000-9817.2021.10.013
[14]	章婕, 吴振云, 方格, 等. 流调中心抑郁量表全国城市常模的建立[J]. 中国心理卫生杂志, 2010, 24(2): 139-143. doi: 10.3969/j.issn.1000-6729.2010.02.015 ZHANG J, WU Z Y, FANG G, et al. Development of the Chinese age norms of CES-D in urban area[J]. Chin Ment Health J, 2010, 24(2): 139-143. doi: 10.3969/j.issn.1000-6729.2010.02.015
[15]	XIANG M, ZHANG Z, KUWAHARA K. Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected[J]. Prog Cardiovasc Dis, 2020, 63(4): 531-532. doi: 10.1016/j.pcad.2020.04.013
[16]	WU X, TAO S, ZHANG S, et al. Impact of screen time on mental health problems progression in youth: a 1-year follow-up study[J]. BMJ Open, 2016, 6(11): e11533.
[17]	KHOUJA J N, MUNAFÒ M R, TILLING K, et al. Is screen time associated with anxiety or depression in young people?Results from a UK birth cohort[J]. BMC Public Health, 2019, 19(1): 82. doi: 10.1186/s12889-018-6321-9
[18]	陶舒曼, 伍晓艳, 陶芳标. 视屏活动对儿童青少年情绪症状的影响及大脑神经功能变化研究[J]. 中国学校卫生, 2020, 41(11): 1757-1760. doi: 10.16835/j.cnki.1000-9817.2020.11.042 TAO S M, WU X Y, TAO F B. Effects of screen-based activities on emotional symptoms and changes in brain nerve function in children and adolescents[J]. Chin J Sch Health, 2020, 41(11): 1757-1760. doi: 10.16835/j.cnki.1000-9817.2020.11.042
[19]	金庆中, 赵耀. 北京地区居民睡眠时间分析[J]. 中国公共卫生, 2017, 33(4): 560-562. JIN Q Z, ZHAO Y. Sleep duration among urban and suburban residents in Beijing City: a cross-sectional study[J]. Chin J Public Health, 2017, 33(4): 560-562.
[20]	宋超, 宫伟彦, 丁彩翠, 等. 中国2010—2012年6~17岁儿童青少年睡眠状况[J]. 中国学校卫生, 2017, 38(9): 1288-1290. doi: 10.16835/j.cnki.1000-9817.2017.09.003 SONG C, GONG W Y, DING C C, et al. Sleep duration among Chinese children and adolescents aged 6-17 years old[J]. Chin J Sch Health, 2017, 38(9): 1288-1290. doi: 10.16835/j.cnki.1000-9817.2017.09.003
[21]	FERNANDEZ-MENDOZA J, CALHOUN S L, VGONTZAS A N, et al. Insomnia phenotypes based on objective sleep duration in adolescents: depression risk and differential behavioral profiles[J]. Brain Sci, 2016, 6(4): 59. doi: 10.3390/brainsci6040059
[22]	韩宁, 郭菲, 侯金芹, 等. 青少年抑郁情绪与睡眠问题双向关系的追踪研究[J]. 中华行为医学与脑科学杂志, 2016, 25(10): 937-941. doi: 10.3760/cma.j.issn.1674-6554.2016.10.016 HAN N, GUO F, HOU J Q, et al. A longitudinal study of the bidirectional relationship between adolescent depression and sleep problems[J]. Chin J Behav Med Brain Sci, 2016, 25(10): 937-941. doi: 10.3760/cma.j.issn.1674-6554.2016.10.016
[23]	SAMPASA-KANYINGA H, COLMAN I, GOLDFIELD G S, et al. Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review[J]. Int J Behav Nutr Physic Activity, 2020, 17(1): 72. doi: 10.1186/s12966-020-00976-x