Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study
Objective To investigate associations of television and of video game or non-educational computer use (VG/CU) exposure volumes in a typical school day with psychiatric symptoms and suicidal ideation/self-injurious behavior (self-harm), in mainland Chinese adolescents.Methods Secondary school pup...
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Frontiers Media S.A.
2016-04-01
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| Series: | Frontiers in Psychology |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.00574/full |
| _version_ | 1818997579997773824 |
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| author | Mingli eLiu Mingli eLiu Qingsen eMing Jingyao eYi Xiang eWang Shuqiao eYao |
| author_facet | Mingli eLiu Mingli eLiu Qingsen eMing Jingyao eYi Xiang eWang Shuqiao eYao |
| author_sort | Mingli eLiu |
| collection | DOAJ |
| description | Objective To investigate associations of television and of video game or non-educational computer use (VG/CU) exposure volumes in a typical school day with psychiatric symptoms and suicidal ideation/self-injurious behavior (self-harm), in mainland Chinese adolescents.Methods Secondary school pupils (N = 13,659; mean age: 15.18 ± 1.89) from 10 urban areas sampled from different regions of mainland China were recruited. The subjects were divided into the follow four screen exposure volume groups for television and VG/CU respectively based on a self-administered questionnaire: 0 h/d, >0 to ≤1 h/d, >1 to ≤2 h/d, and >2 h/d. Demographic and psychiatric symptoms were recorded for each respondent. Odds ratios (ORs) and 95% confidence intervals (CIs) for several types of psychological problems and self-harm were calculated.Results For television, >2 hours per school day was associated with greater risk of depression in both boys (OR = 1.33, 95%CI: 1.02–1.73) and girls (OR = 1.62, 95%CI: 1.19– 2.21), of anxiety in boys (OR = 1.43, 95%CI: 1.05–1.95), of general emotional, behavioral, and social problems (GEBSPs) in girls (OR = 1.55, 95%CI: 1.01–2.39), and of oppositional defiant problems (ODPs) in girls (OR = 1.65, 95% CI: 1.09–2.50), compared with the reference group. Conversely, television exposure of >0 to ≤1 hour per school day was associated with lower self-harm risk in boys (OR = 0.81, 95%CI: 0.67–0.99) compared with the no television exposure group. For VG/CU, higher risks of anxiety (OR = 1.40, 95%CI: 1.06–1.86) and of attention deficit/hyperactivity problems (ADHPs) (OR = 1.56, 95%CI: 1.02–2.38) were associated with excessive VG/CU time (>2 h per school day) in boys compared with the no VG/CU exposure group. Higher risks of self-harm and all other psychiatric problems (including anxiety and ADHPs in girls) were associated with any school-day VG/CU exposure, compared to no VG/CU exposure, in both genders.Conclusion For mainland Chinese secondary school students, associations of psychiatric problems and self-harm were much more strongly associated with exposure to VG/CU than with exposure to television. The findings suggest that VG/CU exposure on weekdays should be considered in psychiatric interventions for adolescents. |
| first_indexed | 2024-12-20T21:47:53Z |
| format | Article |
| id | doaj.art-81eca742f2654f309631f03211b97be2 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-20T21:47:53Z |
| publishDate | 2016-04-01 |
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| spelling | doaj.art-81eca742f2654f309631f03211b97be22022-12-21T19:25:37ZengFrontiers Media S.A.Frontiers in Psychology1664-10782016-04-01710.3389/fpsyg.2016.00574176098Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional studyMingli eLiu0Mingli eLiu1Qingsen eMing2Jingyao eYi3Xiang eWang4Shuqiao eYao5Medical Psychological Institute, Second Xiangya Hospital of Central South UniversitySchool of Education, Hunan University of Science and TechnologyMedical Psychological Institute, Second Xiangya Hospital of Central South UniversityMedical Psychological Institute, Second Xiangya Hospital of Central South UniversityMedical Psychological Institute, Second Xiangya Hospital of Central South UniversityMedical Psychological Institute, Second Xiangya Hospital of Central South UniversityObjective To investigate associations of television and of video game or non-educational computer use (VG/CU) exposure volumes in a typical school day with psychiatric symptoms and suicidal ideation/self-injurious behavior (self-harm), in mainland Chinese adolescents.Methods Secondary school pupils (N = 13,659; mean age: 15.18 ± 1.89) from 10 urban areas sampled from different regions of mainland China were recruited. The subjects were divided into the follow four screen exposure volume groups for television and VG/CU respectively based on a self-administered questionnaire: 0 h/d, >0 to ≤1 h/d, >1 to ≤2 h/d, and >2 h/d. Demographic and psychiatric symptoms were recorded for each respondent. Odds ratios (ORs) and 95% confidence intervals (CIs) for several types of psychological problems and self-harm were calculated.Results For television, >2 hours per school day was associated with greater risk of depression in both boys (OR = 1.33, 95%CI: 1.02–1.73) and girls (OR = 1.62, 95%CI: 1.19– 2.21), of anxiety in boys (OR = 1.43, 95%CI: 1.05–1.95), of general emotional, behavioral, and social problems (GEBSPs) in girls (OR = 1.55, 95%CI: 1.01–2.39), and of oppositional defiant problems (ODPs) in girls (OR = 1.65, 95% CI: 1.09–2.50), compared with the reference group. Conversely, television exposure of >0 to ≤1 hour per school day was associated with lower self-harm risk in boys (OR = 0.81, 95%CI: 0.67–0.99) compared with the no television exposure group. For VG/CU, higher risks of anxiety (OR = 1.40, 95%CI: 1.06–1.86) and of attention deficit/hyperactivity problems (ADHPs) (OR = 1.56, 95%CI: 1.02–2.38) were associated with excessive VG/CU time (>2 h per school day) in boys compared with the no VG/CU exposure group. Higher risks of self-harm and all other psychiatric problems (including anxiety and ADHPs in girls) were associated with any school-day VG/CU exposure, compared to no VG/CU exposure, in both genders.Conclusion For mainland Chinese secondary school students, associations of psychiatric problems and self-harm were much more strongly associated with exposure to VG/CU than with exposure to television. The findings suggest that VG/CU exposure on weekdays should be considered in psychiatric interventions for adolescents.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.00574/fullAnxietyDepressionSuicideadolescencephysical activitysedentary behavior |
| spellingShingle | Mingli eLiu Mingli eLiu Qingsen eMing Jingyao eYi Xiang eWang Shuqiao eYao Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study Frontiers in Psychology Anxiety Depression Suicide adolescence physical activity sedentary behavior |
| title | Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study |
| title_full | Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study |
| title_fullStr | Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study |
| title_full_unstemmed | Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study |
| title_short | Screen time on school days and risks for psychiatric symptoms and self-harm in mainland Chinese adolescents: A multicenter cross-sectional study |
| title_sort | screen time on school days and risks for psychiatric symptoms and self harm in mainland chinese adolescents a multicenter cross sectional study |
| topic | Anxiety Depression Suicide adolescence physical activity sedentary behavior |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.00574/full |
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