Reciprocal associations between screen time and emotional disorder symptoms during adolescence
Screen-based sedentary behaviors and emotional disorders are associated with one another in youth. Yet, the direction of the association is unclear, as is whether specific types of screen-based sedentary behaviors and emotional disorder symptoms are more closely linked. This study estimated the bi-d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-03-01
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| Series: | Preventive Medicine Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335519300075 |
| _version_ | 1818144286960517120 |
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| author | Jennifer Zink Britni R. Belcher Afton Kechter Matthew D. Stone Adam M. Leventhal |
| author_facet | Jennifer Zink Britni R. Belcher Afton Kechter Matthew D. Stone Adam M. Leventhal |
| author_sort | Jennifer Zink |
| collection | DOAJ |
| description | Screen-based sedentary behaviors and emotional disorders are associated with one another in youth. Yet, the direction of the association is unclear, as is whether specific types of screen-based sedentary behaviors and emotional disorder symptoms are more closely linked. This study estimated the bi-directional associations between two types of screen-based sedentary behaviors and four types of self-reported emotional disorder symptoms, and tested whether physical activity buffered these associations in a Los Angeles high school student cohort (N = 2525, baseline Mage = 14.6 years). Participants completed baseline (9th Grade, 2013) and 12-month follow-up (10th grade, 2014) surveys reporting on: television viewing and computer/videogame use (≥4 h/day; yes/no), physical activity (≥60 min/day for ≥5 days/week), and Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), Panic Disorder (PD), and Social Phobia (SP) symptoms (meet/exceed [sub]clinical symptom threshold; yes/no). After adjusting for baseline screen-based sedentary behavior and covariates, students with (sub)clinical baseline MDD and GAD were at increased odds of high computer/videogame use one year later (OR = 1.36[95%CI, 1.07–1.73]; OR = 1.36[95%CI,1.09–1.71], respectively). Baseline SP was marginally related to increased computer/videogame use at follow-up (OR = 1.33[95%CI,1.04–1.69]). Greater baseline computer/videogame use was associated with increased odds of (sub)clinical GAD (OR = 1.54[95%CI,1.23–1.94]) and (sub)clinical SP (OR = 1.64[95%CI 1.27–2.12]) at follow-up; these associations were suppressed among baseline physically active students. Television viewing was unrelated to emotional disorder symptoms and PD was not associated with screen-based sedentary behaviors. Thus, only reciprocal associations between computer/videogame use, SP, and GAD during a one-year period of adolescence were observed. Interventions reducing computer/videogame use and increasing physical activity may improve adolescent emotional health. Keywords: Sedentary behavior, Anxiety, Depression, Youth |
| first_indexed | 2024-12-11T11:45:09Z |
| format | Article |
| id | doaj.art-97e434cd0ff94c4abf43c1c0c6cb4017 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-11T11:45:09Z |
| publishDate | 2019-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-97e434cd0ff94c4abf43c1c0c6cb40172022-12-22T01:08:30ZengElsevierPreventive Medicine Reports2211-33552019-03-0113281288Reciprocal associations between screen time and emotional disorder symptoms during adolescenceJennifer Zink0Britni R. Belcher1Afton Kechter2Matthew D. Stone3Adam M. Leventhal4Department of Preventive Medicine, Keck School of Medicine of University of Southern California, United States of AmericaDepartment of Preventive Medicine, Keck School of Medicine of University of Southern California, United States of AmericaDepartment of Preventive Medicine, Keck School of Medicine of University of Southern California, United States of AmericaDepartment of Family Medicine and Public Health, University of California, San Diego School of Medicine, United States of AmericaDepartment of Preventive Medicine, Keck School of Medicine of University of Southern California, United States of America; Department of Psychology, University of Southern California, United States of America; Corresponding author at: 2001 North Soto Street, Office 302C, Los Angeles, CA, 90032, United States of America.Screen-based sedentary behaviors and emotional disorders are associated with one another in youth. Yet, the direction of the association is unclear, as is whether specific types of screen-based sedentary behaviors and emotional disorder symptoms are more closely linked. This study estimated the bi-directional associations between two types of screen-based sedentary behaviors and four types of self-reported emotional disorder symptoms, and tested whether physical activity buffered these associations in a Los Angeles high school student cohort (N = 2525, baseline Mage = 14.6 years). Participants completed baseline (9th Grade, 2013) and 12-month follow-up (10th grade, 2014) surveys reporting on: television viewing and computer/videogame use (≥4 h/day; yes/no), physical activity (≥60 min/day for ≥5 days/week), and Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), Panic Disorder (PD), and Social Phobia (SP) symptoms (meet/exceed [sub]clinical symptom threshold; yes/no). After adjusting for baseline screen-based sedentary behavior and covariates, students with (sub)clinical baseline MDD and GAD were at increased odds of high computer/videogame use one year later (OR = 1.36[95%CI, 1.07–1.73]; OR = 1.36[95%CI,1.09–1.71], respectively). Baseline SP was marginally related to increased computer/videogame use at follow-up (OR = 1.33[95%CI,1.04–1.69]). Greater baseline computer/videogame use was associated with increased odds of (sub)clinical GAD (OR = 1.54[95%CI,1.23–1.94]) and (sub)clinical SP (OR = 1.64[95%CI 1.27–2.12]) at follow-up; these associations were suppressed among baseline physically active students. Television viewing was unrelated to emotional disorder symptoms and PD was not associated with screen-based sedentary behaviors. Thus, only reciprocal associations between computer/videogame use, SP, and GAD during a one-year period of adolescence were observed. Interventions reducing computer/videogame use and increasing physical activity may improve adolescent emotional health. Keywords: Sedentary behavior, Anxiety, Depression, Youthhttp://www.sciencedirect.com/science/article/pii/S2211335519300075 |
| spellingShingle | Jennifer Zink Britni R. Belcher Afton Kechter Matthew D. Stone Adam M. Leventhal Reciprocal associations between screen time and emotional disorder symptoms during adolescence Preventive Medicine Reports |
| title | Reciprocal associations between screen time and emotional disorder symptoms during adolescence |
| title_full | Reciprocal associations between screen time and emotional disorder symptoms during adolescence |
| title_fullStr | Reciprocal associations between screen time and emotional disorder symptoms during adolescence |
| title_full_unstemmed | Reciprocal associations between screen time and emotional disorder symptoms during adolescence |
| title_short | Reciprocal associations between screen time and emotional disorder symptoms during adolescence |
| title_sort | reciprocal associations between screen time and emotional disorder symptoms during adolescence |
| url | http://www.sciencedirect.com/science/article/pii/S2211335519300075 |
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