Leuven School for Mass Communication Research, KU Leuven, Leuven, Belgium.
Department of Communication Studies, University of Michigan, Ann Arbor, Michigan.
J Clin Sleep Med. 2017 Aug 15;13(8):1001-1008. doi: 10.5664/jcsm.6704.
To investigate the prevalence of binge viewing, its association with sleep and examine arousal as an underlying mechanism of this association.
Four hundred twenty-three adults (aged 18-25 years old, 61.9% female) completed an online survey assessing regular television viewing, binge viewing, sleep quality (Pittsburgh Sleep Quality Index), fatigue (Fatigue Assessment Scale), insomnia (Bergen Insomnia Scale), and pre-sleep arousal (Pre-Sleep Arousal Scale). Regression analyses were conducted. Mediation analysis was performed using PROCESS Macro.
There were 80.6% who identified themselves as a binge viewer. Among those who binge viewed (n = 341), 20.2% had binge viewed at least a few times a week during the past month. Among poor sleepers (Pittsburgh Sleep Quality Index > 5), 32.6% had a poor sleep quality associated with being a binge viewer. Higher binge viewing frequency was associated with a poorer sleep quality, increased fatigue and more symptoms of insomnia, whereas regular television viewing was not. Cognitive pre-sleep arousal fully mediated these relationships.
New viewing styles such as binge viewing are increasingly prevalent and may pose a threat to sleep. Increased cognitive arousal functions as the mechanism explaining these effects. Measures of media exposure should take into account the user's level of engagement with media. Interventions aimed at (1) alerting viewers about excessive viewing duration and (2) reducing arousal before sleep may be useful ways to tackle sleep problems in binge viewers.
调查 binge viewing 的流行程度，及其与睡眠的关系，并探讨唤醒作为这种关联的潜在机制。
423 名成年人（年龄 18-25 岁，61.9%为女性）完成了一项在线调查，评估他们的定期电视观看、 binge viewing、睡眠质量（匹兹堡睡眠质量指数）、疲劳（疲劳评估量表）、失眠（卑尔根失眠量表）和睡前唤醒（睡前唤醒量表）。进行了回归分析。使用 PROCESS Macro 进行中介分析。
有 80.6%的人认为自己是 binge viewer。在 binge viewer 中（n = 341），有 20.2%的人在过去一个月中至少有几次 binge viewing。在睡眠质量差的人群（匹兹堡睡眠质量指数>5）中，有 32.6%的人睡眠质量差与 binge viewer 有关。更高的 binge viewing 频率与较差的睡眠质量、增加的疲劳和更多的失眠症状相关，而定期的电视观看则没有。认知性睡前唤醒完全介导了这些关系。
新的观看方式，如 binge viewing，越来越流行，可能对睡眠构成威胁。认知唤醒的增加是解释这些影响的机制。媒体暴露的测量应该考虑到用户与媒体的互动程度。旨在（1）提醒观众注意过度观看时间，（2）降低睡前唤醒的干预措施可能是解决 binge viewer 睡眠问题的有效方法。
