Postgraduate Course on the Science of Stress and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Outpatient Specialty Clinic for Obsessive Compulsive Disorder and Behavioral Therapy, First Department of Psychiatry, Eginition Hospital, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Int J Environ Res Public Health. 2021 Jan 18;18(2):760. doi: 10.3390/ijerph18020760.
Adolescent suse internet via several devices to gather information or communicate. Sleep, as a key factor of adolescents' development, contributes to their physical and mental health. Over the past decades insufficient sleep among adolescents has been wide spread, and one of its attributing factors is the increased availability of technology. This review aims to investigate the body of evidence regarding the impact of problematic internet use on adolescent sleep. Extensive search of databases was performed according to PRISMA guidelines for studies published within the last decade, regarding subjects aged 10-19. The final step of the search yielded 12 original studies. The quality of extracted data was evaluated with the AXIS tool, in order to estimate the risk of bias. All studies showed a negative correlation between adolescent sleep and problematic internet use. It was found to affect sleep quality and quantity and provoke insomnia symptoms. Interestingly, adolescent's sex, parental educational level, type of family and use for leisure or academic reasons appeared as affecting factors of the problematic internet use-sleep relationship. Problematic internet use has several effects on adolescents' sleep. Results of relevant studies should be embedded in educational interventions addressed to adolescents as well as parents, to eliminate the negative outcomes of problematic internet use on sleep and adolescence's health in general.
青少年通过多种设备上网获取信息或进行交流。睡眠作为青少年发展的关键因素，对他们的身心健康起着重要作用。在过去几十年中，青少年普遍存在睡眠不足的问题，而其中一个促成因素就是技术的普及。本综述旨在探讨有问题的互联网使用对青少年睡眠的影响的证据。根据 PRISMA 指南，对过去十年中发表的针对 10-19 岁人群的研究进行了广泛的数据库搜索。搜索的最后一步产生了 12 项原始研究。使用 AXIS 工具评估提取数据的质量，以评估偏倚风险。所有研究都表明青少年睡眠与有问题的互联网使用之间存在负相关。有问题的互联网使用会影响睡眠质量和数量，并引发失眠症状。有趣的是，青少年的性别、父母的教育水平、家庭类型以及使用互联网的目的（休闲或学术）似乎都是影响有问题的互联网使用与睡眠关系的因素。有问题的互联网使用对青少年的睡眠有多种影响。相关研究的结果应该纳入针对青少年及其父母的教育干预措施中，以消除有问题的互联网使用对睡眠和青少年整体健康的负面影响。
